jointreplacement

Total Hip Replacement Surgery- Procedure, Types and Recovery

June 3, 2020March 30, 2024
by Eva Hospital

Are you finding wearing socks and shoes difficult? If you have been finding the process of walking difficult without support, or if any past fracture or arthritis has damaged the hip, you must consider a total or partial hip replacement.

First performed in the 1960s, hip replacement surgery has come a long way in helping patients get out of the pain in the hip and any immobility that arises because of hip pain.

What is Hip Replacement Surgery?

Hip replacement is the procedure in which the parts of the hip joints are replaced by artificial implants called a prosthesis. You may be advised for total hip replacement surgery or even a partial hip replacement surgery. The portions of the femur (thigh bone) and pelvis that form the hip joint are removed and replaced.

Most people between the age of 60 and 80 years must consider the process of minimally invasive hip replacement. The surgeon makes an incision in the hip after giving you anesthesia and then removes the damaged hip to replace it with the artificial joint or implant.

Hip Replacement surgery is a process of almost two hours and is known to cure pain and immobility caused by arthritis or improperly growing hip. It is a complex surgery and the success involves dexterity in the hands of the surgeon.

Dr. Tanveer Bhutani, an acclaimed orthopedic in North India, is the best at hip replacement surgery. He has performed many hip replacement surgeries successfully with complete precision and perfection.

Should you consider Hip Replacement Surgery?

If arthritis has been a cause of worry and has caused severe hip pain that is not relieved by medications and physiotherapy, the hip replacement must be considered to relieve the debilitating pain.

If you feel the pain in the hip has been interfering with the regular movement and making walking or motion difficult, you are the right candidate for hip replacement surgery.

“Osteoarthritis is the main cause of hip immobility in many patients. It is the single most important cause of over 60% of hip replacement surgeries,” says Dr. Bhutani. If you have been ailing from osteoarthritis, rheumatoid arthritis, hip fracture, or septic arthritis, your surgeon may consider hip replacement surgery after monitoring and examining you physically.

Also, read- How to make your bones stronger with increasing age.

What is Better- Cemented or Uncemented Hip Replacement Procedure?

In the process of the surgery of hip replacement, the orthopedic surgeon will replace the existing hip joints with artificial prosthesis. The prosthetic element has to adhere to the patient’s natural bone. This can be achieved in either of the following two ways:

Cemented Joint Prosthesis

This procedure uses fast-drying bone cement to help the prosthesis adhere to the bone.

Uncemented Joint Prosthesis

This is called the cementless or the press-fit prosthesis. In this process, the cementless prosthesis is textured in a way that allows the bone to grow onto it and adhere to the prosthesis over a span of time.

The orthopedic surgeon may use cemented or cementless prosthesis or a combination of the two after talking to the patient.

The choice of the component is contingent on the following:

The type of hip replacement surgery done
The psychology of the patient
The requirement is according to the acumen of the surgeon.

Weigh the Pros and Cons of the Type of Prosthesis

The cemented prosthesis is majorly a layer of cement called acrylic polymer and this forms a layer between the patient’s natural bone and the prosthetic component.

This allows the bones which have become porous from osteoporosis to heal and affix to the prosthetic joint. The application of bone cement is a process of not more than a couple of minutes and this gives the orthopedic a surety of the positioning of the prosthetic joint component.

Another advantage of the cemented joint is that it comes with an antibiotic material that helps in the quick healing of any post-surgical infection.

However, Dr. Tanveer warns that the application of the cemented joint prosthesis has to be done by a proficient orthopedic.

There are chances that the artificial joint comes loose and the whole surgical process is rendered futile; there may be a chance that cement can enter the bloodstream and be detrimental to the lungs.

Seeing the negative impact of the cemented prosthesis, Dr. Tanveer advocates cementless or press-fit prosthesis.

The expertise of the orthopedic is in fitting the prosthesis in a way that the natural bone grows in the shape and direction of the prosthesis.

