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Dr. Deepak Thakur - Orthopedist, New Delhi

Dr. Deepak Thakur

89 (99 ratings)
M.CH. (Ortho), MS - Orthopaedics, MBBS

Orthopedist, New Delhi

16 Years Experience  ·  500 - 850 at clinic  ·  ₹400 online
Dr. Deepak Thakur 89% (99 ratings) M.CH. (Ortho), MS - Orthopaedics, MBBS Orthopedist, New Delhi
16 Years Experience  ·  500 - 850 at clinic  ·  ₹400 online
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 <br/><br/><br/><br/>If your movement is being restricted because of hip pain or any any other hi...

If your movement is being restricted because of hip pain or any other hip-related issue, then you can fix it with hip replacement surgery.

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If your movement is being restricted because of hip pain or any other hip-related issue, then you...

If your movement is being restricted because of hip pain or any other hip-related issue, then you can fix it with hip replacement surgery.

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Here are some tips on knee replacement surgery<br/>

Here are some tips on knee replacement surgery

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I am Dr Deepak Thakur, senior consultant of joint replacement surgery. My area of specialization ...

I am Dr Deepak Thakur, senior consultant of joint replacement surgery. My area of specialization includes joint replacements including computer navigations knee replacements.

When should we go for a knee replacement? Is there any particular age?

 Well, today’s modern time age is not the criteria for undergoing a knee replacement surgery. Your level of pain, as well as your level of disability, decides when you should go in for a knee replacement. Most of the patients, they are very fearful.

Will there be a lot of pain during the surgery?

Well, with modern pain relieving medications and procedures, nowadays the knee replacement surgery is as pain-free as possible. Even the recovery part, it is a multimodal pain relief which we employ including epidural analgesia’s, patient control analgesia’s, patches and IV medication. Generally, the patient is pain-free, even during the surgery as well as post the recovery. The recovery part starts from the day of the surgery. On the day of the surgery, we make you do some exercises. The next day we make you stand and the second to third, we make you walk with the help of a walker and gradually as the recovery progresses with the help of a stick. We may even allow you to climb and come down from the stairs, depending upon your level of recovery. We generally, advice avoiding contact sports. By contact sports, I mean playing football hockey etc after knee replacement surgery. But most of the activities like swimming, cycling and doing brisk walking you are able to do it very efficiently. You are able to bend your knees after the surgery. Your knee replacement surgery consists of a metal implant which is there implanted in the thigh bone. This is your thigh bone. As well as a metal and a plastic implant

which is implanted on your leg bone. So, this again is your new knee. Of course, you will be able to bend your knees like this, straighten up your knees like this. You will be able to do your normal activities like bending. Your level of bending depends upon how well your leg muscles touch your thigh muscles. This will be the amount of bending that you will be having, which is generally equal to your preoperative status. So yes you will be able to bend and straighten your knees after your knee replacement surgery. You will be able to sit cross legged, but generally, we advise you to not sit cross legged because when you get up it puts a lot of pressure on the knees. But you can sit easily cross legged on the bed because getting up from a bed does not require a lot of pressure on your knees. We employ a computer navigation which is highly accurate even in few degrees. The life and with modern day implants is on an average 15 to 20 years.

For any further queries, you can contact me on lybrate offline or online.
 

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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Deepak Thakur
Dr. Deepak Thakur is a well renowned and a popular Orthopedist based in Karol Bagh, Delhi. He has an experience of over 15 years. He has completed his MBBS, MS (Orthopaedics) and M.Ch (Ortho). Currently he is based at Delhi Orthopedic Clinic in Karol Bagh, Dehli. Dr. Deepak Thakur believes that care should be comprehensive and courteous. Dr. Deepak Thakur specializes as an Orthopedist, Joint replacement surgeon and Orthopedic surgeon.He has compleed his MBBS from Baba Farid University of Health Sciences in the year 2001 and MS in Orthopaedics from Sardar Patel University in the year 2006. He has also completed his M.Ch (Ortho) from University of Seychelles, American Institute of Medicine. He specializes in cervical traction treatment, arthritis treatment, hip resurfacing, hip injury treatment, ankle injury treatment, knee injury treatment, hip pain treatment and joint dislocation. He also has his expertise in Fracture Treatment, bone disease, hand surgery, spine disorders, Total knee replacement, joint and bone surgery, etc. Dr. Deepak Thakur has professional memberships of Delhi Orthopaedic Association, Bombay Orthopaedic Association, Indian Arthroscopy Association and Central Delhi Orthopaedic Association.

