20MAR

Knee Replacements Raises Heart Attack Risks

Knee Replacement:

The procedure is performed on over 650,000 people worldwide each year1. The average age of patients ranges from 48 to 70 years opting for partial or full replacement.

Knee deformities beyond 15o, or advanced symptoms of arthritis, require a Total Knee Replacement (TKR) surgery. It is performedto ease pain and disability caused by joints, such as:

  • A fracture or dislocation
  • Joint swelling
  • Knee joint pain while resting
  • Redness or warmth at a joint, suggesting infection
  • Swelling, pain, or redness below the knee suggesting a clot in the vein

However there have been studies which suggest post-operatory risks of a myocardial infraction (heart attack), immediately starting first month after knee surgery. The risks were found to increase with age2.

The odds of blood clots in lungs and veins increase from the first month and can last for years after the surgery is performed.

Primarily there might be a systemic disorder where the entire human body is involved in a chronic stress response, covering every system from insulin regulation to innate immunity. During cardiac ischemia, millions of myocytes are lost resulting in loss of contractile function.

Risks of Heart Attack:

Patients have predictably poor functional capacity, undergoing joint replacement surgery, thereby making it a sub-optimal predictor of cardiac complications.

Several traditional risk factors for cardiac complications of non-cardiac surgery also apply to the patients undergoing total joint arthroplasty.

The congestion may develop in the liver, abdomen, lower extremities, lungs, etc. Prescription medication, in particular, can alleviate symptoms as they are administered based on:

  • the stage of the surgery
  • the nature and severity of congestive heart failure symptoms
  • tolerance for side effects
  • other factors and circumstances that would be contributing to (and possibly be the primary cause of) heart's weakened state

However, as with all powerful drugs, the side effects can be almost as problematic as the heart failure symptoms. Also, the treatment is highly dependent on the economic resources of individual patients as they require access to longitudinal care and expensive technology. Only 0.08% of Indians have health insurance compared to developed countries3.

Stromal Vascular Fraction (SVF)/ Sonicated Lipoaspirate Filtrate (SLF)– A Procedure Offered By Sahaj Therapy:

An alternative to TKR, stromal vascular fraction (SVF)/ Sonicated Lipoaspirate Filtrate (SLF) can easily be obtained from a mini-lipoaspirate procedure of fat. The procedure has a strong safety profile with no severe adverse complications linked to it. No enzyme, chemical, culture or animal product is used in the process.

The heterogeneous stromal population can be harvested from the patients by a simple, minimally invasive method. They can then be grafted in the intra-cellular space of joints, to repair the damaged cartilage. This results in reduced joint pain and an improved quality of life, without any side effects.

SFV is an emerging procedure, less invasive than TKR. With no risk of myocardial infraction, it ensures no lifestyle restrictions and is available at a lower cost than TKR. A natural solution, SVF therapy could be considered the primary option for the treatment of osteoarthritis.

References:

  • www.gcma.org.au/GCMA/media/GCMA/Images/Medical%20Link/GCMA-Feature-stories-www.pdf
  • Frequency of Myocardial Infarction, Pulmonary Embolism, Deep Venous Thrombosis, and Death following Primary Hip or Knee Arthroplasty, Carlos B. Mantilla et al., Anesthesiology 5 2002, Vol.96, 1140-1146, PMID: 11981154
  • American College of Rheumatology, Osteoarthritis, accessed 28 August 2015