Osteoarthritis: Hip or knee replacement is riskier than expected

Various studies indicate that in the case of osteoarthritis, patients with knee or hip surgery often have serious complications and persistent pain.

According to a new study, total knee arthroplasty is associated with a higher number of serious adverse events than nonsurgical treatment. To reach these conclusions, the researchers formed a cohort of 100 patients with moderate to severe osteoarthritis of the knee. 10% of these patients who had undergone a knee replacement were confronted with a complication, such as a bacterial infection in the joint or phlebitis that could be complicated by pulmonary embolism.

Another trial also found that the proportion of people with long-term pain ranged from about 7% to 23% after hip replacement surgery and from 10% to 34% after knee replacement surgery. Corollary results indicate that significant pain was also reported in 9% of patients after hip replacement and in approximately 20% of patients after knee replacement surgery.

Association of a healthy diet and regular exercise

Before the operation, remember that it is possible to reduce the symptoms of osteoarthritis by simply adopting a healthy diet and lifestyle. Led by the University of Surrey, England, and published in the journal Rheumatology, a study examined in 68 previous works the link between diet and self-management of osteoarthritis pain. Its results, conclusive, encourage people suffering from the disease to reduce their calorie intake, to exercise regularly and to consume essential fatty acids to reduce joint pain.
"It's the combination of healthy eating and regular exercise that reduces the pain of osteoarthritis and keeps joints healthy," says Ali Mobasheri, a professor of musculoskeletal physiology at the University of Toronto. Surrey. "Lifestyle should also be taken into account when trying to reduce the pain of osteoarthritis Patients can not expect miracles with dietary interventions if they are overweight, drink or smoke The evidence shows that smoking and excessive alcohol consumption have a negative effect on the body's energy metabolism and inflammatory markers of the liver that can promote inflammation and disease in the body, "the specialist continues.

Inflammatory thrusts

Chronic joint disease, osteoarthritis affects cartilage, the tissue that covers the ends of bones in a joint. Some elements are risk factors such as age, overweight, heavy loadings repeatedly, but in some cases the disease is hereditary. At times, the cartilage breaks down quickly, causing so-called osteoarthritis attacks, or inflammatory attacks, very painful. The rest of the time, many pains, associated with stiffness, poison the life of people who suffer from osteoarthritis, despite the use of painkillers.
Affecting nearly 10 million people in France, mostly women over 60, osteoarthritis and its management represent a real public health issue. It is estimated that by 2050, 130 million people will suffer from osteoarthritis, which will represent a considerable burden for health services in different countries. A perspective all the more worrying as currently, no treatment can cure the causes of osteoarthritis.