Excellence in patient care, treatment, and patient well-being is the overall goal of Centre for Bone & Joint at Sarvodaya. The centre provides a comprehensive and integrated orthopaedic program for patients. Manned by highly qualified orthopaedic doctors in Faridabad, the centre is recognized for the quality of its services. It has established itself as a centre of treatment for all kinds of traumatic and non-traumatic orthopaedics problems. Over the years it has started speciality clinics in the field of spine, joint replacement, orthopaedic oncology, arthroscopy and paediatric orthopaedic. The Centre also has attached and well-equipped Physiotherapy and Occupational Therapy units.
The department provides comprehensive services for admitted patients on conservative treatment or for pre-operative care, intra-operative care, post-operative care and follow up care. The department has backup of laboratory and imaging services which includes X-ray, PET CT scan, MRI, DEXA SCAN, Nerve testing (NCV).
Total Knee Replacement
A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic piece with a metal stem.
Total Hip Replacement
A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" component of the pelvis called the acetabulum. The ball is the head of the thighbone (femur). Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal (or ceramic) ball and stem inserted into the femur bone and an artificial plastic (or ceramic) cup socket. The metallic artificial ball and stem are referred to as the "femoral prosthesis" and the plastic cup socket is the "acetabular prosthesis." Upon inserting the prosthesis into the central core of the femur, it is fixed with a bony cement called methylmethacrylate. Alternatively, a "cementless" prosthesis is used that has microscopic pores which allow bony ingrowth from the normal femur into the prosthesis stem. This "cementless" hip is felt to have a longer duration and is considered especially for younger patients. Total hip replacement is also referred to as total hip arthroplasty.
Who is a candidate for total hip replacement?
Total hip replacements are performed most commonly because of progressively worsening of severe arthritis in the hip joint. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis is generally seen with aging, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the hip joint, rheumatoid arthritis, and death (aseptic necrosis, or avascular necrosis) of the hip bone. Hip bone necrosis can be caused by fracture of the hip, drugs (such as chronic use of prednisone and prednisolone), alcoholism, and systemic diseases (such as systemic lupus erythematosus).
The progressively intense chronic pain, together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position, eventually become reasons to consider a total hip replacement. Because replaced hip joints can fail with time, whether and when to perform total hip replacement are not easy decisions, especially in younger patients. Replacement is generally considered after pain becomes so severe that it impedes normal function despite use of anti-inflammatory and/or pain medications. A total hip joint replacement is usually an elective procedure, which means that it is an option selected among other alternatives and can be scheduled on a routine basis. It is a decision that is made with an understanding of the potential risks and benefits. A thorough understanding of both the procedure and anticipated outcome is an important part of the decision-making process with the orthopaedic surgeon.
Sports Medicine Centre
The department is armed with a dedicated clinic for treating sports-related injuries with the emphasis on core strengthening, thereby helping the sportspersons to quickly regain their peak performance.
The arthroscope is a small fiber optic instrument that can be placed into the shoulder joint through a small incision. A camera is attached to a TV monitor, and pictures can be taken. The arthroscope allows a complete evaluation of the entire shoulder joint, including the ligaments, the rotator cuff, the biceps tendon, the joint lining, and the cartilage surface. Small instruments ranging from 3-5millimeters in size are inserted through an additional incision so that any injuries can be diagnosed, and damaged tissue can be repaired,reconstructed, or removed.Before the development of arthroscopy, large incisions had to be made over the shoulder joint to treat or diagnose injuries. Today’s arthroscopic techniques allow more complete evaluations of the joint while accelerating the rehabilitation process.
Knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera — called an arthroscope — into your knee. This allows them to view the inside of the joint on a screen. The surgeon can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the arthroscope.
Arthroscopy diagnoses several knee problems, such as a torn meniscus or a misaligned patella (kneecap). It can also reconstruct the ligaments of the joint. There are limited risks to the procedure and the outlook is good for most patients.
Arthroscopic surgery can diagnose and treat knee injuries, including:
You will be given an anesthetic before your knee arthroscopy. This may be:
If you are awake, you may be able to watch the procedure on a monitor.
The surgeon will begin by making a few small incisions, or cuts, in your knee. Sterile salt water, or saline, will then pump in to expand your knee. This makes it easier for the surgeon to see inside the joint. The arthroscope enters one of the cuts and the surgeon will look around in your joint using the attached camera. The surgeon can see the images produced by the camera on the monitor in the operating room.
When the surgeon locates the problem in your knee, they may then insert small tools into the incisions to correct the issue. After the surgery, the surgeon drains the saline from your joint and closes your cuts with stitches.
Arthroscopy allows the surgeon to view the inside of the shoulder joint and perform a variety of surgeries. These surgeries include:
Reconstructive hand surgery
We have delivered a new super speciality of hand in the department of orthopaedics manned by highly qualified and trained orthopaedic surgeon. Complex hand trauma and limb re-implantation surgery is done in this centre with excellent result.
The recent innovations in Orthopaedic surgery such as