Joint Replacement

Joint Replacement

Overview

Joint Replacement or Joint Arthroplasty is the most widely practised surgical option for arthritis all over the world and its application in India has risen significantly too. According to a recent data, the age of the patients suffering from Rheumatoid Arthritis & Osteoarthritis who opt for joint replacement, ranges from 22 to 74 years. Rheumatoid arthritis is the major cause of arthritis among the younger population who might need joint replacement. The male-female distribution of patients is 25% and 75% respectively. It is estimated that over 1,20,000 joint replacements are done annually in India. Previously, joint replacements were done on the elderly patients and people were advised to delay the operation as much as possible but now with the availability of better implants & advanced procedures like Fast Track Computer Navigation has increased the acceptability of the procedure. At the same time, even for the older population, with more efficient procedures & skilful surgeon practices, anyone can get their joints replaced.

The Centre for Joint replacement at Sarvodaya Hospital is one of the best-equipped centres offering world-class yet cost-effective medical facilities for bone and joint replacement in North India. Supported by the latest technology and high-end infrastructure, we specialize in minimally invasive surgeries & have a 97% success rate in operating on old patients as well as young ones.

Our team of Joint Replacement Surgeons are highly skilled, qualified and experienced which helps us provide the best treatment services for all. Few of the surgeons are globally & nationally recognised and thus we take pride in having them onboard. 

We value your trust in us and thus, have a highly equipped OPD with a separate procedure room. All our OTs are maintained for higher hygiene standards with a HEPA filter & Laminar Flow installed. Our Post-op area, SICU and patient wards have the best orthopaedic infrastructure which offers comfort and ease to the patients who undergo treatment there. To aid you even after the surgical procedures are over, we have an excellent physiotherapy unit that offers post-operative care, bringing the patient back to what they love sooner.

Joint Replacements

In this surgical procedure, a damaged joint is replaced either totally or partially by an artificial implant, which is designed to replicate the movement of a normal & healthy joint. This is often recommended by orthopaedicians, as a permanent way to eliminate joint pain! Yet people may face multiple obstacles before they make the final decision to undergo this procedure. Most of the routine joint replacements are done using alignment jigs & cutting blocks. These are relatively simple devices and the patient has to rely on the surgeon's ability to feel and perform the right alignment and balance of the joint. But this traditional method has limitations on its own, the success of such operations is not always 100%. So, here comes the advanced version, which is Fast track Computer Navigated Joint Replacement. Fast track has become a well-known concept in improved patient satisfaction and post-operative results. Fast Track Technology leads to higher patient satisfaction, lower post-operative complications, reduces the length of stay in the hospital, improves health-related quality of life & functionality, reduces morbidity and post-operative disability with the earlier achievement of functional milestones. Thereby with the right doctors & facilities, patients can go for this treatment.

Total Knee Replacement

A total knee replacement is a surgical procedure whereby the diseased knee joint is completely replaced with artificial prosthetic implants. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled high density polyethylene piece with a metal stem.

  • Computer Navigation: Sarvodaya Hospital is equipped with the latest navigation machine to bring accuracy in implant alignment, leading to much better post-operative outcomes, faster recovery & less pain.
  • Kinematic Alignment: With new techniques of kinematic alignment, bone cuts are minimized, and the ligament is preserved.
  • Muscle Sparing: In this technique muscles in front of the knee are not cut & knee is exposed keeping muscle fully intact by taking it to one side. It is technically demanding but the results of TKR are encouraging. The requirement for physiotherapy is minimized with this procedure and muscle functions are restored early.
  • High Flex Knee: Majority of the patients undergoing TKR at Sarvodaya Hospital have received high flex knee implants, which can help the patient in sitting crossed-legged and squat.
  • Ligament Sparing TKR (CR): We use ligament sparing techniques to ensure optimal functioning of knee after TKR. The Cruciate-Retaining (CR) prosthesis or implant offers better functioning of the knee.
  • No VisibleSuture: After knee replacement, sutures applied are not visible and the patient is not asked for suture & staple removal. Also, cosmetically the knee looks better.
  • Minimal Pain Following TKR: To minimise pain following surgery, we give controlled analgesia (PCA) to the patients using an Epidural pump. Skin patches and physiotherapy are used to minimise the requirement of drugs. This way, the pain reduces drastically.
  • The patient is made to walk the next day following surgery and is fully functional after one month of surgery.
  • Pain Management protocol is custom made as per the requirement of patients.

Total Hip Replacement

A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial implants. The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" component of the pelvis called the acetabulum. The ball is the head of the thighbone (femur). Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal (or ceramic) ball and stem inserted into the femur bone and an artificial plyethylene (or ceramic) cup socket. The metallic artificial ball and stem are referred to as the "femoral prosthesis" and the plastic cup socket is the "acetabular prosthesis." Upon inserting the prosthesis into the central core of the femur, it is fixed with a bony cement called methyl methacrylate. Alternatively, a "cementless" prosthesis is used that has microscopic pores which allow bony ingrowth from the normal femur into the prosthesis stem. This "cementless" hip last for a longer duration and is considered especially for younger patients. Total hip replacement is also referred to as total hip arthroplasty.

Treatment of complex trauma & Industrial injuries

The accident and trauma cases involving serious injuries are treated here with our world-class medical facilities and quick, responsive team. We deliver comprehensive care for patients who suffer from any Trauma or Industrial injury through our multi-speciality approach including the expert opinion and treatment by Neurosurgeons, Cardiac Surgeons, Plastic Surgeons, General Surgeons & our very own Orthopaedician team.

KNE3WIZ Technology: This is a system dedicated technology ensuring the perfect fit and position of knee implants. In this technique specific 3D model of knee is made for each patients. This offers unmatched precision while planning as well as operating.

Computer Navigation: This high-end system is one of the most powerful tools used in the orthopaedics to help surgeons to place surgical tools correctly. The machine allows them to create an accurate virtual image of the patient’s joint, analysis and processing of the 3D model created, surgical simulation, pre-operative planning and lastly surgical navigation. This enables them to get have a clear image of what needs to be done, before cutting the bone open.

Digital X-Ray: Offers enhanced X-ray images with higher quality that helps in providing better care and saves a lot of time in comparison to the conventional X-ray imaging system.

Scanning systems: We have the latest technology with enhanced CT Scan and MRI facilities for the patients.

C-Arm: Enhanced with Advanced Radiographic capabilities, the C-arm allows fluoroscopic intraoperative imaging C Live images of bone surgery enables a smoother operation.

OPD: Our out-patient department is designed to provide maximum comfort to the visiting patients. We also have a separate procedure room to support OPD treatments.  

OT facilities: Our operation theatres are well equipped with world-class technology with HEPA filters & Laminar Flow installed to maintain higher hygiene standards.

Post-operative area: We have a strategically designed post-operative care unit supported by a well-equipped SICU and patient ward area.

Physiotherapy service: We have a team of trained physiotherapists who offer the best physiotherapy services to our patients allowing them to rejoin their daily activities & routine, while learning how to regain function of their joints with ease.

Technical excellence: We have a Digital X-Ray, Ultrasound, CT scan, MRI and Bone Mineral Density Test facility. Our 3D Navigation,  Advanced Drill, C-Arm are examples of our continuous thrive to have offer the best orthopaedic care.

Meet Our Specialists