Part 1 – Healthy Living for Life – Learn About Hip and Knee Replacements

living longer living healthier living better than ever before welcome to Mountain-Pacific's Healthy Living for Life a weekly series that gives you the information education and expert insight you need to become an active participant in today's ever changing health care climate here now as today's program hosts pain and limited movement are the biggest reasons for a hip or knee replacement but at what point should a person have surgery today we'll get the answer to that question and along the way learn all about hip and knee replacements including the process the risks and the rehab welcome to Healthy Living for Life a show dedicated to helping you do just that I'm your host Beth Brown stay tuned welcome back today we are talking with Dr Kerry Hale about hip and knee replacements welcome to our show Dr

Hale thank you thanks for being here so let's just dive right in can you start out by telling us what is osteoarthritis osteoarthritis is a degenerative condition that can happen to most of us actually as we age it's just a regular wear and tear of the joints themselves so the cartilage wears down okay so this is something that may lead to a knee replacement surgery it can yes okay what are some of the other reasons why someone may need a knee replacement surgery well arthritis can occur from not only the the regular wear and tear osteoarthritis but inflammatory arthritis such as rheumatoid arthritis gout those types of conditions people can also have what's called post-traumatic arthritis so say an ACL or meniscal injury when we're younger can lead over time to what we call this post-traumatic arthritis okay and if someone is experiencing these kind of conditions or pain is surgery usually answer or there other alternatives that might come up there are definitely other alternatives first before surgery patients can go through physical therapy strength training programs modifying their activities there's a whole host of different medications both pain relievers and anti-inflammatories that we can use and then there's certainly a role for injections and joints occasionally to help so number of different things that can be done okay and I know there are people lots of times they'll live for years with knee pain or maybe their knee isn't as mobile as it used to be what's the tipping point there where it's time to get them in for surgery so every patient is different and every situation is a little bit different I'd like to tell my patients that the time to consider joint replacement is when their pain and their dysfunction in their daily life is enough where they've had it and 0:03:10019,0:03:14489 they've been through conservative therapies and they're ready and so there are different types of knee replacement that you can get right can you talk a little bit about those different types sure so there's sort of what we call a full knee replacement we we divide the knee into three different compartments and that's a replacement of all three compartments and that's the most typical replacement that's done here in the United States and worldwide there is another replacement called a unicompartmental arthroplasty which actually only a small percentage of patients would be eligible for because typically that's arthritis in just one compartment of the knee whereas usually there's arthritis and more than one compartment okay are there I mean will someone who gets this surgery just see vast improvements or what is the improvement once you have a knee replacement it's a big surgery to get through and I tell people that they may wonder for the first few weeks sort of after surgery what they did get themselves into the recovery time typically by about six weeks to a couple of months three months out patients are doing fairly well but with a knee replacement you'll see small steady improvements for an entire year after surgery okay and what exactly happens during the replacement are there mechanical things that are put in there or can you just talk a little bit about the procedure yeah so both sides of the joint the femur the thigh bone and then the tibia the larger bone in the leg basically using a series of jigs the arthritis is cut and planed off so are all of the cartilage is taken off along with a small amount of bone making nice smooth surfaces for the implants to fit very precisely on – okay you already talked a little bit about the recovery time and seeing improvements is there a typical time that people will expect or does that depend on the patient – in terms of the recovery time yeah so typically in about six weeks to two to three months patients are doing quite well and they're back to the most of the activities that they like to do they'll continue to see again some small improvements after that for the first year okay and are there preparatory things that people need to do before the surgery and to kind of ensure that that recovery takes place how it should so if patients can what we call prehab meaning if they're able to do some sort of strength training weight-bearing exercise before surgery it will help immensely in terms of speeding their recovery afterwards sometimes that's just not possible because if the knee hurts enough then you're just not able to do much on it but we try to encourage patients to be doing as much as they can in preparation okay are there times when people are experiencing these kind of pains or conditions but still wouldn't be a good candidate for a new replacement sure if a patient had a significant other illness or illnesses where it may not make it safe for them to undergo anesthesia or you know pretty substantial recovery those would be the instances where surgery wouldn't be recommended okay is age ever a factor less so now for sure so it's really on kind of your overall health and instead of an age because the age is only a number yeah yeah exactly okay we need to pause here for just a quick break but when we come back what else you need to know about knee replacement surgery and we'll also take a look at hip replacement surgeries too so stay tuned we'll be right back after these messages

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