Arthroscopic surgery

Center of excellence in Knee, Hip and Shoulder

The digital transformation over the decades developed into a storm sweeping the shores and transforming the various fields like retail, banking, media, transport, etc. Another industry that has recently joined the above list being hit by the storm is the healthcare industry. The advancements in technology and its innovations have started transforming the healthcare industry just like the way it had transformed diverse fields across the globe. The recent trends have been reshaping the medical industry in ways it has never imagined and has been fueling the push towards the growth and success rate.

Knee Image

TOTAL KNEE REPLACEMENT

Your knee joint is one of the largest and most complex joints in the body. The knee, also known as the tibiofemoral joint, is a synovial hinge joint formed between three bones: the femur, tibia, and patella. The knee joins the thigh bone (femur) to the shin bone (tibia). The smaller bone that runs alongside the tibia (fibula) and the kneecap (patella) is the other bones that make the knee joint. Movements at the knee joint help in everyday activities, including walking, running, sitting and standing.

Any fracture around the knee joint has to be treated more meticulously and precisely to perfection as there is joint surface involvement It should heal in the most anatomical position and be followed by the physio rehab protocol. Ensuring maximal functional status.

WHO NEEDS TOTAL KNEE REPLACEMENT :

  • Patients unable to stand/walk for 10-15 minutes
  • Pain over 6 months-1year
  • History of difficulty in everyday activities
  • X-Ray showing severely damaged joints (Grade - lV)
  • Medical/Physical Therapy and preservation procedures not successful
  • Patients without neurological deficits with debilitating pain

In few patients, the lateral compartment is involved a Unicondylar Knee Replacement, to restore the alignment and balance to protect the knee from further deterioration and delay arthritic changes in other compartments.


PREPARATION FOR SURGERY

Stop Asprin, Warfarin, Clopidrogel, atleast 5 days before surgery.

Decide for a date suitable to you

Get investigations of

* Major Surgical profile

* 2D ECHO & ECG before surgery

If any dental or urine infections certified, you need to take antibiotics

Discharge on:
3rd day ( Single Knee)

5th day ( Both Knees)

Minimal physiotherapy of 10 days after discharge at your home

Exercise of Knee strengthening before and after discharge

Can do all activities in 1-2 months after knee replacement

FAST TRACK RECOVERY

We make you walk on the same day of surgery ( If your will permits)

Stay 2-3 days (for single knee)

Stay 4-5 days (for double knee)

Physio for 15 days at home

Start house hold work in 15 to 20 days

Start unrestricted walking, climbing stairs, driving in one and half to 2 months

Walking Same Day1

Walking Same Day2

LIFE AFTER KNEE REPLACEMENT :

Driving

Knee Image

Stairs

Knee Image

Walking Video

UNICONDYLAR KNEE ARTHROPLASTY

In very few percent of patients where in only the medial (most commonly) are the lateral compartment is involved a Unicondylar Knee Replacement can be done which restore the alignment & balances the Knee from further deteriorating & delaying in the arthritic changes in the other compartments of the knee joint.

ADVANTAGES 0F UNICONDYLAR KNEE ARTHROPLASTY (UKA)

  • SmaIler incision faster recovery
  • Retaining the ligaments for natural proprioception
  • High flexibility, patient can sit cross-legged
  • Less bone loss/cuts -> less pain -> less time off firework

ADVACNED TECHNOLOGY IN KNEE REPLACEMENT SURGERY

* Computer-Assisted Navigation

The Computer-assisted surgery technique is a technological approach that allows the surgeons to visualize the procedure they are performing simultaneously on the computer screen. Utilizing computer-assisted navigation, the surgeons can get the additional information or the real-time intraoperative feedback while performing. These systems are typically used to assist the surgeons with better alignment of implants, improved placement, and positioning of a prosthetics or surgical instruments, etc. Apart from the above, the navigation can also be used as an adjunct to fixation of fractures, for the higher precision of bone cuts, ligament reconstruction, preparation of the bone for joint arthroplasty, etc., than in classical orthopedic procedures.

Knee Image

Advantages of Navigation Replacement Surgeries

  • Increased accuracy of implant alignment
  • Highly effective for minimal invasive surgeries
  • Improved restoration of the joint line
  • Improved longevity of implant in younger patients
  • Superior soft tissue balancing
  • Enables surgeon to execute the surgery exactly as planned
  • Better results in patients with extra-articular deformities
  • Decreases errors by alerting the surgeon to potential pitfalls even before they are performed.

Other advantages of navigation are: This procedure gives the surgeon the confidence to perform the surgery with precision and control.

* Robotic Assisted Knee Surgery

Robotic-assisted knee surgery is a budding surgical technique that is drawing an attention from surgeons and patients across the world in the recent times. It is an innovative technique alternative to the conventional surgical procedure in patients suffering from degenerative knee diseases such as osteoarthritis. It is performed using robotic-arm technology that allows the surgeon to precisely perform the surgery through a smaller incision as compared to traditional surgery.

Knee Image

Advantages of Robot-Assisted Knee Replacement

In a recent medical research, it clearly indicated that robot-assisted joint replacement, arthroplasty to be precise, was more effective when surgeons use robotic arm technology. This technology which not only assists the surgeon in removing the diseased bone with great accuracy but also allows the surgeon to preserve undamaged portions of the joint. This approach to arthroplasty also provides a number of other advantages for the patient.

