Why do I need an arthroplasty? and what are the risks

  China has entered an aging society, national life expectancy has increased significantly compared with the pre-reform and opening up, and there are more and more elderly patients. How to solve the problem of aging has become a great cause for the whole society to pay attention to and participate in. A healthy body is the key to the elderly. We cannot change the physiological degeneration of the organism, but we can change his pathological changes through various methods. The invention, development and now general promotion of artificial joint materials will be a boon for many patients with severe knee osteoarthritis. Society is progressing and people’s quality of life is improving, we should not let knee pain affect our quality of life. In orthopedic clinics, many patients and friends with severely degenerated knees ask their doctors to help them figure out what to do, not wanting to have surgery and wanting to recover to a pain-free state through Chinese medicine. To these patients we say that although medicine can solve the pain caused by some muscle, fascia and synovial lesions by various physical and chemical means, it cannot do anything about the pain caused by the irritation of cartilage denudation. In foreign countries, joint replacement is a more common and accepted procedure. This is actually true. But why are our citizens hesitant to undergo surgery? There are several reasons.  1. Perception: Some people believe that only their own stuff is the best. Foreigners, on the other hand, believe that what is bad and useless for them should of course be replaced with a substitute to improve their quality of life. This is actually the same reason as cosmetic surgery, cosmetic surgery for the beauty of appearance, knee artificial joint replacement is to relieve knee pain, improve the ability to take care of themselves and improve the quality of life. We need to have the vision to keep up with the times on these issues. Since the reform and opening up, our eyes have been opened and who can foresee the development of science and technology in a decade or decades. In terms of artificial knee joint replacement, China’s artificial knee joint replacement started far behind the developed countries, after about ten years of continuous learning by orthopedic colleagues, we have the technology and materials are more advanced in the world.  2. Cost: Joint replacement is a deterrent for many patients due to its expensive prosthetic cost. If conservative treatment, each year not only endure the pain, but also, spend a lot of money on medication, no matter what drugs to this or that side effect, as age increases, knee pain by conservative treatment to control pain, restore function is becoming more and more unrealistic, so that not only can not achieve the purpose of treatment, quality of life is not high, the entire expenditure of medical costs but not a small amount, the older the age of artificial joint replacement, the The older the age of the artificial joint replacement, the higher the risk of complications and surgery. Therefore, I suggest that patients with severe osteoarthritis of the knee, instead of waiting in pain, should make up their mind to have an artificial knee replacement, and after a recovery period of about 2 months, they can live a healthy life and enjoy life.  Many patients think that if the surgery is broken, they will not be able to walk for the rest of their lives, or even have their limbs amputated. Here, I would like to clarify that this worry is not necessary for everyone. Professor Lei Zhongmin of the Department of Orthopedics at Beijing Hospital of Traditional Chinese Medicine has performed a large number of joint replacement surgeries with very good results. Before the surgery, we will strictly carry out various examinations, strictly grasp the indications for the surgery, and carry out active rehabilitation after the surgery, and all of them can walk on the ground within a week after the surgery.  4. Patients are concerned about the service life of the artificial knee joint, thinking that it will last at most 10 years and that after 10 years, I will have to have a second revision surgery. On this issue, I would like to explain that it depends on how we use it. Many people have never been in a hospital in their lives, yet many people become regular visitors. This is very closely related to the habits of each of us. People who take care of their knee have less disease than those who don’t, and their condition is simpler. The rehabilitation exercise after the artificial knee replacement is very important. We make a rehabilitation program that is most suitable for you according to your different physical conditions, combined with your tongue and pulse and other signs, and different Chinese medicine preparations at different times.  5.If you have an artificial knee joint replacement, will it affect your life and you must have a piece of metal in your body? The material we are using now is one of the most advanced materials in the world. The materials we use are based on millions of successful cases of foreign patients. There are very few post-operative complications and we have developed various programs before, during and after surgery to effectively reduce complications and ensure medical safety. Many elderly people, including domestic and foreign ones, started to realize their dreams that could not be realized when they were young and started to travel around the world after performing artificial knee replacement. in the early 90s, a friend who could not realize his purpose of traveling around the world due to hip pain, decisively performed artificial hip replacement in our hospital, when only the second generation of metal hip prosthesis was available in China, and more than 20 years later, this friend is still healthy and happy More than 20 years later, this friend is still living a healthy and happy life.  Fourth, the advantages and disadvantages of the artificial knee joint The advantages are: (1) Patients with deteriorating osteoarthritis of the knee and serious deformation can also be operated on. (2) The surgical treatment period is relatively short, about one month. (3) The joint pain can be completely removed.  The disadvantages are: (1) It has an effect on strenuous running and hiking. (2) The degree of knee flexion after surgery is usually slightly greater than a right angle, about 120 degrees. (3) It is very difficult to treat infections in artificial joints; about 1% of people have infections after surgery, which require prolonged treatment or even removal of the artificial joint, and joint replacement after the infection is controlled. The rate of infection in the re-surfaced joint is higher than in the first surgery. (5) It is possible that wear and loosening of the artificial joint is also a cause of post-operative pain and surgical failure. (6) The price is more expensive.  Fifth, how to choose a good artificial knee joint?  When a patient decides to use artificial joint replacement treatment, the question often comes up: what kind of artificial joint is the best artificial joint? It should be said that different patients should choose different artificial joints. Artificial joint prosthesis has very strict requirements for its design, surface treatment, material selection, manufacturing process and packaging; it also needs sufficient clinical practice to prove the effectiveness of a certain artificial joint. At present, the artificial knee joint has become a very mature artificial joint, both in terms of the prosthesis itself and in terms of surgical techniques. Artificial knee joints have been widely used in clinical practice and have achieved good clinical results. Choosing an artificial knee prosthesis is very different from choosing other commodities, because once the artificial knee prosthesis is placed in the body it is not easy to “replace” it at will, and even if it is “replaced” the cost is quite large and cannot be measured in money alone. Therefore, the choice of a good artificial joint should be made carefully under the guidance of an expert.