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Orthopedics

Orthopedics

The department of Orthopedics is a contemporary well equipped department of Vydehi Super Speciality Hospital. 24 hours emergency services including managing Accidents and trauma patients are offered. The Department can boast of developed sub-specialties with excellent infrastructure and experienced surgeons to tackle all kinds of orthopaedic problems. The subspecialties include Routine Orthopedic ailments, Arthritics clinic and Back & Neck clinic.

Following are the specialist procedures

  • Total Hip And Knee
  • Replacement
  • Arthroscopy And
  • Ligament Repair
  • Poly Trauma Care And
  • Minimally Invasive
  • Fracture Fixation
  • Spine Instrumentation And Vertebroplasty
  • Illizarov Ring Fixation And Limb Lengthening
  • Sports Injury
  • Pediatric Deformity Correction
  • Geriatric Care
The department is supported by the most elaborate intensive care services, a modern Accident and Emergency department, and state of the art Physiotherapy and Rehabilitation department. We have established trauma protocols for the care of the critically injured patients and principles of Advanced Trauma and Life Support System (ATLS) are applied for the prompt and efficient treatment of accident victims

Total Knee Replacement (Special link)

NOTE:- (Following information will appear only on clicking the CT information on the link)

Osteoarthritis

Osteoarthritis (OA), which is also known as osteoarthrosis or degenerative joint disease (DJD), is a progressive disorder of the joints caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts at the margins of the joints. The name osteoarthritis comes from three Greek words meaning bone, joint, and inflammation.

Description

OA is one of the most common causes of disability due to limitations of joint movement, particularly in people over 50. OA occurs most commonly after 40 years of age and typically develops gradually over a period of years. Patients with OA may have joint pain on only one side of the body and it primarily affects the knees, hands, hips, feet, and spine. Of all the types of OA, the most common is Arthritis of the Knee.

Arthritis of the Knee

If the Knee is affected by severe arthritis or injury it may be difficult for one to perform simple activities including walking, climbing stairs or sitting comfortably for prolonged periods. One may even feel the pain lying down. About 7 crore Indians are suffering from knee related problems. Evidence suggests that women have a higher incidence of OA than men, and overall have an incidence of 2.95 per 1000 population, compared with 1.71 per 1000 population in men Osteoarthritis can develop for the following reasons

  • Age – Degenerative;
  • Rheumatoid Arthritis Or Other Inflammatory Joint Disease
  • Trauma Which Can Damage The Joint Surfaces;
  • After Some Birth Defects And Growth Disorders

Why is this problem more prevalent in India

  • Squatting/Ground Sitting
  • Habits
  • Climbing Stairs
  • Indian Toilets
  • Obesitys
  • Heredity

Symptoms

  • Pain In And Around The Knee Joint
  • Morning Stiffness (Worse On Standing & Attempting To Walk)
  • Swelling Of Joint, Progressive Deformity Of Legs
  • Occasional Night Pain

Treatment

The initial treatment includes drugs to reduce pain and inflammation, changing activity levels, using walking support, physiotherapy, and injections. Occasionally, keyhole surgery (Arthroscopy) is advised to clean out any damaged areas. However, if these are not successful in curing the symptoms, a Total Knee Replacement may be considered. This operation resurfaces the knee joint by removing diseased bone and cartilage from the lower end of the thighbone, the upper end of the shinbone and the back of the kneecap (patella). These surfaces are replaced with metal and plastic implants which allow natural knee motion and function and at the same time relieve pain and correct any deformity, enabling one to resume a greater range of normal activities.

KNEE REPLACEMENT (TKR)

Knee replacement was developed following the success of hip replacement and much of the pioneering work was done in Britain. The early knee replacements in the 1970s and 80s were fairly basic and the results were mixed. Improvements in surgical materials and techniques have greatly increased the techniques have greatly increased the effectiveness so that knee replacement surgery today has a high rate of success in relieving pain and restoring mobility. 95 out of every 100 procedures can be confidently predicted to be successful and, even at 10 to 15 years after the operation, will still be giving good service. Some knee replacements have lasted 25 years

Common Post-Operative (TKR) Course

  • Day 1-Standing, Bending And Sitting Out In A Chair May Take A Few Steps With Help.
  • Day 2-Walking (With Aids)
  • Day 4/5-Stair Climbing
  • Day 5-7-Home (With 2 Walking Sticks).
  • Week 6-Walking Unaided (Or 1 Stick) Driving
  • Week 10-12-Full Recovery

Last but not the least, these surgeries are best done by experienced and trained Orthopedic surgeons at hospitals with clean air O.T (Laminar flow) and other associated specialists who can manage conditions like diabetes, hypertension & other associated medical problems under the same roof as these commonly co-exist with arthritis. We routinely perform Total Knee Replacement surgeries at our hospital with high success rates. With the latest imported artificial knee, patients are now able to lead near normal lives.

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