Hello! Who performed 120 kg knee replacement? Is it very difficult to recover after the operation? And is it possible to make two joints at once in one operation? Thanks for responding.?

Hello! Who performed 120 kg knee replacement? Is it very difficult to recover after the operation? And is it possible to make two joints at once in one operation? Thanks for responding.?

NEWSPAPER EDITORIAL ANALYSIS (THE HINDU+ INDIAN EXPRESS)- 28 MARCH

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answers (4)

Answer 1
January, 2021

The main thing is not to spare the joints, but right away (after 2-3 Months to go in for sports to cut weight.

This is, first of all, the pool, the second exercise bike.

in the pool Your weight will be less, and the exercise bike is loaded with the largest muscle in the body (which burns the most calories)

As a result, you will strengthen your legs and lose weight,

and excess weight leads to premature wear of the prosthesis☝🏻

but an exercise bike and swimming NO 😉

Answer 2
January, 2021

Hello! In order to do two knees at once, and even with such a weight, there must be very good reasons, which probably do not exist. In addition to other circumstances, there is one technical detail - operating tables are designed for a maximum of 120 kg, therefore, because of this, patients are not taken. Of course, there are risks of thrombosis, poor suture healing, and a very long and unsuccessful operation. As practice shows, if a person cannot lose weight before the operation, then even after it he does not particularly strive for this, and if so, then the yen joint will last a long time or will serve but with pain, movement restrictions, etc. It turns out to be a vicious circle. You need to lose weight unambiguously and not even from the point of view of admission to the operation, there is no sense in getting into it, and then there is no point in getting fat again. If you want to live without pain, lose weight. Here are a couple of sources:

https://msk-artusmed.ru/endoprotezirovanie/dvuh-kolennyh-sustavov/
https://msk-artusmed.ru/endoprotezirovanie/maksimalnyj-ves/

Answer 3
January, 2021

My dad did endoprosthetics at the Konchalovsky Clinical Hospital under the Zdorovye I social project (since he is not from Moscow). And the doctor categorically refused to do it on two legs at once - he said that there is no such practice. And by weight, of course, he said that it is necessary to lose weight, because rehabilitation will be better, and in the future there will be no problems with joints. But dad had an urgent need for an operation, so the doctor did not insist on immediate weight loss. Dad then weighed 115 kg. (by the time of the operation he had lost up to 103 kg)

Answer 4
January, 2021

The chief traumatologist-orthopedist of the Pirogov National Medical and Surgical Center, in his speech at a recent conference, noted that the surgeon must weigh all the pros and cons in the approach to endoprosthetics of overweight patients.

Of course, the operation will restore the range of motion in the joint, relieve pain syndrome, restore the support of the limb, correct deformities and length of the limb.

And now about the risks mentioned: a high probability of a periprosthetic fracture, damage to the ligaments of the joint, the development of vein thrombosis ( risk of pulmonary embolism), dislocation of the head of the endoprosthesis and infectious complications that can lead to removal of implants.

But the good news is that the risks of postoperative complications are minimal today: in your weight category, this is about 3, 5-4%. It should be taken into account that 50% of success is the skill and skill of the surgeon, and the remaining 50% is your persistence in going through the entire rehabilitation program to the end.

And one more thing: work with a rehabilitation therapist begins almost immediately after the operation, which speeds up recovery process.

One last thing: no professional will ever undertake the operation of both knee joints at the same time. Moreover, in an overweight patient. Run away from such surgeons. Such operations are performed in stages to minimize risks and complications.

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