Monday, 3 Oct 2022

Joint replacement Yes or no? The last word the Patient has

When the time is right for a new hip or a new knee, depends to a large extent by the suffering of the patient, because the symptoms can be in advanced joint wear and tear from Patient to Patient in very different ways. While suffering under intolerable pain, the other hardly any problems.

With an average of 70 years, people with severe osteoarthritis receive their first artificial hip or a knee, three out of five patients are women. There is no rule for the ideal time, and from a medical point of view, a joint must not be replaced necessarily. Rather, the suffering of the patients, depending on the pain and restriction of movement quite different to decide.

The guideline "Indication Knieendoprothese" of the German society for orthopedics and Orthopedic surgery to facilitate Affected the decision: she calls scientifically-backed recommendations for a joint operation, including four main criteria to be, for example, in the Implantation of a knee endoprosthesis met:

  • The pain for at least three to six months and occurs either permanently or several times a week under load.
  • On the radiograph significant damage to the joint must be visible.
  • Medications and other measures such as exercise and physiotherapy is no longer alleviate the pain adequately.
  • The pain will limit the patient in daily life so strong that he does not want to come to terms with them.

Prof. Dr. Karl-Dieter Heller, Vice-President of the German Association for arthroplasty and President of the German Hüftgesellschaft explained: "Basically, it is never too late for an artificial joint, even if the affected joint is already severely damaged. That it would be better to operate earlier because of better joint condition facilitates the OP, is true only in exceptional cases."