Knee Replacement Surgery In Hyderabad | India

Apr 7, 2019

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Knee Replacement Surgery In Hyderabad | India

Knee Replacement Surgery In Hyderabad | India

Posted in : Orthopedics on by : Dr. K Sudhir Reddy

Knee Replacement in Hyderabad,Inida

Knee Replacement is also known as Knee Arthroplasty. Knee Replacement is performed to relieve the pain caused by Osteoarthritis or injury. In Knee Replacement, diseased knee joint is replaced by artificial implants in order to restore the function of damaged knee joint.

Index:

    • Introduction
    • Technologies Using for Knee Replacement in India
    • Implant Materials Used in Knee Replacement
    • Implants lifetime
    • Pre-surgery care
    • Knee Replacement Surgery Procedure
    • Post surgery care
    • Doctor and Surgeon Role in Knee Replacement
    • Real Time Examples
    • Infection Risk in Knee Replacement
    • Prevention of Infections After Knee Replacement Surgery:
    • Advantages of Knee Replacement
    • What international organisations saying about knee replacement
    • Best hospitals in Hyderabad for Knee Replacement

Introduction

Knee is the most important part which bears the weight of the human body and assists in all the body movements. To be active in your daily life, no doubt one should need healthy Knees. Conditions like tear out cartilage, injuries and other medical consequences such as Arthritis, Osteoarthritis leads to pain, swelling. At that stage, the only choice for the knee to function like before is Knee Replacement Surgery.

Generally there are two types of Knee Replacements.

  1. Partial Knee Replacement
  2. Total Knee Replacement

Technologies Using For Knee Replacement:

  1. Pre-Plan Technology
  2. Minimally Invasive Knee Surgery
  3. Patient-Specific Instrumentation (PSI)
  4. Bicruciate Substituting (BCS) Knee Replacement surgery
  5. Gender Specific Knee Replacement (females) – Zimmer Implant
  6. High Flex Knee Replacement
  7. Attune Rotating Platform Knee Replacement
  8. OrthAlign
  • Pre-Plan Technology:

Under Pre-Plan Technology, doctor in Hyderabad,India can check how much of Knee Joint is damaged and what size of knee to be replaced can be seen through CT Scan. By using this technology, we can avoid heavy blood loss. Pre-Plan Technology is Minimally Invasive when compared to other methods.

At present, All India Institute of Medical Sciences is also using Pre-planned technology. This technology is having many advantages like Exact alignment can be done using CT Scan, less blood loss, less hospital stay, faster recovery, compared to other methods, pain after knee replacement is less.

  • Minimally Invasive Knee Surgery

Surgical Procedure of Minimally Invasive Technique for knee replacement in Hyderabad,India makes the patients feel that they are having normal knee regarding mobility and stability. In this technology, Ready made knee will be available and this decreases the time of the operation. In this techniques there is no need of CT scan. This surgery technique uses technologies like Gradius curve and Softcam which makes the moment flexible without any jerks. This type of knee lasts more than 30 years and it is likely to be used in patients above 45-55 years.

There is lot difference between Conventional Technique and Minimally Invasive Technique. In Conventional technique around 15-20 cms skin along with the muscles will cut in front of Thigh and knee. Whereas in Minimally Invasive technique 8-10cms of Skin will cut. One more advantage in this technique is, Muscles are pushed aside and will not be cut.

  • Patient-Specific Instrumentation (PSI)

PSI technology allows the doctor to know the Alignment and Sizing of the knee by computer generated images. This technology is used to reduce the surgery time and also to reduce the Post-operative surgery complications. Generally, it takes around 3 hours for Knee replacement surgery in Hyderabad,India. But by using this PSI technique, the surgery time is reduced by half.

  • Bicruciate Substituting (BCS) Knee Replacement surgery:

BSC Technology is used to increase the natural moment of the Knee. BSC uses best implant materials made up of Zirconium and Oxinium. This materials helps the knee joint to last for 30 years.

