What are the risks of delaying knee replacement surgery?
Knee pain is ignored by many people assuming that it’s just a minor pain and will go away by applying ointment or chronic use of pain killers. Most people who suffer from constant knee pain which includes difficulty in walking and sitting don’t realise that it can be a serious problem too like Renal failure, dialysis, kidney transplant, Nephro-toxicity.
Patients suffering from the condition often delay knee replacement surgery due to many reasons. One out of it is lack of information regarding it. The other reasons that patient delay for knee replacement surgery includes fear of loosing a body part, fear of post-operative surgery pain and fear of stitches.
This reasons later often cause more severe knee problems. Avoiding knee replacement surgery is a risk which a patient should not take as it may lead to further problems like increase in pain, unable to walk properly or completely. Depending upon the condition of the knee, there are techniques like if a patient’s knee not so much damaged then he can opt for knee salvation procedure which is an alternative to knee replacement surgery. If the damage in knee more then the patient also has an option of minimally invasive knee replacement surgery which is painless knee replacement surgery.
Patient sometimes purposely delay knee replacement surgery which can cause
– Risk of deformities developing inside and outside the joints.
– Lack of mobility
– Muscles, ligaments becoming weaker and loosing function
– Unbearable pain
Progression of knee Deformity.
Deformity correction during knee replacement is sometimes challenging, can necessitate the need for more complex and expensive implants and also delays recovery.
When knee replacement surgery is delayed the problem is increased, there are also risks involved during surgical procedures such as it may take longer hours to complete the surgery, or the problem has increased so much till then it requires a major surgery.
Stiffness. Pre-op loss of knee flexion and stiffness makes the surgery difficult for the surgeon and also delays post op recovery. Extensive physiotherapy is needed to overcome stiffness.
Recent studies have shown that timing does make difference in the surgery. So, if the patient is suggested a knee replacement surgery then it should not be delayed or postponed as that can lead to lots of serious issues. Emotional effects of knee pain. Depression. Social anxiety. Lack of confidence. Patients are usually confined to their homes. They resist going out and interact with people and in turn develop emotional issues.
A stitch in time saves nine. A painless knee replacement in time gifts smiles.
by Dr. Bakul Arora, Joint Replacement Surgeon, Thane.
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.
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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
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