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A revision knee/joint replacement involves removing the previous prosthesis and replacing it with the new one. Primary or the other surgical replacement techniques offers a good result for the patients, but it is likely that revision knee replacement surgery will be required 15-20 years after the first knee/ joint replacement surgery.
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Unicondylar or partial knee replacement is an alternative to total knee replacement surgery for the patients suffering from osteoarthritis with the damage confined to only one compartment of the knee joint. It is a minimally invasive technique to replace only the damaged area with the implant. It is more beneficial to take out a specific area rather than replacing the whole knee cap.
This procedure helps to preserve the natural state of ligaments and muscles. The latter fact helps one have a more natural feeling.
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It is an advanced surgical procedure aimed at performing knee replacement surgery with greater accuracy and precision. Although it sounds like a complicated procedure, this surgery is an established practice and dates back to the early 1990’s.
The whole concept of ‘robot surgery’ might sound intimidating , but a robotic total knee replacement surgery is carried out by the surgeon and not by robot. The technology helps the doctors to carry out the whole process with precision and perfection than is possible with the conventional techniques. Although the robot makes demands, it is fully controlled and instructed by the surgeon.
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Arthroscopy is a Keyhole surgery which is a minimally invasive surgical procedure that is used by surgeons to examine any form of joint in the body. Keyhole surgery is a safe and low risk procedure. The whole procedure is not much time taking and usually the surgeries are performed within a day. For the surgical procedure, two small incisions are made on either side of the affected area.
Through one of the punctured holes a surgical instrument is passed and through another hole an arthroscope is passed. (Arthroscope is a thin flexible tube with a light and a camera; an image is projected on the monitor so that the specialist doctor can see the clear image of the affected part).
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Total Hip Replacement, also known as Total Hip Arthroplasty, is one of the most successful orthopedic interventions,and it is coined as ‘The Operation of the 20th Century’. Total Hip Replacement is for those with severe pain in their hip joints and a variety of arthritic and related conditions. There are various types of hip replacement surgeries that have been performed over the years. The goal is to relieve pain and increase mobility, over and above, perform day to day activities with ease.
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Total Knee Replacement, also known as Total Knee Arthroplasty, is one of the most successful and cost effective interventions in modern medicine. Total Knee Replacement is commonly performed in the elderly population to relieve severe pain. The primary reason for 90% of total knee replacement surgeries is Osteoarthritis, followed by Rheumatoid Arthritis.
All forms of arthritis and other joint disease can lead to severe damage to the joints; cartilage is severely damaged, resulting in severe damage to the joints leading to unbearable pain. This is called end-stage joint disease.
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#orthopedic surgeon#orthopedic specialist#knee replacement#total knee replacement#joint replacement#keyhole surgery#robotic knee replacement
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Dr. Narayan Hulse, joint replacement surgeon, surgical trainer, author
MS, DNB, MRCS(Surg)UK, MCh(Orth) Liverpool, FRCS(Tr & Orth) UK
Director of Orthopaedics and Senior Joint Replacement Surgeon.
Fortis Hospital, Bangalore
Dr. Narayan Hulse is a senior joint replacement surgeon, surgical trainer, author, and journal reviewer. He is the Director of Orthopaedics for Fortis Hospitals in Bengaluru, India. He specialises in hip and knee replacements, arthroscopy, and pelvic-acetabular trauma. Dr. Hulse has extensive surgical experience in the entire spectrum of orthopaedics as a result of his training and clinical work in prestigious hospitals on three continents. He has taught several joint replacement surgery training courses. He is the director of a fellowship program for young joint replacement surgeons.
TOTAL KNEE REPLACEMENT
Total knee replacement, also known as total knee arthroplasty, is one of modern medicine's most successful and cost-effective interventions. Total knee replacement is a common procedure in the elderly to relieve severe pain. Osteoarthritis is the most common reason for total knee replacement surgery, followed by Rheumatoid Arthritis.
All forms of arthritis and other joint disease can cause severe joint damage; cartilage is severely damaged, resulting in severe joint damage and unbearable pain. This is referred to as end-stage joint disease.
