#Best Orthopaedic Surgeon in RR Nagar Bangalore

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Could my knee pain from arthritis | Best Joint Replacement Surgeon in RR Nagar, Bangalore | Dr. Basavaraj CM In this video, Dr. Basavaraj CM | Best Orthopedic Surgeon in RR Nagar answer one of the important questions regarding knee pain?

Watch this video for more details

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Joint Replacement Surgery-Facts You Need to Know by Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM

Osteoarthritis is commonly known as wear & tear of joints, the cause of which is not known. Various factors which have been implicated are genetics, obesity, and previous fractures around joints. Osteoarthritis predominantly affects knee joints in Indian subcontinent people whereas Caucasians and it affects both the hip and knees.

Joint replacement surgery is becoming popular in India says Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM

It is a successful surgery with more than 95% success rate in regards to treating symptoms of particular pain and increasing mobility.

In many ways, it could be compared to changing your car tyre. Whilst you change your car tyre you aim to go for the best quality tyre so that it would last longer and you would have safe and comfortable drive.

After having chosen the tyre you would make sure that the wheels are aligned properly, for obvious reasons that the tyre would not last long if the alignment is poor.

Similarly, when you go in for joint replacement surgery most of the times the surgeon would choose the best artificial joint for you (Data regarding the performance of various artificial joints are available in various joint registries, such as Swedish, UK or Australian joint registry).

And most importantly your surgeon would make sure that all the deformity in your joint is corrected and weight bearing axis is aligned properly so that the results of the surgery is good and the joint would last longer.

Most of the patients following joint replacement surgeries would be happy, even if the joints are put in suboptimal position, since the pain due to the worn joint has disappeared. But that sub optimally positioned artificial joint would not last long.

Some centers use computerised navigation as a tool to check if alignment is perfect. There are evidences to show that by using computerised navigation as a tool in knee replacement surgery, the chances of getting the mechanical axis spot on is almost 95% when compared to conventional methods, which is around 85%.

The other advantages of using computerised navigation, particularly for knee replacement is that there is reduced blood loss, since we do not violate the canal inside the bone, which contains blood vessels. Also there is less chance of damage to the lungs due to fat embolism, since we do not violate the canal, which contains fat. And in certain cases where the canal of the thigh bone is obliterated due to previous fractures, it would be impossible to do proper knee replacement surgery using conventional jigs. Here there is no substitute to do proper knee replacement surgery apart from using computerised navigation.

People have a wrong belief that artificial joints last lifetime.The fact is that their average life span is around 15-20 years says Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM.

Most of these surgeries are performed on patients over 60 years. Occasionally we may have to perform these surgeries on younger patients; in such cases surgeons would use special bearing surfaces that would last longer.

Once the artificial joint wears out, patient would require revision joint replacement, which is relatively a major undertaking. Hence it is important to get the alignment proper the very first time so that the artificial joint lasts longer.

The other important fact is to choose the right hospital; the surgery ideally should be done in laminar flow theatre where the air inside the operation theatre is filtered for microorganisms. Evidence shows that the likelihood of infection, when surgery is performed in laminar flow theatre is 1% while the incidence without it is 10%. Infection is a dreaded complication, which particularly an orthopaedic surgeon is worried about, since it is difficult to eradicate it from bone and joint tissues, once established.

To summarize,

1.Best is to get maximum mileage out of your own natural joints, since the artificial joints have limited life span. For this particular reason, most of the joint replacements are performed on patients over 60 years,

2.The symptoms of Osteoarthritis are not always constant. There are various non-surgical options such as physiotherapy, injections into joint, which can keep the symptoms under control, so that one can postpone the joint replacement.

3.Choosing the best artificial joint which has stood the test of time( information regarding track records of various artificial joints are available in various “Joint registries”.

4.Placement of the artificial joint in optimal position, so that it would last longer.

5.Making sure that the operating theatre has a laminar flow, to reduce the chances of infection.

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Treatment options for arthritis | Best Joint Replacement Surgeon in RR Nagar Bangalore | Dr. Basavaraj CM

Dr. Basavaraj CM | Best Orthopaedic Surgeon in RR Nagar | In this video, we'll discuss the different types of arthritis treatments available, including medication, physical therapy, weight management, and lifestyle changes. By the end of this video, you'll have a better understanding of the different treatment options available and how to manage your arthritis symptoms effectively.

Best Orthopaedic Surgeon in RR Nagar, Best joint replacement surgeon in RR Nagar, Best Orthopaedic Surgeon in RR Nagar Bangalore, Best Hip Replacement Surgeon in RR Nagar, Bangalore, Best Doctors for Hip Replacement Surgery

#osteoarthritis #osteoarthritisawareness #kneeosteoarthritis #osteoarthritistreatment #osteoarthritisknee #osteoarthritispain

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When should I consult a doctor about knee pain from arthritis? | Best Joint Replacement Surgeon in RR Nagar Bangalore | Dr. Basavaraj CM

Dr. Basavaraj CM | Best Orthopaedic Surgeon in RR Nagar | If you're experiencing knee pain from arthritis and wondering whether you should see a doctor, this video is for you. We'll help you understand when it's time to seek medical attention and what to expect during your visit.