A cementless prosthesis holds the prosthesis and bone in a better way and rules out the risk of any loose cement entering the bloodstream. The orthopedic will observe the bone density according to the severity of osteoporosis and accordingly administer precautions.

What is the Recovery Time of Hip Replacement Surgery?

Hip Replacement is a procedure of four to six days to stay in the hospital. The orthopedic will start the physiotherapy within a day of the surgery and you will be advised to walk with support within one or two days of the surgery.

You will be able to resume your routine activities within 3 to 6 weeks of total hip replacement surgery. There may be surgical pain for the initial one or two days but you will be relieved from the excruciating arthritis pain right away after the surgery.

Dr. Tanveer says a hip replacement is a procedure more than 50 years old and has evolved ever since. It is a safe surgery to undergo if you want to alleviate the pain and suffering in the hips and enhance your mobility.

Conclusion

Nearly 30,000 total hip replacements take place in the U.S. each year. If the pain in the hip or arthritis has been affecting your daily life and movement, hip replacement is the cure. For the most effective surgery and the genuine diagnosis and check-up, rush to the best orthopedic in Punjab, Dr. Tanveer Bhutani, EVA Hospital, and get back to the normal pain-free routine. Check out our patient testimonial for hip replacement.

Hip Replacement surgery

What are the risks of Hip Replacement Surgery

February 17, 2020March 30, 2024
by Eva Hospital

As arthritis in the body worsens, it may aggravate the pain in the hip to an extent that it interferes with your daily chores and sleep. You may be experiencing difficulty in climbing the stairs up or down.

Is walking, even with a walker or cane, getting difficult? This is the most appropriate time to get a diagnosis under a specialized orthopedic and seek help on replacement of the hip.

Hip replacement surgery or hip arthroplasty is the surgery where the surgeon removes the painful hip joint or the damaged section of the hip joint and replaces it with a prosthesis made of metal, hard plastic, or ceramics. This makes your hip less painful and prosthesis improves the ability to walk and carry on daily functions.

Why do You Need Hip Replacement Surgery?

When the conventional methods of treatment fail to provide relief or are not effective in relieving hip pain, hip replacement surgery becomes mandatory.

Difficulty in getting up from a seat, climbing the stairs, disturbed sleep because of pain, and persistent pain despite pain killers are a few symptoms to must consider before a hip replacement surgery.

Problems like Osteoarthritis, Rheumatoid Arthritis, and Osteonecrosis are also known to aggravate hip pain and discomfort. These problems tend to produce inflammation and result in damaging the bone.

What Happens During the Procedure?

The hip replacement surgery can be performed with a minimally invasive technique or traditional hip replacement surgery. The difference between the two approaches is mainly the size of the incision.

During the traditional hip replacement procedure, general anesthesia will be administered and then the surgeon makes an incision of about 8-10 inches along the side of the hip or the over the front.

The damaged ball portion of the joint and cartilage are removed using a saw. The surgeon then implants the newly constructed prosthesis and a new ballpoint of the joint into the pelvic bone to replace the damaged socket. He then closes the incision after reattaching the muscles.

In a minimally invasive surgery, the same procedure is involved with a smaller incision which implies lesser blood loss, smaller scar, shortened hospital stay, and speedier recovery.

Are there any Risks of Hip replacement Surgery?

Hip replacement surgery must be performed by an experienced and skillful surgeon. However, there may be one or more of the following risks after hip replacement surgery:

Infection and Blood Clots

After the surgery, there may be blood clots in veins and the risk level rises when the clot may travel to the heart or lungs. You may be prescribed blood-thinning medications post-surgery to avert this risk.

Also, chances of infection in the incision are high and if any infection occurs near the prosthesis, it may damage the new prosthesis. The doctor will be administering strong antibiotics to ward off infections.

Dislocation

The new ballpoint may get dislocated with somebody’s postures. This may call for another surgery or braces to rectify the dislocated ballpoint.

Need for a Second Hip Replacement Surgery

In some cases, the hip joint wears out gradually and this may require a second hip replacement surgery. However, with advanced technology, prosthesis is getting more durable and safe.

