Why Doctors Second Opinion is very important for Knee Replacement Surgery ?
I. Knee Joint Inflammation
Arthritis of the Knee Joint:
- Osteoarthritis : Osteoarthritis is a degenerative disease which causes cartilage damage and thinning of cartilages. Osteophytes and hypertrophy of tibia and femur observed in later stage. It results in joint deformity.
- Rheumatoid Arthritis: It is an autoimmune disease which causes inflammation of synovial membrane and capsule. Inflammation causes excessive secretion of synovial fluid resulting in joint swelling. Joint effusion (swelling by excessive fluid) causes joint deformity and may result in joint subluxation.
- Psoriatic Arthritis: It is associated with psoriatic skin disease. It is inflammatory joint disease which results in inflammation of synovial membrane and ligaments, degeneration of articulating cartilages and menisci.
- Gout: Knee joint swelling is caused by inflammation of synovial membrane, capsule, ligaments and tendon. Soft tissue inflammation results from irritation of tissue following uric acid deposits. Uric acid deposits in knee joint causes inflammation and edema of articular cartilage and menisci.
Tendonitis of Knee Joint:
Inflammation of tendon is known as tendonitis.Tendonitis is caused by overuse of the muscles and tendon. Tendonitis follows injury or trauma of the tendon and muscles. Tendonitis of superior patellar tendon is known as Osgood-Schlatter Disease. Osgood-Schlatter tendonitis is caused by overuse, irritation or injury of the knee cap and patellar tendon. Inflammation of patellar tendon below patella is known as ”jumper’s knee.”
Bursitis of Knee Joint:
Bursitis is caused by inflammation of bursa. Inflammation often follows trauma. Bursitis causes increased secretion of viscous fluid, which is collected in a sac. Most common knee joint bursitis is Housemaid Knee and Baker’s Cyst. Pre-patellar bursa is known as ”Housemaid’s knee” is also known as ”Preacher’s Knee” and is caused by kneeling on knee often for prolonged time. A ”Baker’s cyst” is inflammation of popliteal bursa and causes swelling of sac at the back of the knee.
II. Infection of Knee Joint:
- Knee Joint infection is also known as Septic Arthritis.
- Results in Knee Joint Abscess.
- Follows severe deterioration and atrophy of the cartilages and synovial membrane.
- Often follows penetrating injury
- Blood borne bacterial infection transmitted from distant source of infection or abscess by blood.
III. Injury of Knee Joint:
1. Ligamental Sprain
- Grade 1- Laceration or forceful stretch of ligament
- Grade 2- Partial tear of the ligament
- Grade 3- Complete tear of the ligament
2. Tendon Rupture or Tear
- Grade 1- Laceration or forceful stretch of tendon
- Grade 2- Partial tear of the tendon
- Grade 3- Complete tear of the tendon
3. Torn Meniscus
- Meniscus tear may be partial or complete.
- Tear may be associated with cartilage fragments in the joint resulting in severe pain with joint movements.
- Tear is caused by continuous wear and tear of the joint known as “Degenerative Tear”.
- Meniscus tear mostly results from knee joint injuries.
4. Knee Joint Dislocation
- Very uncommon injury
- Mostly caused by auto accident or fall from heights.
- Severe pain and inability to move knee joint
5. Knee Joint Fracture
- Involves femur, tibia, patella or fibula.
- Fracture of patella is the most common knee joint fracture observed following injury.
- Patellar fracture is also common in patient suffering with osteoporosis .
- Mostly caused by auto accident or fall from heights.
- Severe pain and inability to move knee joint.
IV. Patello-Femoral Syndrome
- The condition is caused by irritation or inflammation of articulation surface of patella and femur.
- Irritation is caused by abnormal or shearing forces generated by tendon and muscles attached to patella.
- The inflammation or wear and tear of the articulating cartilage between femur and patella causes severe pain known as Patello-Femoral Syndrome.
- Thinning and softening of the cartilage is also known as Chondromalacia.
- Patello-Femoral Syndrome is often associated with dislocation or fracture of knee joint.
- Osteoporosis is a metabolic disorder that results in demineralization of bone because of loss of calcium.
- Bone becomes weak and brittle.
- Osteoporotic bones easily fractures following severe cough or even sneezing.
Thank You "Times Group" for felicitating Arora Clinic for "Excellence in Patient Care"
We are really honored to receive this and we will continue to serve the society better than ever We aim to provide the world-class Knee/Hip Replacement Surgical (Minimal Invasive Surgery) treatment to every patient suffering from knee or hip pain and at the same time make their life pain-free and happy.
