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Total Knee and Hip Replacement in Pune

Total Knee and Hip Replacement

Total Knee and Hip Replacement in Pune

Joint Replacement Surgery: Total Knee Replacement (TKR)

Joint replacement surgery is a procedure to replace a damaged joint with an artificial joint. The artificial joint is called a prosthesis and is made of metal, high-grade polymers, or ceramics. A Joint Replacement Surgery involves replacing the damaged joint with an artificial one. The procedure is also called Arthroplasty. The artificial joint can be of metal, plastic, or ceramic. These are known as Prostheses. 

The new joint mimics the functionality of the natural joint. Usually, the surgeons perform Total Joint Replacement by replacing the complete joint. However, they may perform Partial Joint Replacement, replacing only the damaged joint. 

Total Knee Replacement (TKR)

TKR is a surgery to replace the knee joint with an artificial joint. The knee joint is made up of three bones: the thigh bone (femur), the shinbone (tibia), and the kneecap (patella). In TKR, the surgeon removes the damaged parts of these bones and replaces them with artificial parts. TKR is done to relieve pain and improve function in the knee. It is often used to treat osteoarthritis, a condition that causes 

Why is it done?

Joint replacement surgery is typically recommended for people who have severe pain in their knee or hip that does not improve with other treatments, such as medication, physical therapy, or injections. 

 Other factors that may make someone a candidate for joint replacement surgery include:

  • Persistent joint pain does not improve with Medications, Injections, Physical Therapy, Bracing, Walking Assistive Devices, or Rest.

  • Limited mobility from joint stiffness.

  • Swelling

The above-stated symptoms may arise due to:

  • Osteoarthritis 

  • Rheumatoid Arthritis

  • Fractures 

  • Joint Abnormalities

  • Avascular Necrosis

  • Osteonecrosis 

Why Choose Manipal Hospitals?

Manipal Hospitals Baner comes from the rich legacy of Manipal Hospitals, as one of the pioneers in Orthopedic treatment in the Pune region. Our state-of-the-art Orthopaedic department is equipped with the latest medical technology for the diagnosis and treatment of bone and joint-related concerns, with highly educated and trained support staff that assists you throughout your healing journey.

The Department of Orthopaedics boasts of a robust team of Orthopedic Surgeons, physiotherapists, nursing staff and support staff for optimal Joint replacement surgeries which are performed under the guidance of our highly qualified and experienced orthopedic surgeons.

Our team constitutes Surgeons, Doctors and a healthcare team whose expertise and years of experience in Minimally Invasive Surgical Techniques (MIS), Navigation Technology and High-Quality prostheses for a painless life after surgery. Furthermore, at Manipal Hospitals, the surgery team has the constant support of the critical care team for tackling unforeseen emergencies and ensuring the best operative treatment. The post-treatment rehabilitation and care ensure quick recovery of bones and joints.

Risks

Joint Replacement Surgeries have the following associated risks and complications.

  • Blood Clotting

  • Infection

  • Fracture

  • Damage to the Nearby Nerves

  • Dislocation of Joint

  • Joint Stiffness

  • Weakness and Instability 

  • Persistent Pain

The patient should discuss their medical conditions with the doctor before the surgery to minimize the risks and complications.

Preparation

Doctors restrict the patients to avoid eating and drinking before the surgery, and the doctor may ask the patient to stop certain medications. 

The patient should:

  • Arrange for a walker to assist in walking after the surgery.

  • Arrange for help at home or a temporary caretaker to manage everyday household chores.

  • Arrange for a toilet seat riser, stable bench and safety bars/ handrail in the shower.

  • The doctor may ask the patient to get blood and imaging tests before the surgery. 

Expectation

Before The Procedure

  • The healthcare staff monitors the patient's breathing, pulse, blood pressure, and oxygen. 

  • The Anesthesiologist gives medications to calm and relax the patient.

  • The patient changes into a hospital gown for the surgery.

  • The doctors may use either a spinal block or a general anaesthetic. They may also inject numbing medicine around the nerves to block pain post-surgery.

During The Procedure

In general, the procedure for a joint replacement involves the following steps

  • Making incisions on the site

  • Removing the damaged joint

  • Replacing it with a prosthesis joint

  • Closing the joint using staples, stitches, or surgical glue

  • Covering the joint in a bandage

Total Knee Replacement

  • The patient's Knee will be in a bent position to expose all surfaces of the joint.

  • The surgeon makes an incision about 6 to 10 inches long and moves aside the kneecap to cut the damaged joint surface. 

  • Next, they attach the pieces of the artificial joint before closing the incision. 

  • The surgeon rotates the Knee to check its function. 

  • The Knee Replacement Surgery lasts about two hours.

After The Procedure

  • After the surgery, the patient goes to the recovery room for observation. 

  • Usually, the patient stays for a day or two in the hospital, depending upon their recovery and health needs.

  • The doctor may prescribe pain-controlling medicines and blood thinners to the patients. 

  • The patient needs to move their feet and ankles to increase the blood flow to the leg muscles to avoid swelling and clotting risks.

