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Category Archives: Orthopaedics & Joint Replacement

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Diagnostic Arthroscopy

Arthroscope is a medical instrument used in the operation theatre which has 3 arms. Each arm is a very thin flexible wire like structure. One of the wire has an LED Light Source which is quite powerful to illuminate any dark area. Another wire has a very high definition camera which can send high resolution images to the computer which is attached to the arthroscope. The third wire is used to carry surgical instruments inside your joint.

Before the advent of MRI most of the diagnosis about Joint Problems was made through Diagnostic Arthroscopy. In Diagnostic Arthroscopy, two of the 3 wires are used – Light Source and High Definition Camera. Two very small holes are made on the skin of the joint which is to be studied. Through these holes the two wires are inserted into the joint. The patient is ofcourse under Local Anaesthesia and cannot feel anything. The light source illuminates the inside of the joint and the high definition camera sends images to the computer monitor. The Orthopaedic Surgeon who is doing the procedure will capture and analyze the images to see the inside of the joint – both the bony structure as well as the cartilage tissue.

Types of Diagnostic Arthroscopy

With the improvements in the MRI Technology, the role of Diagnostic Arthroscopy has significantly reduced and now the arthroscope is mostly used for therapeutic purposes meaning for Arthroplasty procedures. However in some cases where the MRI is not conclusive, Diagnostic Arthroscopy still has a role to play. The Arthroscope can be used to perform the following studies :

  • Shoulder Arthroscopy
  • Knee Arthroscopy
  • Elbow Arthroscopy
  • Ankle Arthroscopy
  • Hip Joint Arthroscopy

Best Doctors and Cost

Dr Praveen Tittal is one of the best arthroscopic surgeon in India having done more than 5000 arthroscopic procedures. The cost of diagnostic arthroscopy is USD 400 – 500 for different joints.

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Hip Labral Tear

Labrum is a ring like structure made of cartilage located on the outside rim of the hip joint socket. It acts as a rubber seal to hold the femur head at the top securely within the hip socket and does not allow this ball to slip out of the socket.

Athletes in sports like Paragliding, skiing, ice hockey, soccer, golf and ballet are at a higher risk of developing hip labral tears.

Symptoms of Hip Labral Tear

Many hip labral tears cause no signs or symptoms. Some people have one or more of the following:

  • Pain in your hip or groin, often made worse by long periods of standing, sitting or walking
  • A locking, clicking or catching sensation in your hip joint
  • Stiffness or limited range of motion in your hip joint

Causes

The cause of a hip labral tear might be:

  • Trauma. Injury to or dislocation of the hip joint — which can occur during car accidents or from playing contact sports such as football or hockey — can cause a hip labral tear.
  • Structural abnormalities. Some people are born with hip problems that can accelerate wear and tear of the joint and eventually cause a hip labral tear.
  • Repetitive motions. Sports-related and other physical activities — including long-distance running and the sudden twisting or pivoting motions common in golf or softball — can lead to joint wear and tear that ultimately result in a hip labral tear.

Diagnosis of Hip Labral Tears

X-Ray and MRI are the mainstay of diagnosing Hip Labral Tears. While X-Ray scans can beautifully show the bony structures, MRI gives very detailed information about the soft tissue. Since Labrum is made of cartilage it would be visualized in MRI of the Hip Joint. Contrast MRI would give even more detailed information about the Labral Tears in the Hip Joint

Treatment

Treatment depends on how severe your symptoms are. Some people recover with conservative treatments in a few weeks; others need arthroscopic surgery to repair or remove the torn portion of the labrum.

Medications

Nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen sodium can relieve pain and reduce inflammation. Pain can also be controlled temporarily with an injection of corticosteroids into the joint.

Therapy

A phyiotherapist will teach you exercises to strengthen the core and other muscles supporting the hip joint which will improve the motion and strength of the hip joint. With the strengthening of these muscles the stress on the hip joint is reduced and the labral tear starts to heal.

