Author Archives: jointsurgery

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Success is difficult to assess. The most important factor relates to your expectation of success. Total joint replacement is one of the most successful operations when performed in the right patient. While total joints have seen great advancement they are still not better, than your native joint prior to arthritis. 98% of patients will answer yes to the following three questions 1 year after surgery:

• Are you glad you had the surgery?
• Did it fulfil your expectations?
• Would you do it again?

There will be individual variations in recovery time. Most will be able to walk without an assist device (crutches, cane, walker) in a few weeks and return to normal function by 3 months. Wearing in and improvement may occur over the first year.

While some centers are attempting to make joint replacement an outpatient procedure (I do offer outpatient arthroplasty procedure in appropriate candidates), I feel most patients will require 1-2 days of hospitalization. Pre-existing medical conditions (heart problems, diabetes, hypertension, kidney problems, pulmonary problems) may lengthen your hospital stay. Patients will be discharged home when their pain is well controlled on oral medications and they have been cleared by physical therapy.

Most will be discharged home and participate in an outpatient physical therapy program. Most insurance programs do not recognize total joint replacement as criteria for admission to a rehabilitation facility unless extenuating medical conditions exist. If social or health issues prevent discharge home, you may be transferred to a skilled nursing facility with therapy. Please note that if you are considering a rehabilitation unit after surgery, it would be advisable to visit prior to surgery.

For surgery on the right leg it is recommended that you not drive for 4 weeks. You may drive thereafter if you feel comfortable applying enough force to brake suddenly and you are no longer taking narcotics for pain control. For left leg surgery, you may drive as soon as you feel comfortable and are no longer taking narcotics.

As soon as you feel comfortable. It is recommended that you stretch and walk each hour during long trips to prevent blood clots in your legs (deep venous thrombosis).

For a sedentary job (ex. Deskwork) you may return in 2-4 weeks. For more labor intensive work you should plan on at least 3 months. Average time to return to work across all jobs is just under 9 weeks.

You may return to all low-impact activities when you feel comfortable (walking, golf, swimming, bicycling, skiing). You should avoid high impact activities such as running and jumping.

The literature reports a 0.5-1% chance of requiring additional surgery each year. So at 10 years, 90-95% are functioning normally and at 20 years 80-85% remain normal. After 20 years the success declines more rapidly. There is promising data that the newer components may exceed these expectations.

Knee replacements rarely notice any real or functional differences. For hip replacements a leg length discrepancy may occur requiring the use of a shoe lift. The chance of this occurring is increased by a prior leg length difference, severe hip arthritis, and/or severe back issues. For hip replacements, achieving stability of the hip joint super-cedes exact equalization of leg lengths.

I feel it is very beneficial to see or at a minimum notify your primary physician to ensure that your health status is optimized prior to surgery. If you do not have a primary physician then we will assist you in obtaining one for evaluation.

Ordinarily no. If however you suspect you have a dental infection, have poor dental hygiene, or have not had a dental check up in 12 months then it would be advisable to proceed with a formal dental examination.

Complication rates vary. The most important risk of complications is related to the health status of the patient. Patients with health issues are at greater risk of complications. Some of the most important include, but are not limited to; diabetes, heart disease, pulmonary disease, kidney disease, rheumatoid arthritis, vascular disease and obesity. Diabetics should have optimum blood glucose control and those whose HbA1c are elevated will likely be postponed. A patient who is found to have active infections or illnesses should delay surgery until the issue is resolved. The risk of infection at our facility is below the national average. A national average being between 1-2%.

Ultimately that decision is made between you and the anesthesiologist. I however, strongly recommend you consider a spinal anesthetic. Spinal anesthesia is associated with less blood loss, lower risk of blood clots, lower risk of stroke, less post-operative nausea, less pain, and faster recovery (many of these claims are debated).

Most patients receive a Foley catheter that remains in place until the day after surgery. There are some rare exceptions.

Having IV access for the first day is important for the rapid administration of medications. The patient will receive IV antibiotics 1 hour prior to surgery and usually no longer than 24 hours after surgery.

