Joints Replacement

Total Knee Replacement

If you are facing serious issues, while performing just normal routine activities like walking, climbing stairs post a knee injury or simply due to age related wear and tear in knee joints(Osteoarthritis), then total knee replacement surgery is suitable alternative for you. Often, non-surgical treatments like walking sticks, weight reduction, lifestyle modification, knee exercises and medications are sought to be the initial ways to deal with them, but if your conditions do not suffice, your Doctor after careful clinical examination and X-rays might advice Total Knee Replacement for you. This article is an informative piece to address this surgical procedure and show some light on it in detail.

The knee being the largest joint in the body requires a healthy pair for almost every daily activity from walking, running, even resting in peace on your bed. The knee is made of the upper end of the shin bone or the tibia and the lower end of the femur bone(thigh bone) and the knee cap called patella. Furthermore, there are ligaments that support the bone movement. The bones of the knee joints are covered with cartilage that make the bone movement smooth at the knee joint. The joints might get weak after an injury that disrupts the harmony of the connections which demand the surgical replacement if the conditions gets out of control. There might be causes like osteoarthritis, rheumatoid arthritis, post-traumatic arthritis that can result in cartilage loss, being the most significant cause of knee replacement, among others. The surgery consists of replacing the femoral component, the tibia component and a plastic spacer in between mimicking the lost cartilage.

A total knee replacement surgery is also known as knee Arthroplasty or even knee resurfacing because only the surface of the knee is replaced. The damaged region of the upper and lower bone is removed slightly. The removed cartilage and bones are replaced with metal implants that mimic the surface of the joints. The patella might also be resurfaced depending on the surgical necessity. Finally, a medical grade plastic spacer for smooth gliding is inserted between the metal components. This completes the process.
The recommendation must always be taken by consulting experts about your specific condition and not mere speculations by going through an online study. This is just to offer you a useful piece of information regarding such surgeries and overall implications.

Post-operatively we make the pt stand and walk within 24 hours of surgery with a help of a walker. Post-operatively 5 days are dedicated for physio, so that by the time you are discharge you should be able to go to washroom and sit on a commode with the help of a walker independently, able to stair climb, and take care of most of your daily routine activities.

You will also require home physio for few days at home so that the rehabilitation can be done under supervision.

Overall Total Knee replacement is a routine elective surgery. Results are excellent in carefully selected patients.

Total Hip Replacement

There are statistics that show that chronic joint pains are the biggest cause of medication for seniors in India. When the cartilage around the bones wears away gradually it results in bone-to-bone friction due to an absence of the lubricating cartilages causing joint pains. There is a lot of medication available to ease the pain and help reduce the shrinking of the cartilage tissues of the joints, but after a certain level of medication, surgery might be the only viable option for the final relief.

It is important to have understood the benefits from the Doctor and then move ahead to find out the facility that is specialized and reputed in performing such surgeries for successful outcome.
You may have pain while activity of daily living, like stair climbing, walking, getting up from a sitting position.

You can experience pain radiating to your knee joints. If these pain which are not getting relievd with medication surgical replacement of hip a the final option.
In medical literature, the total hip replacement surgery has been conducted since the 1960s and consists of replacing the damaged cartilage tissues with a metal cup socket connecting to the hip bone. The ball and socket joint mimics the socket of the pelvic region and the ball from the femur bone. When the cartilage has affected the space between the joints gets narrower than usual. The total hip replacement or total hip arthroplasty, these damaged bones and cartilage are completely removed and replaced with prosthetic implant .

The damaged femur bone head is replaced with a metal stem, whereas the metal or ceramic ball is placed on the upper part of the stem for mimicking the joint and finally, the damaged cartilage of the pelvic part is replaced with a metal socket. There is a metal, plastic or ceramic spacer allowed between the ceramic ball and socket to allow easy gliding and mimicking the space between the joints mentioned earlier. this causes complete pain free moment of the hip joints.

Finally, the decision to undergo this surgery should always be a cooperative one made by you. Your Doctor is the best person to guide you whether to go for a surgery or not.

Partial Knee Replacement

In uni-compartmental knee replacement/ or partial knee replacement or unicondylar knee replacement, only one part of the knee surfaces is replaced in comparison to the other procedure, total knee replacement, where both inner and outer part of the damaged bones are replaced with metal implants. The damaged bone and cartilages might need a replacement for most of the cases, but in certain cases where the disease is limited to just one area of the knee, the total replacement might not be required.

Also, because partial knee replacement is done using a short incision, patients tend to spend lesser time and tend to return to normal activities sooner than in total knee replacement. This, decision, however, is case specific. There is a range of treatments for knee osteoarthritis and you must consult doctor for advice regarding considering a complete or partial knee replacement surgery.

Mostly, in knee osteoarthritis, the cartilage lubricating the bones of the knee slowly wear away due to aging or some injury which might affect a single region or the complete joint. There are three parts of the knee: the medial part (inner part of the knee), the lateral compartment (outside part of the knee), and the patellofemoral compartment (the front part between the knee cap and the thigh bone or the femoral bone). In a healthy knee, these parts are well separated using cartilage tissues.

In the case of advanced osteoarthritis, your doctor might recommend partial knee replacement surgery of the affected compartment. In an X-ray, the reduction in the space can be easily identified due to loss of cartilage tissues where the spacing is reduced. Your doctor will also advice for a MRI of the affected knee joint to confirm the damage in the cartilage before deciding upon the surgery required. In uni-compartmental knee replacement, either the medial or the lateral part is replaced with metal implants. The advantages here are a quicker recovery along with less blood loss and less pain after surgery. The surgical procedure consists of three things: preparing the  bone that might need some trimming to lay the implants, laying the metal implants in position that recreate the surface of the knee as before, finally, inserting the spacer that facilitates the gliding of the metal parts recreating the lost cartilage spacing.

If you’re experiencing significant knee stiffness and chronic pain during movement, you might be recommended a knee replacement. However, the surgery is prescribed if the medications do not improve the condition or the condition has developed to an advanced level.