  • The patient needs to increase their activity gradually. 

  • A physiotherapist helps with the exercises for a quicker recovery. 

  • The patients must do guided breathing exercises, light physical activity and take adequate diet and medicines.

Blood Clot Prevention

Blood Clotting is one of the risks of post-joint Replacement Surgery. To avoid this complication, the patients should:

  • Start walking early with the help of crutches or a walker.

  • Compression Stockings or Inflatable Air Sleeves on the lower legs avoid blood pooling in the leg veins.

  • Take the prescribed blood thinning medications after the surgery to minimize the risk of blood clots.

Physical Therapy

The patients are recommended physical therapy after the surgery for quicker recovery. A physical therapist guides the patients about the exercises for strengthening and mobility and helps them with a walker, crutches or cane.

Home Recovery

The majority of the recovery takes place at home. The patient must be ready before leaving the hospital for a smooth transition.

  • Arrange for help with doing daily household chores

  • Avoid bending down by keeping everyday things at waist level

  • Getting a raised toilet seat and a shower stool

The patients should immediately notify their doctor if there is any drainage from the surgical site, high fever and chills, and increasing redness, swelling, tenderness and pain in the Knee. These are the signs of infection, and the patient must be vigilant. Infected joint replacement involves removing the infected joint, applying antibiotics to kill the infection and again getting surgery to install a new joint.

Artificial joints can wear out after some time. Patients undergoing Total Joint Replacement should avoid high-impact and stressful activities.

Results

Total knee replacement

  • Knee Replacement Surgery helps with pain relief, better mobility and improved quality of life. Moreover, it lasts for up to 15 years.

  • The patients can resume daily activities like light housekeeping and shopping after three to six weeks post-surgery. Driving is also possible, but patients should consult their doctor beforehand. 

  • After recovery, the patients must avoid higher-impact activities like sports, skiing, jogging and jumping.

Joint Replacement Surgery: Total Hip Replacement (THR)

Joint replacement surgery is a procedure aimed at replacing a damaged joint with an artificial one, known as a prosthesis, typically crafted from metal, high-grade polymers, or ceramics. This surgical intervention, also referred to as Arthroplasty, restores joint function and alleviates pain. The artificial joints used in this procedure are commonly known as prosthetics. 

Total Hip Replacement (THR): Total Hip Replacement (THR) is a surgical procedure designed to replace a dysfunctional hip joint with an artificial one, addressing chronic hip pain resulting from injury, fracture, disease, or other underlying conditions. Hip pain can have multiple causes, including injury, overuse (especially among athletes), as well as conditions like Osteoarthritis and Rheumatoid Arthritis. The hip joint comprises the thigh bone (femur), pelvis, and a ball-and-socket joint. THR involves the removal of damaged bone and cartilage followed by their replacement with artificial components.

Why Is It Done? 

Joint Replacement Surgery of the hip is recommended by doctors when patients exhibit the following symptoms:

  • Persistent joint pain is unresponsive to conservative treatments such as medications, injections, physical therapy, bracing, assistive devices, or rest.

  • Limited mobility due to joint stiffness or the inability to sit properly.

  • Swelling in the affected joint.

These symptoms can be attributed to various underlying conditions, including Osteoarthritis, Rheumatoid Arthritis, fractures, joint abnormalities, avascular necrosis, or osteonecrosis.

Why Choose Manipal Hospitals?

Manipal Hospitals, Baner stands as a leader in Orthopedic treatment in Pune, boasting a state-of-the-art Orthopedic department equipped with advanced medical technology and facilities for addressing bone and joint-related health issues. Backed by a tradition of providing decades of quality healthcare, the focus in this unit as in all of Manipal Hospitals is Patient care and safety. Highly qualified and experienced surgeons, along with the latest diagnostic tools, ensure accurate diagnoses and treatment. The Orthopedic team encompasses surgeons, doctors, and a dedicated healthcare staff committed to optimal operative treatment. The use of Minimally Invasive Surgical Techniques (MIS), Navigation Technology, and high-quality prostheses contributes to a painless post-surgery life.

Risks

 Joint Replacement Surgeries of the hip carry associated risks and potential complications, including:

  • Blood clot formation

  • Infection

  • Fractures

  • Damage to nearby nerves

  • Joint dislocation

  • Joint stiffness

  • Weakness and instability

  • Limb length discrepancydecrepancy

Patients are advised to discuss their medical conditions thoroughly with their healthcare providers before undergoing surgery to mitigate these risks and complications.

Preparation

Before surgery, patients are typically instructed to refrain from eating and drinking, and certain medications may need to be temporarily discontinued. Preparatory measures include arranging for post-operative support, such as a walker, and home assistance, and the installation of necessary aids like toilet seat risers, stable benches, and safety bars in the shower. Additionally, blood and imaging tests may be required before the surgery.

Expectations

Before the Procedure

  • Vital signs monitoring, including breathing, pulse, blood pressure, and oxygen levels.

  • Administration of medications by an anesthesiologist to induce relaxation.

