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Joint Replacement
Total Knee Replacement
It is most commonly performed joint replacement surgery
Before TKR
Degenerated and Severely Damaged knee joint with erosion of cartilage and bone
After TKR
Ends of both joint forming bones replaced with prosthesis and spacer to create new joint
What is Total Knee Replacement?
Your knee joint is made of the lower end of the thigh bone (femur), upper end of shin bone (tibia) and the knee cap (patella). These are covered by smooth cartilage which allows them to glide smoothly. When the cartilage is worn away due to arthritis (either due to injury, degeneration, inflammatory process), there is pain, stiffness and restricted movement of the knee.
Total Knee Replacement is a surgical procedure in which the worn out or damaged surfaces of the knee joint is removed and replaced with artificial components. This allows the knee to be pain free and move smoothly aiming to establish healthy knee function similar to your native knee & provide you with a superior quality of life.
Indications of Total Knee Replacement:
· Severe knee pain that limits your daily activities (such as walking, standing, getting up from a chair or climbing stairs)
· Moderate-to-severe pain that occurs during rest or awakens you at night
· Failure to obtain pain relief from medications, injections, physical therapy or other conservative treatments
The reasons for severe osteoarthritis include:
· Primary Knee Osteoarthritis
· Post traumatic knee arthritis
· Inflammatory arthritis(RA)
. Knee fractures
Total Knee Replacement Procedure
Dr Gaurav Singh will provide you with instructions on how to prepare before your surgery. You will be admitted to the hospital an evening prior or on the day of surgery. You will receive a regional (spinal) anaesthetic. In some patients general or epidural anaesthetic may be required.
I will make an incision on the front of your knee and expose your knee joint. Using specialized instrumentation and jigs, the damaged/degenerated portion of the knee is cut, sized and shaped to fit the components of the knee replacement. The knee joint is balanced and trailed to ensure stability and correct alignment. The knee implants are then fitted with the use of special bone cement and liner inserted. An injection of medication designed to provide post-surgery pain relief will be given within your knee joint.The knee will then be closed using stitches and clips
Following dressing of the wound you will be shifted to recovery and then to your room.
Post Surgery Care
Usually you will spend 2-3 days in the hospital following a single total knee replacement.
You will be encouraged to begin certain movements immediately after surgery to aid in rapid recovery.
A physiotherapist will also visit you and start you on your rehabilitation plan. You are made to walk on the same day of surgery or at most by the next day.
Before leaving the hospital you will be made confident of walking, using the toilet and going up and down a few stairs.
Before discharge appointments will be made for your follow ups and for removal of clips.
Advise at Home
· You can expect some pain and it will reduce over a few days to weeks. The pain intensity is different for everyone and you must remember to take your medication.
· Swelling will gradually reduce over 1-2 months but may take even longer.
· You will be given instructions on bathing/showering, which you must follow.
· It is imperative to follow the rehabilitation plan, customized for you.
· Ensure all essential items (food, water, medication, mobile, walking aids) are nearby and the toilet is accessible.
· You must make sure there are no obstacles in your walking path to reduce chances of falls.
· Emergency contact numbers will be made available.
For further information, booking a consultation, and to plan your Total Knee Replacement surgery - contact us Dr. Gaurav Singh Orthopaedic Surgeon
Total Hip Replacement
It is most commonly performed joint replacement surgery
THR Uncemented
Degenerated and Severely Damaged joint replaced with uncemented total hip replacement
THR
Uncemented femoral stem and head placement
Total Hip Replacement
What is Total Hip Replacement??
The hip joint is one of the body's largest weight-bearing joints, located between the thighbone (femur) and the pelvis (acetabulum). It is a ball and socket joint in which the head of the femur is the ball and the pelvic acetabulum forms the socket. The joint surface is covered by a smooth articular cartilage which acts as a cushion and enables smooth movements of the joint. When the cartilage is worn away due to arthritis (either due to injury, degeneration, inflammatory process), there is pain, stiffness and restricted movement of the hip.
Total hip replacement is a surgical procedure in which the damaged cartilage and bone is removed from the hip joint and replaced with artificial components.
This allows the hip to be pain free and move smoothly aiming to establish healthy hip function & provide you with a superior quality of life.
Indications of Total Hip Replacement
Total Hip replacement surgery is commonly indicated for osteoarthritis of the hip. Your doctor may advise total hip replacement if you have:
- Severe hip pain that limits your daily activities (such as walking, standing, getting up from a chair, climbing stairs, bending down, getting in and out of a car, etc)
- Moderate-to-severe pain that occurs during rest or awakens you at night
- Failure to obtain pain relief from medications, injections, physical therapy or other conservative treatments
The reasons for osteoarthritis include:
- Primary Hip Osteoarthritis
- Post traumatic hip arthritis
- Osteonecrosis (AVN)
- Inflammatory arthritis
- Hip fractures
Total Hip Replacement Procedure
I & my team will provide you with instructions on how to prepare before your surgery. You will be admitted to the hospital an evening prior or on the day of surgery. You will receive a regional (spinal) anesthetic. In some patients general or epidural anesthetic may be required.
i will make an incision on the side of your hip and expose and dislocate your hip joint. Using specialized instrumentation and jigs, the damaged/degenerated portion of the hip is cut, sized and shaped to fit the components of the hip replacement. The hip joint is balanced and trialed to ensure stability and correct alignment. The hip implants are then fitted with or with out the use of special bone cement. The cup is made of metal which sits in the acetabular socket, the stem is made of metal inserted into the femur. The bearing surfaces which include the femoral head (metal or ceramic) and liner (plastic or ceramic), articulate with each other.
