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Orthopaedics

Oriana Hospital offers comprehensive care for several Orthopaedic conditions including knee, hip, joint problems and best spine surgeon in Varanasi. We are specialized from Sports Medicine, Paediatric Orthopaedic Services, Arthritis Diagnosis as well as Treatment and Pain Management. We provide the highest level of patient care with best orthopedic surgeon for early mobilisation.

We perform procedures like Joint Replacement Surgery, Arthroscopic Surgery, Traumatic Orthopaedic Surgery, Hand, Shoulder & Elbow replacement Surgery, Spine Surgery, Foot & Ankle Surgery, Total Knee & Hip Replacement Surgery, Best orthopaedic surgeon in Varanasi UP and many others.

  • Knee Replacement
  • Hip Replacement
  • Spine Surgery
  • Sports Injury
  • Traumatology

Who Needs Knee Replacement Surgery?

You and your doctor may consider knee replacement surgery if you have a stiff, painful knee that makes it difficult to perform even the simplest of activities, and other treatments are no longer working. This surgery is generally reserved for people over age 50 who have severe osteoarthritis.

What Happens During Knee Replacement Surgery?

Once you are under general anesthesia (meaning you are temporarily put to sleep) or spinal/epidural anesthesia (numb below the waist), an 8- to 12-inch cut is made in the front of the knee. The damaged part of the joint is removed from the surface of the bones, and the surfaces are then shaped to hold a metal or plastic artificial joint. The artificial joint is attached to the thigh bone, shin and knee cap either with cement or a special material. When fit together, the attached artificial parts form the joint, relying on the surrounding muscles and ligaments for support and function.

What Are Recent Advances in Knee Replacement Surgery?

Minimally invasive surgery has revolutionized knee replacement surgery as well as many fields of medicine. Its key characteristic is that it uses specialized techniques and instruments to enable the surgeon to perform major surgery without a large incision.

Minimally invasive knee joint replacement requires a much smaller incision, 3 to 5 inches, versus the standard approach and incision. The smaller, less invasive approaches result in less tissue damage by allowing the surgeon to work between the fibers of the quadriceps muscles instead of requiring an incision through the tendon. It may lead to less pain, decreased recovery time and better motion due to less scar tissue formation.

Currently this less invasive procedure is performed by only a small percentage of orthopedic surgeons in North America. Researchers continue looking at the short-term and long-term benefits of minimally invasive versus traditional knee replacement surgery.

What Happens After Knee Replacement Surgery?

The average hospital stay after knee joint replacement is usually three to five days. The vast majority of people who undergo knee joint replacement surgery have dramatic improvement. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

After knee joint replacement, people are standing and moving the joint the day after surgery. At first, you may walk with the help of parallel bars, and then a walking device — such as crutches, walker, or cane — will be used until your knee is able to support your full body weight. After about six weeks, most people are walking comfortably with minimal assistance. Once muscle strength is restored with physical therapy, people who have had knee joint replacement surgery can enjoy most activities (except running and jumping). 

How Long Will I Need Physical Therapy After Knee Replacement?

After knee replacement surgery, you are usually sent home or to a rehabilitation facility, depending on your condition at that time. If you are sent to a facility, the average rehabilitation stay is approximately seven to ten days. If you are sent directly home from the hospital, your doctor will usually have a physical therapist come to treat you at home. Your doctor also may have you go to an outpatient physical therapy facility as the final stage of the rehabilitation process. Outpatient therapy may last from one to two months, depending on your progress.

Remember, every person is different and the course of rehabilitation will be determined on an individual basis with the assistance of your doctor and physical therapist.

What Precautions Should I Take After Knee Replacement Surgery?

After knee replacement surgery, you should not pivot or twist on the involved leg for at least six weeks. Also during this time, when lying in bed, you should keep the involved knee as straight as possible. Kneeling and squatting also should be avoided soon after knee joint replacement surgery.

Your physical therapist will provide you with techniques and adaptive equipment that will help you follow guidelines and precautions while performing daily activities. Remember, not following the given precautions could result in the dislocation of your newly replaced joint.

How Can I Manage at Home During Recovery?

The following tips should make your recovery at home easier.

  • Stair climbing should be kept to a minimum. Make the necessary arrangements so that you will only have to go up and down the steps once or twice a day.
  • A firm, straight-back chair is extremely helpful in adhering to these joint precautions. Recliners should not be used.
  • To help avoid falls, all throw rugs should be removed from the floor and rooms should be kept free of unnecessary debris.
  • Enthusiastic pets should be kept far away until you have healed.

You should ask your doctor before returning to such activities as driving, sexual activity, and exercise.

Is Knee Replacement Surgery Safe?

 

Knee joint replacements have been performed for years and surgical techniques are being improved all the time. As with all surgeries, however, there are risks. Since you will not be able to move around much at first, blood clots are a particular concern. Your doctor will give you blood thinners to help prevent this.

Infection and bleeding also are possible, as are the risks associated with using general anesthesia. Other less common concerns that you and your doctor must watch out for include the following:

  • Pieces of fat in the bone marrow may become loose, enter the bloodstream and get into the lungs, which can cause very serious breathing problems.
  • Nerves in the knee area may be injured from swelling or pressure and can cause some numbness.
  • Other bones may be broken during the surgery, which may require a longer hospital stay.
  • The replacement parts may become loose or break.

