World class Hip and Knee replacement surgeries - Orthoone Bangalore

Thursday, 31 October 2013

MINIMALLY INVASIVE / ONE INCH INCISION , 20 MINUTE SURGERY - IN VERY HIGH RISK GERIATRIC HIP FRACTURE , BANGALORE

MINIMALLY INVASIVE / ONE INCH INCISION , 20 MINUTE SURGERY - IN VERY HIGH RISK GERIATRIC HIP FRACTURE , BANGALORE-


 HIGH RISK GERIATRIC HIP FRACTURE FIXATIONS /SURGERY IN TWENTY MINUTES --USING SWISS HIP NAIL.




 WHY DURATION  AND LENGTH OF INCISION IS IMPORTANT
1. it minimizes the blood loss/ ONE INCH INCISION
2. minimizes operative stress on old high risk patients
3. minimizes morbidity
4. minimizes mortality risks
5 . facilitates early rehab - because of minimal tissue damage in surgery / incision 2.5 cms only
6 . GIVES GREAT RESULTS AND A HAPPY PAIN FREE PATIENT
7.ALL HIGH RISK CARDIACSURGERY , DIABETIC ,HYPERTENSIVE , CARDIAC PATIENTS  , > 80 YEARS +  BENEFIT , MINIMISING THE RISKS .






best knee replacement in bangalore , india - PHYSIOTHERPAY PROTOCOL AFTER KNEE REPLACEMENT.

 
TOTAL KNEE REPLACEMENT - POST OPERATIVE PHYSIOTHERAPY PROTOCOL
DAY 1
CPM / continuous passive motion  machine 0-90 degrees
, incentive spirometry

DAY 2

CPM 0-90 degrees
isometric quads
isometric hams..
 bedside sitting


DAY 3

CPM 0-100
in addition to above
bedside sitting - knee flexion and extension
Straight leg raising exs
stand with walker / 3-4 steps walk

DAY 4
IN ADDITION TO ABOVE
walk FWB with walker
turning in bed

DAY 5
- in addition to above
stair climbing , CANE /SUPPORT 4-6 WEEKS ONLY.
DAY 6 - walking with walker full weight bearing

DAY 45 / 6 WEEKS POST SURGERY -
 

KNEE REPLACEMENT IN BANGALORE , INDIA - HOW TO GO ABOUT IT?



HOW TO FIX UP A PATIENT FOR SURGERY- KNEE / HIP REPLACEMENT WITH OUR SURGEON -1. CONSULT OUR DOCTOR  DR DEEPAK INAMDAR- NO FOR APP +919448444746
2. GET THE REQUISITE - BLOOD & URINE TESTS
3. IF TESTS ARE NORMAL - FIX DATE FOR SURGERY
4. IF ABNORMAL - GET TREATED - which our dr will suggest(USUALLY 30 DAYS -TABLETS COURSE)- then retest , if normal proceed to step 3(fix date for surgery)
5. ADMISSION TO HOSPITAL - ONE DAY BEFORE SURGERY AT 8 AM
6. POST OP - DISCHARGE -USUALLY 5-6 DAYS AFTER FOR SINGLE KNEE /HIP ,

 12 -14 DAYS FOR BILATERAL/ both knee or hip .
7 SUTURE REMOVAL 12-14 DAYS POST OP
8. POST OP HOME PHYSIOTHERAPY - 25 DAYS for a fee pay to physiotherapist (can be arranged on request)
9 REVIEW AFTER SUTURE REMOVAL - 30 DAYS .

If from outside Bangalore - after 30 days from surgery  , one can travel to their place of origin ( as physiotherapy 25 home sittings can be done in hotel / home of patient relative) .

Computer navigation in knee replacement surgery

 
 
 
 
 
 
What is the role of CAS (computer-aided surgery) or ‘navigation’ in Joint Replacements?

