knee replacement


1) What is arthritis?

Arthritis is a disease which the cartilage at the end of the bones in a joint is damaged which produces swelling and pain in the joint. As a result of the arthritis the mobility of the joint is reduced. Osteoarthritis and rheumatoid arthritis are the two major categories of arthritis. Osteoarthritis usually affects joints like thump joint, hip joint, knee joint etc. Arthritis affecting flexible joint comes under the category of rheumatic arthritis.

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2) What are the treatment options available for arthritis?

Treatment for arthritis is based on the severity and place of occurrence and age of the patient. Taking bed rest is the first step of treatment advised by many doctors. This can be followed by physiotherapy under the guidance of a physiotherapist. If these treatment options are not giving any satisfactory results then only medication has to be started. There are different varieties of anti inflammatory drugs, the judicial use of which can give you relief and comfort from the pain and other symptoms connected with arthritis. If none of these methods are not yielding any satisfactory results then surgical procedure like knee replacement surgery, joint fusion surgery etc can be resorted to.

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3) What are the benefits of customized total knee replacement?

In general knee replacement surgeries there used to have some complaints about the mismatch of the replaced knee. This happens because the prosthesis used in general knee replacement surgeries will not be exactly matching to the requirements of each individual, as it is a general one with standard dimensions. But in customized knee replacement surgeries the prosthesis used will be one matching to the exact requirement of each individual. The process starts three weeks in advance by taking different photographs and video graphs of the knee of the patient and converting into a three dimensional image of the required ball and sockets with the help of a computer program. After this only the prosthesis is made which will be exactly same as the original ball and socket joint inside the knee of the patient. So when customized knee replacement is done patients feel very comfortable

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4) What are the treatment options available for a bow legged person?

Bow leg deformity found in babies can be rectified if the child wears leg braces before completing the age of four. After the age of four surgical procedures have to be adopted for correcting the bow leg. In this surgery the knees are aligned properly and pins or plates are used to keep them in the new position. In another surgery called Osteotomy, the legs are realigned removing small wedge like pieces from the tibia. In some cases wedge like pieces are removed from fibular also.

5) What are limb lengthening surgeries?

Length of a limb can be increased by limp lengthening surgery. It has been found that the length of a limb can be increased by 7 to 10 cms by this method. Bone of the limb, length of which has to be increased is cut in the middle and is attached to Ilizarov apparatus. Ilizarov apparatus is a specially designed apparatus which is used for increasing the length of the limbs and for other for similar purposes. It has been found that the increase in length 1 mm per day can be obtained by following this method. By repeatedly using this apparatus for a continuous period of two or three months the required extension in length can be obtained.

6) What is joint fusion surgery?

Joint fusion surgery is a surgical procedure followed by orthopedic surgeons to solve the problems of patients whose joints are damaged due to arthritis. This surgery is very suitable for the joints like jaws, thumbs, ankles, wrists etc. In this procedure the damaged cartilage at the end of the bones in the joint are removed and the bones in the joint are allowed to remain in a very close position. These fixed positions of the bones are kept unchangeable with the help of screws or other similar fastening mechanisms. Though some mobility of the joint will be lost in this procedure, the pain and inconvenience caused by arthritis can be avoided giving great relief to the patient.

7)What are the circumstances which necessitates a joint replacement surgery?

Joint replacement is a very successful surgical procedure which has been able to solve the knee joint problems of millions of patients around the world. But after about a period of 10 or 20 years the replace knee deteriorates and further replacement of this knee becomes imminent. Obesity, participation in sports and dancing activities etc are reasons which expedite the deterioration of the replaced joint.

Knee replacement surgeries are carried out in two steps. First step consists of the process of removing the prostheses knee already present in the knee joint. After removing the knee prostheses already present in the joint synthetic spacer who is immersed in medicines and other antibiotics are place in the joint so that no swelling or pain is felt by the applicant. In the second part which will be carried out after about 6 weeks new prosthesis is implanted and the procedure is completed.


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