Total Knee Replacement is only advised when one is suffering from one or more conditions mentioned below:
Aged above 60 years.
Unbearable Knee pain.
Impaired daily activities.
Experiencing severe pain in the night.
Failure of other joint treatments.
Based on the severity of the condition diagnosed, a treatment is advised.
TOTAL HIP REPLACEMENT SURGERY
Total Hip Replacement, also known as Total Hip Arthroplasty, is one of the most successful orthopaedic procedures, and it has been dubbed "The Operation of the 20th Century." Total Hip Replacement is recommended for people who have severe pain in their hip joints as well as a variety of arthritic and related conditions. Hip replacement surgeries of various types have been performed over the years. Over and above being able to perform day-to-day activities with ease, the goal is to relieve pain and increase mobility.
Hip joint cartilages are damaged in most of the diseases. Cartilage damage can cause severe pain, it affects daily activities. The patient has to undergo a hip replacement surgery.The replaced hips can be in good condition for about 20 years. Total hip replacement is preferred in patients older than 60 years. Replaced hip surgery increases the life expectancy of the patient.
KEYHOLE (ARTHROSCOPIC) SURGERY
Arthroscopy is a type of Keyhole surgery that is a minimally invasive surgical procedure used by surgeons to examine any type of joint in the body. Keyhole surgery is a low-risk procedure. The entire procedure takes little time, and most surgeries are completed in a single day. Two small incisions are made on either side of the affected area for the surgical procedure.
A surgical instrument is passed through one of the punctured holes, and an arthroscope is passed through another. (An arthroscopy is a thin, flexible tube that contains a light and a camera; an image is projected on a monitor so that the specialist doctor can see a clear image of the affected part.)
ROBOTIC NAVIGATION KNEE SURGERY
It is a sophisticated surgical procedure designed to improve the accuracy and precision of knee replacement surgery. Although it appears to be a complicated procedure, this surgery has been in use since the early 1990s.
The term "robot surgery" may be intimidating, but a robotic total knee replacement surgery is performed by a surgeon, not a robot. The technology enables doctors to carry out the entire procedure with greater precision and perfection than is possible with traditional techniques. Although the robot makes demands, it is fully controlled and instructed by the surgeon.
UNICONDYLAR KNEE REPLACEMENT
Unicondylar or partial knee replacement surgery is an alternative to total knee replacement surgery for patients with osteoarthritis that affects only one compartment of the knee joint. It is a minimally invasive technique that uses an implant to replace only the damaged area. It is preferable to remove a specific area rather than replace the entire knee cap.
This procedure aids in the preservation of ligaments and muscles in their natural state. The latter fact contributes to a more natural feeling.
REVISION KNEE/ JOINT REPLACEMENT
The previous prosthesis is removed and replaced with the new one during a revision knee/joint replacement. Although primary or other surgical replacement techniques provide good results for patients, revision knee replacement surgery is likely to be required 15-20 years after the first knee/ joint replacement surgery.
Over the years, it is possible that your replacement surgery might wear out due to being overweight or playing high- intensity sports.You might need a revision surgery if your level of pain is increasing and the knee functionality is degrading day by day.
The main purpose of your surgery remains the same- to ease out the pain and to ease out the function and stability of your knee.
The procedure of the revision surgery is more complex than the first surgery.
Possible reasons for which the surgery is needed:
Infection.
Wearing of plastic components.
Acute pain
Instability of the knee.
Implant failure.
More about Dr. Narayana Hulse
He received gold medals for being the best outgoing orthopaedic trainee in the state and university after completing his primary medical training at Bangalore Medical College and his postgraduate training at Madras Medical College. He later received additional surgical training from the West of Scotland Deanery (UK). He received his MRCS (General Surgery), FRCS (Trauma & Orthopaedics), and MCh (Orthopaedics) from The Royal College of Surgeons of Edinburgh, as well as his MCh (Orthopaedics) from The University of Liverpool. He received fellowship training in joint replacement surgery at St. Michael's University Hospital in Toronto and in pelvic acetabular trauma at St. George's Hospital in London.
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