Knee replacement surgeon in Delhi NCR
Knee replacement surgeon in Delhi NCR
Dr. Attique Vasdev
Senior Director - Orthopaedics, Medanta
Dr. Brajesh Koushle
ADDITIONAL DIRECTOR ORTHOPAEDICS Fortis Hospital, Noida
Dr. Ramneek Mahajan
Senior Director (Orthopaedics) & Head Joint Reconstruction (Hip & Knee) Unit
Dr Narayan Hulse
Director - Department of Orthopedics, Bone & Joint Surgery
Dr. Prashanth Nagaraj
Orthopedics and Trauma
Knee replacement surgery second opinion
Anatomy of Knee
Knee is a joint joining the two bones, Femur (thigh bone) and Tibia (shin bone). It is also the largest and complex joint in the body. It’s function is to assist in several physical activities like walking, running and many more.
The femur and tibia along with a bone which runs alongside with tibia called fibula and patella (kneecap) makes up the knee.
Tendons and ligaments joins the knee and provide support and stability to the knees. Ligaments prevents femur and tibia to slide over each other.
The edges of the bones that joins together has articular cartilage, a smooth lubricant that reduces friction among bones and make movement easy.
The C shaped structure is called menisci and is found between the femur and tibia. They act as a “shock absorbers”.
The knee draws its power from the long thigh muscle. Synovial membrane covers the entire knee and secretes a fluid that lubricates the cartilage.
If the above mentioned parts are working properly then your knee is also healthy.
Causes of knee pain
The main cause of degradation in the function of the knee is Arthritis. In India, arthritis is the most common condition in orthopedic department.
The three common types of Arthritis are
- Osteoarthritis: This happens due to age where the cartilage gets torn out and the two bones rub against each other causing pain.
- Rheumatoid arthritis: The synovial membrane becomes unable in producing lubrication which in turn damages the cartilage.
- Post-traumatic arthritis: As the name suggests damage to cartilage, ligament or muscle due to some accident causing distress and knee pain.
These are some major reason for your orthopedic surgeon to recommend knee replacement surgery.
After the incision has been made on the surgical site the first is to:
- remove out the damaged cartilage or other parts of the knee. This is done to prepare the site for attaching prosthesis.
- knee implants made up of metal is then positioned at the surface of the joint. Usage of cemented prosthesis is common which has surgical cement to hold the implant on the joint.
- Then other changes are made depending upon the condition like resurfacing the Patella.
- plastic spacer is placed finally between the metallic components to make less friction and smooth motion.
Post surgery you’ll be kept under observation in a recovery room where you’ll be encourage to move your foot and ankle which increases the blood flow in the leg.
Depending upon the condition you’ll have to stay in the hospital. Some get discharged the same day as the surgery. The physiotherapist will laid down some leg exercises which need to be followed at home for better recovery.
Once you return home, it is critical to keep the surgical area clean and dry. Follow the medication and physical exercise for regaining strength.
You’ll have to be cautious while bathing and while walking. Use crutches, cane or walker to walk.
Realistic expectation from surgery
There is no doubt that the knee replacement surgery helps in eliminating extreme pain and improving the mobility and ability to walk again. But the knee replacement surgery still falls short than the natural capabilities.
The plastic spacer has its own life after which the spacer starts degrading. Excessive running, walking or overweight can cause early damage to the spacer. Hence, you’ll have to give up running, jogging or playing, for the rest of your life.
Indulging in low impact activities will do no harm to the spacer.
Is this surgery for you?
The decision to undergo knee replacement surgery must be a collective decision by the patient, his family and the doctor.
The doctor may recommend surgery if you are suffering from
- Severe knee pain restricting your day to day activities.
- if the pain is unfazed by the medication or rest.
- Swelling of knees, deformity in appearance or inflammation is felt and are not subsiding by medication, injection or other treatments.
SSO Trackrecord in Knee replacement
According to the data present at the SSO database, the most common age group for the knee replacement surgery are between 50 to 75. SSO has successfully performed knee replacement ranging from young teenager to senior citizens.
Knee replacement surgery falls under the category of such surgeries that poses a very low rate of complication. Existing chronic diseases or comorbidity can increase the risk for complication. These complication hinder in recovery post surgery, some are laid down below like
INFECTION: Only about 2% patient develop infection post surgery. Infection usually occurs on the surgical wound. Depending upon the magnitude of infection antibiotics or surgical methods are used to eliminate the infection.
BLOOD CLOTS: It has also been observed that some patients experience blood clot in their leg veins. You will be prescribed blood thinning pills along with some leg exercises to improve the circulation.
IMPLANT ISSUES: Although the implants have been upgraded over time and are now very much advanced but then also it may happen that implant may get displaced or wear out with time. The surgeon will guide you from this.
Also, all the other risks must be taken into the account which are almost common among any kind of surgery like damaging the nerves or blood vessels around the surgical site.
Apart from the medical preparation like getting all the test done, medical, urinary and dental evaluation completed, you will also have to prepare for things beyond it like
- if you are living alone then a ride back to home post surgery
- arrangement for cooking your food
- arrange a helper or a caretaker to navigate you though the day
- arranging you household and necessity item such that you don’t have to climb stairs
- beforehand arrange for a walker or a cane to assist you in walking while recovery from the surgery.
You may not attain full natural motion back but you surely be free from pain and stiffness which were restricting you from walking, running, climbing stairs or getting out of car.
Most people will feel the metal clicking while bending the knee or while walking and they get used to it. Also, your new knee may come under metal detector as red at security check-in, so kindly inform the official about your surgery.
Protecting your knees post surgery becomes very vital in increasing its life. More than 90% of the knee implants lasts longer than 15 years provided you indulge in light exercise, take precaution to prevent injury or accident.
These all factors play role in the success of the knee replacement surgery.
01. Organization !
We are a group of surgeons from different surgical specialities and not a intermediate/ middleman medical website company just in the business of giving second opinion.
02. Our principles !
We want to re-establish the dwindling lack of trust between the doctors and patients with our honest second opinion.
03. No financial expectation bias !
For your second opinion, We choose surgeons who practice in a city away from your place, so they won’t have any expectation that you would be coming to them for surgery – so no bias of financial expectation
04. We are not a Hospital !
Lot of Hospitals give second opinion. Their opinion cannot be unbiased as they would definitely be benefited if they advise surgery and they would expect you to be coming to them as patients. Whereas we are not a hospital.
05. Surgeons preferred by other doctors !
We choose the surgical panel team very carefully –after taking suggestion from other fellow doctors as to whom they would prefer if someone of their own family requires a surgery.