With the aid of some laser markers put on bones and instruments, a computer software can ‘guide’ the surgeon regarding the direction of bone cuts, and magnitude of soft-tissue releases. However, apart from a few complicated cases, with the most severe deformities, this computer ‘guidance’ has not been found ...to add to the accuracy of surgeons well-trained and experienced in Joint Replacements. On the other hand, it makes the surgery longer (thereby increasing the surgical morbidity and infection rate), and more expensive (the navigation system comes at a prohibitive price!).
However, few orthopaedic surgeons find it more comforting to use technology, to be sure of their accuracy, and to convince patients that they are giving the best results, which may not be always the case

BEST KNEE REPLACEMENT IN BANGALORE , INDIA .

OUR PORTFOLIO -
 
 
 
 
 

1.PRIMARY STANDARD TOTAL KNEE REPLACEMENT SURGERY
2.HIGH FLEX TOTAL KNEE REPLACEMENT
3.OXINIUM TOTAL KNEE REPLACEMENT
4.UNCEMENTED TOTAL HIP REPLACEMENT
5. OXINIUM TOTAL HIP REPLACEMENT
6. CERAMIC ON POLY TOTAL HIP REPLACEMENT
7. REVISION KNEE REPLACEMENT - SEPTIC/INFECTED AND ASEPTIC
8.REVISION HIP REPLACEMENT- SEPTIC/INFECTED AND ASEPTIC
9.REDO SURGERIES...

10 PEDIATRIC AND ADULT- TRAUMA & ORTHOPEDIC SURGERIES
11. MINIMALLY INVASIVE GERIATRIC HIP SURGERIES (HIGH RISK )
12.ORTHOPEDIC SURGERIES
13.SHOULDER SURGERIES
14.MINIMALLY INVASIVE ORTHOPEDIC SURGERIES
15. GENDER HIFLEX KNEE REPLACEMENT(SPECIFIC FOR WOMEN)
16 . ELBOW SURGERIES
17. COMPLEX TRAUMA SURGERIES
18 CEMENTED TOTAL HIP REPLACEMENT
19.HYBRID TOTAL HIP REPLACEMENT
20. HIP AND KNEE SURGERIES

  with a large variety of options available , we suggest you discuss with your surgeon what is best for your KNEE/ HIP .

Thursday, 24 October 2013

KNEE REPLACEMENT - WHAT TO DO AND WHAT SHOULD NOT BE DONE

Resuming Normal Activities

Once home, you should continue to stay active. The key is to remember not to overdo it! While you can expect some good days and some bad days, you should notice a gradual improvement and a gradual increase in your endurance over the next 6 to 12 months. The following guidelines are generally applicable, but the final answer on each of these issues should come from your doctor.
  • Physical Therapy Exercises - Continue to do the exercises prescribed for at least two months after surgery. Riding a stationary bicycle can help maintain muscle tone and keep your knee flexible. Try to achieve the maximum degree of bending and extension possible.
  • Driving - If your left knee was replaced and you have an automatic transmission, you may be able to begin driving in a week or so, provided you are no longer taking narcotic pain medication. If your right knee was replaced, avoid driving for 6 to 8 weeks. Remember that your reflexes may not be as sharp as before your surgery.
  • Airport Metal Detectors - The sensitivity of metal detectors varies and it is unlikely that your prosthesis will cause an alarm. You should carry a medic alert card indicating you have an artificial joint, just in case.
  • Sexual Activity - can be safely resumed approximately 4 to 6 weeks after surgery.
  • Sleeping Positions - You can safely sleep on your back, on either side, or on your stomach.
  • Return to Work - Depending on the type of activities you perform, it may be 6 to 8 weeks before you return to work.
  • Other Activities - Walk as much as you like, but remember that walking is no substitute for the exercises your doctor and physical therapist will prescribe. Swimming is also recommended; you can begin as soon as the sutures have been removed and the wound is healed, approximately 6 to 8 weeks after surgery. Acceptable activities include dancing, golfing (with spikeless shoes and a cart), and bicycling (on level surfaces).
WHAT TO AVOID -
Avoid activities that put stress on the knee. These activities include: tennis, badminton, contact sports (such as football, baseball), squash or racquetball, jumping, squats, skiing, or jogging. Do not do any heavy lifting (more than 40 lb) or weight lifting.