Hi, My grandmother who is 75 years old is on dialysis for the past 1 year. She has had history of knee problems (like pain, swelling etc) for the past 20 years but the general massage and medications were followed. Recently for the past 1 week, one of the knee is hurting very badly even when she is sitting (we suspect it might be due to wrong massage). There is swelling on that knee too. We got her examined in one of the hospitals in gurgaon and they suggest knee replacement to be done as the pain killers are not subsiding the pain. She is old, has 2 dialysis every week and so we are not sure if it would be the right decision or not. Also, in order to proceed with the surgery, the doctors here have conducted two dialysis within 24 hours so that her parameters are stable. Could you please suggest what should we do?
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Dear lybrate-user, from what you said about your Grandmother, That she is having many comorbid conditions to increase the risk of not the Knee Surgery but the Anaesthesia risk will be higher and with Kidney problem CKD and Dialysis Twice a week you cont use painkillers option-1, After thorough assessment by all concerned with your willingness to take risk even life risk you may go for Knee replacement surgery which will relive her the PAIN and better ambulatory. Optin-2, Use only the and see the benefits of Cartilage regenerating and Synovial stabilisers as good sustbstitutes without painkillers at the most Ultracet combination but under the direction of an Orthopaedic surgeon may help her. Sorry for the long answer.
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Dear Lybrate user, from what I can understand your grandmother is already a patient of ESRD and on dialysis. Such patients are quite high risk for any surgery and especially a major surgery like knee replacement. So for once conservative measures should be tried. Also during dialysis we do give injection heparin which is a form of blood thinner and as you are saying some massage or manipulation was done hence there is also a chance of bleeding into the joint or hemarthrosis which can cause increased pain swelling and pain. There are also conditions which are related to severe renal failure and might not improve with replacement. Hence a proper evaluation should be done before going ahead with a major surgery.
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