Orthopedic and Joint Replacement Surgery
- Full-fledged team of Orthopedic Surgeons, Spine Surgeons, Dieticians, Physiotherapists and Rheumatologists
- Comprehensive diagnostic setup
- Operation Theatres of International standards
- Strict infection control policies
- Well-equipped ICUs for post-operative care
- Holistic post-operative patient care
- State-of-the-art physiotherapy and rehabilitation programs
- Patient Education Programmes
- Dedicated Out-patient Department
- Knee Replacement Surgery at economical rates
- Superior quality implants (prosthesis)
- Total Knee Replacement
- Revision Total Knee Replacement
- Total Hip Replacement
- Revision Hip Replacement
- Hip Resurfacing
- Total/Partial Shoulder Replacement
- Shoulder Resurfacing
- Total Elbow Replacement
- Wrist Replacement
- Hand joint (small) Replacement Surgery
- Ankle Joint Replacement
- High Tibial Osteotomy
Arthroscopic surgery and ACL
- Key hole surgery for disorders of the knee, shoulder, elbow and ankle
- Fracture surgery
- High quality Swiss 'AO' systems help stabilize fractures
- Image intensifier, confirms perfect fracture fixations
- Ilizarov and External Fixation Device
- Management of open fractures
- Infected non-union of long bones
- Limb lengthening
- Correction of deformities
- Fusion of joints
- Arthroscopic Miniscus Treatment
- Rheumatoid arthritis
- Infective arthritis
- Minimally Invasive Spine Surgery
- Endoscopic Spine Surgery
- Microscopic Disc Surgery
- Surgery for complex adult and pediatric spinal deformity correction
- Surgery for failed back spine
Ligament repair and reconstruction
What is arthritis?Open or Close
Our joints are covered with cartilage, which acts as a cushion and facilitates smooth movements of the bones. The cartilage prevents two bones from rubbing directly against one another, thus avoiding friction. In the absence of the cartilage, the bones would grind against each other. Damage to cartilage/loss of cartilage, resulting in exposure of underlying bones, is known as Arthritis.
What are the symptoms of arthritis?Open or Close
- Knee deformities
- Instability while walking on uneven surfaces
- Difficulty/Inability to stand/walk for long period of time
- Progressive decrease in physical activity leading to dependence on others
- Loss of knee flexibility
- Swelling, redness of the joints
- Severe and persistent pain in joints, muscles and bones at rest and on movement
- Pain on getting up from low sitting positions or climbing stairs.
- 'Locking' or a 'sudden sharp pain' or 'giving way' of the knee.
- Repeated swelling of the joint, increasing pain, limp and deformity (bend or bow in the knee) are common in severe arthritis
How do I know if I have arthritis?Open or Close
A comprehensive checkup in a dedicated arthritis clinic is essential. A team approach is the best approach for the treating arthritis. A dedicated team consisting of an Orthopedic Surgeon, Rheumatologist, Dietician and Physiotherapist would assess your condition and advice you accordingly. Medical tests such as an X-ray or MRI of the affected joint, blood tests help diagnose your condition.
What are the non-surgical options for treating Arthritis?Open or Close
Exercise is a crucial part of effective arthritis therapy. Physiotherapy helps maintain joint mobility, flexibility, strengthen the muscle and hence relieve joint pain. Your Physiotherapist will be able to identify how much therapy you need and advise you exercises depending on your condition. People with arthritis often avoid moving the affected joint because of the pain. A physiotherapist can devise an exercise program to help the patient work out the joint stiffness without damaging it.
Your dietician will help you devise a dietary plan if you are overweight. An obese person adds extra pressure on the bones and joints, thereby aggravating the problem.
Eating a well-balanced, wholesome diet is vital to control weight. In early stages of arthritis, weight reduction can help in reducing pain.
Just changing the type of footwear you use can make a remarkable difference to your condition. Some types of footwear help ease the pressure on your joints.
What are the Surgical Treatment options for Arthritis?Open or Close
It is always advisable to first explore non surgical treatment for arthritis. However, if there is no relief from pain then surgery is considered.
