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Having a Hip, Knee Replacement? Some Tips to an Optimal Recovery – Consumer Health News

SATURDAY, Might 7, 2022 (HealthDay Information) — Should you’re one of many estimated a million People having complete hip or knee substitute surgical procedure this yr, some way of life adjustments would possibly enhance your possibilities of a very good final result, an skilled says.

Shed some pounds safely by way of food regimen and train earlier than surgical procedure, stated orthopedic surgeon Dr. Matthew Abdel. The goal physique mass index (BMI) — an estimate of physique fats based mostly on weight and peak — is lower than 40, however the nearer you may get to a BMI of 25 to 30, the higher, added Abdel, who focuses on hip and knee substitute on the Mayo Clinic in Rochester, Minn.

Even dropping 20 kilos earlier than hip or knee substitute surgical procedure improves outcomes, he stated. Listed below are a few of his different ideas:

  • Cease utilizing cigarettes, chewing tobacco, cigars and all different nicotine merchandise no less than six weeks earlier than having surgical procedure. After surgical procedure, don’t use nicotine merchandise.
  • Cease taking narcotic ache medicines no less than two weeks earlier than surgical procedure.
  • When you’ve got diabetes, be sure to have it below enough management earlier than surgical procedure. That is outlined as hemoglobin A1C lower than 7.5. You additionally need glorious blood sugar management within the time round surgical procedure.

Some way of life adjustments don’t enhance outcomes after hip and knee substitute surgical procedures, Abdel famous. These embody natural dietary supplements and nutritional vitamins, wound lotions and electrical stimulation gadgets.

The jury remains to be out on whether or not different measures earlier than surgical procedure assist enhance outcomes. Amongst them: bodily remedy earlier than hip and knee replacements and post-op bodily remedy for knee replacements.

Some sufferers have weight-loss (bariatric) surgical procedure earlier than hip or knee substitute surgical procedure, however current analysis by Abdel and colleagues raises questions on that.

The investigators discovered these sufferers had extra problems than those that simply had joint substitute surgical procedure, no matter their BMI. The problems included an infection and instability and affected the success of the joint substitute surgical procedures.

“We predict it might have one thing to do with the bariatric sufferers’ underlying system, equivalent to their intestine microbiome and underlying genetic host variation,” Abdel stated in a Mayo Clinic information launch. “Regardless that they misplaced the load, the delicate tissues and underlying collagen standing have been nonetheless of their unique nature.”

Extra info

The American Academy of Orthopaedic Surgeons has extra on joint substitute.

SOURCE: Mayo Clinic, information launch, April 26, 2022

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