Suggest a minimally invasive procedure for joint replacement in a patient with weak immune system
Intra articular injections can help.
Thanks for posting your query.
I have seen the attached X-ray report. Your mother has advanced osteoarthritis with very small joint space left between the bones.
These are basically age related degenerative changes in the weight bearing joints like knee and is characterized by joint pain and stiffness. Upon movement the stiffness gradually relives.
The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, chondroitin , dycerin, etc and some life style modifications and physiotherapy.
In severe cases intra articular injections of steroids and hyaluronic acid may be needed after consultation with your orthopaedician. Surgery is recommended only when all the other treatment options fail to provide relief.
I also encourage you to consult an orthopedician for physical examination. A few blood tests, CT / MRI scans of the knee will help us diagnose the condition and help us in choosing the best approach of treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Total knee replacement is better.
Thanks for writing again.
Total knee replacement is a better option in her case as she has advanced osteoarthritis. Usually the life of artificial joint varies between 12-18 years. It depends on the body weight and stress on the implanted joint.
Do get the knees replaced one by one.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Also her weight is 71.height 165 cm. After 15 years of replacement she will get 65 years and joint life will be over and REDOING of surgery is possible at that age?
Delay the surgery if you can.
After the life of the replaced joint is over revision surgery is needed and the knee is replaced again with a new implant.
The status of second surgery will depend on her condition of health at that time. Her cardiac status and general health will need a detailed evaluation at that time. If she can walk normally now with the help of medicines and physiotherapy then it is best to delay the surgery for a few years and continue with the present treatment. Delaying the surgery can cause her discomfort in bending legs but there is no long term harm in delaying the surgery.
Usually the joint does not last for more than 15-17 years if used carefully.
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