Altered Leg Length

Sometimes due to the new hip, the legs may not be of equal length after the surgery. You may be required to practice some stretches and exercises to avoid this situation.

Allergies to Metal

There may be a chance you are allergic to the metal implant and this may cause certain complications. Also metal on metal implants may release metal ions in the bloodstream causing trouble.

The skill and experience of the surgeon determine the level of complications after the hip replacement surgery. Dr. Tanveer Bhutani, from EVA Hospital, is the best orthopedic in Punjab with credible experience in hip replacement surgeries. With his surgical acumen, the risks of the surgery are reduced to a minimum.

The surgery takes around 6-12 months to recover fully and revive the routine activities. Regular follow-ups with the surgeon, physical therapy, and following the precautions are ways to enhance the success of the surgery.

Final Thoughts

For a successful hip implant, make sure your diagnosis and surgical procedure are under the guidance of an experienced surgeon. The new hip joint will reduce the pain (before the surgery) drastically and enhance your mobility.

You may have to avoid high-movement physical activities like playing basketball, but activities like swimming, playing golf, and riding a bike are advisable.

For relief from excruciating pain or any query, contact the best orthopedic-Dr. Tanveer Bhutani at EVA Hospital.

knee replacement surgery

Bilateral Knee Replacement- Reasons, Risks and Benefits

February 7, 2020March 30, 2024
by Eva Hospital

With aging degenerative tissues, pain and stiffness in knees, or difficulty in getting up from a chair or going up and down the stairs, you may be experiencing multiple problems in the knee. With thorough check-ups and analysis, the orthopedic doctor may suggest knee replacement.

Patients with arthritis are worse affected. Arthritis may lead to inflammation of one or more joints causing acute pain and immobility. You have to get a knee replacement done to live a pain-free life and improve mobility.

The knee replacement surgery is where the damaged joint is replaced with artificial knees made of metal, plastic, or ceramic and this is called a prosthesis. If the problem persists in both the knees, the orthopedic recommends surgery of both the knees. This is called bilateral knee surgery.

What is Bilateral Knee Replacement?

With arthritis, both the knees of the patient may need replacement and this process is called bilateral knee replacement. Usually, patients who are above 60 are recommended for knee replacement. There are two types of bilateral knee replacement surgeries:

Staged Knee Replacement

When both the knees are replaced one after the other in a span of three to five months, it is called staged knee replacement. This lets one knee recover fully before undergoing the surgery of the other knee.

2. Simultaneous Bilateral Knee Replacement

As the name suggests, the patient undergoes surgery on both knees at the same time. This allows the patient to get both knees replaced at the same time and as a result, lesser downtime is involved.

What is the Recovery Time after Bilateral Knee Replacement?

The hospital stay is usually 3-5 days after staged knee replacement surgery and around 4-5 days after simultaneous knee replacement. The doctor will administer medications during the hospital stay and guide on the exercises and medicines to be followed after discharge.

A close watch must be kept for signs of infection, blood clots, and other complications. The physiotherapy programs must be continued for 6-12 weeks and these focus on knee-strengthening exercises. The recovery time and ‘back to routine’ vary from person to person depending on factors like age and weight.

What are the Benefits of Bilateral Knee Replacement?

Bilateral Knee replacement is the consecutive surgery on both knees. This offers the following advantages:

Shorter Hospital Stay

Rather than staying twice in a hospital simultaneous knee replacement is always better with a stay at the hospital only once.

Shorter Leave from Work

Simultaneous knee replacement is better as you will have to take leave only once from the office and can resume work sooner than two consecutive surgeries.

Physical Therapy at Once

Two separate physical therapy treatments mean double the time and efforts in the recovery of two knees. Simultaneous knee replacement calls for physiotherapy twice or thrice a week for nearly 8 weeks and both the knees will be treated simultaneously.

Better Costs

Simultaneous or bilateral knee replacement costs are lesser than two different surgical operations.

