Tag: <span>orthopaedic</span>

orthopaedic

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.

Eva Hospital

What are the Pre and Post Knee Surgery Precautions?

January 30, 2020March 30, 2024
by Eva Hospital

What are the Pre and Post Knee Surgery Precautions?

With the pain in the knee and arthritis worsening it all, knee replacement surgery has now been on your charts. Soon you are going to get the damaged knee replaced with an implant and get rid of the pain.

There may be many questions running on in your mind. Is it tough to prepare? Are there a lot of precautions? What will happen after the surgery? Would I be able to manage it all alone?

Dr. Tanveer Bhutani, the best knee-replacement surgeon in Punjab, says knee replacement adds years to your life and you can live a pain-free life as you resume your daily chores. However, to make the surgery a success, there are a few precautions and exercises before and after the surgery so that the recovery happens timely.

What are the Precautions before the Surgery?

Before you get to decide upon a date for the surgery there is a list of to-dos that will help you streamline the preparations for the surgery and you will not panic:

Quit Smoking and Alcohol

You must quit smoking at least a few weeks before the surgery as smoking interferes with the medications, slows down the healing process, and increases the risk of blood clots and infection after the surgery.

The surgeon must be apprised of how many drinks you have in a week so that he may have to plan an alcohol withdrawal if need be or even monitor any alcohol-related problems that might accrue post the knee replacement surgery.

Start Exercising

A weight check is an essential parameter and you must start exercising regularly before the surgery. This will help to monitor your excess body weight and improve the recovery process.

You must ask the surgeon and startupper body conditioning exercises along with knee joint strengthening exercises. Upper body conditioning helps reduce muscle soreness and fatigue which may be caused due to walking with the use of crutches or canes.

Keep exercising until the day of the surgery to improve your strength and increase your endurance. Also, circulation exercises help in preventing clots and controlling swelling post-surgery.

Plan a Healthy Diet

Plan your meals in a way that your body gets adequate nutrition as well as helps you remain fit. Include fibrous foods like broccoli, almonds, whole wheat pasta, avocados, beans, and peas, etc. in your diet to avoid constipation. Load your plate with foods rich in Vitamin C, iron, and calcium. Start your way to include spinach, raisins, prunes, oranges, milk, cheese, yogurt, and lean red meat.

Lastly, drink loads of fluids and stay hydrated.

Diabetes Management

Surgery and stress levels before and after the surgery can affect blood sugar levels. It is very important to control the blood sugar levels before the surgery as it may aggravate risks like infection and other complications. So manage your sugar levels before the surgery so that they are maintained even after the surgery.

Prepare Your Home

This is the most important step as you prepare your home for your arrival after the surgery. Clear out the path- hindering objects like stools, rugs, or extension cords. Prepare your bathroom with a high bathing chair and maybe an elevated toilet seat.

You will also need to arrange for a chair with a firm, straight back. Secure the handrails of the stairs before the surgery. Place all the medications and other daily routine useful items within reach to avoid bending during the recovery phase.

These precautions will help in paving your way to swift recovery after the surgery.

What are the Precautions after the Knee-replacement Surgery?

You have to be careful after the surgery and adhere to all the precautions so the risks and complications of the surgery are minimal.

Dr. Tanveer is the most reputed orthopedic surgeon in Ludhiana and he suggests that after the surgery you should follow all the precautions and take medications regularly. Here is a list of precautions post-surgery so that you do not have a knee injury and recover faster:

While Bathing and Dressing Up

While bathing an anti-slip mat and a stable plastic chair are what you need after the surgery for bathing; you have to avoid bending or squatting for anything you need. You may need an elevated commode for some time.

While dressing up do not wear your lowers or pants while standing up. Take care to put on pants, socks, and underwear first on the operated leg, and while undressing, remove the clothes from the operated leg in the end.

While Sitting Or Lying Down

After the surgery makes sure you are not sitting in a single position for more than half an hour. Avoid sitting on low sofas, stools, or low chairs. Make sure you always sit on a firm chair with a straight back and armrests.

You are advised to keep your knee straight while lying down and do not bend it by keeping a pillow under the knee. You may exercise by lying flat on your back.

Use of Stairs

Avoid long flights of stairs after the surgery and ensure the handrails are secure enough. Step up first with the leg that wasn’t operated on while step down first with the leg that was operated on. This will avoid any unnecessary strain on the new knee.

Walking

The surgeon will advise you to use a walker or crutches for about 4 to 6 weeks after the surgery. Walk slowly with baby steps initially. Wear shoes that have anti-skid soles and avoid any wet and slippery surfaces.

Complete List of absolutely NOs

The surgeon will completely say a NO to jerking, twisting, or sitting cross-legged immediately after the surgery. Also, you shouldn’t be carrying heavy weights and bags after the surgery to avoid putting weight on the new knee.

A little precaution goes a long way and helps in quick recovery after the surgery, says Dr. Bhutani.

Over to You

Knee Arthroplasty or total knee replacement surgery will unleash a new life for you and you will be free from stiffness and pain in the knee for over a long time.

Make sure you adhere to the restrictions and exercises recommended by the surgeon before and after the surgery to recover faster. For any queries or consultations, do not hesitate to meet the best orthopedic surgeon in Punjab, Dr. Tanveer Bhutani at EVA Hospital, and seek genuine advice.

