Patients operated on in the morning are now sometimes up in the afternoon thanks to accelerated recovery protocols after surgery. "In my department, we now even do a third of these operations on an outpatient basis", specifies the surgeon. Rehabilitation may be limited to resuming normal activities.
Infections and thromboembolic events are rare (less than 1%). But some patients can still have pain. "The result is not as perfect as in the hip prosthesis, of which 70% of the operated on forget the presence, against only 30% for the knee prosthesis, whose joint is more complex." Results that should be improved by the growing customization of these prostheses ...
Side drugs, paracetamol hardly relieves it. She also takes anti-inflammatory drugs “but very little, because of the side effects, even if it relieves the pain a lot…”. After being followed by the rheumatologist, Claude is referred to Cochin Hospital. "I was given an intra-articular lavage with an injection of corticosteroids which relieved me a lot, then several intra-articular injections of hyaluronic acid which did not have much effect." The pain also caused lameness. As the joint is deformed, an osteotomy (section of the bone, straightening then maintenance of this correction, Editor's note) is practiced to correct it, "but it has no effect on the pain".
However, Claude refuses to inaction. “I live, I move even if I limp. I wear soles, knee pads when I walk for a long time, sometimes I take a cane… The worst is public transport. Luckily, I still drive, even though I sometimes have trouble getting into my car. ” A teacher, Claude had to give up the kindergartens she adored to apply for a post in primary school, which was less physically demanding. She hasn't run for a long time, can't take the long hikes she loved, but continues to go to the pool every week. Member of the French Association for the fight against rheumatism (Aflar), she has even taken training to lead therapeutic education sessions. "To better understand the disease, be an actor and suffer less."
“In fact, the less I move the more it hurts. Moving relieves me, ”she explains. “I'm very active, and that's what keeps me going. But chronic pain ends up depressing, wearing down. ” Claude therefore opted for the prosthesis. "First in the right knee, next November, then the second will follow." His advice? "Use all the means available to suffer less, have a healthy lifestyle and move, move…"