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Joint Replacements
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JOINT REPLACEMENTS We, at Centre of orthopedics and
We are uniquely positioned to provide comprehensive, quality care for you and your family. Not surprisingly, Orthopedic Institute has become the regional resource and preferred referral destination for orthopedic problems. General physicians choose to refer their patients to our specialists because they know from experience whom to trust.
We are dedicated to providing state of the art care to all patients afflicted with painful bone, muscle, tendon and joint cartilage disorders. Our physicians and staff strive to facilitate our patients’ return to activities that have been prevented due to musculoskeletal injuries or arthritis by employing innovative surgical and non-surgical techniques.
Specialty care provided includes:
HIP REPLACEMENT Hip replacement surgery is performed when the hip joint has reached a point when painful symptoms can no longer be controlled with non-operative treatments.
In a hip replacement procedure, your surgeon removes the damaged joint surface and replaces it with an artificial implant. When a hip replacement is performed, the bone and cartilage on the ball-and-socket hip joint is removed. This is performed using precise instruments to create surfaces that can accommodate the implant perfectly. An artificial hip replacement implant is then placed in to function as a new hip joint.
Hip replacement surgery has become quite common, but there are still risks. Fortunately, well over 98% of patients who undergo hip replacement surgery have good results.
CEMENTED HIP:A patient with a cemented
Cemented fixation relies on a stable interface between the prosthesis and the cement and a solid mechanical bond between the cement and the bone. Today, the most commonly used bone cement is an acrylic polymer called polymethylmethacrylate (PMMA).
Cemented
UNCEMENTED HIP : Cementless total hip replacement is most often recommended for younger, more active patients and patients with good bone quality where bone ingrowth into the components can be predictably achieved. The implant attach directly to bone without the use of cement.
Most implants are textured or have a surface coating around much of the implant so that the new bone actually grows into the surface of the implant. Cementless implants require a longer healing time than cemented replacements. Your surgeon may recommend a period of protected weight-bearing (using crutches or a walker) to give the bone time to attach itself to the implant. This protected weight bearing helps to ensure there is no movement between the implant and bone so a durable connection can be established.
The acetabular component of a cementless total hip replacement also has a coated or textured surface to encourage bone growth into the surface. Depending on the design, these components may also use screws through the cup or spikes, pegs, or fins around the rim to help hold the implant in place until the new bone forms. Usually these components have a metal outer shell and a polyethylene liner.
HYBRID HIP: A hybrid
A hybrid hip takes advantage of the excellent track records of cementless hip sockets and cemented stems.
SURFACE HIP REPLACEMENT: It's an advanced alternative of the traditional Hip Replacement Surgery, wherein the damaged and worn out surface at the end of the thigh bone (femur) is resurfaced with a metal cap. This implant is potentially more stable and long lasting than the traditional hip surgery and allows the patient to do multitude of strenuous physical activities like squatting and sitting on the floor. This surgery best suits young and/or active adults with better bone quality. This is very commonly undertaken operation in the institute.
KNEE REPLACEMENTThe knee is the largest joint in the body. Normal knee function is required to perform most everyday activities. The knee is made up of the lower end of the thighbone (femur), which rotates on the upper end of the shin bone (tibia), and the kneecap (patella), which slides in a groove on the end of the femur. Large ligaments attach to the femur and tibia to provide stability. The long thigh muscles give the knee strength.
The most common cause of chronic knee pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms. If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.
If medications, changing your activity level, and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. By resurfacing, the damaged and worn surfaces of the knee can relieve pain, correct leg deformity and help resume normal activities.
You will most likely stay in the hospital for five to seven days. Walking and knee movement are important to your recovery. To restore movement in your knee and leg, your surgeon may use a knee support that slowly moves your knee while you are in bed. The device, called a continuous passive motion (CPM) exercise machine, decreases leg swelling by elevating your leg and improves your venous circulation by moving the muscles of your leg. Foot and ankle movement also is encouraged immediately following surgery to increase blood flow in your leg muscles to help prevent leg swelling and blood clots. Most patients begin exercising their knee the day after surgery.
Your Recovery at Home: Current ten-year survival rates for fixed and mobile bearing unicompartmental
Activity: Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal activities of daily living within 3 to 6 weeks following surgery. Some pain with activity and at night is common for several weeks after surgery. Most individuals resume driving approximately 4 to 6 weeks after surgery.
