Total Knee Replacement (Unilateral)
Unilateral knee replacement is a procedure in which one knee is operated. In this surgery, a diseased weight-bearing surface of the knee is replaced with an implant, which can be made up of various artificial material such as metal, titanium, chrome cobalt, polyethylene. Bone cement is used in repair and fixing the implant. The choice of the implant varies from person to person.
In this procedure, general or spinal anesthesia is given. The surgery takes about 1-1.5 hours to complete. The surgeon shaves the relatively thin amount of bone from the end of the thigh bone, top of the leg bone and underside of the kneecap. This allows for snugly fit the implant. After the surgery is completed, a dressing will be placed on the operated knee area. A drainage tube may be placed to help drain excess fluids from the joint post surgery.
Total Knee Replacement (Bilateral)
Bilateral knee replacement is a procedure in which both the knees are operated. It is defined as the surgery to replace diseased weight-bearing surfaces of both the knees with the help of an artificial material which is made up of metal and plastic prosthesis devices. In this procedure, general or spinal anesthesia is given. The surgeon shaves the joint cartilage at the ends of the femur and tibia and fits them prosthetic caps they are reattached to the remaining bone with specialized cement. After the surgery is completed, there will be a large dressing on the knee area. A drainage tube will be there to help drain excess fluids from the joint post surgery.
The most common reason for a bilateral total knee replacement is severe arthritis. It causes pain and stiffness in both knees interfering with activities of daily living. Even simple activities like bending for picking something to become difficult. It is ideal for patients who have a significant deformity of both knees. This type of surgery allows the patient to walk straighter and without any pain and complications.
Total Hip Replacement (Unilateral)
Our normal hip joint consists of ball and socket joint. Unilateral Total hip replacement is a surgical procedure to change the diseased cartilage and bone of one hip joint with the help of artificial material. In this procedure, general anesthesia is administered to the patient. A 10-12 incision is made at the side or back of the hip which cuts through the skin and then through the muscle and soft tissue to expose the bones at the hip joint. The joint is then dislocated removing the head of a femur from its socket in the pelvis and then position the new metal, plastic or ceramic implants to restore the alignment and function of the hip.
Total Hip Replacement (Bilateral)
Our normal hip joint consists of ball and socket joint. Bilateral Total hip replacement is a surgical procedure to change the diseased cartilage and bone of both the hip joints with the help of artificial material. In this procedure, general anesthesia is administered to the patient. A 10-12 inch incision is made at the side or back of the hip which cuts through the skin and then through the muscle and soft tissue to expose the bones at the hip joint. The joint is then dislocated removing the head of a femur from its socket in the pelvis and then position the new metal, plastic or ceramic implants to restore the alignment and function of the hip.
Shoulder Replacement
Shoulder replacement is a surgical procedure to replace the damaged part of the upper arm with the help of artificial components called prosthesis. In this procedure, regional anesthesia is administered to the patient. The shoulder is accessed by separating the deltoid and pectoral muscles to minimize nerve damage. A rotator cuff is used to cover the shoulder which is opened by cutting one of the front rotator cuff muscles. The surgeon then views the arthritic parts of the shoulder ball and socket and removes it. The affected part is then replaced with the help of an implant socket, ball, and stem components. The stitches are closed and the incision area is cleaned after which a bandage is applied as a temporary covering.
Surgery for Traumatic Injuries
Orthopedic trauma is a severe injury to the part of the musculoskeletal system and result of an accident or a mishap which requires immediate surgery. They cover the whole spectrum of simple fractures to severe life-threatening accidents with multiple broken bones.
It specializes in problems related to the bones, joints and soft tissues of the entire body following trauma. The main goal of traumatic surgeries is the healing of fractured bones as well as restoring the anatomic alignment of the joint surfaces and allowing the recovery.
Many fractures can be treated by general orthopedic surgeons but some of them require to be operated by fracture specialists. Our expertise lies in –
1. Minimally invasive surgeries for fractures.
2. Reconstruction of hip and pelvis.
3. Limb lengthening in complex cases of deformity.
4. Complex soft tissue and upper extremity reconstruction.
5. Pelvis and acetabulum surgery.
6. Mal-union and non-union fractures.
Bone Cancer
Bone cancer is a malignant tumor that arises from the cells that make up the bones of the body. There is a mass of unusual cells growing in a bone. Bone cancer surgery involves removal of the tumor and some surrounding healthy tissue during an operation. It involves a wide of excision of the tumor. Surgery is based on the damage done by the tumor. Some of the surgical options are –
1. Limb salvage surgery – the main aim of limb salvage surgery is to remove all of cancer without affecting the function of the body part. Most patients are able to salvage their limb although it is a highly complex surgery. The challenge is to remove the entire tumor while still saving the nearby tendons, nerves, and vessels. In this surgery, a bone graft or an endoprosthesis is used to replace the bone that is lost to cancer.
2. Amputation – It is a surgery when cancer has spread to the inside of the bones. There is need of removal of a part of the whole limb. Amputation may be needed if removing cancer means removing key nerves, arteries or muscles that would leave limb without function. Surgery is planned so that the muscles and the skin will form a cuff around the amputated bone. This cuff fits into the end of an artificial limb.
3. Reconstructive surgery – Reconstructive surgery is needed after amputation to rebuild or reconstruct a new limb. Forex – in case of a leg that is amputated mid-thigh, the lower leg and foot can be rotated and attached to the thigh bone. The old ankle joint becomes the new knee joint.
4. Radiation therapy – For bone cancer, radiation therapy is most often used for patients who have a tumor that cannot be removed with surgery. It may be done before the surgery to shrink the tumor or may be done after the surgery to destroy any remaining cancer cells. It makes possible to perform less extensive surgery often preserving the arm or leg.