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Knee Replacement Surgery in Ahmedabad can be performed at any age or at any time. However, if you're having trouble getting out of a chair or bed, performing everyday duties, or walking short distances, you might be a candidate. Making the best selection requires a thorough assessment by an orthopaedic surgeon. Some studies are required, as well as a thorough medical and clinical history, in order to obtain a judgement. As a result, it is always a good idea to bring all recent radiographs and past medical records with you when you visit a Best Orthopaedic Doctor in Ahmedabad so that he can provide you correct advise.
For some, lifestyle modifications, physical therapy, medications, or alternative treatment methods can be effective to some extent in managing knee problems.
You may speak to your Best Orthopedic Doctor in Pune regarding all these options and their possible outcomes when you go for the consultation but these remedies are most effective if you have not ignored the symptoms and reported at an early stage. Once the severity of the underlying cause is advanced beyond a certain stage then knee replacement may be the only remedy left. Your consulting doctor is the best judge to decide the extent of disease and you should not ignore the symptoms and report early.
But one thing should always be kept in mind that delaying or declining a necessary Knee Replacement Surgery could result in a less favorable outcome. Once you feel the severity of pain is increasing and your daily life activities are getting affected, then it is always better to go for the surgery as long-term medication has its own side effects and other conservative treatment modalities may not be effective at this stage.
One may require either a total or a partial knee replacement depending upon the condition of the knee joints. In Total Knee Replacement (TKR) surgery, both sides of the knee joints are replaced with artificial implants. This is usually performed when the joint is severely damaged by Osteoarthritis, Rheumatoid Arthritis, and Post-traumatic Arthritis or due to Vascular Necrosis.
In a normal joint, the joint surface is covered by cartilage that provides a smooth articulating surface that allows for smooth movement within the joint, whereas in arthritic joint the cartilage is gradually worn out which causes the bones to rub against one another leading to pain and restricted range of motion. The goal of the surgery is to relieve pain and restore the normal functioning of the joint. Total Joint Replacement can be performed through two approaches: conventional approach or minimally invasive approach.
In the conventional approach, an incision is made over the affected joint. The arthritic part of the joint is removed and prepared to receive the artificial components. The artificial components are fixed in place and the muscles and tendons are then repaired and the skin is closed. It normally has a longer recovery time due to more amount of bone cutting and the risk of damage to supporting structures and soft tissue.
With advancements in technology, a minimally invasive approach has been developed in recent years where surgery is performed through smaller incisions. With the help of technology, the precision has improved and there is a higher grade of accuracy. Advantages of the newer approach are lesser soft tissue damage, preserved bone, ligaments, and soft tissue, minimal pain, quicker recovery, and faster rehabilitation of the patient.
With newer technologies, the operative time has also reduced and on average it takes around 1-1.5 hours for the whole procedure.
Before surgery, you will need to have a physical exam and preadmission testing, participate in preoperative education sessions with physiotherapists and prepare your home for when you return after surgery. These steps will help you achieve long-term success after your knee replacement surgery.
Implants are comprised of metal, ceramic and medical-grade plastic. They are all inert materials, tested and safe. To seal these components to your bone, two methods are used: application of bone cement, which typically takes about 15 minutes to set, and cement-less approach that uses components with a porous coating that grows into a tissue or attaches to the bone. The surgeon is the best judge to select the implant and its placement.
Any surgery with anesthesia has risks. However, complication rates are extremely low and the patient doesn’t face any discomfort. There is a pre-anesthetic checkup before surgery and anesthetist fitness is given before moving ahead. The patient is continuously monitored at each step in the recovery phase and it happens smoothly, therefore, it is not a matter of major concern.
MBBS, MS ORTHOPAEDICS,
FELLOWSHIP IN JOINT REPLACEMENT SURGERY,
FELLOWSHIP IN PELVI-ACETABULAR TRAUMA AND COMPLEX TRAUMA SURGERIES
Dr. Bhavya Shah is Founder ofNavkar Orthopaedic Clinicone of the leading orthopaedic surgeon in Ahmedabad.