are among the causes of knee roughness
Consultant of orthopedic surgery and sports injuries, Dr. Abdul-Zaher Abdul Ghaffar Saati, said that sitting and social habits are the main reason for the spread of knee osteoarthritis, which has reached 35% among Saudis over the age of 50, and that the quality of food has no direct effect on it. Injury, but weight gain is at the forefront of the causative factors, and he stressed that patients who undergo knee replacement surgery return to their normal lives by up to 90%, and that oil needles are used in the first two degrees of injury, while cortisone needles are for temporary relief of pain only. Dr. Saati to many important aspects related to the injury of knee roughness and how to treat it.
• What are the causes of roughness?
Various factors contribute to knee roughness, most notably the genetic factor, motivation and sitting a lot on the ground, then injuries, especially for those who have old fractures, and also excess weight, which is a very important factor that comes at the forefront of the causes of roughness, in addition to the frequent rise and fall of stairs.
• Does the quality of eating affect the roughness?
The quality of food is not directly related to the roughness, but increased eating is a cause of weight gain, and therefore the effect of body mass on the knee is a cause of roughness, and it is common knowledge that every kilogram in the upper body goes down by 7 kilograms on the knee, and we conclude from this the size of the great impact of weight on the joints . In other words, reducing the weight by a kilo reduces the impact by 70 kilos on each knee.
• What are the stages of treatment for knee roughness?
There are four degrees in the treatment of knee roughness, in the first and second degrees we rely on exercises and physical therapy while giving the patient pain relievers, and if there is an internal or external deviation of the knee, an adjustment process is carried out in order to avoid roughness in the future, and there is a treatment given to some patients, a treatment that showed good results , despite the reservation of some countries that do not allow this drug to be given, and in the third stage, the patient is treated with oil needles and some treatments or through endoscopes, and he is assured of not sitting on the ground for all. As for the fourth stage, the knee replacement operation is the best option because the intensity of the pain reaches 6 or 7 degrees, which is a severe degree and the patient in this case cannot walk 100 meters, and therefore the artificial joint is the best treatment for his condition, and there are some patients who reach the fourth stage of roughness He requests that he undergo an endoscopic operation and he is afraid of the artificial joint operation. Unfortunately, in this advanced stage of the injury, the endoscope is not of any benefit and the best is the operation to change the joint, and this is what many patients submit to requesting the operation with complete conviction, but some of them come He requests that he undergo the operation directly.
• Tell us about the artificial joint?
Usually I ask the patient for whom I decide to replace an artificial joint to search the Internet for these operations and learn about them, and the artificial joint is divided into three pieces, one of which is installed at the end of the femur, and a plastic piece in the middle, and this must be of high quality so that it can bear the weight The body, methods, temperature, and a piece above the shin bone, and the ion of the joint must be accurate to suit the patient’s weight and the shape of the knee, and all of this depends on the skill of the doctor.
• Does the patient return to a normal life after the operation?
Some patients return to their normal life by 80 to 90%, and the pain disappears by 90%. The first and most important advice for those who undergo an artificial joint replacement operation is not to sit on the ground, in order to extend the life of the artificial knee, which is currently 25 years old, and certainly physiotherapy after the operation is of paramount importance equal to the importance of the operation, and I have previously prayed behind an imam who had an operation He changed his knees 7 years ago and is currently practicing his normal life.
• Some patients are afraid of needles, what do you say about this type of treatment?
In the first and second degrees of roughness, oil needles are useful and used periodically, while cortisone needles are for temporary relief of pain only, and when the condition reaches the third or fourth degree, the needles do not give any positive results, but we sometimes have to give them to the patient who refuses the operation until he is convinced It is useless, because he returns after three or four months complaining of pain, and asks for a joint replacement.
• Are there any exercises recommended for those who feel the onset of knee pain?
The permanent and primary recommendation is to strengthen the quadriceps muscle, and to prevent sitting on the “square” ground. These instructions are given to all patients with osteoarthritis at all levels. These recommendations are also to prepare the patient for the post-operative period. The advice I give to anyone who feels pain in the knee is to go to an orthopedic doctor To examine his knee and make the necessary rays for him to determine the degree of roughness.
• What is the incidence of knee roughness in the Kingdom?
In the Kingdom, the largest proportion of the incidence of osteoarthritis is in the knee, while in America the largest proportion of the incidence of osteoarthritis of the hip, and this is due to the nature of life and daily practices, alcoholic beverages cause roughness in the hips, and the incidence of knee osteoarthritis in us ranges between 30 and 35% among people over the age of 50 years and over, for example, in the Saudi German Hospital in Jeddah, we carry out two to three detailed surgeries per week, and similar to that in the rest of the Kingdom’s public and private hospitals.
• Are all government and private hospitals able to perform this operation?
Many government and private hospitals are able to perform this operation, which needs special and advanced equipment, and thankfully it is available in our country.