Arthroscopic Surgery

If conservative treatments don’t relieve your symptoms, your doctor might recommend arthroscopic surgery — in which a fiber-optic camera and surgical tools are inserted via small incisions in your skin.

Depending on the cause and extent of the tear, the surgeon might remove the torn piece of labrum or repair the torn tissue by sewing it back together.

Complications of surgery can include infection, bleeding, nerve injury and recurrent symptoms if the repair doesn’t heal properly. A return to sports can take weeks to months.

Best Doctors and Cost

Arthroscopic Surgeons are the best for the treatment of Hip Labral Tears. Dr Praveen Tittal is one of the best Arthroscopic Surgeon in India who deals only with the cases of sports injuries. He has done more than 5000 Arthroscopic Procedures with one of the best success rates.

The Cost of Arthroscopic Hip Labral Tear Repair Surgery in India would be USD 4000 with one day of hospital stay. You must plan a trip of 2 weeks to India for complete treatment of the Hip Labral Tear.

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Elbow Replacement

Elbow replacement or total elbow arthroplasty is surgery that is done to reduce pain and restore mobility in people whose elbow joints have been damaged. The damage could be from a disease such as rheumatoid arthritis (RA) or from a traumatic injury. In some cases, the damage can be surgically repaired but if the damage is extensive, your doctor might recommend elbow replacement surgery. Elbow replacement surgery in India is done by some of the very eminent joint replacement surgeons.

Candidates for Elbow Replacement

Several conditions can cause elbow pain and disability, and lead patients and their doctors to consider elbow joint replacement surgery. Because total elbow replacements are often needed by people with rheumatoid arthritis, a lot of research is conducted into joint degeneration in these patients. In recent years, candidates for elbow replacement have included more than just people with RA. Others who might consider elbow replacement in India include people whose elbows have been damaged due to arthritis, trauma , multiple fracture of the elbow joints, failed surgey of the elbow joint and instabilty due to recurrent injuries.

Recovery after Elbow Replacement

The majority of patients have experienced an improved quality of life after total elbow replacement surgery. They experience less pain, improved motion and strength, and better function. A careful, well-planned rehabilitation program is critical to the success of an elbow replacement. You will be taught some exercises for your hand and wrist to avoid stiffness and help to control swelling. You will do gentle elbow range-of-motion exercises as the incision heals. Your doctor may prescribe therapy or may teach you how to do the exercises yourself.

Best Doctors and Cost

Elbow replacement surgery is a complicated procedure partly because the elbow has several moving parts that balance each other with great precision to control the movements of your forearm. For Elbow Replacement Surgery the Best Specialists include Dr Mukesh Jain at Vardhman Hospital Muzaffarnagar, Dr IPS Oberoi at Artemis Hospital Gurgaon, Dr Vikas Gupta at Max Hospital New Delhi, Subhash Jangid at Fortis Hospital Gurgaon and Dr Manoj Miglani at Fortis Hospital Delhi.

The cost of Elbow Replacement Surgery in India is USD 6000 – 8000 with 4 days of hospital stay. The patient has to plan for a 2-3 weeks of trip to India to get this surgery done.

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Bone Fracture Treatment

Fracture Management

The general aim of early fracture management is to control hemorrhage, provide pain relief, prevent ischemia-reperfusion injury and remove potential sources of contamination (foreign body and nonviable tissues). Once these are accomplished, the fracture should be reduced and the reduction should be maintained, which will optimize the conditions for fracture union and minimize potential complications.

The goal in managing fractures is to ensure that the involved limb segment when healed, has returned to its maximal possible function. This is accomplished by obtaining and subsequently maintaining a reduction of the fracture with an immobilization technique that allows the fracture to heal and at the same time provides the patient with functional aftercare.

Treatment Options

ORIF: The objectives of ORIF include adequately exposing the fracture site, while minimizing soft tissue stripping and obtaining a reduction of the fracture. Once a reduction is achieved, it must be stabilized and maintained.

