Complementary Medicine a Costly Risk in Management of  Chronic Knee Osteoarthritis? A Case Report

Sanjiv Rampal; Sandra Maniam; Ho Yi Peh; Raghuman Sheriff Feroze; Manvikram Singh Gill; Navin Kumar Devaraj; Suresh Kumar Subbiah

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Complementary Medicine a Costly Risk in Management of Chronic Knee Osteoarthritis? A Case Report

Author: Sanjiv Rampal ¹ ; Sandra Maniam ² ; Ho Yi Peh ¹ ; Raghuman Sheriff Feroze ³ ; Manvikram Singh Gill ⁴ ; Navin Kumar Devaraj ⁵ ; Suresh Kumar Subbiah ⁶
Author Information

1. Department of Orthopaedic, Faculty of Medicine and Health Sciences, University Putra Malaysia, 43400 Serdang, Selangor, Malaysia
2. Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
3. Department of Orthopaedics, Asian Institute of Medical University (AIMST), Batu 3 1,4, Bukit Air Nasi, Jalan BedongSemeling, 08100 Bedong, Kedah, Malaysia
4. Pharmacy Unit, Tuanku Mizan Armed Forces Hospital, 3, Jalan 4/27a, Wangsa Maju, 53300, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
5. Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
6. Department of Biotechnology, Bharath Institute of Higher Education and Research (BIHER), Selaiyur, Tamil Nadu 600 073, India
Publication Type:Case Reports
Keywords: Unregulated traditional and complementary medicine, Knee osteoarthritis, Prosthetic joint infection, Total knee arthroplasty, Perioperative risk factor
From:Malaysian Journal of Medicine and Health Sciences 2022;18(No.3):195-197
CountryMalaysia
Language:English
Abstract: Knee osteoarthritis is the commonest cause of knee pain in the elderly. It is characterized by unresolved pain, limitation of motion and reduced quality of life. Total knee arthroplasty (TKA) is a safe and effective method in treating chronic knee osteoarthritis. We report a rare case of a seventy-seven-year-old Chinese female with multiple comorbidities and bilateral degenerative osteoarthritis who had sought services of traditional and complementary medicine (TCM) for pain relief. The patient experienced unresolved pain and superficial skin scars following the unregulated procedure. This paper aims to outline the importance of awareness among surgeons regarding the unregulated practice of TCM that may exacerbate chronic osteoarthritis, joint synovitis, influence the surgical approach for future procedures with the presence of scars and prosthetic joint infection risk.
Full text:11.2022my1288.pdf