A nature friendly knee arthroplasty for prayer and meditation in Asiatic lifestyle

Abstract

Introduction: India is a country where many religions coexist together. Prayer & meditation form an integral part of Indian lifestyle. Also 90% of India's population lives in the rural areas. Medial compartment osteoarthritis is the most common type of arthritis in India. Total knee replacement has longer rehabilitation time, morbidity and cost. In addition, it doesn't allow squatting and sitting cross legged. With rise in unicondylar knee replacements for medial compartment osteoarthritis, patient's satisfaction is much higher. Hypothesis of this paper was to investigate whether sitting cross-legged easily on floor for prayer and meditation, contributed to higher levels of patients satisfaction in unicondylar knee replacement significantly. Material & Methods: this retrospective study was done with study population of 36 patients of which, 33 knees of unicondylar knee replacement (mean age 61.7) and 25 knees of total knee replacement (mean age 63.5). We used modified Oxford knee score to compare the functional outcome and Likert scale for grading the patient's satisfaction level. Results: study outcome after unicondylar knee replacement was extremely satisfactory for all patients measured with modified Oxford knee score and is better than total knee replacement. The mean Oxford score for 33 knees with unicondylar knee replacement is 47.18 and for 25 knees with total knee replacements is 46.35. But viewing by satisfaction index point of view, patients are highly satisfied with unicondylar knee replacement because of ability to squat and sit cross-legged used for praying and meditation and other social habits.

The value of cross legged sitting: Virtue or vice for health.A review from sports medicine, physiology and yoga.Implications in joint arthroplasty.

“…The health benefits of yoga have been studied by hundreds of peer-reviewed scientific sources. One study published in the International Journal of Orthopaedics Sciencesstates that yogic meditation done in the sitting cross legged pose, is a promising way to improve cardio-metabolic health and, in a trial, found significant improvements in body-mass index, systolic and diastolic blood pressure, both LDL and HDL cholesterol levels, heart rate, weight, and triglyceride levels, which are all traditionally biometrics that indicate lifestyle disorders like obesity and CVD [6] . Study published in the International Journal of Cardiology, which assessed "the effects of yoga & meditation done in Sitting cross legged pose, impact modifiable biological cardiovascular disease risk factors," found that yoga also improved biometrics like blood pressure, heart rate, respiratory rate, waist circumference, cholesterol, and triglyceride levels, revealing "evidence for clinically important effects of yoga on most biological cardiovascular disease risk factors" [7] .…”

“…It was adopted for studying, eating, praying & meditating or in short any activity that needed composure of mind & stability of body. Yoga has propounded the advantages of Sukhasana or sitting cross legged varying from stability of body needed for long duration tasks to self-realization & self-actualization [6,26] . Yoga says that body is the visible Mind & Mind the invisible body.…”

“…It does not come as a surprise that some centers in Europe would rather do a bicompartmental UKA rather than a TKR with excellent results & satisfaction [7,23,24] . From the above it is clear, whatsoever promotes a nature friendly lifestyle, promotes more activity, including in sitting, walking sports etc., will not only make the joint last long, the patient will live longer & more fulfillingly [6,7,12] . Other advantages of UKA of long survivorship of upto 98% at 10 years, Lessor complications 11 Restoration of normal knee kinematics [11,12,13,14] .…”

Dervan simultaneous surgical protocol complete relief of lower limb neuralgic & arthritic pain

“…It is more functional allowing squatting, sitting cross legged, has longer survival & is more cost effective with faster recovery, lessor hospital stay etc. [11][12][13][14][15] . In a previous publication from this institute, on investigation of causes of dissatisfied patients of knee Arthroplasty, it was found that although the patient complained of pain around the knee, the source & pain generator were mostly from the spine 1 .…”