National statistics are 12% need for transfusion for knee replacements and 19% for hip replacements. Our facility employs tactics to decrease the need for blood transfusion. Our transfusion rate is well below 5%. We can usually identify who might require a transfusion before surgery (persons who are anemic prior to surgery or who have more complicated medical or surgical issues).

I prefer starting out with narcotics and then decreasing their use based on patient comfort. I have had patients not use narcotics, but it is very important that the patients pain be well controlled so that they may participate and progress with therapy. Playing “catch up” on pain control is not ideal. Some patients do react poorly to narcotics and final pain medication treatment will be tailored post-operatively. Patients who have been on narcotics leading up to surgery may experience increased difficulties with pain control.

Once a waterproof dressing is applied you may shower. Typically the day after surgery. You should keep a dressing on the incision for at least 1 week.

Typically 3-4 weeks after surgery. I favor closer to 4 weeks just to be on the safe side.

Often I use an absorbable suture placed below the skin and Dermabond (super glue for the skin) on top and therefore there are no sutures/staples to remove. If, however, your skin condition required sutures/staples they are typically removed by 10-14 days.

It is common to require pain medication for up to 2-3 months. Initially you will be taking a narcotic. You may choose to switch to an over-the-counter medication such as ibuprofen or acetaminophen as soon as you are comfortable. Most discontinue narcotic by 4-6 weeks. Requiring narcotics beyond 3 months is unusual.

For knee surgery the duration is 10-14 days. For hip surgery the duration is 21-35 days. I typically use Xarelto which is an oral pill. It is easy to monitor and administer and has a very high safety margin. The medication is expensive, but it is necessary. An alternative is an injectable anti-coagulant but it too is expensive.

Coumadin (Warfarin) is a much cheaper option but is difficult to manage and requires regular blood draws to monitor its effectiveness. I typically reserve its use for persons who are on it for another reason. Recently the AAOS has demonstrated that Aspirin therapy may be safe in select individuals, but I feel our elevation precludes its routine use. I do recommend patients consider Aspirin 325mg daily after completing the Xarelto or other chosen agent for 60 days unless you have a contraindication to its use. Your specific anti-coagulant and duration of use will be based on your risk of developing clots against your risk of having a bleeding event.

If you are taking coumadin you should avoid alcohol. Only very modest consumption should occur if you are taking narcotics (I do allow for a glass of alcohol when in the hospital). Beyond this, you may consume in moderation at your own discretion.

I no longer recommend iron post-operatively as its benefit has been called into question and it can contribute to constipation, which is common after surgery and while taking narcotics.

Initially, ice is most effective at reducing swelling. After 2 weeks you may use whichever makes you most comfortable.

I prefer the use of the compressive stockings (TED hose) until the first postoperative visit (2 weeks). After discontinuing, if your ankles swell, then you should use them until this normalizes. For long trips they are recommended for 3 months following surgery.

I recommend going upstairs leading with your non-operative leg and going down stairs lead with your operative leg. “Good leg up, bad leg down.” This will be taught to you by our therapy team.

As a matter of habit I use formal therapy, but in select situations you may not need therapy. Initially they may need to come to you until you are able to present to an outpatient program. Therapy can be essential to short and long term improvement. Typical duration 6-8 weeks.

For knee replacement and anterior hip replacement as soon as you are comfortable. For posterior hip replacement you should wait for at least 6 weeks and focus on your hip precautions.

It is not uncommon. Factors such as pain, narcotic usage, increased dependency on others, and limitations in mobility can contribute to mild depression. These feelings usually subside as you recover. If these feelings are pervasive or persistent please bring them up to me or your primary physician.

This is a very common complaint. Over-the-counter Benadryl or Melatonin may be effective. If not you may require a prescription medication.

It is very common. A stool softener (Colace over-the-counter) is recommended. Drink plenty of water. Our hospital provides a post-operative plan to assist with constipation. It is very important that if you have painful constipation that you cease all narcotic consumption and notify us or present to an emergency department. If a long acting narcotic is prescribed it is the first agent that should be stopped until constipation is improved.

