Obesity and joint replacement

1. DR. SUNIL RAJAN Head ofDepartment Apollo Institute of Orthopaedics, Apollo Hospitals,Indore M.S Orthopedics, Specialization: Joint ReplacementSurgery

2. Obesity and joint replacement Obesity has became a global epidemic which has been a majoor cause of concern in around 2.1 billion people and is a well-known cause of osteoarthritis nowadays, joint replacement in obesity or in the obese attracts more complications , poor outcomes and higher revision rates. Joint replacement is a complex and a complicated procedure which significantly needs higher physically fitness rate, significantly proved that people having BMI more than 40 are more likely to experience higher risk of complications during and after the surgery then the normal people. Condition that can affect surgery:- Patience with obesity are more likely to have certain comorbidities or health conditions that increases the risk of surgery, these conditions include-  • Cardiovascular diseases • High blood pressure • Diabetes type 2 • Obstructive sleep apnea • Metabolic syndrome - These are the group of health conditions that increases the risk of developing cardiovascular diseases and diabetes.

3. It is very important to be in a best health possible before any surgery, if in case of any type of conditions that can worsen the surgery the doctor will work to ensure that it is managed and kept under control before the procedure. Risks of complications:- In such type of complex surgeries there are risks which are associated, these risk are greater for the patience with obesity.

4. The complications are classified into two parts during surgery and after the surgery, The complications which are faced during surgeries are -  1. Anesthesia - In individuals with obesity it is much more difficult to administer anesthesia because of the patient's body shape and their anatomy, or there might be health conditions that can affect breathing, The most common challenges which are faced during administration of anesthesia include • Locating the veins to administer necessary medications and general anesthesia • To ensure that the oxygen and air flow are sufficient • Properly positioning the needle while delivering into the spinal cord and epidural no blocks and the other types of regional anesthesia. 2. Operating time - With the people with obesity there are technical challenges which are associated while performing surgeries, due to excessive body fat and fluid drainage it is very tough to manage the operative time which is often more longer, in general the longer this surgery is the greater the risk of experiencing complications are.

5. Complications after the surgery- Depression with obesity is more likely to experience the following complications after the surgeries-  • Blood clots • Poor wound healing • Infections • Difficulty in breathing • Blood clots in lungs (pulmonary embolism)

6. Outcome & Revision:- Caring of the replaced joint after the surgery play an important role in outcomes of the surgery, as long as the proper care will be given to the replace joint the more enhanced performance and stability will be offered, in patients with obesity the outcomes can be affected as the chances of wear and tear of the joint are more likely to be increased because of the overweight and the over stress on the joint. Along with the combination of high infection risk and abnormally high physical load increases the revision rates individuals with obesity, it has believed that after the surgery less amount of stress should be provided to the joint for proper recovery and outcome, people with obesity are more likely to produce more stress and weight on the replace joint resulting in worsen the condition and needs repetitive revisions after very short period of time. It is very important to manage the replaced joint properly for better outcome and long life of the implant. Actions to take after surgery:- A healthy outcome of joint replacement surgery is overall health of the joint that is reducing wear and tear on the joint and helping and maintaining the quality of life after joint replacement, it is very important in the first quarter after the surgery to look after more prominently on the replaced joint. Some of the tips that can lead to healthier joint even in the cases of obesity are - 

7. Eating healthy diet- eating a healthy diet play an important role beating opacity and enhance the outcome of the surgery. • Maintaining proper weight- Play an important role in providing stability to the joint, try maintaining a healthy rate to reduce stress over the joint. • Stop smoking- smoking is the worst enemy of the body that can lead to obesity and many cardiovascular diseases. • Exercising regularly- exercising regularly or even walking for up to 30 minutes a day can help you to maintain your cardiovascular health and weight which can help you to be positive and will impact your daily living along with healthy heart and healthy weight. If you are suffering from joint pain and looking for best orthopaedic surgeon for Robotic Joint Replacement Surgery in Indore, Dr. Sunil Rajan is one of the best Knee Replacement Surgeon and Orthopaedic surgeons in Indore. Call now for Appointment 9826200015 and for more details visit our website - https://www.drsunilrajan.com/

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