  • Gender Specific Knee Replacement (females) – Zimmer Implant

This specific knee replacement is suited only for Female body because of difference in the anatomy of men and women.

  • High Flex Knee Replacement:

In this technique, knee is bent up to 155 degrees. This is one of the best knee replacement technology in Hyderabad,India because, in this technique knee bending, cross legs are permitted.

  • Attune Rotating Platform Knee Replacement:

Attune Rotating Platform Knee Replacement along with Minimally Invasive techniques will removes fear in the patient. This procedure makes the patient to feel normal in Mobility, Stability and function of the Knee.

  • OrthAlign

OrthAlign is a kind of knee alignment navigation system with Computerized applications has been started by  knee replacement Hospitals in Hyderabad. This system assists in correcting the knee deformities with precision. With help of this Computerized technology, the bone cutting is done almost accurately in all angles.

Implant Materials Used in Knee Replacement:

Before knowing the Implant Materials used in Knee Replacement, first we will know the compartments involved in Natural Knee Joint. Natural Knee Joint consists of three compartments namely, Medial compartment, the Lateral compartment and Patello-femoral compartment. In Partial Knee Replacement, any one of the compartment which was damaged is replaced with the Artificial Implants. Whereas in Total Knee Replacement, all the three compartments are replaced with Artificial Implants.

There are total 4 components that are replaced in total knee replacement in India. They are:

  1. Femoral
  2. Patellar
  3. Tibial and
  4. Plastic Spacer

Tibial:

Femoral is the flat part that attaches to the resurfaced shin bone. Femoral is made up of soft alloys like titanium. This part is made of metal platform with a polyethylene insert.

Femoral Component:

Largest curve shaped part that attaches to the end of the thigh bone. This components is made of cobalt-chromium alloys.

Patellar:

A dome shaped part that replaces the damaged knee cap that rubs against thigh bone.Patellar is made of Polyethylene.

Plastic Spacer:

Plastic-spacer fits in between, femoral and tibial components. This type of components are made up of Plastic which lasts longer with smoother moment.

Different types of Knee Implant materials include:

  • Stainless Steel
  • Cobalt-chromium Alloys
  • Titanium and Titanium Alloys
  • Un-cemented implants
  • Tantalum
  • Polyethylene
  • Zirconium

Knee Implants Life time:

As the technology is increasing rapidly, Knee Implants lifespan is also increasing. During 1960’s and 1970’s, knee implants life is around 10 years. Later the implants life increased to 20 years. According to the recent survey, the durability increased to more than 20 years. Still there are active patients who did their knee replacement surgery 30-40 years ago.

Pre-Surgery Care for Knee Replacement:

Before undergoing Knee Replacement, your orthopedic doctor will examine and will certify whether you are ready for Knee Replacement surgery or not. Few medical examinations/ tests like X-ray, Sugar Test, ECG, CT, Urine Tests, Dental Checkups scan etc will be done. MRI and X-ray are used to know the condition of your knee. These images assist the doctor to know the sizing of the knee and also to find best surgical approach.

And some knee replacement exercises also helps the patient to become stronger and able to recover better. Here is the list of some knee replacement exercises which can help you after surgery.

  • ankle pumps and circles
  • thigh squeezes
  • heel slides
  • leg slides
  • lying kicks
  • straight leg raises
  • knee bends
  • sitting kicks
  • chair push-ups

Knee Replacement Surgery Procedure:

Knee Replacement Surgery is also known as Knee Arthroplasty. As we previously discussed, knee consists of three main bones, the femur or thigh bone, the tibia or shin bone and the patella or kneecap. When any of these compartments gets damage, then it leads to Partial Knee Replacement. When all the three bones gets damage, then we opt for Total Knee Replacement. Here is the step by step procedure of what patient undergoes during Knee Replacement Surgery in Hyderabad,India.