Kirschner wires or K-wires are commonly used for temporary and definitive treatment of fractures. However K-wires resist only changes in alignment; they do not resist rotation and they have poor resistance to torque and bending forces. K-wires are commonly used as adjunctive fixation for screws or plates and screws that involve fractures around joints.

Plates and screws are commonly used in the management of articular fractures. Plates provide strength and stability to neutralize the forces on the injured limb for functional postoperative aftercare.

Cost Of Fracture Surgery

Healthcare Costs in India are already lower as compared to other western countries. Different Hospitals at different times keep coming with special offers on specific surgical treatments. Our team is always on top of these and keep evaluating the different hospitals and the treatments offered by them. We will choose the best combination of doctor, hospital and cost for your treatment once we receive your query. For query please contact or whatsapp at +91-9810333738 or email to info@theihc.in

A significant percentage of bone fractures occur because of high force impact or stress. However, a fracture may also be the result of some medical conditions which weaken the bones, for example osteoporosis, some cancers, or osteogenesis imperfecta (also known as brittle bone diseases).

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Shoulder Replacement

Shoulder Replacement

In shoulder replacement surgery, doctors replace the ends of the damaged upper arm bone (humerus) and usually the shoulder bone (scapula) or cap them with artificial surfaces lined with plastic or metal and plastic. Shoulder joint components may be held in place with cement. Or they may be made with material that allows new bone to grow into the joint component over time to hold it in place without cement.

The top end of your upper arm bone is shaped like a ball. Muscles and ligaments hold this ball against a cup-shaped part of the shoulder bone. Surgeons usually replace the top of the upper arm bone with a long metal piece, inserted into your upper arm bone, that has a rounded head. If the cup-shaped surface of your shoulder bone that cradles your upper arm bone is also damaged, doctors smooth it and then cap it with a plastic or metal and plastic piece.

Reverse Shoulder Replacement

Surgeons are now trying a newer procedure called a reverse total shoulder replacement for people who have painful arthritis in their shoulder and also have damage to the muscles around the shoulder. This is the best way to get rid of this problum. In this procedure, after the surgeon removes the damaged bone and smooths the ends, he or she attaches the rounded joint piece to the shoulder bone and uses the cup-shaped piece to replace the top of the upper arm bone. Early results are encouraging. This surgery is not right for everyone. And not all surgeons have done it. Success depends not only on careful evaluation to be sure it’s the best & right surgery for you but also on having a surgeon with experience in reverse shoulder replacement.

Doctors often use general anesthesia for joint replacement surgeries. This means you’ll be unconscious during surgery. But sometimes they use regional anesthesia, which means you can’t feel the area of the surgery and you are sleepy, but you are awake. The choice of anesthesia depends on your doctor, on your overall best health, and, to some degree, on what you prefer.

How To Get The Best Cost

Healthcare Costs in India are already lower as compared to other western countries. Cost of single shoulder replacement surgery varies from USD 5000-7000. Most people go home 1 to 3 days after surgery. Some people who need more extensive rehab or those who don’t have someone who can help at home go to a specialized rehab center for more treatment. For query please contact or whatsapp at +91-9810333738 or email to info@theihc.in

Rehabilitation (rehab) after a shoulder replacement starts right away. It is not too demanding early on, but it is very important that you do it. Most doctors will not allow you to use the shoulder muscles for several weeks after surgery. The main goal of rehab is to allow you to move your shoulder as far as possible so it’s easier for you to do daily activities, such as dressing, cooking, and driving. Most people eventually regain about two-thirds of normal shoulder motion after surgery. But other things that affect how much movement you get back after surgery are how much movement you had before surgery and whether the soft tissues around your shoulder were also damaged. It is very important that you take part in physical therapy both while you are in the hospital and after you are released from the hospital to get the most benefit from your surgery.