Wallet cards indicating surgical implants are no longer recognized. You will have to inform the security officer of your surgery and may be asked to demonstrate the incision so wear appropriate apparel. Over 1 million total joint replacements are performed each year, so you are not alone.

Avoid any invasive procedures for 6 weeks after surgery. For simple dental cleaning, antibiotics are not required. For invasive procedures it has been recommended to take antibiotics prior to the procedure for 2 years after surgery. The most recent update states antibiotics are not required unless the patients immune status is compromised. I recommend antibiotics for dentistry of any form for the first two years and then at patient discretion. If your dentist has a recommendation, then you should take that into consideration as well.

Simple “nicks” do not require antibiotics, but if you have an injury that is obviously infected or requires medical assistance then you should seek medical attention and notify the provider that you have a joint replacement. Viral conditions do not require antibiotic coverage. If you have a bacterial infection you should consult your primary physician.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

A wrist fusion can be a very effective operation for controlling pain in an arthritic wrist. Arthritis can arise as a consequence of a number of conditions, including trauma, generalised wear and tear arthritis, inflammatory arthritis, such as those caused by rheumatoid arthritis or psoriasis.

Arthritis is a term that is defined as inflammation of a joint and used to describe over 100 different conditions that can affect the human body. Arthritis affects millions of Americans each year with symptoms including pain, stiffness, swelling, and loss of motion in affected joints.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Arthritis can occur in a wrist as a consequence of a fracture that may have gone into the joint and healed with a step, causing localised wear and tear. Arthritis can occur as a generalised wear and tear process, with increasing age. Arthritis can occur as a consequence of inflammatory joint disease such as rheumatoid arthritis or psoriatic arthritis.

Patients often complain of pain and a decreased range of movement in the wrist. Painful actions include lifting and bending the wrist. These can be quite painful. Restricted range of movements can affect patients, with inability to perform common day-to-day tasks.

Generally speaking the arthritic wrist is swollen and has a restricted range of movement.

There are two main types of fixation for wrist fusions. The first is a contoured plate that is held across the back of the wrist joint, with screws into the bone to secure fixation. The surgeon will carefully remove the remaining articular cartilage from the wrist joint to allow the bone to completely solidify underneath the plate. The second type of fixation is a pin that is passed across the wrist joint (usually down through the middle knuckle joint). This second type of fixation is often performed for patients with rheumatoid arthritis.

If a plate fixation is used and the fixation is solid often no post-operative immobilisation is required, and patients are advised to move their fingers as soon as possible. Swelling is common after such a surgery and it is highly advisable to elevate the hand for the first few weeks after surgery. If a pin fixation has been used, then often this is supplemented with plaster of Paris for four to six weeks until the underlying bones have solidly united.

These, generally speaking, can be well tolerated with a plate fixation within the first two to three weeks. Heavy loading activities should be avoided until the bone has completely solidified.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

The surgery to treat an Achilles tendon rupture involves an incision along the back of the ankle. Usually the incision is made just to the side of midline so shoes will not rub on the site of the scar. The torn ends of the Achilles tendon are identified and strong sutures are placed at both ends of the tendon. These strong sutures are then tied together to repair the tendon.

Achilles tendon rupture is most often treated surgically to reattach the tendon to its normal position. Non-operative management can be undertaken, generally people who live sedentary lifestyles or who may have problems with wound healing. Non surgical treatment of an Achilles tendon rupture is accomplished by casting the Achilles tendon for several months. In these patients, the number of re ruptures is higher compared to those patients who have surgical repair. In patients who have surgery for an Achilles tendon rupture, less than 3% experience a rerupture of the tendon.

Patients will be provided a discharge instructions sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program.

Rehabilitation following Achilles tendon repair is a controversial topic. Traditionally, patients were casted after surgery for a period of 4 to 8 weeks and after that time, patients were allowed to gently move the ankle. More recently, studies have shown that patients do well and heal faster with more rapid mobilization. If a solid repair is attainable, patients may not be casted at all, and allowed to begin motion immediately after surgery. These patients will use a removable boot when walking for several weeks.