Best Orthopedic Surgeon in RR Nagar, Best joint replacement surgeon in RR Nagar, Best Orthopedic Surgeon in RR Nagar Bangalore, Best Hip Replacement Surgeon in RR Nagar, Bangalore, Best Doctors for Hip Replacement Surgery

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Dr. Talk On Understanding Osteoarthritis | Best Orthopaedic Surgeon in RR Nagar, Bangalore | Dr.Basavaraj CM

Best Orthopedic Surgeon in RR Nagar, Bangalore | Dr. Basavaraj CM says Osteoarthritis is a common joint disorder that affects millions of people worldwide, particularly in older age. In this video, we will delve into the causes and risk factors associated with osteoarthritis, as well as its symptoms and how it is diagnosed. We will also discuss various treatment options available to manage this condition. Watch Now to know more about Osteoarthritis.

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Meniscal Tears | Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr. Basavaraj

Best Orthopedic Surgeon in RR Nagar |Dr. Basavaraj CM says Meniscal tears are a common knee injury that can cause significant pain and impact your daily activities. The meniscus is a crescent-shaped piece of cartilage in your knee that acts as a shock absorber and helps to distribute weight evenly across the joint. When this important structure is damaged, it can cause pain, swelling, and difficulty moving the knee.

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What Are The Risks Of Total Hip Replacement?By Best Orthopaedic Surgeon in RR Nagar Bangalore Dr Basavaraj CM

Total hip replacement is considered to be the most successful operation of the 20th century. It carries a success rate  of 96-98 %. However there are some risks(although rare), which are infection(1%), deep vein thrombosis (normally blood does not clot with in our body, but following surgeries blood can clot within the blood vessels of the legs causing swelling of the legs. These clots could dislodge and the blood flow could carry them into the lungs(this is called pulmonary embolism). The other risks dislocation, leg length discrepancy, and anaesthetic complications.

Our Best Orthopaedic Surgeon in RR Nagar Bangalore Dr.Basavaraj CM says that ,The major complications of a hip replacement are:

Dislocation: This is rare as the hip is a very stable joint; the incidence is <2% 

2. Infections: This can be further classified as acute<2 weeks; intermediate upto 15 months and delayed anytime later.

Acute infections occur in the immediate post op period and may be because of contamination; seeding of bugs from another source. This may be managed with IV medications and local care like a lavage without removing the prosthesis.

Intermediate infections again are usually from seeding from other sites like teeth,lungs, kidneys etc. The management may be similar to the acute stage but not always can you save the prosthesis. This may require a staged revision if eradication of infection is the goal says by our Best Orthopaedic Surgeon in RR Nagar Bangalore Dr.Basavaraj CM.

Late infections like the term means infection at a late stage. This is usually secondary to other factors like infections of the urinary tract; pneumonia, and other systemic infection, which cause a septicemia and seeding of the organisms into the joint. These are generally handled with staged revisions namely removal and clean out of the joint; placement of an antibiotic spacer to maintain soft tissue tension/ architecture followed by a secondary joint placement. The success rate of these in the best of hands is about 75-80%

3. Deep vein thrombosis/phlebitis: This is blood clots forming in the leg veins. These can propagate and when they break off and end up in the lungs they can cause severe respiratory distress and even death. This is the reason for the calf compression device and or blood thinners used.

4.  
Respiratory problems like atelectasis/ pneumonia can happen. This is hopefully prevented with the chest compression exercises and deep breathing; you are encouraged to do coughing along with incentive spirometer 

5.
 Prosthetic failure; Lysis Periprosthetic fractures:
These though rare are seen with the longer duration the prosthesis is in place and can be due to wear; delamination of the polyethylene, cement failure with lysis. 
These are now to a certain extent managed with the advent of better bearings like ceramic and highly crosslinked polyethylene. Revisions in these cases can be difficult and would require specialized equipment as well as surgeons trained for this. 

6. 
Loosening: There are 2 types of this problem, one caused by infection, when the organism creates /causes localized bone destruction and failure and the second due to aseptic causes which cannot be always identified. Mal alignment of the components especially of the stem can cause an abnormal dynamics which can increase wear and secondary failure. 

7. 
Stem fracture: A very rare complication caused by improper cementing leading to distal fixation and cantilever bending. 

8. Cup disassociation: very rare but can happen and is due to failure of the cup locking mechanism 

9. Leg length discrepancy 

What would be the type of anaesthesia used? 

Most of the times a Spinal anaesthesia would be given but sometimes a general anaesthetic would also be used. The anaesthesiologist would evaluate  and administer  the most appropriate anaesthetic. The blood loss from this operation is about 300ml and usually does not require a transfusion. 

When would I walk? what would happen during postoperative days in the hospital?

I or a colleague will see you later on the day after the hip replacement and get you up standing and may get you to take a few steps. 