Knee Arthritis Surgery is a safe procedure that relieves pain, restores mobility, corrects deformity thereby restoring stability to your knee, and improving the quality of life of the patient. Different surgical options are:
1. Total Knee Replacement (TKR) - replacing the knee jointKnee replacement is considered the 'gold standard' in the treatment of arthritis. The knee is made up of three bones. When bone surfaces are damaged, a replacement may be needed. This not only relieves patient's pain but also corrects the knee deformity, restores stability and movement. An important ligament, the posterior cruciate ligament, is now increasingly preserved during knee replacement, resulting in faster recovery as the cuts are smaller and there are lower chances of blood transfusion. Knee replacement is a safe option and gives almost 100% success rate.
2. Uni-compartment Knee Replacement (UKR) - replacing only half of the kneeThe knee can be broadly divided into three areas. When the cartilage of only one area is damaged, a uni-compartmental knee replacement can be considered. The advantage of this procedure is almost immediate return to full and normal activity and full knee movement.
3. Partial Knee ReplacementThis surgery is needed when two areas of the knee joint are damaged.
Hip Arthritis Surgery
In India, hip arthritis is generally seen in younger patients. In a hip replacement surgery, the hip joint is replaced with artificial implants when it is permanently damaged. Depending on the damage, the hip replacement may be partial or total.
Customized Knee Replacement
In this procedure a jig is developed and customized to the patient's knee. This is an advanced technique greatly improves precision, in addition to reducing the surgical time and aiding in the speedy recovery of the patient. The other advantages of this technique are:
- 1. Jig is made according to the exact size of the knee
- 2. Better mechanical alignment of the lower limb post surgery
- 3. High level of accuracy of the bony surgery
- 4. Size of the cut is reduced and hence recovery is faster
Asian Orthopedic Institute is one of the first few in India to be registered for this technique.
What is a total hip replacement?Open or Close
When the hip joint has worn out to a point when it no longer functions smoothly, an artificial hip (called a prosthesis) made of metal and plastic can take its place. The surgery to implant the prosthesis is termed a Total Hip Replacement. Our team is fully equipped to restore the normal function of the hip. While the idea of getting an artificial hip joint may be frightening to some, it is one of the safest and most effective medical procedures.
Total Hip Replacement, which entails replacing the acetabulum with an artificial liner as well as replacing the proximal femur with an artificial stem, is an excellent treatment mode for hip pain and arthritis. Furthermore, it provides for a more mobile hip.
Who should have a total hip replacement?Open or Close
Total Hip Replacement is recommended for arthritic patients with severe pain and limited function.
What are its benefits?Open or Close
The most apparent benefit of hip replacement is the dramatic pain relief. Almost all patients have complete, or near complete, relief from pain. As the pain reduces, function improves. After a hip replacement, most patients have a better range of motion and less limping.
What is conservative treatment?Open or Close
Conservative, or non-surgical, treatment is effective in the early stages of arthritis. Conservative care includes weight loss, activity modification, anti-inflammatory medication or cortisone shots.
What is the difference between cemented and cementless total hip replacement?Open or Close
Cemented total hip replacement uses cement to secure an implant to the bone, while with cementless technology the bone heals directly to the prosthesis. The results of cemented and cementless total hip replacement are essentially identical. Theoretically, cementless hip replacement should have a longer lifetime and is desirable in patients who have good enough bone quality to accommodate a cementless implant.
How do you decide whether a patient should go for a cemented hip replacement or a cementless hip replacement?Open or Close
Experience has shown that young, active or heavy patients are most likely to loosen a cemented total hip replacement. For these patients, the cementless total hip replacement appears to be the most durable design. Patients with poor bone quality or with less active lifestyles are candidates for cemented total hip replacement.
How painful is Hip Replacement Surgery?Open or Close
No surgery is painless, and hip replacement surgery is no exception. However, post-operative pain from hip replacement surgery is very manageable. Despite their surgical pain, it is not unusual for patients to relate how much relief they quickly notice from their preoperative arthritic pain. While the experience of pain is unique to each individual, most patients manage the immediate postoperative pain from hip replacement without difficulty.
What is Revision Hip Surgery?Open or Close
Revision surgery is different in that the original components are removed and new components are implanted. The technical aspects of the surgery are more complex than the original total hip replacement. However, the preparation for surgery and hospital experience tend to be very similar to primary total hip replacement. The choices for implant are also the same, both cemented and cementless components are used depending on the patient's needs and the quality of bone present at surgery.