UNICOMPARTMENTAL KNEE REPLACEMENT: Although not as common as
The unicompartmental knee replacement is used to replace a single compartment of the arthritic knee. The knee joint has three compartments: the medial (inner) compartment, the lateral (outer) compartment, and the patellofemoral (kneecap) compartment. If the damage is limited to either the medial or lateral compartment, that compartment may be replaced with the unicompartmental knee implant.
If two or more compartments are damaged, unicompartmental knee replacement may not be the best option. Unicompartmental knee replacement is also less desirable for a young, active person because it may not withstand the extremes of stress that high levels of activity create. It is best suited for the older, slim person with a relatively sedentary lifestyle.
Because the unicompartmental knee replacement can be inserted through a relatively small incision (approximately 3 to 4 inches long), which does not interrupt the main muscle controlling the knee, rehabilitation is faster, hospitalization is shorter, and return to normal activities is more rapid than after a
MINIMALLY INVASIVE KNEE REPLACEMENT: A recent advance in the performance of
The minimally invasive approach to the total knee replacement is appropriate for non-obese patients who have reasonable motion without significant deformity. Hospitalization may be reduced to 1 to 3 days among these patients, and the need for an extended stay for inpatient rehabilitation may be reduced or eliminated in most patients.
ELBOW REPLACEMENT Elbow replacement surgery is usually done if the elbow joint is badly damaged by replacing the bones of the elbow joint with artificial joint parts.
The elbow joint is made up of 2 bones: 1 from the upper arm (the humerus) and 1 from the lower arm (the ulna). The artificial elbow joint has 2 stems made of high-quality metal. A metal and plastic hinge joins the stems together and allows the artificial joint to bend. Artificial joints come in different sizes to fit different-size people.
Post-surgery, You may have a splint on your arm to help stabilize your elbow. Your doctor will prescribe physical therapy to help you gain strength and use of your arm. Physical therapy will start with gentle flexing exercises. People who have a splint usually start therapy a few weeks later than those who do not have a splint.
You may stay in the hospital for up to 3 or 4 days. Some people may start to have use of their new elbow as soon as 12 weeks after surgery. But complete recovery can take up to a year.
Elbow replacement surgery eases pain for most people and gives good movements. This is very common surgery being done at Artemis Health Institute for patients with painful and stiff elbow.
ANKLE REPLACEMENTAnkle replacement surgery may be done if the ankle joint is severely damaged. Your symptoms may be pain and loss of movement. Ankle replacement is surgery to replace the damaged parts of the three bones that make up the ankle joint. Artificial joint parts are used to replace your own bones. They come in different sizes to fit different-size people.
After surgery, you will need to stay in the hospital for up to 4 days. Your ankle will be in a cast or a splint after surgery. A small tube that helps drain blood from the ankle joint will be left in your ankle for 1 or 2 days. To keep swelling down, you can keep your foot raised higher than your heart while you are sleeping or resting. Your doctor may recommend physical therapy to learn exercises that will help with ankle motion. You may not be able to walk on your splint for the first six weeks following surgery. After six weeks, ease into putting weight on the leg. During this time, you can use toe-touch weight bearing for support and balance. You will be able to drive after eight weeks
A successful
Usually, total ankle replacements last 10 or more years.
Joint replacements
, are dedicated to providing the best possible care available for people of all ages and all walks of life. You can be assured that the care you receive at Orthopedic Institute is the most advanced of any place you could find elsewhere in the nation. Among other things, our state-of-the-art facility includes laboratory, MRI, 64-slice CT scan, and Physical Therapy units, providing our patients with the convenience of making only one stop for their orthopedic care. Our physicians are continually applying the newest and most advanced techniques for the care of musculoskeletal injuries, providing our patients with a variety of choices for their orthopaedic care.We are uniquely positioned to provide comprehensive, quality care for you and your family. Not surprisingly, Orthopedic Institute has become the regional resource and preferred referral destination for orthopedic problems. General physicians choose to refer their patients to our specialists because they know from experience whom to trust.
We are dedicated to providing state of the art care to all patients afflicted with painful bone, muscle, tendon and joint cartilage disorders. Our physicians and staff strive to facilitate our patients’ return to activities that have been prevented due to musculoskeletal injuries or arthritis by employing innovative surgical and non-surgical techniques.
