The main reasons for the joint replacement surgeries are unbearable pain in the joint that inhibits 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

Arthroscopic Surgery

Arthroscopy is a surgical procedure to examine the joint’s internal structure for the diagnostic purpose 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. A 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.

Dr. M.V. Sushanth(MBBS,MS Ortho,MSc Ortho (UK) Fellowship in Joint replacement & Arthroscopy)


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