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Meniscal Tear

Dr Praveen Tittal is one of the best arthroscopic surgeon in India for treating Meniscal Tears. Meniscal tears are among the most common knee injuries. Athletes, particularly those who play contact sports, are at risk for meniscal tears. However anyone at any age can tear a meniscus. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus.

A magnetic resonance imaging (MRI) scan is often used to diagnose meniscal injuries. The meniscus shows up as black on the MRI. Any tears appear as white lines. An MRI is 70 to 90% accurate in identifying whether the meniscus has been torn and how badly. However meniscus tears do not always appear on MRI Scan.

Meniscus tears, indicated by MRI, are classified in three grades. Grades 1 and 2 are not considered serious. They may not even be apparent with an arthroscopic examination. Grade 3 is a true meniscus tear and an arthroscope is close to 100% accurate in diagnosing this tear.

Meniscus Repair Surgery In India

Treatment of the meniscus tear will depend on the type of tear you have, its size and location. The outside one-third of the meniscus has a rich blood supply. A tear in this “red” zone may heal on its own, or can often be repaired without surgery. A longitudinal tear is an example of this kind of tear. In contrast, the inner two-thirds of the meniscus lacks in blood supply. Without nutrients from blood, tears in this “white” zone cannot heal so easily on their own.

Along with the type of tear you have, your age, activity level, and any related injuries will factor into your treatment plan.

Simple, less painful meniscus tears can be treated without surgery with PRP injections and physiotherapy. But for most grade 3 tears Arthroscopic Meniscus Repair Surgery is needed. In India Dr Praveen Tittal will be your best bet to get the best results in case of any sports injury be it ACL, PCL or Meniscal Injury. Dr Tittal has done more than 5000 Arthroscopic Surgeries in his career.

Cost Of Meniscus Surgery In India

Healthcare Costs in India are already lower as compared to other western countries. Different Hospitals at different times keep coming with special offers on specific surgical treatments. The cost of Meniscus Repair Surgery in India is USD 2500 with one day stay in the hospital. For query please contact or whatsapp at +91-9810333738 or email to info@theihc.in

Meniscus surgery is a quick straight forward procedure that usually takes less than an hour. It can be done as a day care surgery i.e. you do not need to stay in the hospital overnight, but some patients may stay in the hospital for 24 hours due to insurance compliance. Patients are able to walk independently with/without a crutch within a few hours after meniscus trimming. Most of the patients fully recover in 2-3 weeks and resume all normal activities.

If you have had a meniscus repair procedure, you will need to use stick for about 2 weeks to keep weight off your knee and do the prescribed physiotherapy and the exercises to get full mobility and strength in your knee joint.

Hip Replacement

Hip Joint and Its Diseases

Hip Replacement is a very common joint replacement procedure done in India. In terms of numbers it is second to knee replacement surgeries. The hip joint is a ball and socket joint, formed by an articulation between the pelvic acetabulum and the head of the femur. It forms a connection from the lower limb to the pelvic girdle, and thus is designed for stability and weight-bearing – rather than a large range of movement. Femur is the bone in the thigh and is one of the strongest bones of our body capable of bearing the maximum weight. The head of the femur bone is in the form of a ball which fits into the hip socket and allows for movement at the hip joint which is so important for most of the functions like walking and sitting.

Conditions that can damage the hip joint, sometimes making hip replacement surgery necessary, include:

Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.

Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints.

Osteonecrosis. If there isn’t enough blood supplied to the ball portion of the hip joint, such as might result from a dislocation or fracture, the bone might collapse and deform.

The progressively intense chronic pain together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position eventually become reasons to consider a hip replacement surgery.

Hip Replacement Surgery

Hip replacement is a surgical procedure in which the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal ball and stem inserted into the femur bone and an artificial plastic cup socket.

Types of Hip Replacement Surgeries

Partial Hip Replacement Surgery – In this surgery which is also known as hemiarthroplasty only the femoral head is replaced with a metal implant. This kind of surgery is suited for those patients whose acetabular socket and the stem are in reasonably good condition and only the femoral head has degenerated or damaged. However recent studies have shown that Total Hip Replacement is the Gold Standard for most of the patients.

