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which causes a destruction of the

joints in the form of rheumatoid

arthritis, systemic lupus,

ankylosing spondylitis, psoriatic

arthritis, fracture of the spine hand

and hips, secondary metabolic

bone disease (osteoporosis), and

many other rheumatic disorders.

All of these require preoperative

management by a rheumatologist,

to control their disease activity,

and check their medications

which may delay healing as well

as medication that may lead to

post-operative complications. Also,

a rheumatologist has a role after

recovery from surgery to control

diseases and prevent further joint

destruction.

KNEE AND JOINTS

REPLACEMENT

The most common reasons for

bone degeneration, highlights

Specialist Orthopedist Dr. Pulate

Avinash Murlidhar, are obesity,

a sedentary lifestyle, and not

consuming a healthy diet. Other

than that, there are diseases;

some people may have in-built

congenital problems, some may

have suffered in an accident, or

there may be a rheumatological

disease.

THE PROCEDURE

Dr. Rajesh Garg, Specialist

Orthopedic and Joint Replacement

Surgeon, has successfully

performed thousands of joint

replacement surgeries on

patients ranging from ages 35

to 97. However there is still a

spike in patients for knee joint

replacements at age 60 to 70 years,

typically because of the aging

phenomenon- “wear and tear”. He

reiterates, “Often times in the past,

as a patient got older in age, he/

she assumed the knee pain was

due to aging when it was actually

knee arthritis, but mistakenly

assumed as a symptom of aging.”

Also, sometimes a person may have

a cartilage injury for which they

used painkillers to alleviate the

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May/June 2017