surgery

How do you decide the time of Knee Replacement…

July 28, 2020March 30, 2024
by Eva Hospital

Has climbing the stairs become a menace? Have you been facing difficulty walking a long-distance? Do you find yourself complaining about your worn-out knees too often? It may be time for knee replacement surgery

You may wonder and panic hearing the word ‘surgery’. However, if your knees are troubling and can’t support the daily motion, you need to step out and consider surgery as your orthopedic recommends.

The process of knee replacement surgery is over two hours, but you need to prepare and make arrangements for recovery when you get back home. Hence to prepare for adequate arrangements and decide when to get the surgery done is important and a few factors must be considered before taking any decision.

“A detailed assessment is crucial before making any decisions for a surgical procedure. You can resume your daily chores and start driving within three months of the surgery,” says Dr. Tanveer Bhutani, the best orthopedic of Punjab at EVA Hospital.

When Can You Avoid Surgery?

Total knee replacement (TKR) surgery has yielded successful results over the past 20 years and more than 90% of patients resume their daily chores within three months. Dr. Bhutani advises his patients regarding the surgery keeping in mind the past history and the present of the patient. He suggests that in the following cases, undergoing knee surgery can be postponed for a while:

Alternate Treatments

If you have bearable pain and you want to try alternative sources of treatment like ice, painkilling medicines, heat, or physiotherapy, you may wait and see if the pain subsides. Regular muscle strengthening exercises can also help you alleviate the pain.

Bearable Pain

The orthopedic usually suggests if the pain is bearable and doesn’t bother you in the routine chores, you may postpone the surgery for a while. The level of pain is what determines the urgency of the surgery.

Overweight

If you have massive weight, the newly replaced knee joint will not be able to survive the weight and may disturb the placement of the knee joints. This may aggravate pain after the surgery. So the orthopedic usually suggests reducing the body weight before undergoing a knee replacement surgery.

Routine Activities Unhampered

Dr. Bhutani says if you are able to carry out daily chores uninterrupted, you may wait for the surgery and get the routine chores going.

Weak Thigh Muscles

Weak thigh muscles will not be able to provide support to new joints. They are also more susceptible to infections and open wounds.

When is it time for Surgery?

Dr. Tanveer Bhutani says Total Knee Replacement (TKR) is the most effective surgery in case the pain in the knee or the condition of the knee is overwhelming. The surgery has minimum risks if done at the hands of an expert orthopedic surgeon. With proper medications and exercises, you can resume your daily activities in a short span of time.

Following are some scenarios that make the knee replacement quintessential:

Medications are Ineffective

Strong pain killers or anti-inflammatory medications are ineffective in helping cure excruciating pain. Such is the case when the orthopedic will recommend getting the knee joint replaced with the help of minimally invasive surgery.

It is an alarming scenario when alternate medication systems like steroids, injections, and physiotherapy are not able to heal the pain. The best knee replacement surgeon of Punjab, Dr. Bhutani says that if the pain in the knee is unbearable, you must consult the orthopedic and book surgery.

Inability to do Routine Chores

When you are unable to do routine chores like climbing out of bed, climbing the stairs, walk for grocery shopping, or even dress up or bathe without wincing in pain, you must seek the suggestion of the orthopedic and consider knee replacement surgery to live a pain-free life.

Dr. Bhutani adds that this is the case when patients are in deep pain and feel their normal life is also messed up.

Evident Deformity in the Knee

Injury or arthritis may sometimes cause a deformity in the knee and make your knee bowed in or bowed in. The orthopedic consider this knee deformed from the body midline with acute pain as the time for surgery. You must make arrangements for the surgery sooner than later to avoid further deformity or pain.

Age and severity of the Pain

Dr. Bhutani says age isn’t the foremost criterion for considering knee replacement surgery. TKR can be performed for patients of all age groups. However, if you are 50 years and above and facing debilitating knee pain, you must understand it is time for replacing the knee.

The severity of the pain is a key indicator for the time to undergo the surgery. If the pain is beyond the control of medicines, and if you experience pain day in and out, and are compelled to walk with a walker or crane, Dr. Bhutani suggests there is no reason to wait or postpone the surgery.

