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How Risky Is Knee Replacement Surgery While Having Stage-4 Primary Biliary Cirrhosis?

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Posted on Fri, 20 Jan 2017
Question: Male 75 with Primary biliary cirrhosis stage 4 "auto immune disease" not ALCOHOL. I hads a mild stroke 2
years ago. I am on Coumadin. Cardiologist ok for surgery. I know people are different but can you give me a
rough idea what % have compliceations. Most importantly what is the risk of DEATH % . I know that healthy people . have a 1% risk of death. I am considering having a total knee operation. I do not want to risk dying
to be able to walk better.
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Risk minimal.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. Let me assure you that total knee replacement is a widely done procedure and things rarely go wrong. I would insist you not to panic about complications and death. As such, Congestive heart failure, Hemorrhage and Limping are the complications of concern. 99.75% of patients survive the treatment.

You may find it useful to go through:
XXXX


Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (11 hours later)
Is there any charge for the follow up question?

You did not address the stage 4 Pbc cirrhosis stage 4.

Am I to assume that this does not increase the risk of surgery?

Please explain.
doctor
Answered by Dr. Prof. Kunal Saha (18 minutes later)
Brief Answer:
Dosage adjustments should take care of the problem with respect to surgery.

Detailed Answer:
Thanks for writing back.

Yes, I purposefully avoided the issue of primary biliary cirrhosis. It will call for dosage adjustments but other than that it would not directly increase the risks involved in surgery.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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How Risky Is Knee Replacement Surgery While Having Stage-4 Primary Biliary Cirrhosis?

Brief Answer: Risk minimal. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through your query and understand your concerns. Let me assure you that total knee replacement is a widely done procedure and things rarely go wrong. I would insist you not to panic about complications and death. As such, Congestive heart failure, Hemorrhage and Limping are the complications of concern. 99.75% of patients survive the treatment. You may find it useful to go through: XXXX Regards