The most common and worrisome complications following an Achilles tendon repair are problems with wound healing. The skin over the Achilles tendon, sometimes does not heal well. Therefore, careful wound management is of utmost important following surgical repair of an Achilles tendon rupture. Other potential problems include infection, ankle stiffness, and rerupture of the tendon.

Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight, you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persists, contact your surgeon if you have any concerns.

Exercises are very important, as most of the ankle’s strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to the directions.

Weight bearing is not usually possible after tendon achilles surgery. Crutches or some form of weight support may be recommended by your surgeon depending on the operation. Once the pain eases it is important to gradually increase weight bearing on the leg.

Any sport that involves significant weight-bearing stresses or twisting movements must be avoided until approved by your surgeon. Although cartilage and ligament repair often results in a near normal ankle, the ankle does have an increased likelihood of developing arthritis in the long term, so extreme weight-bearing activities need to be modified. Exercises that have less impact on ankles include swimming, cycling and walking.

Maintaining a normal body weight, low impact exercises and a healthy diet.

It is important that you follow your surgeon’s instructions with regards to exercising the ankle to avoid complications of stiffness in the ankle. Exercises are very important, as most of the ankle’s strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to the directions.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Synovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy .

As soon as possible after surgery, a physical therapist will teach you how and when to move the joint. Recovery depends on the surgical technique used and the location of the incisions. Following knee synovectomy, your knee will be immobilized in a removable cast. And physical therapy is started after 1 to 2 days.

Synovectomy may be used to treat joints affected by rheumatoid arthritis that have minimal bone or cartilage destruction when medicine has not relieved pain. Synovectomy may be considered if significant pain persists after 6 to 12 months of drug treatment, including the use of disease-modifying antirheumatic drugs (DMARDs).

Synovectomy does not cure the disease. But it may relieve symptoms temporarily.

Risks of synovectomy include the risks of surgery and using anesthesia and a slight risk of infection and bleeding within the joint. There may also be a loss in the range of motion of the joint, or the inflammation in the joint may return.

Synovectomy is a useful treatment option for early rheumatoid arthritis that has not improved with medicine, including DMARDs or corticosteroid injections. It may provide only temporary relief.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Symptoms include:

• difficulty moving wrist
• pain in area of inflammation
• swelling of surrounding soft tissue

Wrist tendonitis is most often diagnosed by looking for the characteristic symptoms. Symptoms are universal, but a more specific analysis is required to determine the precise location of the inflammation. A trained physician can perform stretch tests to determine exactly which tendon is the source of discomfort. One form of wrist tendonitis, called ‘DeQuervain’s tenosynovitis’, is the inflammation of the tendon at the base of the thumb. This form of tendonitis most commonly afflicts new mothers and is diagnosed using a specific test called ‘Finkelstein’s’ test’. This is just one example of the many forms of wrist tendonitis.

Depending on the specific source of pain, there are a number of different treatment options available.

• Immobilization: Splinting the wrist is the first step towards treating wrist tendonitis. By restricting the tendon and allowing it to rest, inflammation and pain should decrease.
• Anti-inflammatory Medications: Anti-inflammatory medications are effective at decreasing inflammation and swelling in the soft tissue, which is the primary cause of the pain. This treatment, however effective, is not a permanent solution to an ongoing problem.
• Cortisone Injection: Cortisone is a powerful anti-inflammatory that is administered through injection directly at the source of pain. Again, this treatment may be only temporary and can weaken the tendons over time.
• Surgery: If the previously listed methods of treatment were deemed ineffective and the problem is recurring a doctor might recommend a surgical procedure. Through surgery, areas of the tendon and inflammatory tissue can be removed, allowing the tendon to move freely.

If you are experiencing wrist pain it is highly recommended that you visit an orthopedic surgeon immediately. They can correctly diagnose your condition and recommend the correct treatment plan for your specific issue. For the most respected orthopedic surgeons in India contact us to get your individualized treatment plan.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

We accept different methods of payment like, cash, plastic cash, via net banking, etc.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

The pre-operative nurse will call you from the hospital 1 to 3 days before your surgery to discuss several details; including the exact time of surgery, when to last eat and drink prior to surgery, and when to last take certain medications. These are very important questions to have answered prior to your surgery. Therefore, we ask that you be certain that the hospital has your updated phone number.

