Mayo Clinic expert: Joint replacement surgery, arthritis are not inevitable

ROCHESTER, Minn. — Don’t fear about your hips or knees as you age. Arthritis in these joints is not inevitable. Keep doing the actions you take pleasure in. Those hopeful phrases come from Rafael Sierra, M.D., an orthopedic surgeon at Mayo Clinic specializing in hip and knee reconstruction. Dr. Sierra says there isn’t any must curtail your actions out of worry that you will put on out these joints as you age and want joint replacement.

However, sure circumstances, corresponding to delivery defects and anatomical points, could predispose a person to have hip or knee issues. Untreated, hip dysplasia and hip impingement are main causes of hip replacement in folks below 50. Having bowlegs, knock knees — or different structural points­ — can hasten the necessity for knee replacement.

“But it’s not like the rest of us have to be worried and say, ‘OK, at age 50, maybe I should have my hips or knees examined by a doctor,'” Dr. Sierra says. “In general, your body — your musculoskeletal system — will let you know when you have issues.”

There are no preventive screenings for hips or knees, so ache is a significant tip-off that bother could also be brewing. Some folks do not even notice they’ve hip or knee points till they expertise ache doing new actions or actions.

Over the years, improvements in hip and knee implants and surgical methods have made the operations much more technically exact, Dr. Sierra says. New plastics utilized in hip and knee replacements are extraordinarily sturdy.

Changes in anesthesia and ache management methods have improved the care given to sufferers earlier than, throughout and after surgical procedure. More folks are having outpatient hip and knee replacement surgical procedure. If you do get a knee or hip replacement, your physician will probably suggest being conservative along with your actions.

Looking forward, Dr. Sierra says avascular necrosis, or the dying of bone tissue, stays one of many unsolved points in hip surgical procedure, with a lot analysis nonetheless forward. Also, analysis continues into abductor tears or tears of the muscle mass across the hip. Women are particularly vulnerable to this situation.


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Mayo Clinic is a nonprofit group dedicated to innovation in scientific observe, training and analysis, and offering compassion, experience and solutions to everybody who wants therapeutic. Visit the Mayo Clinic News Network for extra Mayo Clinic information.

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