Final Words

Why live with pain when modern-day surgery is the quick fix for a healthy life full of joy! With a small minimally invasive incision, you will add years to your life and lead a pain-free life. Seek help from the orthopedic regarding the right time of the surgery.

Delayed action can worsen the condition of the knee. Do not let the suffering or pain overpower your happiness and seek the opinion of the best orthopedic in Ludhiana, Dr. Tanveer Bhutani, EVA Hospital, and live a pain-free life.

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.

Orthopaedic

What is Oxinium Knee Replacement?

December 12, 2019March 30, 2024
by Eva Hospital

The fast-paced world has extended the total knee replacement to the younger generation as well. With sports injuries and other mishaps, knee surgeries or knee replacements have extended to the old and the young alike.

The choice of the type of knee replacement is contingent on several factors- the age of the patient, the level of motion, the budget of the patient, and the current state of the knee.

Usually, an elderly patient who has less physical activity may not need a high flexion implant relative to the younger athlete who has to be physically gung-ho all the time.

The Evolution of New Technology – Oxinium Knee Replacement

Post the traditional knee surgery there were potential risks of loosening, wear out, an infection that could call for repair surgery.

The impact of high physical activity like running or sprinting could further damage the knee and cause the knee replacement to fail earlier than anticipated.

With the use of cobalt-chromium alloys as the prosthesis for knee replacement, it came to light that the chromium gradually wears out, the surface gets rough and some lumps or debris started forming in the knee leading to quick wear out of the metal. The metal does not stay resilient to the cyclical load and stress of daily routine.

The risks of the knee replacement or the allergy to some patients due to metals like cobalt, chromium led to a phenomenal discovery of a new metal composition for the knee, femoral, or the thigh bone area.

The OXINIUM Oxidized Zirconium is a path-breaking, award-winning, and patented ceramic-metal alloy beneficial for younger patients who have an active lifestyle and a high level of physical activities.

What is OXINIUM Oxidized Zirconium Knee Replacement?

Oxidized Zirconium is a metal alloy comprising 97.5% zirconium and 2.5% niobium. The resulting alloy is the most biocompatible metal known to date. The Oxinium has a ceramic-like surface and structure like metal.

During the process of manufacture of the alloy, the implant’s surface is made into a hard and ceramic metal with the body structure and durability of the metal inside.

With the ceramic surface, the metal implant becomes twice as hard and twice as resistant to wear-out and abrasions compared to cobalt-chromium alloy.

How is Oxinium better than Cobalt-Chrome Knee Replacement?

There are various aspects that need to be considered in order to compare the two alloys of knee replacement:

Strength and Hard Surface

As it is evident by now, the surface hardness of oxidized zirconium is twice that of cobalt-chromium alloy.

Brittleness

Oxinium is less brittle compared to cobalt-chromium alloy and reduces the risk of brittle fractures.

Wear-out Rate

It is proven that prosthesis made from an Oxinium has lesser wear out rate by nearly 50% compared to cobalt-chromium knee replacement. It is abrasion-resistant and resistant to wear-out due to strenuous or continuous physical activity.

Nickel Content

Oxinium scores on this point as well because there is minimal nickel content and this lowers the chances of metal sensitivity or infection in patients.

What are the Advantages of Oxinium Knee Replacement?

The features of oxidized zirconium make it superior for femoral and knee replacement. Dr. Tanveer Bhutani, the best orthopedic surgeon in Punjab, says that the following people have highly benefitted from Oxinium knee replacement:

Young, Energetic Patients

Patients who have their whole life and do not wish to undergo a revision knee surgery any time before 20 years have chosen Oxinium Knee replacement. Oxidized zirconium is harder and scratch-resistant, abrasion-resistant, and has a very low wear-out tendency.

Prosthesis from Oxinium is expected to last almost 35 years, according to Dr. Bhutani. Hence this is more suitable for younger patients who have fitness and sports as a priority.

Patients with an Active Lifestyle

If you have a high activity level, there are chances that abrasion and wear out can lead to breakage and damage to the traditional cobalt-chromium alloy. This could call for a revision knee surgery very soon. Dr. Bhutani emphasizes that Oxinium knee replacement will endure the stress and high movement, abrasion for a longer time than the cobalt-chromium knee replacement.