  • Changing into a hospital gown.

  • Anaesthesia options may include spinal blocks, general anaesthesia, or nerve-blocking for post-operative pain management.

During the Procedure

Joint replacement typically involves the following steps: incisions, removal of the damaged joint, insertion of a prosthesis, joint closure using staples, stitches, or surgical glue, and application of a bandage.

Total Hip Replacement (THR): This surgery takes approximately 2 hours and involves making an incision over the hip, removing diseased bone and cartilage while preserving healthy bone, implanting a replacement socket into the pelvic bone, and inserting a metal stem topped with a replacement ball.

After the Procedure

  • Following surgery, patients are observed in a recovery room.

  • Hospitalization duration varies but generally lasts for one to two days, based on individual recovery progress.

  • Pain management medications and blood thinners may be prescribed.

  • To prevent complications like swelling and clotting, patients are encouraged to perform ankle and foot movements to increase blood flow.

  • Physical therapy is recommended for a quicker recovery.

  • Breathing exercises, light physical activity, and adherence to prescribed diet and medications are essential.

Blood Clot Prevention

Blood clotting is a post-joint Replacement Surgery risk, and patients are advised to:

  • Begin walking early with crutches or a walker.

  • Use compression stockings or inflatable air sleeves on the lower legs to prevent blood pooling in leg veins.

  • Take prescribed blood-thinning medications to minimize clot risk.

Physical Therapy

Patients are encouraged to undergo physical therapy after surgery to aid recovery. Physical therapists guide exercises to improve strength and mobility while assisting with mobility aids like walkers, crutches, or canes.

Home Recovery

A significant portion of recovery occurs at home. Patients should:

  • Arrange for assistance with daily household tasks.

  • Keep frequently used items at waist level to avoid bending.

  • Consider a raised toilet seat and shower stool.

  • Promptly report any signs of infection, such as drainage, high fever, chills, increasing redness, swelling, tenderness, or pain at the surgical site.

Results

For Total Hip Replacement, post-operative recovery varies among individuals, with most patients returning to normal activities within three months and complete recovery potentially taking over a year. The procedure effectively reduces pain and enhances hip joint mobility, though high-impact activities that stress the artificial joint should be avoided. Visit the best ortho hospital in Pune to get the finest treatment.

Frequently Asked Questions (FAQs)

  • Will a Knee Replacement Surgery get rid of Arthritis?

No.  A knee replacement surgery helps with pain relief. It corrects the damage caused by Arthritis. It may not make them go away.

  • How long is Physical Therapy needed after Knee Replacement Surgery?

The patient needs Physical Therapy for around 4-8 weeks after the Knee Replacement Surgery. It differs from patient to patient as all heal at different rates.

  • What is the duration of a Knee Replacement Surgery?

The total time for a knee replacement procedure is 1-3 hours. Many health centres now have FastTrack Knee Replacement Surgery Package specially designed for those who do not wish to stay hospitalized for long durations. 

  • What are the long-term results of knee replacement surgery?

Knee replacement surgery can provide significant pain relief and improved function for many years. However, the lifespan of an artificial joint varies from person to person. Some people may need to have their artificial joints replaced after 10 to 15 years.

  • Is knee replacement surgery the right choice for me?

The decision of whether or not to have knee replacement surgery is a personal one. One should consult with a specialized doctor about the risks and benefits of surgery based on a proper examination of their overall health condition and then only make a decision.

  • What are the strategies for faster recovery after Total Hip Replacement?

  • Get up and move as soon as possible. This will help to prevent blood clots and stiffness.

  • Use a walker or crutches to help you get around. Avoid putting weight on your operated leg until your doctor tells you it is okay.

  • Do your exercises. Your doctor or physical therapist will give you specific exercises to do to help strengthen your muscles and improve your range of motion.

  • Take your pain medication as prescribed. This will help you to feel more comfortable and make it easier to move around.

  • Elevate your leg. This will help to reduce swelling.

  • Get plenty of rest. Your body needs time to heal.

  • Eat a healthy diet. This will give you the nutrients you need to recover.

  • Stay positive. A positive attitude can help you to heal faster.

  • What activities should one avoid following Hip Replacement Surgery?

  • Don't cross your legs. This can put stress on your new hip.

  • Don't twist your body. This can also put stress on your new hip.

  • Don't lift anything heavy. Your doctor will tell you how much weight you can lift.

  • Don't do any strenuous activities. This includes sports, running, and jumping.

  • Don't drive until your doctor tells you it is okay.

  • What are some simple tips for managing daily life post-surgery?

  • Get help with chores and errands. You will need to take it easy for a few weeks, so don't be afraid to ask for help from family and friends.

  • Make sure your home is safe. Remove any obstacles that you might trip over, such as rugs and clutter.

  • Use a raised toilet seat and shower chair. This will make it easier to get in and out of the toilet and shower.

  • Take your time. Don't rush your recovery. It takes time to get back to your old self.

Book an appointment now at the best multispecialty hospital to get the total knee and hip replacement in Pune.

 

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