Knee pain and arthritis and stiffness is treated with a variety of methods. This includes medications, physical therapy and exercises, weight loss methods and surgery to replace the worn out cushions between the joint spaces.
It is when all other medications and therapies fail that patient may consider a Total Knee Replacement or TKR. This involves replacement of the worn out joint with artificial prosthetic joint.
This operation is usually performed under general anesthesia wherein patient will be rendered unconscious during the operative procedure. This operation can also be done under spinal or epidural anesthesia. A cuff like tourniquet is placed on the thighs just before the incision. When inflated this aids in reducing the blood flow to the operative site and reduces the risk of bleeding.
There are basically two approaches to a TKR :
Procedure of classical approach to TKR:
Procedure of minimally invasive TKR surgery:
TKR is a very successful surgery and with proper accompanying physical therapy it can provide much relief. This mimics the original joint and allows a free movement of the joint. Benefits of this operation are remarkable in terms of freedom from pain, improved range of movement of the knees, improved sleep and better quality of living.
Since, there is no movement, won’t it have high risk of clotting after the operation?
Early mobilization not only prevents formations of blood clots but also rapid recovery. Blood thinning medications are also prescribed if patients are prone to develop blood clots and these may be continued even after the discharge.
On discharge patient may need crutches, walker or a cane to walk. After around six to eight weeks they will be able to walk with minimal assistance.
Total Hip Replacement (THR) is necessary when none of the other methods to correct a damaged hip is effective. In this operation the surgeon replaces the ball and the socket with metallic replacements and the cartilage with artificial joint material.
Elbow replacement is surgery to replace the elbow joint with artificial joint parts (prosthetics). The elbow joint connects two bones: humerus in the upper arm and ulna in the lower arm.
Limb lengthening and complex reconstruction of bone materials are today performed successfully by surgical intervention. Limb lengthening and reconstruction techniques are used to replace missing bone and lengthen and/ or straighten deformed bone segments.
Polytrauma describes multiple complex injuries of the brain and body typically caused by explosive blasts from car bombs, shells and flying shrapnel. The condition is commonly characterized by multiple head injuries, vision and hearing loss, nerve damage, multiple bone fractures, unhealed body wounds and infections - either of which can be life threatening.
Bone fracture surgery is a surgery to fix a broken bone using metal screws, pins, rods, or plates to hold the bone in place. It is also known as open reduction and internal fixation (ORIF) surgery. Bone fracture surgery is used when a broken bone does not heal properly with casting or splinting alone.
Orthopaedic Oncology offers treatment for adults and children with musculoskeletal tumours. It evaluates many different types of disorders, including benign tumours, malignant tumours, bone tumours, soft tissue tumours and metastatic lesions.
Sports medicine refers to the branch of medicine that deals with illnesses or injuries resulting from participation in sports and athletic activities. Knee, leg, back, shoulder and hand injuries, as well as joint pain and stiffness, are a few of the common disorders treated.
Paediatric Orthopaedics is the study and treatment of growing bones, joints and muscles. Among the most-common conditions we treat are:
Total shoulder joint replacement surgery replaces the bones of the shoulder joint with artificial joint parts, and it’s an option to patients who suffer from joint dysfunction. This is usually the result of osteoarthritis or rheumatoid arthritis, but rarely for those who have sustained severe trauma from a shoulder fracture.
Individuals who have undergone joint replacement, experienced a musculoskeletal injury, sustained bone trauma or have been diagnosed with a degenerative joint disease often have limited function and mobility, pain and other complications. The institute offers a comprehensive orthopedic rehabilitation program that includes medical, nursing and therapy care to...
Rheumatology includes clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders. Many of these diseases are now known to be disorders of the immune system, and rheumatology is increasingly the study of immunology.