Our Joint Replacement Surgeons carefully evaluate the patient to determine:
1) if surgery is indicated; 2) the most appropriate type of procedure; and 3) develop a plan of treatment.
Total Knee Replacement :
Total knee replacement (TKR), also referred to as Total Knee Arthroplasty (TKA), is a surgical procedure where worn, diseased, or damaged surfaces of a knee joint are removed and replaced with artificial surfaces.
Types of Implants:
- Cemented Implants: - This cement allows the implants to perfectly fit to the irregularities of the bone.
- Non-cemented Implants: - The implants are "press fit" against the bony surfaces that are precisely cut through the use of multiple cutting jigs.
- Hybrid Fixation Implants: - In this implant the femoral component is not cemented but the tibia component is cemented.
The choice of implant to be used is based on various factors like age, lifestyle etc. which the doctor will asses after consultation with you.
Procedure: The patient is anesthetized and a incision is made approx eight inches in length. The operative procedure usually take 1.5-2 hrs.
- Hospitalization : 6-7nights
- At home : Few weeks
Hip Replacement/Resurfacing Surgery
A total hip replacement (THR) - also called a Hip Arthroplasty is a surgical procedure that replaces the damaged hip joint.
Types of Procedure:
- Cemented procedure: - The cemented procedure utilizes a doughy substance mixed at the time of surgery that is introduced between the artificial component and the bone.
- Non-cemented procedure: - Artificial joint covered with a material that allows bone tissue to grow into the metal. A tight bond of scar tissue if formed, which anchors the metal to the bone. This is called a cementless total hip replacement.
- Metal/metal bearings- With these bearings it is possible to safely improve the stability to minimize the risk of dislocation.
- Ceramic-on-Ceramic Bearings These bearings also produce low wear similar to that of metal-on-metal bearings with substantial reductions over plastic bearings.
Durability is dependent on the components used (materials, type and preparation of the surfaces, as well as the design of the components), technique and the quality of fixation, activity level of the patient, and the biological tissue reactivity which varies among individuals
In Hip Replacement, the head of the femur is removed along with the surface layer of the socket in the pelvis. The acetabulum is then reamed to accept a plastic cup. The ball and socket are then replaced into normal position. In Hip Surface Replacement, the femoral neck is preserved rather than amputated, this leads to faster and better recovery after surgery.
- Hospitalisation – 6-7 nights
- At home: Few weeks
Post Operative Care
Extensive post treatment care is given and it is ensured that the patient is comfortable after the surgery.