FAQs
- / FAQs
Frequently Asked Questions
What is knee replacement surgery/Hip replacement surgery?
When the knee or hip joint is worn out it gives rise to pain. In an advanced disease, it's impossible to get the worn out cartilage back onto the articulating surfaces. At this stage, the surgeon does the total knee/hip replacement surgery. In this surgery, the diseased /rough and worn out surface is sliced off and is replaced by same thickness of artificial metal surface, the endoprosthesis.
When shall I consider myself to be a candidate for knee replacement surgery?
Of course, you need to consult your orthopaedic surgeon when you start with knee/joint pain. Roughly when it's difficult for you to walk >500 meters and stand >20 minutes at a place because of knee joint pain, probably you are a candidate for surgery.
Is it a successful surgery?
Of course, it's one of the most successful surgeries in the present time. But the success of surgery is related to the expectation after surgery and also to the pain and disability before surgery.
You can expect a completely painless joint which is straight in alignment and free from any deformity. The knee bending is largely defined by the pre-surgery knee bending status.
Yes, you can climb up or climb down the stairs after surgery. But you will have to do sincere physiotherapy to get the good result.
Of course, it’s a major surgery and not without risk and complications. During surgery, the complications are regarding to the anaesthesia and intraoperative management. After surgery, the complications are divided into early and late. Early complications could be Infection, Deep vein thrombosis (DVT) and pulmonary embolism (PE), wound healing complications. Late complications could be infection, stiffness, less than expected bending, component loosening. Late complications could be infection, stiffness, less than expected bending, component loosening.
The surgeon takes maximum precautions to prevent the complications. To prevent infection every single precaution is taken to do the surgery in completely sterile room preferably equipped with laminar airflow. Surgery is done with hood and space suit on and with minimum person possible n the operation room. Before surgery, it is making sure that patient does not have any infection in his / her body.
Especially urine infection, skin and dental infection is eliminated before surgery. Total proteins, albumin and globulin levels in the blood are checked with liver function and renal function before surgery. For the prevention of DVT, we immediately start the mechanical and chemical prophylaxis after the surgery. Early mobilization is again one more step towards this.
We have the variety of implant available with us.
- According to the design, the types are All poly (AP), Metal back (MB), Rotating platform (RP), High flexion design.
- According to the material used the types are titanium, cobalt chromium alloy, ceramic or oxinum.
- The polyethene is cross-linked poly, highly cross-linked poly, vitamin e mixed poly, oxidized poly.
- According to the manufacturing company, it is Indian made, imported made
- According to the surgical technique used it is cemented, uncemented or hybrid type.
The outcome of the surgery is largely defined by how precise is the technique and how precise is the soft tissue balance inside. The computer helps me to achieve near zero error in my technique and precision in the bone cuts. It gives objective value to my emotions about the soft tissue balance inside. A precisely done surgery should result into a good result.
There is absolutely no difference in the surgical technique and type of implant we use for knee replacement surgery in India and other countries. The wear pattern of the joint is sometimes different. It’s mainly because of our customs, lifestyle and the aetiology of the disease.
Cos of surgery differs with the hospital you choose, the type of room you chose and the type of implant you choose. Generally, any hospital initial package does not include the complications if any.
- Normally we have a five days package, which includes one day before s urgery and four days postoperatively
- We remove the surgical site stitches after 14 days.
- We recommend walker for walking in the initial two weeks.
- Physiotherapy and knee bending continues till three months.
Of course, the risk of surgery is more with the two surgeries at a one go. But we do simultaneous both knee replacement surgeries as well. It is largely decided by the amount of arthritis/ damage in both the joint, physical condition and cardiac status of the patient before surgery.
- Nowadays the main technical advancement is the type of anaesthesia and postoperative management protocol. We are moving towards the zero pain surgery
- Intraoperative local infiltrations, postoperative dermal patches, regional blocks and patient-specific analgesia has changed the whole scenario.
- Satisfaction of the patient got operated with us is mainly in this factor.
Our plus points are Individual attention, accurate clinical judgment, precision surgical technique, near painless surgery and so a better outcome.