Specialty care provided includes:
- Sports Medicine
- Shoulder Arthroscopy and Reconstruction
- Total Joint Reconstruction
- Foot and Ankle Reconstruction
- Hand Surgery
Knee Arthroscopy
and Reconstruction- Spinal Surgery
- Non-surgical management of spine and back pain
- Cartilage transplantation
- Fracture and Musculoskeletal Trauma surgery
- Bone density screening with management of Osteoporosis
- Hip resurfacing
HIP REPLACEMENT Hip replacement surgery is performed when the hip joint has reached a point when painful symptoms can no longer be controlled with non-operative treatments.
In a hip replacement procedure, your surgeon removes the damaged joint surface and replaces it with an artificial implant. When a hip replacement is performed, the bone and cartilage on the ball-and-socket hip joint is removed. This is performed using precise instruments to create surfaces that can accommodate the implant perfectly. An artificial hip replacement implant is then placed in to function as a new hip joint.
Hip replacement surgery has become quite common, but there are still risks. Fortunately, well over 98% of patients who undergo hip replacement surgery have good results.
CEMENTED HIP:A patient with a cemented
total hip replacement
can put full weight on the limb and walk without support almost immediately after surgery, resulting in a faster rehabilitation.Cemented fixation relies on a stable interface between the prosthesis and the cement and a solid mechanical bond between the cement and the bone. Today, the most commonly used bone cement is an acrylic polymer called polymethylmethacrylate (PMMA).
Cemented
total hip replacement
is more commonly recommended for older patients, for patients with conditions such as rheumatoid arthritis, and for younger patients with compromised health or poor bone quality and density. These patients are less likely to put stresses on the cement that could lead to fatigue fracturesUNCEMENTED HIP : Cementless total hip replacement is most often recommended for younger, more active patients and patients with good bone quality where bone ingrowth into the components can be predictably achieved. The implant attach directly to bone without the use of cement.
Most implants are textured or have a surface coating around much of the implant so that the new bone actually grows into the surface of the implant. Cementless implants require a longer healing time than cemented replacements. Your surgeon may recommend a period of protected weight-bearing (using crutches or a walker) to give the bone time to attach itself to the implant. This protected weight bearing helps to ensure there is no movement between the implant and bone so a durable connection can be established.
The acetabular component of a cementless total hip replacement also has a coated or textured surface to encourage bone growth into the surface. Depending on the design, these components may also use screws through the cup or spikes, pegs, or fins around the rim to help hold the implant in place until the new bone forms. Usually these components have a metal outer shell and a polyethylene liner.
HYBRID HIP: A hybrid
total hip replacement
has one component, usually the acetabular socket, inserted without cement, and the other component, usually the femoral stem, inserted with cement.A hybrid hip takes advantage of the excellent track records of cementless hip sockets and cemented stems.
SURFACE HIP REPLACEMENT: It's an advanced alternative of the traditional Hip Replacement Surgery, wherein the damaged and worn out surface at the end of the thigh bone (femur) is resurfaced with a metal cap. This implant is potentially more stable and long lasting than the traditional hip surgery and allows the patient to do multitude of strenuous physical activities like squatting and sitting on the floor. This surgery best suits young and/or active adults with better bone quality. This is very commonly undertaken operation in the institute.
KNEE REPLACEMENTThe knee is the largest joint in the body. Normal knee function is required to perform most everyday activities. The knee is made up of the lower end of the thighbone (femur), which rotates on the upper end of the shin bone (tibia), and the kneecap (patella), which slides in a groove on the end of the femur. Large ligaments attach to the femur and tibia to provide stability. The long thigh muscles give the knee strength.
The most common cause of chronic knee pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms. If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.
If medications, changing your activity level, and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. By resurfacing, the damaged and worn surfaces of the knee can relieve pain, correct leg deformity and help resume normal activities.
You will most likely stay in the hospital for five to seven days. Walking and knee movement are important to your recovery. To restore movement in your knee and leg, your surgeon may use a knee support that slowly moves your knee while you are in bed. The device, called a continuous passive motion (CPM) exercise machine, decreases leg swelling by elevating your leg and improves your venous circulation by moving the muscles of your leg. Foot and ankle movement also is encouraged immediately following surgery to increase blood flow in your leg muscles to help prevent leg swelling and blood clots. Most patients begin exercising their knee the day after surgery.
Your Recovery at Home: Current ten-year survival rates for fixed and mobile bearing unicompartmental
knee replacements
range from 94% - 95%. The success of your surgery also will depend on how well you follow your orthopaedic surgeon's instructions at home during the first few weeks after surgery.Activity: Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal activities of daily living within 3 to 6 weeks following surgery. Some pain with activity and at night is common for several weeks after surgery. Most individuals resume driving approximately 4 to 6 weeks after surgery.
