My father is suffering from osteoporosis. His age is 65 yrs. He is also diabetic. How advisable it is to go for knee replacement for him?
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Osteoporosis and Diabetic are not the contraindication for Knee Replacement. We switch over the patient on insulin before the surgery till stitch removal to control the sugar levelsÂ
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He can undergo a knee replacement ,but his sugars are to be kept under strict control.Â
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It is important to control blood sugar levels if you are are contemplating knee replacement surgery. Besides, also take care of Osteoporosis. Poor bone strength will have effects on the longevity of the knee replacement surgery. We sometimes see cases of Peri-Prosthetic fractures, if Osteoporosis is not taken care of adequately. Go for a knee replacement, once these are adequately addressed.Â
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Knee replacement is not ultimate answer for osteoporosis because having diabetes he can get good results with panchakarma therapy, he needs basti treatments.Â
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If talking about knee replacement 65+ is the ideal age for this surgery and about 50% of patients suffer from diebetes in this age,good centres take care of all these issues there is no complication we saw till now after knee replacement. You can easily go for your patient surgery.Â
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Before going for surgery take good amount of vitamin do and preoperative physiotherapy to strengthen his kneesÂ
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You can try ayurvedic treatment before surgery. Osteoporosis with diabetes curable through ayurveda. There is no any side effects.Â
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No! Knee replacement for an osteoporotic bone added with diabetic condition is highly non- advisable. The bone filled with pores wont be able to support metal knee replacements and the underlying diabetes will not let wounds heal fast. Highly risky. Your father is better off with knee braces with hinges.Â
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If he has osteoarthritis more than garde 3 then he should undergo TKR( total knee replacement ), medications for osteoporosis and diabetes should continue. He will feel much better after surgery.Â
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Knee replacement is for O.A. primary or secondary in advance stage of nonsalvable. Osteoporosis with dibetes can be managed easily with or without replacement. Dr Kamal Bachani,MS(ortho),M Ch(ortho),OCM Fellowship(Germany), Arthroplasty-Arthroscopic Fellow(Australia,Singapore G H,South Korea). clinic ph 01140581425,9711870926Â
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Hello, Diabetes is a factor which is implicated in Low bone mineral density which leads to Osteoporosis, although there are multiple causes. We need to find out you father's BMD score by getting a DEXA scan done. Also getting a knee replacement done is not an emergency, you can start medications for management of Osteoporosis and also keep your long term sugar status in control. Kindly let me know if you need any further information. Thanks & Regards Dr Akshay Kumar Saxena Ph No : +91-9891359607 Email Id : akshaysaxena2004@yahoo.co.inÂ
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Firstly one needs to assess the kind of lifestyle he is living right now. If activity of daily living is restricted to major extent the Knee replacement can be of great help. X ray will also help in deciding the need of surgery. Alternative therapies like Physiotherapy Ayurveda Homeopathy will be of major help before deciding on surgery.Â
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