Can Knee Replacement Help Reduce Hunchback in Seniors?

Q: Can Knee Replacement Help Reduce Hunchback in Seniors?

Hello： The severity of the above conditions must be considered. <br>If an elderly person has been unable to squat for several years, it is quite challenging to regain that ability. <br>Kyphosis is often related to osteoporosis and compression fractures, and a proper assessment re

Many years after total knee arthroplasty and kyphosis?

Hello, Doctor.
Happy New Year! I apologize for the interruption.
My mother underwent bilateral knee arthroplasty at the China Post Hospital in Taipei in 2011, likely using titanium alloy.
She lives in Changhua and is currently 77 years old.
Previously, the doctor advised her not to squat, so she has never practiced squatting and instead bends at the waist for movements that require squatting.
Over the years, as her children, we have overlooked her health.
In her daily life, she is active in the fields, weeding, cooking, cleaning, and other activities.
Since last year, she has developed a significant hunchback.
She is reluctant to see a doctor, but it pains me to see her posture deteriorate.
I would like to ask: 1.
Is there a chance for her knees to regain the ability to squat? If she could squat, it might reduce the frequency of bending at the waist and potentially alleviate her hunchback.
2.
Is there a solution for her hunchback? Thank you.

Miss Zhang, 50~59 year old female. Ask Date: 2019/02/06

Dr. Wang Shouji reply Orthopedics

Hello: The severity of the above conditions must be considered.
If an elderly person has been unable to squat for several years, it is quite challenging to regain that ability.
Kyphosis is often related to osteoporosis and compression fractures, and a proper assessment requires seeing the patient and reviewing X-rays.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2019/02/06

More Info

Knee replacement surgery, particularly total knee arthroplasty (TKA), can indeed play a significant role in improving mobility and potentially reducing the progression of postural issues such as hunchback (kyphosis) in seniors. Your mother's situation, where she has undergone knee replacement surgery and is experiencing significant hunching, raises important considerations regarding her mobility and overall health.

1. Knee Mobility and Squatting: After knee replacement surgery, many patients are able to regain a considerable range of motion, including the ability to squat. However, this ability can vary based on several factors, including the type of prosthetic used, the surgical technique, and the individual's overall health and physical therapy regimen. If your mother has not practiced squatting due to prior restrictions, it is essential to consult with her orthopedic surgeon or physical therapist. They can assess her current knee function and provide a tailored rehabilitation program that may include exercises to strengthen her quadriceps and hamstrings, which are crucial for knee stability and mobility. Gradually introducing squatting exercises, if deemed safe, could help her improve her posture by reducing the need to bend at the waist excessively.

2. Addressing Hunchback (Kyphosis): Hunchback or kyphosis in seniors can result from various factors, including muscle weakness, osteoporosis, and poor posture habits developed over the years. While knee replacement surgery can enhance mobility, it may not directly correct existing postural deformities. However, improving knee function can lead to better overall mobility, which may encourage more upright posture and reduce the tendency to bend forward.
To address kyphosis, a multifaceted approach is often recommended:
- Physical Therapy: Engaging in a physical therapy program that focuses on strengthening the back muscles, improving flexibility, and enhancing core stability can be beneficial. Exercises such as back extensions, shoulder blade squeezes, and stretching can help improve posture.

- Postural Training: Teaching your mother about proper posture and body mechanics during daily activities can help her maintain a more upright position. This might include reminders to keep her shoulders back and her spine aligned.

- Bracing: In some cases, a back brace may be recommended to provide support and encourage proper alignment. However, this should be discussed with a healthcare provider to ensure it is appropriate for her situation.

- Bone Health: Since osteoporosis can contribute to kyphosis, ensuring adequate calcium and vitamin D intake, along with appropriate medications if necessary, can help maintain bone density and reduce the risk of fractures that may worsen postural issues.

In conclusion, while knee replacement surgery can significantly improve mobility and potentially alleviate some postural issues, addressing hunchback in seniors requires a comprehensive approach that includes physical therapy, postural training, and possibly medical interventions for bone health. Encouraging your mother to engage in safe physical activities and seek professional guidance will be crucial in managing her condition and improving her quality of life. Regular follow-ups with her healthcare providers will ensure that her rehabilitation is on track and that any emerging issues are addressed promptly.

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