  • First, patient is moved to Operation Theatre
  • The patient will be given Anaesthesia.
  • Patients BP, Sugar levels and oxygen levels will be monitored continuously.
  • Doctor will mark the area where surgery has to be done
  • Incision will be done in the knee area
  • Knee joint will be opened and damaged knee surface will be removed and replaced with artificial implants
  • Artificial implants are placed and to make them stick to the surface, surgical cement is used.
  • After cementing, excess cement will be removed.
  • Now the incision will be closed using stitches.
  • Operated area will be closed with the help of surgical bandages.

Post-Surgery Care for Knee Replacement:

Post-Surgery care is very important for Knee Replacement patient. Knee Replaced patient should learn variety of things which helps him/her in their recovery period. Patient must follow all the guidelines and instructions given by Orthopedic doctor. It takes some time for the patient to recover after Knee Replacement in Hyderabad. Here are some basic things which is o be done for the patient who underwent for Knee Replacement Surgery.

  • After Knee Replacement Surgery, patient is monitored for 2 to 3 hours until the anaesthesia wears off.
  • Patient needs to stay in the hospitals for 3 days or depending upon the condition.
  • To prevent blood clots after surgery, patients are instructed to undergo several physiotherapy procedures to make the blood to flow freely.
  • Before discharging from the hospital, patients are given all the instructions and if any symptoms like chest pain, sudden swelling at knee area, shortness of breath, the patient should immediately consult their orthopedic doctor.
  • Patients should not soak their operated area in water. For example, bathing.
  • Swelling and low grade fever are common in Knee Surgery patients. However, if the fever is constantly above 101 degrees, then patient should consult doctor.
  • Patient must keep the incision  area/operated area clean and dry to avoid complications.
  • If any redness or swelling found near the operated area, then patient should consult doctor immediately.
  • Patient should take healthy diet instructed by dietitian.
  • It will take 6 weeks for the patient to stand properly on his feet. Until patient do work on his own, crutches or walker should be used.

Infection Risks in Knee Replacement

Knee Replacement is most commonly performed operations in now a days. Knee surgery relieves pain and assists the patient in walking freely and live more actively like before. As we know that no surgery process is easy without any risks. However, only a less percentage of patients may comprise infection risk after surgery. Knee replacement means resurfacing the damages knee part and replace it with artificial implants. Incision will be made and stitches will be there in this surgery. Mostly the infections may form at the place of stitches or deep around the artificial implants. Joint replacement infections may also occurs after several years of surgery or at the time of surgery. Even if you intake any infection related food, that also leads to infection.

Prevention of Infections After Knee Replacement Surgery

As we discussed above regarding infection risks in Knee Replacement. Here are some measures which helps the patient in preventing Infections risk after knee replacement in Hyderabad. By following these measures, patient can easily reduces the infection risk rate.

  • Before and after the surgery, patient will be given Antibiotics which must be used without any fail.
  • Doctors should make sure that they are using sterile instruments and the implants which has to be placed should also be packed to ensure the sterility.
  • If there is infection in any part of your body, then it definitely travel to your knee and causes infection.
  • If you are having any of the problems like, dermatitis or psoriasis, dental problems, diabetes, HIV, obesity with a BMI over 50, rheumatoid arthritis, frequent urinary tract infections and etc. report it to consult doctor before surgery.

Advantages of Knee Replacement in Hyderabad,India:

  • If the patient undergoes Knee Replacement, the damages knee joint will be resurfaced and replaces it with a artificial implant. This reduces the pain in the patient and free moment of his/her leg.
  • Before knee replacement, if the patient is suffering from knee joint pain, he/she cannot climb the steps, cannot play gulf and even cannot walk properly. But after knee replacement, patient can climb steps, can sit and can walk more easily.
  • After knee replacement, patient is leading life normally like before knee damage.
  • High Success rate is there in knee replacement which makes the patients more satisfied.

Best Hospital in Hyderabad for Knee Replacement surgery.

About Author:

Dr. Sudhir Kumar Reddy holds eminent qualifications, having obtained credentials as MS (Orthopaedics) from AIIMS, and M.Ch.Ortho from University of Dundee, U.K.

LinkedIn Profile of Dr. Sudhir Kumar Reddy. 

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