Total Hip Replacement – Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal or ceremic ball and stem inserted into the femur bone and an artificial plastic (or ceramic) cup socket. The metallic artificial ball and stem are referred to as the “femoral prosthesis” and the plastic cup socket is the “acetabular prosthesis.” Upon inserting the prosthesis into the central core of the femur, it is fixed with a bony cement called methylmethacrylate. Alternatively, a “cementless” prosthesis is used that has microscopic pores which allow bony ingrowth from the normal femur into the prosthesis stem. This “cementless” hip is felt to have a longer life and has less chances of bone cement reaction in the patient. Total hip replacement is also referred to as total hip arthroplasty.

Revision Hip Replacement – The patient who has undergone Partial or Total Hip Replacement at a younger age needs to get the implants replaced after 15-20 years. This surgery which involves removal of the previous implant and replacing it with new implant is called Revision Hip Replacement. While many orthpaedic surgeons are good at doing Total Hip Replacement, very few of them are doing Revision Hip Replacement Surgeries.

Post Hip Replacement Surgey

After the surgery which generally lasts for two to four hours, both lower limbs will be observed for adequate sensation and circulation. Besides starting pain killers and antibiotics, compression stockings are applied to prevent blood clotting in the lower limbs. Physical Therapy will begin in 48 hrs.

The therapist will help the patient in walking and reinstating the movement of the knee. The knee will be in an immoboliser which will be removed after the inspection by the surgeon. Patients will start walking using a walker and crutches. Eventually, patients will learn to walk up and down stairs and grades. Patients are given home exercise programs to strengthen the muscles around the buttock and thigh.

Best Doctors and Cost

Dr Anubhav Jain and Dr Subhash Jangid are two of the best orthopaedic surgeons in India for doing all the 3 types of Hip Replacement Surgeries – Partial, Total and Revision Hip Replacement.

The cost of Partial Hip Replacement is USD 3000 while that of Total Hip Replacement is USD 4000 and Revision Hip Replacement is USD 5000. The difference in the costing is due to the difference in the cost of the implants and also the complexity of the surgery.

It is important for patients to continue in an outpatient physical-therapy program along with home exercises for optimal outcome of the replacement surgery. Excercising and maintaining mobility will help prevent the scarring of the replaced joint and improve muscle strength around the joint.

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ACL PCL Repair

ACL PCL Injury

This is an injury suffered in the knee joint mostly by the atheletes and sportspersons. The knee joint has two spring like structures made of soft tissue called Ligaments. One of them is Anterior Cruciate Ligament (ACL) and the second one is Posterior Cruciate Ligament (PCL). In sports like soccer, track and field, rugby, basketball, volleyball wherever you have sudden impact or jerk such injuries are common place. A lot of patients come from the defence forces who suffer this injury during their strenuous exercises.

The injury itself can be of two types – either there is a partial tear of the ligament or there is complete tear. The moment you suffer is injury there is severe pain in the knee joint. In most of the cases you would have swelling in the joint within few hours. If you apply ice pack on the knee joint then the swelling subsides in few hours or days. However slight pain and instability of the joint remains during walking. The patient must take complete bed rest and apply cold pack on the knee joint for some days. You should immediately consult an orthopaedician or a sports physiotherapist after the injury. If the pain does not subside in a few days then you might have to undergo an MRI scan of the knee joint which will provide information about the extent of the injury.

If there is a partial tear in the ACL / PCL then it can heal with rest and conservative treatment. However if the tear is complete then surgery is mostly required.

Indications for ACL PCL Surgery

One must not rush into surgery after an ACL or PCL Injury. Unless there is a complete tear of the ligament one must try the conservative treatment for 1-2 months before deciding on the surgery. However in cases of complete tear, surgery is the best option once the swelling has subsided. The decision to go for surgery also depends on whether you want to return to professional sport. If you do not require a very active physical activity then you can avoid the surgery. All pros and cons would be explained to you by our Arthroscopic Surgeon.