Patients who are Allergic to Metals

There have been patients who are allergic to nickel content and cannot endure the cobalt-chromium aggregate knee replacement. Without the fear of any allergies, Dr. Bhutani strongly recommends the Oxinium knee replacement as the nickel content in it is barely minimal and it is the most bio-compatible element invented to date.

Conclusion

Total Knee Replacement should be a once-in-a-lifetime process and this is possible if you use the best metal for the knee replacement.

The orthopedics vouch for Oxinium oxidized zirconium alloy as the safest and strongest knee replacement element. For any queries and long-term vision, get in touch with Punjab’s best orthopedic surgeon, Dr. Tanveer Bhutani at EVA Hospital, Ludhiana.

Orthopaedic

How to Treat the Recurrent Shoulder Dislocation

November 12, 2019March 30, 2024
by Eva Hospital

The shoulder is the most mobile joint of the body which is responsible for movement in the arm, swinging the arm, lifting weights, moving the arm to and fro as well as up and down. This greater range of movement may be a cause of instability, especially in the case of a sportsman.

Causes and Effects of Shoulder Instability

Due to shoulder instability, the upper arm bone comes out of the cup-shaped socket that is a part of the shoulder blade and this causes a shoulder dislocation. Following may be the symptoms of shoulder dislocation:

A deformed or misplaced shoulder
Swelling or bruising in the shoulder
Intense recurring pain
Immobile joint

With the movement of the shoulder in just any direction to swing the arm, dislocations are more likely to happen if there is instability in the joint. A strong jerk or a sudden blow may pop the arm ball out of the shoulder socket.

The reasons for shoulder dislocation can be either of the following:

Sports and Work Injuries

In sports like hockey, cricket, soccer, or sports involving falls like gymnastics, skiing, volleyball, etc. Shoulder dislocation can happen frequently. Repetitive strain can cause the shoulder to become unstable. Even some jobs require repetitive work which can traumatize the shoulder.

Sudden Fall

A fall from a certain height, fall from a ladder or stairs, or even tripping from a lopsided carpet or rug may be the cause of severe shoulder pain and shoulder dislocation.

Sudden Jerk

A sudden jerk while exercising or a sudden brake while driving may cause the shoulder to dislocate. Shoulder dislocation or recurrent shoulder dislocation may cause tearing of muscles, ligaments, and tendons that reinforce the shoulder joint. It may lead to shoulder instability which makes shoulder dislocation recurrent.

What are the Treatments for Shoulder Dislocation?

In some cases, non-surgical treatment by just reducing and immobilizing the shoulder may work. This is usually done by your orthopedic surgeon in anesthesia. Post-procedure, applying ice, rest and physical therapy may help.

However, if the tissues that hold the shoulder are ruptured or strained, or if you experience recurrent shoulder dislocations, Dr. Tanveer Bhutani, at Eva Hospital suggests and strongly recommends Shoulder Arthroscopy surgery. If you are a young athlete majorly in sports involving arm movements like throwing or collisions, shoulder arthroscopy is mandatory to resume the game.

What is Shoulder Arthroscopy?

Shoulder arthroscopy is a minimally invasive surgery where the surgeon accesses the shoulder using small incisions and minimal damage to the surrounding tissues.

A slim, pencil-sized instrument called an arthroscope is inserted into the joints through a small incision. With a keyhole light and a keyhole video camera, on the other hand, the details of bones, tendons, ligaments, and labrum are highlighted and magnified.

The torn ligament or labrum is repositioned, the ring of cartilage that surrounds the shoulder socket is repaired and the humerus is stabilized.

It is usually outpatient surgery and you can leave the hospital within a couple of hours post the surgery. This may, however, be contingent on the patient’s health status and age.

Dr. Tanveer Bhutani, the best orthopedic surgeon in North India describes this surgery for shoulder dislocation as very effective and says that with proper follow-up and medications, and physical therapy, the patient will be able to resume sports activities within 8-14 weeks.

Last words

Why suffer from pain and discomfort of recurrent shoulder dislocations when shoulder arthroscopy can heal the dislocated shoulder! The surgeon’s level of experience and knowledge is vital for a genuine diagnosis.

For any kind of pain in the shoulder and neck or any visible signs of lumps in the back, contact Dr. Tanveer Bhutani. He is a specialist in shoulder arthroscopy in Punjab. Resume your sports and games and live your life pain-free!

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