Joint Replacement

Joint Replacement
Overview

Centre for Joint replacement at Sarvodaya Hospital & Research Centre is equipped with the world class technology and the renowned doctors. the centre has the 97% success rate in operating very old patients as well as youngs.

Joint Replacement or Joint Arthroplasty is the most widely practiced surgical options for arthritis all over the world and its application in India has risen significantly too. According to a recent data, the age of the patients suffering from Rheumatoid arthritis and Osteoarthritis and opting for joint replacement ranges from 22 to 74 years with rheumatoid arthritis being major cause of arthritis requiring replacement in younger population. The male female distribution of patients is 25% and 75% respectively. It is estimated that over 1,20,000 joint replacements are done annually in India. Previously, joint replacements were done on the elderly patients and were advised to delay the operation as much as possible but there is a huge shift of concept and today the younger generation suffering from arthritis is opting for joint replacement as this is attributing to better life. Also the availability of better implants, advanced procedure like fast track computer navigation has increased the acceptability of the joint replacement.

Services

Most of the routine joint replacements are done using the alignment jigs and cutting blocks. These are relatively simple devices and patient has to rely on the surgeons ability to feel and perform the right alignment and balance of the joint. But this traditional method has limitations on its own and the success of such operations get stuck and the output is not always 100%. So here comes the advanced version which is Fast track computer navigated joint replacement. It is a wide spread conception that after knee replacement surgery one needs to stay for a long time in hospital and it takes further a long time to return back to normal activities. But these concepts are changing with the advent of newer fast track knee replacement technology. Fast track has become a well-known concept in improved patient satisfaction and post-operative results. Fast Track Technology leads to higher patient satisfaction and lower post-operative complications, reduces length of stay in hospital, together with improved health related quality of life and functionality, to reduce morbidity and post-operative disability with an earlier achievement of functional milestones.

Medical Procedures

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.

  • Computer Navigation:- Sarvodaya is equipped with latest navigation machine to have accuracy in implant alignment.
  • Kinematic Allignment:-With new techniques of kinematic alignment bone cuts are minimized and ligament are preserved..
  • Muscle Sparing: In this technique muscles in front of knee are not cut & knee is exposed keeping muscle fully intact by taking it to one side. It is technically demanding but result of TKR are encouraging. Patient requirement for physiotherapy is minimized and muscle functions are restored early.
  • High Flex Knee:-Majority of patient undergoing TKR at Sarvodaya are implanted high flex knee which can help the patient in sitting crossed-legged and squatting.
  • Ligament Sparing TKR (CR):- We can use ligament sparing techniques to have optimal function of knee after TKR. Cruciate retaining (CR) knee give better function of knee. Both cruciate lig sparing (XR) Knee are future knee which when imported in India will be giving almost normal knee function.
  • No Suture Removal: - After knee replacement self dissolving suture are applied and patient are not asked for suture & staple removal. Also cosmetically knee looks better.
  • Minimal Pain Following TKR:- To minimise pain following surgery, we use patient controlled analgesia(PCA) using Epidural pump, skin patches and physiotherapy to minimise the requirement of narcotics. Virtually knee replacement surgery becomes painless.
  • Patient is made to walk next day following surgery and fully functional after one month of surgery.

 

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.

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