What are the Risks of Bilateral Knee Replacement?

Though the advantages of bilateral knee replacement are many, the following are a few risks that have to be considered:

Long Anesthesia Risks

There may be complications due to prolonged anesthesia. The doctor has to examine the general health of the patient before undergoing bilateral surgery.

More Blood Loss

During the surgery, there may be a chance of blood transfusion because of bilateral knee surgery compared to single knee surgery.

Multiple Complications

The chances of multiple complications like wound infections, pulmonary embolism, etc. are higher in the case of bilateral knee replacement.

Final Thoughts

Dr. Tanveer Bhutani has an unparalleled diagnosis of knee injuries and pain. For a genuine suggestion contact the best orthopedic surgeon of Punjab at EVA Hospital and enjoy a pain-free knee. Add years of happiness to your life as you improve your mobility.

Knee Surgery

Hip Replacement- Tips for Effective Recovery

October 31, 2019March 30, 2024
by Eva Hospital

Have you been experiencing hip pain that interferes with your sleep or pain that is worsening with walking even with the help of a cane or walker? Has the hip pain affected your ability to climb up or down the stairs? Have you been facing an acute problem in rising up from a sitting position? It may be arthritis of the hip

The reason for hip damage could be any- Osteoarthritis or Rheumatoid Arthritis or it could even be Osteonecrosis (inadequate blood supply). Irrespective of the reason you need to contact the best orthopedic surgeon of your area and discuss your deteriorating health.

Technically called Total Hip Arthroplasty or Hip Replacement surgery, this has been performed successfully for years. This is the procedure when the doctor surgically removes a painful hip joint (due to acute arthritis) and replaces it with an artificial joint made from either metal or plastic components. The hip replacement surgery makes walking easier and facilitates mobility.

The hip replacement surgery may be performed using the standard procedure (where the incision is 5-8 inches long) or the latest minimally invasive technique.

The surgery definitely makes movement much easier. But there are certain dos and don’ts to be followed to make it a complete success. Dr. Tanveer Bhutani is the best orthopedic surgeon in Punjab and recommends that physical therapy should be continued for a couple of months to enable better recovery and mobility. Certain activities like pivoting or twisting the leg should strictly be avoided. Even bending forward at the waist and squatting must be avoided.

Dr. Tanveer Bhutani has curated a list of activities that can be done easily at home and you will recover quickly post hip replacement surgery.

Certain rearrangements at home can go a long way in helping you recover.

Place the utility items like remote controls, phone, glasses pitcher, and medicines on a high table within your reach. This will prevent unnecessary bending forward.
Stay away from enthusiastic and active pets till you fully recover.
Get all the carpets and rugs removed so that the chances of tripping over are minimized.
The bathroom should have a shower chair, gripping bar, anti-slip mat, and a raised toilet seat.

Take the medication prescription from the surgeon and understand the directions.
Discuss with your surgeon about over-the-counter drugs, supplements, and vitamins.
Make sure you take antibiotics before any dental work (after consulting your orthopedic surgeon). This will prevent any bacterial infection from creeping in.
Keep your medical card handy so that in case of any medical emergency it is easily known to the doctor that you have an artificial hip.

To reduce the swelling, keep your leg elevated and prefer applying ice packs.
Wear compression stockings to reduce swelling.
The wound has to be kept clean and dry, so the surgeon will tell you at length about the bathe and shower protocol.
Watch for any signs of redness or drain from the wound.

Any kind of blood-thinning medicines vitamin K supplements or foods rich in Vitamin K like spinach, beans, lentils, etc. have to be avoided for a while.
The surgeon will recommend iron and vitamin supplements along with a normal diet.

After the hip replacement surgery your life would be much more active than before. Adhere to the list of instructions given by the surgeon and you will lead a hassle-free life. Dr. Tanveer is the most renowned surgeon in Ludhiana and gives a customized recovery module to each patient depending on their age, weight, and health status. Contact Dr. Bhutani and get free from the hip pain forever.

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