Physical therapy starts the same day or next and he works with you  to start walking with a walker, manipulating stairs and also will go through the programme  for you to use post discharge. Ambulation will be with a walker and we suggest this for the first 3-4 weeks.We will make arrangements for a bed side commode for use in the hospital and suggest you modify your toilet at home so as to raise the seat. We do not want you to bend your hip more than 90 degrees.  It is advisable to always have a pillow between your legs so that you don’t cross your legs. Try and keep the foot and knee looking straight up  when lying in bed.

The dressings are changed prior to discharge and we do not want you to fool with it, till we see you in the clinic.You should avoid getting your wound wet till we see you in the clinic and so you will skip showers/bath and just sponge/towel baths.

Deep breathing, coughing will also be encouraged as well as the use of the spirometer. This is done to get your lungs to expand fully. 

I generally let you go home the third or fourth day.

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Rapid Rehab Program by Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM

Rapid Rehab Program by Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM

Rapid Rehab means that you will be given medications during surgery that allow you to get out of bed (four to six hours) after surgery and start moving around with minimal pain.

Rapid Rehab medications are very good at reducing your pain after surgery which means you can tolerate walking and doing your exercises sooner after surgery says our Best Orthopaedic Surgeon in RR Nagar Bangalore.

Rapid Rehab patients will often begin working with a physical therapist the day of surgery or first thing in the morning the day after surgery.

Rapid Rehab patients often feel ready to go home earlier. The decision of when to discharge you from the hospital is based on your ability to safely get around, your overall state of health after the surgery and your surgeon’s evaluation of your readiness to go home and safely recover.

Pain Management and Rapid Rehabilitation by Best Orthopaedic Surgeon in RR Nagar Bangalore

Total hip and knee replacement are truly miracles of modern medicine. The pain relief and improvement in function are amazing. However, the surgery can be a painful and unpleasant procedure for patients to undergo. Much work has been done since 2001 to improve the patient experience by reducing the pain they experience and speeding up their recovery process. This has led to new anaesthesia and pain management protocols that significantly reduce the pain experience for the patient. Patients start their rehabilitation within hours of their surgery and are allowed to walk, sit in a chair and do their exercises immediately. With these improvements, patients regain independence more rapidly and can be released home much earlier than before.

Pain medication is needed after these procedures and it is important to determine which medication works best for each patient.

While these efforts will lead to a quicker return of function, the healing after joint replacement goes on for, several months and patients may expect to see gradual improvement for up to six months or more as the soft tissues in the body continue to heal.

For more information visit- https://www.drbasavaraj.com/

Read our other Blogs-

Joint Replacement Surgery-Facts You Need to Know by Best Orthopaedic Surgeon in RR Nagar Bangalore

What Are the Risks of Total Hip Replacement? by Best Orthopaedic Surgeon in RR Nagar Bangalore

Successful Complex Revision Hip Replacement by Best Orthopaedic Surgeon in RR Nagar Bangalore

 

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Joint Replacement Procedures with Orthopaedic Surgeon in RR Nagar Bangalore| Dr Basavaraj

Dr.Basavaraj Best Orthopaedic Surgeon in RR Nagar Bangalore | Dr Basavaraj CM, India (Presently working at BGS Gleneagles Global Hospital as an HOD for orthopedic department). He specializes in Hip and Knee Joint Replacement Surgeries including complex Primary and Revision Joint Replacements. He has over 20 years experience of having worked in various Premier Institutes in India & in U.K and he holds final specialist Orthopaedic degrees from both the countries

Knee Replacement:   Joint Replacement Procedures in Bangalore (Total knee replacement/arthroplasty ) Both weight bearing surfaces of the knee are resurfaced with possible resurfacing of the patella (kneecap). Expected time in the hospital: 5-days

Partial knee replacement/arthroplasty (also called medial uni-compartmental or lateral uni-compartmental): Only the part of the knee that is diseased is resurfaced and the part of the knee that is not diseased is not resurfaced. Expected time in the hospital: 3-4 days

Patello-femoral arthroplasty (Knee cap resurfacing):Expected time in the hospital:3-4 days

Revision of knee replacement: A re-operation on a knee that has had a previous knee replacement which has failed or become loose; part or all of the previous implant is removed and replaced with a new one. Expected time in the hospital: 5 days

Bilateral partial or total knee replacements: Joint Replacement Procedures in Bangalore — Both knees are replaced. Expected time in the hospital: 7-8 days

Hip Replacement: Total hip replacement/arthroplasty (THR, THA): Hip ball and socket are replaced. Expected time in the hospital: 4-5 days

Revision of hip replacement: Are-operation on a hip that has had a previous hip replacement which has failed or become loose ;part or all of the previous implant is removed and replaced with a new one. Expected time in the hospital:5-6 days

Bilateral hip replacement: Both hips are replaced simultaneously. Expected time in the hospital: 5-6 days, Best Orthopaedic Surgeon in RR Nagar Bangalore will help you with this. Thank you.