An injection of medication designed to provide post surgery pain relief will be given within your hip joint.
The hip will then be closed using stitches and clips.
Following dressing of the wound you will be shifted to recovery and then to your room.
Post Surgery care:
Usually you will spend 2-3 days in the hospital following your total hip replacement. You will be encouraged to begin certain movements immediately after surgery to aid in rapid recovery.
A physiotherapist will also visit you and start you on your rehabilitation plan. You are made to walk on the same day of surgery or at most by the next day. Before leaving the hospital you will be made confident of walking, using the toilet and going up and down a few stairs.
Before discharge appointments will be made for your follow ups and for removal of clips.
Advice At Home:
- You can expect some pain and it will reduce over a few days to weeks. The pain intensity is different for everyone and you must remember to take your medication.
- Swelling will gradually reduce over 1-2 months but may take even longer.
- You will be given instructions on bathing/showering, which you must follow.
- It is imperative to follow the rehabilitation plan, customized for you.
- Ensure all essential items (food, water, medication, mobile, walking aids) are nearby and the toilet is accessible.
- You must make sure there are no obstacles in your walking path to reduce chances of falls.
- Emergency contact numbers for the hospital, Dr Gaurav Singh and his team will be made available.
For further information, booking a consultation, and to plan your Total Hip Replacement surgery - contact us Dr. Gaurav Singh Orthopaedic Surgeon
For further information, booking a consultation, and to plan your Total Hip Replacement surgery - contact us Dr. Gaurav Singh Orthopaedic Surgeon
Shoulder replacement
What is Shoulder Replacement?
Shoulder is the joint where your upper arm connects with your body and is a ball-and-socket joint. The bone in your upper arm, called the humerus, has a round end that fits into the bended structure outside of your shoulder bone.
Tendons and ligaments hold it together. Ligaments connect the bones, while tendons associate muscles deep down. A layer of tissue called cartilage keeps the bones separated, so they don't rub against one another.
The ball and socket lets you move your arm here and there, back and forward, or around.
Shoulder Replacement surgery wherein all or part of the glenohumeral joint is supplanted by a prosthetic implant. If your shoulder joint gets genuinely harmed, you may require medical procedure to replace it.
Indications of shoulder replacement surgery
- Osteoarthritis: This kind of arthritis is normal in older individuals. It happens when the ligament that cushions bones erodes.
- Rheumatoid Arthritis (RA): With RA, your immune system mistakenly assaults your joints, causing pain and irritation.
- Avascular necrosis: This condition happens when loss of blood to a bone happens. It can cause harm and torment in the shoulder joint.
- A broken shoulder. On the off chance that you gravely break your shoulder bone, you may require a shoulder replacement to fix it.
Procedure of Shoulder Replacement
During the medical procedure, specialists supplant the harmed joint "ball," known as the humeral head, of the shoulder with a metal ball. They likewise place a plastic surface on the "socket" of the shoulder, known as the glenoid.
Now and then, a partial shoulder replacement can be performed. This includes replacing just the ball of the joint.
Similarly as with any surgery, a shoulder replacement has few complications. In spite of the fact that the complication rate is exceptionally low, you could experience
- infection
- a response to sedation
- nerve or vein harm
- rotator cuff tear
- fracture
- loosening or separation of the substitution parts
There are various sorts of shoulder substitutions that are done. Your specialist will assess your circumstance cautiously before settling on any choices.
Total Shoulder Replacement
The typical shoulder replacement includes supplanting the ligament joint surfaces with an exceptionally cleaned metal ball connected to a stem, and a plastic socket.
Stemmed Hemiarthroplasty
Contingent upon the state of your shoulder, your specialist may supplant just the ball. This method is known as a hemiarthroplasty. In a traditional hemiarthroplasty, the head of the humerus is supplanted with a metal ball and stem, like the segment utilized in a total shoulder substitution. This is known as a stemmed hemiarthroplasty.
Resurfacing Hemiarthroplasty
Resurfacing hemiarthroplasty includes supplanting only the joint surface of the humeral head with a top like prosthesis without a stem. With its bone safeguarding advantage, it offers those with joint inflammation of the shoulder an option in contrast to the standard stemmed shoulder substitution.
Reverse Total Shoulder Replacement
Another kind of shoulder substitution is called reverse absolute shoulder substitution. It is used for people who have:
- Completely torn rotator cuff with extreme arm weakness
- The impacts of extreme joint inflammation and rotator cuff tearing (cuff tear arthropathy)
- Had a past shoulder substitution that failed
For further information, booking a consultation, and to plan your Shoulder Replacement surgery - contact us Dr. Gaurav Singh Orthopaedic Surgeon.
