Knee Salvation Procedure
1. Arthroscopic Lavage
Arthroscopic lavage is a procedure done to wash out any debris, blood, fluid or loose body from joints. It is commonly used to treat osteo-arthritis. Osteoarthritis of the knee can cause pain, stiffness, swelling and difficulty in walking. An arthroscopic washout is often combined with debridement, synovectomy, abrasion chondroplasty, micro-fracture decompression of worn out bony surfaces. In isolation, arthroscopic lavage contributes to about 20% of pain relief.
2. Proximal Fibular Osteotomy
Compared with knee replacement, PFO is a simpler surgical procedure, effectively relieves knee pain and also corrects the deformity for patients with medial compartment knee osteoarthritis (OA). PFO is performed by removing a 2 to 3 cm length of fibula bone at a site 6 to 10 cm below the knee. Full weight bearing and free mobilization are allowed after surgery. PFO relieves pain & corrects medial joint space by off-loading the weight bearing axis on the knee, thereby decompressing the medial compartment & loading the normal lateral compartment.
PFO is a simple, safe, fast and affordable surgery to relieve pain and improve joint function and the medial joint space in human knee osteoarthritis. PFO is a promising alternative in most developing countries because of their financial and healthcare delivery limitations. It may also constitute a promising alternative surgery for osteoarthritis of the medial compartment of the knee, especially for patients who cannot undergo TKA because of certain medical comorbidities. Furthermore, these patients can still undergo TKA in the future if it becomes necessary.
We are really honored to receive this and we will continue to serve the society better than ever We aim to provide the world-class Knee/Hip Replacement Surgical (Minimal Invasive Surgery) treatment to every patient suffering from knee or hip pain and at the same time make their life pain-free and happy.
Dr. Bakul Arora’s Joint Replacement Clinic is also known as “Arora Clinic” which is located at Hiranandani Meadows in Thane, within a very convenient proximity to Mumbai. Arora Clinic dedicated clinic for Knee Replacement surgery and all kinds of Orthopaedic treatments and surgeries
The Arora Clinic is one of the most advanced Orthopaedic clinic in Thane region and dedicated to providing the best, personalised healthcare with a breadth of surgical and medical expertise. Arora Clinic offers the modern surgical treatments like “Minimally Invasive Knee Replacement Surgery” which is also called as “PAIN-LESS SURGERY” for any complex knee diseases.
Dr. Bakul Arora is a Consultant Joint Replacement & Orthopaedic Surgeon is one of the leading Knee Replacement Surgeon in Thane and Mumbai with over 4000+ successfully surgeries. Dr. Bakul Arora specialises in Mini-invasive techniques which offer multiple benefits to patients. He does the surgery using Subvastus approach for Knee Replacement surgery and Direct Anterior Approach for Hip replacement Surgery . This new techniques has many advantages for patients like its pain-less , stich-less surgery, patients walks on the same day after surgery, no blood loss, faster recovery etc.
Knee replacement is required for advanced arthritis of the knee joint, producing painful limitation of movements and restriction in activities of daily living. Knee replacement as a solution should be offered when all non–surgical methods of treatment failed and painkiller medicines and injections also failed to reduce the Knee and hip pains.
Knee replacement can be total or unicondylar, depending on the number of compartments involved. Among the total knee replacement, there are two popular designs- Cruciate Retaining, and Posterior Stabilized. The decision for the design is best taken by the operating orthopedic surgeon based on the integrity of ligaments. Patella resurfacing as a routine is a debatable subject.
Yes, most knee replacement surgeries are minimally invasive, with numerous benefits to the patient, including smaller incisions, less tissue trauma, bleeding and post–operative pain, shorter hospital stays, faster recovery, and earlier return to work and activities — in weeks rather than months. Advantages of Minimally Invasive Knee Replacement Surgery. Patients Start walking in few hours of surgery. Patients start climbing the staircase from second day of his surgery. Patients Discharge with in 3 Days from the Hospital after surgery. No blood loss during the surgery, no blood Transfusion required. Less Physiotherapy.( No Physiotherapist required for home) Less Antibiotic. Stitchless Surgery. Recovery time is just two – three week.
Bilateral knee replacement in the same sitting, can be performed if both the knee joints are damaged to the same extent, however, the medical condition of the patient, and bone quality must be kept in consideration.
Surgery through Minimally Invasive technique patients start walking on the same day and staircase climbing starts from the second day of surgery. Patients can resume his work after 3 – 4 week.
The most significant risks include Infection, Deep vein thrombosis,and Aseptic loosening of implants. The risks correlate with the co-morbid medical condition, and must be discussed with the patient before surgery.
Patients normally require hospitalization for 3-4 days in single knee replacement, and up to 5-6 days in both knee replacement surgery
A single knee replacement takes approximately 90 min- 2 hours. Both knee replacement surgery takes approx 2-3 hours.
Years ago, knee replacement surgery was reserved for elderly patients due to a high complication rate and lack of implant durability. Modern techniques have allowed orthopaedic surgeons to base surgical decisions on a patient’s pain and disability, and not necessarily chronological age. Most patients who undergo knee replacement are between the ages of 50 and 80, but surgeons evaluate patients individually and primarily on their physiologic age and demands.
Patients can resume his/her light work after discharge from the hospital, no need for rest.
Patients are given epidural anesthesia for surgery, and post op pain relief. They are expected to follow instruction from physiotherapist regarding muscle training.
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