ABOUT

JOINT REPLACEMENT SURGERY

The main reasons for joint replacement surgeries are unbearable pain in the joint that inhibits them from doing daily life chores, severely affecting the functionalities of the concerned joints, and wearing off of the joints and nearby tissues that needed immediate replacement to have a better quality of life.

Here at Kasturi Hospitals, we offer various kinds of Joint Replacement Surgeries, as per the need and will of the patient on a case-by-case basis. They are:

• Total Knee Replacement surgery
• Total Hip Replacement surgery
• Arthroscopic Surgery

TOTAL KNEE REPLACEMENT SURGERY

A total knee replacement is an operation that removes the affected bone and damaged cartilage from the knee joint. The knee is replaced with a metal and plastic covering that simulates the natural cartilage. Hence, a smooth functioning joint is made that would not hurt anymore.

This surgery is the result of a condition called arthritis and the severe pain associated with it. The knee joint has a layer of smooth cartilage between the end of the thigh bone and the top of a calf bone. This cartilage serves as a cushion that allows smooth movement of the knee. Arthritis is wearing off this cartilage. Gradually, it wears down to the bone. Once this happens, rubbing of bone against bone is caused which causes discomfort, swelling, and stiffness. Pain is common in the knee and may radiate to the thigh, calf, or back of the knee. Usually, the pain will get worsened after episodes of immobility. Most of the knees wear out on the inside first followed by the outside and kneecap.

95% of our patients experience good results in healing periods. Either they do not experience pain or may have little pain after which they enjoy a little range of movements. Most of them can pursue moderately intense exercises such as walking long distances, driving, or playing some less strenuous sports.

Crutches, walkers, or wheelchairs might be necessary for a few weeks to months depending upon the healing rate post-surgery. After a few weeks, there might be some rehabilitation exercises will be advised and assisted.

The decision to undergo surgery is based on the patient’s history, examination, and most importantly, the will. Surgery is suggested when non-operative methods no longer control the pain.

Why choose us?

• Immensely skilled and highly experienced Surgeons
• An ultra-modern technologically advanced Total Knee Replacement Surgery
• Computer Navigated Knee Replacement
• Comprehensive Post -Op Care
• Affordable Cost

TOTAL HIP REPLACEMENT SURGERY

Progressive arthritis is experienced, and to be able to cure it, a Total HIP Replacement surgery is performed. Hip replacement is prescribed only if the patient is undergoing one or more of the following:

• Sleepless nights due to Hip pain.
• Daily life chores are affected if the hip pain aggravates above the threshold pain limits.
• The pain doesn’t go away even after trying other non-surgical procedures.

Hip replacement is a surgical procedure that replaces a worn-off or damaged hip joint with an artificial joint, called a prosthesis. A prosthesis is a combination of a ball and socket, composed of either metal, plastic, or ceramic. Hip replacement relieves pain and helps the patient enjoy his day-to-day activities.

The doctors would suggest Hip Replacement Surgery if patients experience the following:

• If arthritis is limiting day-to-day activities such as walking and bending.
• If even the resting position couldn’t relieve the Hip pain.
• Inhibition in the movement abilities or even lifting of the leg due to the stiffness present in the hip.

There are more conservative treatment options such as medications, injections, and physiotherapy regimens. Other types of surgery can also be considered according to the seriousness of the joint problem. Hip Replacement will be recommended only after a careful and thorough diagnosis of the joint problem.

If any of the above complications are experienced, consult us to know more about the benefits of Hip replacement surgery.

The overall goal is to restore joint functionality and patient activity level so as soon as possible. This procedure at Kasturi Hospitals includes the following:

• Counseling before the operation
• Thorough medical check-up
• Advanced Knee Replacement Components
• Minimally invasive surgery
• Technologically advanced Operation Theatre
• Advanced Pain Management process
• Progressively improvising Physical Therapy
• Reduced risk of dislocation, blood clots, and infections
• Postoperative accelerated rehabilitation
• Long-term follow-ups

ARTHROSCOPIC SURGERY

Arthroscopy is a surgical procedure to examine the joint’s internal structure for diagnostic purposes by using a thin-tube-like video instrument for viewing. It is an age-old practice since 1960 and is still being followed throughout the world of orthopaedists. After this procedure, the patients are usually discharged on the same day and i.e., the reason this is performed in an outpatient setting.

If the surgical procedures are carried out in addition to examining the joint with Arthroscopy, this is called arthroscopic surgery. Many surgeries have this process flow. Traditional surgery techniques cause more tissue damage or trauma than this arthroscopic surgery. Arthroscopic surgery is also preferred for the less amount of relative pain experienced and faster recovery.

Arthroscopy determines the final and accurate diagnosis apart from the MRI or CT scans. The surgical process with this technique gives a more precise resolution than the open “open” surgery or X-ray studies.

Disease and injuries damage bones, cartilage, ligaments, muscles, and tendons. During the arthroscopic examinations following conditions can be found:

• Synovitis
• Acute or chronic injuries such as:
• Shoulder - Rotator cuff tears, Impingement syndrome, or dislocations
• Knee - Meniscal (cartilage) tears, chondromalacia (wearing or injury of cartilage cushion), and ACL tears with instability
• Wrist - Carpal tunnel syndrome
• Loose bodies of bone and/or cartilage - for example, knee, shoulder, elbow, ankle, or wrist

We perform several surgeries involved with Arthroscopy. They are:

• Rotator cuff surgery
• Repair or resection of torn cartilage (meniscus) from knee or shoulder
• Reconstruction of the anterior cruciate ligament in the knee
• Removal of inflamed lining (synovium) in knee, shoulder, elbow, wrist, ankle
• Release of carpal tunnel
• Repair of torn ligaments
• Removal of loose bone or cartilage in the knee, shoulder, elbow, ankle, and wrist.

The Procedure of Arthroscopy:

Arthroscopic surgery, though easier to recover than open surgery, it still requires anesthetics and special equipment in the operation theatre or outpatient surgical room. General, spinal, or local anesthesia is given as per the joint condition or the suspected problem.

A tiny cut (about the size of a buttonhole) is incised to provide the route to the Arthroscope. Several other incisions may be made to see other parts of the joint or insert other instruments.

When the injury or worn-off tissue is identified, corrective surgery is performed with specially designed instruments that are inserted into the joint through accessory incisions. Initially, arthroscopy was simply a diagnostic tool for planning standard open surgery. With the development of better instrumentation and surgical techniques, many conditions can be treated arthroscopically.

For instance, most meniscal tears in the knee can be treated successfully with arthroscopic surgery.

After arthroscopic surgery, the small incisions will be covered with a dressing. You will be moved from the operating room to a recovery room. Many patients need little or no pain medications.

Before being discharged, you will be given instructions about care for your incisions, what activities you should avoid, and which exercises you should do to aid your recovery. During the follow-up visit, the surgeon will inspect your incisions; remove sutures, if present; and discuss your rehabilitation program.

The amount of surgery required and recovery time will depend on the complexity of your problem. Occasionally, during arthroscopy, the surgeon may discover that the injury or disease cannot be treated adequately with arthroscopy alone. The extensive “open” surgery may be performed while you are still anesthetized, or at a later date after you have discussed the findings with your surgeon.