How Long Will My New Knee Joint Last?

When joint replacement procedures were first performed in the early 1970s, it was thought that the average artificial joint would last approximately 10 years. We now know that about 85% of the joint implants will last 20 years or more. Improvements in surgical technique and artificial joint materials should make these artificial joints last even longer.

Hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.

What Happens During Hip Replacement Surgery?

Hip replacement surgery can be performed traditionally or by using what is considered a minimally-invasive technique. The main difference between the two procedures is the size of the incision.

During standard hip replacement surgery, you are given general anesthesia to relax your muscles and put you into a temporary deep sleep. This will prevent you from feeling any pain during the surgery or have any awareness of the procedure. A spinal anesthetic may be given to help prevent pain as an alternative.

Best hip replacement surgeon in Varanasi will then make a cut along the side of the hip and move the muscles connected to the top of the thighbone to expose the hip joint. Next, the ball portion of the joint is removed by cutting the thighbone with a saw. Then an artificial joint is attached to the thighbone using either cement or a special material that allows the remaining bone to attach to the new joint.

The doctor then prepares the surface of the hipbone — removing any damaged cartilage — and attaches the replacement socket part to the hipbone. The new ball part of the thighbone is then inserted into the socket part of the hip. A drain may be put in to help drain any fluid. The doctor then reattaches the muscles and closes the incision.

While most hip replacement surgeries today are performed using the standard technique (one 8 to 10 inch cut along the side of the hip), in recent years, some doctors have been using a minimally-invasive technique. In the minimally-invasive approach, doctors make one to two cuts from 2 to 5 inches long. The same procedure is performed through these small cuts as with standard hip replacement surgery.

The small cuts are thought to lessen blood loss, ease pain following surgery, shorten hospital stays, reduce scar appearance, and speed healing.

However, it’s important that the surgeon be highly skilled in this technique. Research has shown the outcomes with minimally-invasive approach may be worse than with standard hip replacement surgery if done by a doctor who is not very experienced with this technique.

Since there can be some blood loss during hip replacement surgery, you may need a blood transfusion, so you may want to consider donating your own blood before the procedure.

What Happens After Hip Replacement Surgery?

 

You will likely stay in the hospital for four to six days and may have to stay in bed with a wedge-shaped cushion between your legs to keep the new hip joint in place. A drainage tube will likely be placed in your bladder to help you go to the bathroom. Physical therapy usually begins the day after surgery and within days you can walk with a walker, crutches, or a cane. You will continue physical therapy for weeks to months following the surgery.

What Activities Should I Avoid After Hip Replacement Surgery?

For anywhere from six to 12 months after hip replacement surgery, pivoting or twisting on the involved leg should be avoided. You should also not cross the involved leg past the midline of the body nor turn the involved leg inward and you should not bend at the hip past 90 degrees. This includes both bending forward at the waist and squatting.

Your physical therapist will provide you with techniques and adaptive equipment that will help you follow any of the above guidelines and precautions while performing daily activities. Remember, by not following your therapist’s recommendations you could dislocate your newly replaced hip joint and may require another surgery.

Even after your hip joint has healed, certain sports or heavy activity should be avoided. The replacement joint is designed for usual day-to-day activity.

What Can I Do at Home After Hip Replacement Surgery?

 

There are a few simple measures that you can take to make life easier when you return home after hip replacement surgery, including:

  • Keep stair climbing to a minimum. Make the necessary arrangements so that you will only have to go up and down the steps once or twice a day.
  • Sit in a firm, straight-back chair. Recliners should not be used.
  • To help avoid falls, remove all throw rugs and keep floors and rooms clutter free.
  • Use an elevated toilet seat. This will help keep you from bending too far at the hips.
  • Keep enthusiastic pets away until you have healed completely.

You should ask your doctor before returning to such activities as driving, sexual activity, and exercise.

Is Hip Replacement Surgery Safe?

Hip replacements surgery has been performed for years and surgical techniques are being improved all the time. As with any surgery, however, there are risks. Since you will not be able to move around much at first, blood clots are a particular concern. Your doctor will give you blood thinners to help prevent blood clots from occurring. Infection and bleeding are also possible, as are risks associated with using general anesthesia.

Other less common concerns that you and your doctor must watch out for are:

  • Your legs may not be of equal length after the surgery.
  • You must be careful not to cross your legs or not to sit too low because the joint may be dislocated.
  • Pieces of fat in the bone marrow may become loose, enter the bloodstream and get into the lungs, which can cause very serious breathing problems.
  • Nerves in the hip area may be injured from swelling or pressure and can cause some numbness.
  • The replacement parts may become loose, break, or become infected.

Talk to your surgeon about these risks before undergoing the procedure.

How Long Will My New Joint Last After Hip Replacement Surgery?

When hip replacement surgeries were first performed in the early 1970s, it was thought that the average artificial joint would last approximately 10 years. We now know that about 85% of the hip joint implants will last 20 years. Improvements in surgical technique and artificial joint materials should make these implants last even longer. If the joint does become damaged, surgery to repair it can be successful but is more complicated than the original procedure.