While this can vary, typically you are in the operating room for 15 to 45 minutes. Then you are taken to the recovery area for 1 to 2 hours before being discharged home. You will be given specific post-operative instructions at that time.

Your surgeon will speak with your loved ones immediately following your surgery. It is very important that your loved ones are with you at the hospital and stay in the waiting room during your surgery. If someone is not in the waiting room at the end of surgery, your surgeon will not be able to meet with them that day. We will be able to discuss your surgery at our office during your first post-operative appointment (typically 6 to 8 days later).

You will likely be given narcotic pain medications for pain control. Patients generally only find these necessary for the first few days after surgery.

This varies based on the procedure you are having. If you are having meniscectomy (removal of torn cartilage), you may begin putting weight on your leg when you get home the day of surgery. Crutches are generally used for 1 to 3 days (based on comfort). If you are having an ACL reconstruction or knee cap realignment, you will be required to use crutches at least 1 week and wear a special knee brace for 5 to 6 weeks.

Your first post-operative appointment at our office is scheduled for 6 to 10 days after surgery for suture removal and a thorough discussion of your surgery.

This is a difficult question, as every patient is different. You will typically be given a narcotic pain medication to take after surgery. Most patients require this for only the first few days after surgery.

This is a personal decision that you must make. The timing depends upon when you feel you are ready to safely drive. Do not drive if you are taking any narcotic medication. Also, driving a vehicle with manual transmission soon after surgery is not possible due to the motions and strength required. We recommend taking your vehicle for a test drive in an empty parking lot before driving on the road.

This varies on an individual basis and with your occupation. It is best to discuss this with your surgeon or a PA prior to surgery.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

We accept different methods of payment like, cash, plastic cash, via net banking, etc.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Total elbow replacement involves removing the diseased bone and cartilage and resurfacing it with orthopedic implants. The implants are designed to create a new, smoothly functioning joint that prevents painful bone-on-bone contact.

A total joint implant’s longevity will vary from patient to patient. All implants have a limited life expectancy depending on an individual’s age, weight, activity level, and medical condition. It is important to remember that an implant is a medical device that is subject to wear, which may lead to mechanical failure. Following all of your surgeon’s recommendations after surgery may enhance longevity, there is no guarantee that your particular implant will last for any specific length of time.

Since implants are mechanical devices, they are subject to conditions that can lead to mechanical failure. The most common reason for implant failure in elbow replacements is implant loosening or implant wear that leads to loosening. Implant wear particles can react with the bone, causing thinning of the bone that can lead to implant loosening. In most cases, failed implants can be revised successfully to provide good results.

Exercise or physical therapy can strengthen the muscles around the affected joint(s), possibly providing relief from pain while improving mobility and function. Medical management, including nonsteroidal anti-inflammatory medications or steroid injections may assist in reducing painful joint inflammation and restoring function.

Your surgeon will evaluate your health history, perform a physical examination, and take x-rays to decide if you are a candidate for this surgery. You must then decide if your discomfort, pain or stiffness, and overall loss of quality of life justify undergoing surgery. Generally, there is no harm in waiting to have surgery if conservative, non-surgical treatments are effective.

Age is not a problem if you are in reasonably good health and have the desire to continue living a productive, active life. You may ask to see your personal physician for an opinion about your general health and readiness for surgery.

Operation- approximately 1 to 2 hours. Hospitalization- usually 1 to 3 days. Rehabilitation-usually 3 to 4 months of regular exercise at home. This will vary with each patient and with each surgeon.

After surgery, patients usually gain additional range of motion previously lost to the diseased joint. It is important to remember that the soft tissues play an important role in elbow movement. Damaged or unrepairable soft tissues in the elbow will have an effect on unrestricted movement of the elbow after surgery. Proper preoperative and postoperative physical therapy will also affect the desired surgical outcome. It is important to talk with your physician prior to surgery so he or she can evaluate your condition and give you a better understanding of what you can expect after the surgical experience.