UNICOMPARTMENTAL KNEE REPLACEMENT: Although not as common as
total knee replacement
, thepartial or unicompartmental knee replacement
(commonly called the "uni") is a viable alternative in limited situations. The designs of the unicompartmental types of knee replacements have improved over the years, as has the sophistication of the instruments used to implant these types of artificial joints. The unicompartmental knee replacement also has smaller, less invasive incisions.The unicompartmental knee replacement is used to replace a single compartment of the arthritic knee. The knee joint has three compartments: the medial (inner) compartment, the lateral (outer) compartment, and the patellofemoral (kneecap) compartment. If the damage is limited to either the medial or lateral compartment, that compartment may be replaced with the unicompartmental knee implant.
If two or more compartments are damaged, unicompartmental knee replacement may not be the best option. Unicompartmental knee replacement is also less desirable for a young, active person because it may not withstand the extremes of stress that high levels of activity create. It is best suited for the older, slim person with a relatively sedentary lifestyle.
Because the unicompartmental knee replacement can be inserted through a relatively small incision (approximately 3 to 4 inches long), which does not interrupt the main muscle controlling the knee, rehabilitation is faster, hospitalization is shorter, and return to normal activities is more rapid than after a
total knee replacement
. Artemis Health Institute is pioneer in this surgery.MINIMALLY INVASIVE KNEE REPLACEMENT: A recent advance in the performance of
total knee replacement
is the use of minimally invasive surgical approaches. This technique is more challenging than standardtotal knee replacement
. The incisions are approximately half the size of those used in a standard approach. The smaller incisions and new techniques to expose the joint may result in short-term advantages such as a quicker rehabilitation, less pain, and a shorter hospitalization, according to some reports.The minimally invasive approach to the total knee replacement is appropriate for non-obese patients who have reasonable motion without significant deformity. Hospitalization may be reduced to 1 to 3 days among these patients, and the need for an extended stay for inpatient rehabilitation may be reduced or eliminated in most patients.
ELBOW REPLACEMENT Elbow replacement surgery is usually done if the elbow joint is badly damaged by replacing the bones of the elbow joint with artificial joint parts.
The elbow joint is made up of 2 bones: 1 from the upper arm (the humerus) and 1 from the lower arm (the ulna). The artificial elbow joint has 2 stems made of high-quality metal. A metal and plastic hinge joins the stems together and allows the artificial joint to bend. Artificial joints come in different sizes to fit different-size people.
Post-surgery, You may have a splint on your arm to help stabilize your elbow. Your doctor will prescribe physical therapy to help you gain strength and use of your arm. Physical therapy will start with gentle flexing exercises. People who have a splint usually start therapy a few weeks later than those who do not have a splint.
You may stay in the hospital for up to 3 or 4 days. Some people may start to have use of their new elbow as soon as 12 weeks after surgery. But complete recovery can take up to a year.
Elbow replacement surgery eases pain for most people and gives good movements. This is very common surgery being done at Artemis Health Institute for patients with painful and stiff elbow.
ANKLE REPLACEMENTAnkle replacement surgery may be done if the ankle joint is severely damaged. Your symptoms may be pain and loss of movement. Ankle replacement is surgery to replace the damaged parts of the three bones that make up the ankle joint. Artificial joint parts are used to replace your own bones. They come in different sizes to fit different-size people.
After surgery, you will need to stay in the hospital for up to 4 days. Your ankle will be in a cast or a splint after surgery. A small tube that helps drain blood from the ankle joint will be left in your ankle for 1 or 2 days. To keep swelling down, you can keep your foot raised higher than your heart while you are sleeping or resting. Your doctor may recommend physical therapy to learn exercises that will help with ankle motion. You may not be able to walk on your splint for the first six weeks following surgery. After six weeks, ease into putting weight on the leg. During this time, you can use toe-touch weight bearing for support and balance. You will be able to drive after eight weeks
A successful
ankle replacement
will get rid of your pain and allow you to move your ankle to up and down. You can be very active after your ankle replacement. However, there are a few activities you cannot do, including running-type sports and tennis. You will be able to golf, walk, hike, swim, and bike.Usually, total ankle replacements last 10 or more years.
Team of Specialists:
- Dr. (Brig.) B. K. Singh Consultant- OrthopaedicsView Profile
- Dr. I P S Oberoi Consultant- Orthopaedics View Profile
- Dr. Sanjay Sarup Consultant- Pediatric Orthopedics & spine surgery View Profile