Are you looking for Best Knee Replacement Surgeon?
Then you are at Right Place
Dr. Bakul Arora’s Joint Replacement Clinic is also known as “Arora Clinic” which is located at Hiranandani Meadows in Thane, within a very convenient proximity to Mumbai. Arora Clinic dedicated clinic for Knee Replacement surgery and all kinds of Orthopaedic treatments and surgeries
The Arora Clinic is one of the most advanced Orthopaedic clinic in Thane region and dedicated to providing the best, personalised healthcare with a breadth of surgical and medical expertise. Arora Clinic offers the modern surgical treatments like “Minimally Invasive Knee Replacement Surgery” which is also called as “PAIN-LESS SURGERY” for any complex knee diseases.
Dr. Bakul Arora is a Consultant Joint Replacement & Orthopaedic Surgeon is one of the leading Knee Replacement Surgeon in Thane and Mumbai with over 4000+ successfully surgeries. Dr. Bakul Arora specialises in Mini-invasive techniques which offer multiple benefits to patients. He does the surgery using Subvastus approach for Knee Replacement surgery and Direct Anterior Approach for Hip replacement Surgery . This new techniques has many advantages for patients like its pain-less , stich-less surgery, patients walks on the same day after surgery, no blood loss, faster recovery etc.
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Before and After Knee Replacement Surgery
Knee replacement is required for advanced arthritis of the knee joint, producing painful limitation of movements and restriction in activities of daily living. Knee replacement as a solution should be offered when all non–surgical methods of treatment failed and painkiller medicines and injections also failed to reduce the Knee and hip pains.
Knee replacement can be total or unicondylar, depending on the number of compartments involved. Among the total knee replacement, there are two popular designs- Cruciate Retaining, and Posterior Stabilized. The decision for the design is best taken by the operating orthopedic surgeon based on the integrity of ligaments. Patella resurfacing as a routine is a debatable subject.
Yes, most knee replacement surgeries are minimally invasive, with numerous benefits to the patient, including smaller incisions, less tissue trauma, bleeding and post–operative pain, shorter hospital stays, faster recovery, and earlier return to work and activities — in weeks rather than months. Advantages of Minimally Invasive Knee Replacement Surgery. Patients Start walking in few hours of surgery. Patients start climbing the staircase from second day of his surgery. Patients Discharge with in 3 Days from the Hospital after surgery. No blood loss during the surgery, no blood Transfusion required. Less Physiotherapy.( No Physiotherapist required for home) Less Antibiotic. Stitchless Surgery. Recovery time is just two – three week.
Bilateral knee replacement in the same sitting, can be performed if both the knee joints are damaged to the same extent, however, the medical condition of the patient, and bone quality must be kept in consideration.
Surgery through Minimally Invasive technique patients start walking on the same day and staircase climbing starts from the second day of surgery. Patients can resume his work after 3 – 4 week.
The most significant risks include Infection, Deep vein thrombosis,and Aseptic loosening of implants. The risks correlate with the co-morbid medical condition, and must be discussed with the patient before surgery.
Patients normally require hospitalization for 3-4 days in single knee replacement, and up to 5-6 days in both knee replacement surgery
A single knee replacement takes approximately 90 min- 2 hours. Both knee replacement surgery takes approx 2-3 hours.
Years ago, knee replacement surgery was reserved for elderly patients due to a high complication rate and lack of implant durability. Modern techniques have allowed orthopaedic surgeons to base surgical decisions on a patient’s pain and disability, and not necessarily chronological age. Most patients who undergo knee replacement are between the ages of 50 and 80, but surgeons evaluate patients individually and primarily on their physiologic age and demands.
Patients can resume his/her light work after discharge from the hospital, no need for rest.
Patients are given epidural anesthesia for surgery, and post op pain relief. They are expected to follow instruction from physiotherapist regarding muscle training.
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⇒ Wockhardt Hospital Mumbai Central, Mira road & Vashi
⇒ Apollo Spectra Hospital, Tardeo and Chembur
⇒ Cloud 9 Hospital, Malad
⇒ Criticare Hospital, Andheri
⇒ Arora Clinic, Hiranandani Meadows
⇒ Bethany Hospital, Vasant Vihar
⇒ Currae Hospital, Kapurbawdi
⇒ Horizon Hospital, Ghodbunder
⇒ Infinity Hospital, Majiwada
⇒ Lakecity Hospital, Khopat
⇒ Oscar Hospital, Majiwada
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