Knee Surgery

घुटने की सर्जरी-मिथक एवं सच्चाई

October 4, 2019December 12, 2023
by Eva Hospital

घुटनों की सर्जरी आज बहुत ही सामान्य सर्जरी बन गई है। घुटनों के दम पर ही आपका चलना-फिरना, उठना-बैठना एवं जीवन की ज्यादातर प्रक्रिया निर्भर हैं। इस शल्य चिकित्सा को आर्थोप्लास्टी (arthoplasty) भी कहा जाता है। जिन लोगों के घुटने गठिया (arthritis) के रहते क्षतिग्रस्त हो गए अथवा कोई घुटनों की चोट के कारण घुटने क्षतिग्रस्त है, उन्हे घुटने (Knee Replacement Surgery) सर्जरी से नया जीवन मिलता है।

इस सर्जरी से लाखों लोगों ने घुटनों की पीड़ा से राहत पा कर अपना सामान्य जीवन दर्दरहित व्यतीत करना आरंभ किया है। हाँलाकि कुछ लोगों का मानना है कि छोटी उम्र में घुटनों को बदलने से वह उम्रभर चलने की मोहताज हो जाएँगे या फिर कुछ लोग भ्रमित है ज्यादा उम्र में घुटने की सर्जरी के बाद वह पूरी उम्र निर्भर हो जाएँगे।

डा. तनवीर भुटानी, पंजाब के हड्डी रोग विशेषज्ञ, कुछ भ्रमों और मिथकों एवं उन से जुड़ी वैज्ञानिक सच्चाई के बारे में बताते हैं। ईवा अस्पताल के मुख्य हड्डी रोग चिकित्सक-डा. तनवीर नीचे दिए गए मिथकों की सच्चाई बता रहे हैंः-

सर्जरी के बाद पूरी तरह से ठीक होने में लंबा समय लगेगा। डा. तनवीर अपने मरीजों को ज्यादातर दूसरे दिन ही चलने की अनुमति दे देतें हैं। सच यह है कि पूरी तरह से ठीक होने में किसी भी सर्जरी के उपरांत लगभग दो-तीन महीने का समय लगता है। उसी तरह घुटनों की सर्जरी में भी तीन महीनों में आप पूर्णतया ठीक होकर सामान्य दिनचर्या में जुट सकते हैं। ध्यान इस बात का रखना ज़रूरी है कि सर्जरी में विलंब करने से घुटनों को ज्यादा क्षतिग्रस्त (Damaged) हालत में न पहुँचने दें।

कुल घुटने प्रतिस्थापन सर्जरी (Total Knee Replacement Surgery) एवं आंशिक घुटने प्रतिस्थापन सर्जरी (Partial Knee Replacement Surgery) आपका जीवन अगले 15 वर्षों के लिए सुखमय कर देते हैं आपको लगभग 15 सालों के लिए दर्द से राहत मिल जाएगी। केवल कुछ मात्र प्रतिशत लोगों की स्थिति बिगड़ जाने या फिर हड्डियों की खराब शिकायत आने की संभावना है। पर अधिकतर यह सर्जरी आपका लंबे समय तक जीवन सुधार देती है।

डा. तनवीर अपने मरीज़ों को हमेशा यह शिक्षा देते हैं दर्द के साथ जीने पर मजबूर ना हों। कुछ मरीज बहुत दर्द सहन कर, जब दर्द असहनीय हो जाता है तो सर्जरी के बारे मे सोचते हैं। इससे केवल घुटनों की स्थिति बद से बदतर हो जाती है। आज के इस तकनीकी युग में दर्द को जीवन का हिस्सा बनाने की आवश्यकता नहीं। घुटने की सर्जरी चिकित्सक के परामर्श से तुरंत करवानी चाहिए। जिससे पुनः अच्छी स्थिति में आने में विलंब न हो।

डा. तनवीर सभी मरीज़ों को इस सच्चाई का आगाह करवाते हैं कि जितनी जल्दी आप घुटनों की दर्द से राहत चाहते हैं, उतनी ही जल्दी ज्वाइंट रिपलेसमेंट (Joint Replacement) करवाना उचित है। आपने आने वाले 15 से 20 साल हँसते-कूदते दर्द रहित व्यतीत करेंगे। घुटने की सर्जरी और उम्र का कोई संबंध नहीं। घुटने की सर्जरी का सीधा संबंध है आपकी असहाय दर्द और घुटनों की क्षतिग्रस्त हालत।

सच्चाई यह है कि घुटना सर्जरी के उपरान्त आपने अपनी उम्र में दर्द रहित कुछ वर्ष जोड़ लिए हैं। यह सर्जरी कामयाब एवं सुरक्षित है। आधुनिक प्रक्रिया से दर्द रहित एवं चिकित्सक की दक्षता से सुरक्षित है घुटना सर्जरी। बुढ़ापे में आप अपने बल पर चलना-फिरना कर सकेंगे अपने नए एवं काबिल घुुटनों के साथ।

सन् 1970 से शुरू हुई घुटनों की सर्जरी आज एक दर्दरहित प्रक्रिया बन गई है। अगर आप अपने जीवन में 20 वर्ष साल खुशियों के जोडना चाहते है और घुटनो की दर्द से मुक्ति चाहते हैं और घुटनों की दर्द से मुक्ति चाहते हैं, तो डा. तनवीर भुटानी ईवा अस्पताल से मिलें और जानकारी प्राप्त करें। धीरे-धीरे अपनी गतिविधियाँ बढ़ाएँ और अपने आप को गोल्फ, टेनिस एवं तैराकी करने में सक्षम पाएँ।