Non-surgical treatment may be appropriate for patients who are less active, do not participate in activities that require running, jumping or pivoting, and are interested in physical therapy to regain range of motion and strength to match the uninjured leg.

Who does this Surgery

The Orthopaedicians these days can be classified into 3 categories – Trauma Surgeons, Joint Surgeons and Arthroscopic Surgeons. Most of the orthopaedic surgeons are either trauma surgeons or joint surgeons and very few of them are Arthroscopic Surgeons. Dr. Praveen Tittal and Dr Anant Joshi are two of the biggest names in India when it comes to Arthroscopic Surgery. In this surgery anchors are used to join the torn ligament to the knee joint. The surgery is done using an arthroscope which means that there are no big incisions and the patient gets discharged from the hospital within one day.

Cost of ACL PCL Surgery

The cost of ACL / PCL Surgery is USD 2500 – 3000 using FDA approved implants with one day of hospital stay. The stay in India would be one week after which you can travel back to your home town. The cost would USD 2000 – 2500 if Indian implants are used.

Physical therapy is the mainstay of rehabilitation regardless of whether or not a surgery is performed. This is the best way to get rid of initial pain. Rehabilitation and return to normal function after surgical repair of an ACL tear can take between 3-6 months for full recovery. A balance between things to do and those not to be done has to be kept for maximum recovery and muscle strengthening. After the surgery our rehab team is in constant touch with the patient through video calls to make sure that proper rehab is taking place back home.

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Knee Replacement

Why Knee Replacement is needed ?

There are 20 joints in the human body and knee joint is one of them. With advancing age, the knee joint gets damaged. Obesity and arthritis are two of the most common causes for damage of the knee joint. Indians are getting fatter by the day. The problem of pain in the knee joint is being felt by most of the people around the age of 50 years. Due to overweight and arthritis the cartilage in the knee joint wears away. In the early stages, orthopaedic doctors may suggest a gel injection in the knee. This kind of injection can alleviate the knee pain for 6-8 months and then the pain returns. The injection is sold in the market with the brand name of Synvisc. This injection would cost you Rs. 18-20 thousand for each knee and helps in alleviating the knee pain for some time. 

Initially the pain is felt during activity like walking or climbing stairs. However in some time the pain is felt even while sitting or lying down. This is the time when you become a candidate for Knee Replacement Surgery. 

Candidate for Knee Replacement

Arthritis Type – The knee joint arthritis is classified into 5 grades and the best time to get this surgery is when the disease is around grade 3. You should get the surgery done while you are mobile and not bedridden. Therefore you should not postpone the surgery for long. With age other problems like Diabetes, Heart Disease etc would reduce your chances of getting the surgery done.

Knee Implants – In this surgery the worn out joint is replaced with an artificial one. This artificial joint is also known as Knee implant or Knee Prosthesis. The best knee implants are made by Zimmer, Smith & Nephew, Biomet, Stryker, Johnson & Johnson & DePuy. Most of the orthopaedic surgeons in India are using US FDA approved imported implants. Some Indian implants are also available but are not used very often.

Best Age – If you are in the age bracket of 50-70 years and are otherwise healthy then you are the ideal candidate for this surgery. When you come to see our orthopaedic surgeon we will get X-rays done for your knee joints. The diagnosis for surgery is made on the basis of plain x-rays and advanced tests like MRI are not required. Once you decide to get the surgery done then our physiotherapy team will devise an exercise programme for you. You should start doing these exercises atleast 10 days before the surgery.

Hospital Stay – You will get admitted to the hospital one day before the surgery. The surgery takes around 1 hour for each knee. After the surgery you are shifted to the post operative ward where you stay for 5-6 hours. After this you are shifted to the room. You will be on your feet within 24 hours of the surgery with the help of a walker. From the second day of the surgery you are going to the toilet on a walker. Your stay in the hospital will be for 4-5 days during which the physiotherapy team will put you through several exercises.