  • Smaller incisions
  • Small scar
  • Accurate positioning and aligning of the implant prosthesis
  • Less blood loss
  • Rapid recovery
  • Less risk of complications
  • Reduced injury to adjacent tissues
  • Increased longevity of the implant

Robotic surgeries today are well accepted all over for their superior results especially in oncology(cancer), neurology and gastric surgery departments.

TOTAL HIP REPLACEMENT

The hip joint is a type of ball and socket joint. The ball is formed by the head of the thigh bone (femur) and the socket is formed by part of the pelvis (acetabulum).

Usually the surfaces of the bones are covered with a smooth coating (articular cartilage). This allows smooth, pain free movement in all directions.

When people have problems with their hip, the hip can be painful, stiff and have trouble moving normally. Hip replacement is a treatment that can reduce hip pain and improve the way the hip moves.

Knee Image

Total Hip Replacement with Navigation

Topics

  • What is hip arthritis?
  • What is hip replacement surgery?
  • What is MIS hip replacement surgery?
  • What is MIS hip replacement surgery with navigation?

Your Hip Joint

A joint is formed by the ends of 2 or more bones.

The hip must bear the full force of your weight and consists of two main parts:

1. A ball (femoral head) at the top of your thigh bone (femur)

2. A rounded socket (acetabulum) in your pelvis


What Causes Hip Joint Pain?

One of the most common causes of joint pain is arthritis. The most common types of arthritis are due to:

  • Osteoarthritis (OA)
  • Rheumatoid Arthritis (RA)
  • Post-traumatic Arthritis
  • Avascular Necrosis
  • Ankylosing spondylitis

Hip Surgery

May be suitable for patients who - Have a painful, disabling joint disease of the hip resulting from a severe form of arthritis - Are not likely to achieve satisfactory results from less invasive procedures, medication, physical therapy, or joint fluid supplements


Total Hip Replacement

  • Socket is replaced by ceramic or metal cup
  • Plastic liner is inserted between the cup and the ball to reduce wear
  • Stem implant is inserted into femur

What is ‘Minimally Invasive Surgery’?

MIS is a general term used to describe a surgical procedure that often utilizes a smaller incision(s) than conventional surgery. In these cases ‘MIS’ more accurately describes “Mini Incision Surgery”

Other MIS procedures reduce the amount of soft tissue that are disrupted during surgery. In these cases ‘MIS’ more accurately describes “minimally invasive surgery”


What is Computer-Assisted Surgery?

A technology that offers the ability to accurately align and improve the overall function of your new joint.

It provides interactive display of lines and measurements needed to give the your implant the best strength, stability and range of movement .

It allows the surgeon to make adjustments within a fraction of a degree helping to ensure the best possible fit for the implant


Hip Navigation

Navigation is a visual enabler for MIS Surgery

Technology and instrumentation enhances surgical procedure

More accurate placement of prosthesis


What are the potential benefits of MIS Hip Surgery with Navigation?

  • Less soft tissue disruption –Faster discharge from the hospital –Quicker rehab and recovery
  • Less blood loss
  • Reduced pain
  • Smaller scar
  • May improve implant longevity
  • Reduced dislocations

What are the potential risks?

  • Results may vary from patient to patient
  • Surgery time may be extended
  • Risk factors relating to anatomy, weight, and prior joint replacements
  • Risks which are normally encountered in conventional THA remain

Is Navigated MIS Total Hip Arthroplasty for everyone?

No, patient limitations include:

  • Obese, high BMI
  • Muscular males
  • Pre-existing conditions
  • Osteoporotic bones

REVISION KNEE/HIP

REVISION: Change is inevitable with nature.

With the high demand of the Patients & the increased activity levels, with the upscale of the severely Osteoporotic & Rheumatoid Patients)

With the increase in the number of replacement patients @ an early age & also the patients with aseptic loosening/lysis infection’s the advent of revision Replacements has been on the go.

REVISION KNEE REPLACEMENTS

When Revision Total Knee Replacement Is Recommended

Implant Loosening and Wear

In order for a total knee replacement to function properly, an implant must remain firmly attached to the bone. During the initial surgery, it was either cemented into position or bone was expected to grow into the surface of the implant. In either case, the implant was firmly fixed. Over time, however, an implant may loosen from the underlying bone, causing the knee to become painful.

Infection

If an artificial joint becomes infected, it may become stiff and painful. The implant may begin to lose its attachment to the bone. Even if the implant remains properly fixed to the bone, pain, swelling, and drainage from the infection may make revision surgery necessary.

Instability

If the ligaments around your knee become damaged or improperly balanced, your knee may become unstable. Because most implants are designed to work with the patient's existing ligaments, any changes in those ligaments may prevent an implant from working properly. 

Fractures

A periprosthetic fracture is a broken bone that occurs around the components of a total knee replacement. These fractures are most often the result of a fall, and usually require revision surgery.

SHOULDER REPLACEMENTS:

Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. The treatment options are either replacement of just the head of the humerus bone (ball), or replacement of both the ball and the socket (glenoid).

Most common causes:

  1. Osteoarthritis
  2. Rheumatoid arthritis
  3. Rotator cuff arthropathy
  4. Avascular necrosis
  5. Severe comminuted fractures

Copyright © 2018 Navigation Joint Surgeon Inc. All Rights Reserved.