The incision is approximately 5 to 7 inches long, across the back or side of the elbow to gain access to the joint.

Yes, you may have some numbness on the outside of the scar. The area around the scar may feel warm. You may also notice some clicking when you move your elbow as a result of the artificial surfaces coming together.

While uncommon, complications can occur during and after surgery. Some complications include infection, blood clots, implant breakage, malalignment, and premature wear. Although implant surgery is extremely successful in most cases, some patients still experience stiffness and pain. No implant will last forever and factors such as the patient’s post-surgical activities and weight can affect longevity. Be sure to discuss these and other risks with your surgeon. There are many things that your surgeon may do to minimize the potential for complications. Your surgeon may have you see a medical physician before surgery to obtain tests. You may also need to have your dental work up to date and may be shown how to prepare your home to avoid falls.

Proper preparation and a great attitude are the best ways to accomplish a rapid recovery from joint replacement. With the help of a physical therapist, get yourself as physically fit as you can before surgery. Proper nutrition and optimal medical condition can help avoid complications. See your physician prior to surgery to ensure your blood pressure, heart, and lungs are in good shape. Be prepared to continue with your exercise program after surgery.

Exercise is necessary for proper healing. The arm is typically immobilized for comfort in a long-arm dressing and a protective splint for the first 3 to 5 days. Range of motion exercises may be started after the dressing and splint are removed, allowing for some return to light activities of daily living. At 10 to 14 days, the sutures are removed. Strengthening usually begins 6 weeks after surgery. A regular exercise program at home to promote strengthening and mobility will continue up to 12 months following surgery. It is important to follow your surgeon’s prescribed recovery outline. Do not attempt exercises that are not prescribed by your surgeon, and do not attempt to alter your exercise schedule without contacting your surgeon.

Although elbow replacement is designed to restore motion and decrease pain, it does not return your elbow to “normal.” Like any mechanical device, it can wear out with use. Activities like heavy lifting or manual labor can cause early wear and failure of the elbow implant. Many activities should not begin until the soft tissues around the elbow heal, which can take 3 to 6 weeks. All postoperative activities should be cleared with your surgeon.

Patients with total elbow replacement typically require several weeks before returning to any type of lifting or repetitive movement activities. Driving can normally be resumed in 4 to 6 weeks after surgery, but only if your doctor indicates and you are not taking any pain medication. Talk to your doctor before participating in an activity that may place excess stress or movement on your elbow. Consult with your surgeon or therapist for advice on acceptable activities.

The surgeon will set a follow-up schedule for the first year after surgery to evaluate your progress. Usually these follow-ups occur three, six and nine months after the surgery. Annual visits may be required thereafter. Complications can occur with implants, so seeing the surgeon when you notice a change in symptoms can assist in evaluating any changes that may occur with your new joint.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

When pain in the knee or hip severely limits the ability to walk, work or perform even simple activities, a joint replacement may be an excellent option. In some cases, when an individual has the problem in both knees (or both hips), fixing one can reduce the stress on the opposite joint, thus putting off having the second surgery for several years. The orthopedic specialists at Joint Replacement Surgery Hospital India are available for individual consultations to discuss which option is best for specific situations.

In the early stages of arthritis, successful alternative treatments may include medication, exercise and arthroscopic surgery. However, since anti-inflammatory medications and cortisone injections do not change the progression of the disease, these conservative options eventually, become ineffective. Joint replacement is a long-term answer for pain relief and returning to an active lifestyle.

Yes, total joint replacement surgery is a major operation and, therefore, entails some risks. The risks include, but are not limited to infection, which can ultimately result in the removal of the prosthesis, bleeding, nerve damage, and blood clots in the leg. Thanks to our years of experience and expertise in the field, the Joint Replacement Surgery Hospital India has reduced these risks, achieving a high success rate for joint replacement surgeries. We take such precautions as prescribing antibiotics and surgical stockings to help prevent infection and blood clots – the most common complications of joint replacement surgery.