Types of Knee Replacement Surgeries

Partial Knee Replacement – A Partial Knee Replacement is a surgical procedure whereby only the most damaged areas of cartilage from the knee joint is replaced with artificial material and healthy parts of the joint are left for continued use. In partial knee replacement the implant is placed between the end of the thigh bone and the top of the shin bone. Partial knee replacement can also replace the part of the joint under the kneecap known as patellofemoral replacement.

Total Knee Replacement – During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell and the end of the lower leg bone (tibia) is also removed and replaced with a plastic piece with a metal stem. Total knee replacement surgery is considered for patients whose knee joints have been damaged by either progressive arthritis, trauma, or any other rare destructive diseases of the knee joint.

Revision TKR – Revision Knee Replacement Surgery is now becoming quite common. The patients who undergo Total Knee Replacement at the age of 50-55 years typically require Revision Knee Replacement after 15-20 years. Not many surgeons are adept at doing Revision Knee Surgery. Due to the changes in the bony structure with the advancing age the screws which bind the knee joint with the bones become loose and this necessitates revision surgery. In this surgery the older knee implant is removed and a new implant is placed.

Computer Navigated Knee Replacement – While doing Knee Replacement Surgery, the surgeon has to align the artificial knee joint with the hip joint. This is done by using a metallic caliper by most of the surgeons. These days you get the wheel alignment of your car with the use of a computer so doing Knee alignment with a caliper is old technique. Newer surgeons are using computer navigation to align the knee joint with the hip joint which eliminates any chances of misaligned knee joint.

Robotic Knee Replacement Surgery – This is not very common as the price of a surgical robot is in excess of USD 1 million. There are few hospitals in India who have procured Orthopaedic Robot. Vardhman Hospital at Muzaffarnagar and Amandeep Hospital at Amritsar are two of them. In Robotic Knee Replacement Surgery, the cutting of the knee joint is not done by the surgeon but is done by the robot. This makes the cutting absolutely precise both in terms of length and depth. Precision cutting makes the job of the surgeon very easy as the implant fits nicely into the bone and the surgeon does not have to make any adjustments. In this surgery there is very little blood loss and the recovery is much faster. However the cost of the surgery increases by USD 1000 for each knee if robot is used in the surgery.

Best Doctors and Cost

Our Knee Replacement Surgeons have trained at some of the best centres in India, USA and Germany for doing Knee Replacement Surgery.  Only 20% patients who are in advanced stage of osteoarthritis have to undergo surgery and others can benefit by physiotherapy and medications. Even though the surgery takes only 2-3 hours for both the knees the entire process is about 2 months long. Post Surgery a comprehensive rehab programme is designed and the patient is put under the care of the physiotherapy team.

The cost of Partial Knee Replacement Surgery is USD 3000 for each knee. The cost of Total Knee Replacement Surgery is USD 3500 for each knee. The cost of Computer Navigated TKR is USD 4000 while the cost of Robotic TKR is USD 4500 for each knee. These are the costs when FDA approved imported knee implants are used. If Indian implants are used then the cost is USD 500 less in each of the category.

You would get some of the finest knee replacement surgeons in India. Dr. Subhash Jangid, Dr Anubhav Jain and Dr Avtar Singh are legends in the field of Knee Replacement Surgery. They are doing both the Computer Navigation and Robotic Knee Replacement surgeries.

The role of physiotherapy is very important after total knee replacement surgery. Getting your mobility back is the primary reason for this surgery. After discharge from the hospital, our physiotherapy team will take care of the rehabilitation for the next 45 days. If you are coming from a different city or country then you can go back to your home within 2 weeks from the date of discharge. The remaining rehabilitation can continue in your hometown under the supervision of our physiotherapy team.

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