• How much does a knee replacement surgery cost?
The price of the knee ranges between 12 and 15 thousand riyals, and the cost of the entire operation is between 45 and 60 thousand riyals.
• What are the most prominent manufacturers of industrial joints?
America is the first in this field, in addition to Germany, which is a very difficult and accurate industrial.
• It is rumored that there are joints made of gold, especially the hip joint, is this true?
No, there is no, some of them may be golden in color, but they are not made of gold, they are made of a material called "titanium".
• Do operations need a precise specialization? Or can any orthopedic surgeon conduct it?
The Saudi Commission for Health Specialties has done a very excellent job, focusing on the subspecialty, so we have 7 subspecialties in orthopedics alone, and the solution is no longer like the previous general orthopedic surgeon, and this gives more quality.
• Does the Saudi Commission for Health Specialties have a list of doctors in each specialty?
Yes, it has a list of doctors in each subspecialty, but there are some doctors who practice more administrative work than medical practice.
• How do you evaluate the level of Saudi doctors?
They are something that raises the head. The excellence that Saudi doctors have achieved in the performance of their job duties has made them a destination for many patients, and most of our patients prefer to have the operation inside the Kingdom instead of traveling abroad, and this is due to the skill of the Saudi doctor.
Everyone who knows His Excellency Dr. Abdul-Zahir Al-Saati, a consultant orthopedic and joint surgeon at Al-Noor Hospital in Makkah and the Saudi German Hospital in Jeddah, knows this highly skilled and skilled doctor in orthopedic surgery and sports medicine and highly qualified from Canada and the owner of the experience he gained from practicing the most difficult surgeries in some Hospitals in the Kingdom and in Canada, from which we indicated that he was highly qualified. His fame and good reputation reached me, and he was mentioned by Al-Hassan before I met him and before my fate put me in his hands at the Saudi German Hospital in Jeddah when I slipped and broke the hip and upper thigh and was subsequently transferred to the Saudi German Hospital in Jeddah for a procedure. Surgery in the middle of last month.
Personally, until the operation, I did not meet Dr. Al-Sa’ati and did not see him until after I woke up from anesthesia, so I saw him standing over my head smiling and reassuring me that my operation was on its way, and praise be to God, to success by God’s grace and ability. .
Then he visited me every morning at eight o''clock to ask me about my condition, comfort me, encourage me to overcome my health condition, and hear me from all kinds of advice and encouragement, so that I thought he was playing the role of a psychiatrist besides his work as a skilled surgeon.
It is not strange for His Excellency Dr. Abdul-Zahir Al-Saati to be on this level of politeness, high morals and a good soul, and he is the son of Makkah Al-Mukarramah, the sacred land and the cradle of hearts, the landing point of prophecy and the qiblah of Muslims in the east and west of the earth and above this, and that is what I learned about him later that he is the son of a sister That great and beloved man, the husband of his daughter and the mother of his children, and by him I mean His Excellency Professor Dr. Mahmoud Asad Allah Al-Kazemi (may God have mercy on him), the well-known professor of geography and the first vice president of Umm Al-Qura University after its independence from King Abdulaziz University. He was, may God have mercy on him, an example in science, morals, and literature. He is loved by his students, colleagues, lovers and all his acquaintances, and he is the uncle of our doctor Abdel-Zahir Al-Saati and the grandfather of his children, and as it is said: The uncle is a father. And the truth about which I have a woman is that my uncle, Mr. Mahmoud Asad Allah (may God have mercy on him), and his nephew Abdul-Zahir Saati are among those whose knowledge of morals has been adorned by God They are the ones to whom the words of the poet apply:
Do not think that knowledge is of any use alone, unless his Lord crowns him with creativity.
They are from those whom God crowned their knowledge with goodness of soul and generosity of manners, may God have mercy on Sayyid Mahmoud Asadullah
And he made his grave a kindergarten from the gardens of Paradise, and God extended the life of his nephew and son-in-law, His Excellency Dr. Abdul-Zahir Al-Saati, orthopedic consultant, and helped him, approved and paid him, and fixed his offspring and the people of his house, and helped them in every step they take in their lives and build their future and better
He punished us all. He is the Hearer and the Answerer of prayers.
Uncle Ahmed Al-Zahrani praises the capabilities of Dr. Sa’at
Through a video recording that was broadcast on YouTube on the Internet for all to watch, Uncle Ahmed Al-Zahrani, who underwent a knee joint replacement operation, praised the abilities of the orthopedic consultant Dr. Abdul-Zaher Al-Saati, and said: About 8 years ago, I felt very difficult to bend the knee, especially when performing prayer, What prompted me to resort to a health center and was transferred to the orthopedic department at Al-Noor Hospital in Makkah Al-Mukarramah, and there I met Dr. Abdul-Zahir Al-Saati, and I continued with him for treatment for eight years, after which he decide