Most patients require a blood transfusion of between one and two units (pints) after surgery. Physicians generally encourage patients to donate their own blood (called an autologous blood donation) in advance. If a patient is unable to give blood, a family member or friend with the same blood type may donate some instead (called a directed donation). These types of blood donations ensure that right blood type is available. There are also new medications that can boost blood cell count, eliminating the need to donate blood.

Hospital stays generally range from two to five days for total knee replacement and two to six days for total hip replacement. The new minimally invasive procedures being performed by our surgeons typically get our patients out of the hospital sooner, with less pain and a faster overall recovery. On occasion, patients may be admitted to a rehabilitation or skilled nursing facility after being discharged from the hospital. However, our goal is to eliminate the need for such interim care. Through the preoperative education , combined with physical therapy and home health services, most of our patients return to everyday activities within a one or two.

Recovery varies with each person. Generally, patients begin physical therapy the day after surgery. Once home, some patients use a walker for four weeks to protect the new joint while it heals. It usually takes two to four weeks to get back behind the wheel. Most people gradually increase their activities during the next six to eight weeks; some play golf, doubles tennis or go bowling in 12 weeks. Sports that cause impact to the new joint, such as singles tennis or jogging, are not recommended, however.

Both knee and hip joint replacements are recognized as miracles of modern surgery. Most orthopedic specialists consider it the best way to treat the pain and restore the loss of mobility from severe arthritis. It has allowed hundreds of thousands of people with arthritis to get back on their feet and resume an active lifestyle.

Today, most artificial joints last 15 to 20 years under normal wear, but they can wear out sooner if subjected to vigorous activity. When a joint wears out, loosens or develops a problem, it can be resurfaced or replaced in a joint revision.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Psoriatic arthritis [pronounced sore-ee-AA-tic] causes pain, stiffness and swelling in and around the joints and places where tendons and ligaments connect to bone. Without treatment, psoriatic arthritis can potentially be disabling.

Both genetic and environmental factors seem to be associated with the development of psoriatic arthritis. The immune system plays an important role. Psoriatic arthritis is linked to psoriasis on the skin; in 85 percent of individuals, skin disease preceded joint disease.

• Tender swollen joints
• Swollen and tender entheses (where a muscle or ligament attaches to a bone)
• Back pain
• Nail changes—for example, a nail that separates from the nail bed and/or becomes pitted and mimics fungal infections
• Morning stiffness and tiredness
• Generalized fatigue
• A reduced range of motion
• Redness and pain of the tissues surrounding the eyes, such as conjunctivitis

There is no specific test for psoriatic arthritis. The diagnosis is based mostly on symptoms, examination, X-rays and the elimination of other types of arthritis. If you have psoriasis and experience persistent joint pain, you may have psoriatic arthritis and you should see a rheumatologist. These doctors specialize in arthritis and can provide further evaluation and/or a diagnosis.

There are considered to be five different forms of psoriatic arthritis:

• Symmetric: Affects multiple symmetric pairs of joints (occurs in the same joints on both sides of the body).
• Oligoarticular: Affects few joints in an asymmetric pattern and is usually milder.
• Distal interphalangeal (DIP): Affects primarily the distal joints of the fingers and toes (the joints closest to the nail).
• Spondylitis: Predominantly affects the spinal column from the neck to the lower back.
• Arthritis mutilans: Affects the small joints of the hands and feet, although it can appear in other joints. This rare form of arthritis is severe and destructive.

Drugs for the treatment of psoriatic arthritis are divided into three main categories:

Nonsteroidal anti-inflammatory drugs (NSAIDs) include over-the-counter medications such as aspirin and ibuprofen as well as prescription products.

Disease-modifying antirheumatic drugs (DMARDs) may relieve more severe symptoms and attempt to slow or stop joint/tissue damage and the progression of psoriatic arthritis.

Biologics such as Enbrel, Humira, and Remicade are also considered DMARDs. They are highly selective agents that target specific parts of the immune system that cause psoriasis and psoriatic arthritis.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

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