Info

Education
M.CH. (Ortho) - University of Seychelles,American Institute of Medicine - 2011
MS - Orthopaedics - Sardar Patel University - 2006
MBBS - Baba Farid University of Health Sciences - 2001
Languages spoken
English
Hindi
Professional Memberships
Fellowship Joint Replacement(Hip & Knee)-Endoklinik(Germany)

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H.No-6756, Shop No-10, Street No-2,Dev Nagar,Karol BaghNew Delhi Get Directions
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Hip Replacement Surgery: Prevent hip pain from getting worse

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
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If your movement is being restricted because of hip pain or any other hip-related issue, then you can fix it with hip replacement surgery.

Hip Replacement Surgery: Prevent Hip Pain From Getting Worse

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Play video

If your movement is being restricted because of hip pain or any other hip-related issue, then you can fix it with hip replacement surgery.

2 people found this helpful

Do Not Allow Hip Pain to Cripple Your Life

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Do Not Allow Hip Pain to Cripple Your Life

You thought only knee pain limits your movement? No. Hip pain is another popularly diagnosed problem which interferes with an individual's routine activities like bending, jogging and climbing stairs, among others.

Earlier, older adults, mainly women, experienced the problem, but now with increasing sedentary lifestyle, almost no physical activity and weakening of bones, youngsters too have begun to report issues related to hip pain.

While people keep bearing pain, thinking it to reduce overtime, it is important to consult an orthopedician if the pain stays. The doctor is best to judge the condition and suggest the best course of treatment.

What are the symptoms of hip pain?

There are enough signs that can tell you about the condition. You have to take the signs seriously to understand if it has anything to do with hip pain or is it a normal pain. After taking note for some days, you must consult a doctor to save the condition from deteriorating. Symptoms you need to careful about are:

  • Chronic pain

  • Pain interferes with your sleep

  • Medication or cane support isn’t helping relieve pain or aid mobility

  • Facing difficulty getting in and out of chairs and/or walking down stairs

  • The hip is swollen or stiff and

  • There is a feeling of grating of the joints

What causes hip pain?

Usually, hip pain is caused by strained or inflamed soft tissues such as tendons, which aids movement, and may not last for more than a few days. On the other hand, long-term hip pain is caused by specific conditions such as:

1) Arthritis:

In over 100 types of arthritis, the main cause of hip pain among others are Osteoarthritis and Rheumatoid Arthritis. Arthritis, caused by the deterioration and gradual breakdown of the cushion lining of the hip, leads to swelling and inflammation of the hip joint. In addition to feeling pain, arthritis patients usually feel stiffness and have reduced range of motion at the hip.

2) Hip Fractures:

This condition is most common among people above 65. The reason behind it are loss of vision and deteriorating body balance, because of which older adults are more prone to falls and thereby hip fractures because of weak bones.

3) Osteonecrosis or Avascular Necrosis:

It is a common condition in India, which is caused by inadequate blood flow to hip bone, resulting in the death of surrounding cells and tissue, eventually causing the collapse of the hip. Too much alcohol consumption or un-prescribed steroidal medications also cause Osteonecrosis.

4) Cancer:

Hip pain is also often caused by bone cancer or cancer that spreads to the bone.

What about Hip Replacement?

If a patient finds chronic, moderate to severe pain limiting his/her daily activities such as rising up from and sitting down on a chair, getting in and out of a car and tying and untying shoe laces, then a doctor consultation is advisable to diagnose the cause of pain. If the hip pain is being caused by severe osteoarthritis or hip avascular necrosis (AVN), hip replacement may help significantly.

Hip Replacement Procedure

Medically, hip replacement surgery is termed as arthroplasty. This surgical procedure involves removing the diseased parts of the hip joint and replacing them with new, artificial parts. The artificial parts are known as prosthesis. The objective is to make mobility easier for the patient and eliminate pain.

Hip implants now come in various sizes, designs and materials, allowing doctors to provide the closest fit, best suited for the patient.

Largely, the outcomes of hip replacement surgery are excellent as advanced techniques are now being used. Patients can resume to their normal lifestyle within a few weeks. However, it is advisable to take it a little easier for sometime post-surgery.

7 people found this helpful

Begin Your Weight Loss Journey with Bariatric Surgery

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Begin Your Weight Loss Journey with Bariatric Surgery

The incidence of obesity is rising in India and is widely affecting younger generation too. On one hand, there is a portion of population that suffers from obesity because of genetics or certain medications, while on the other hand, there is another set of people who are becoming a victim of obesity due to unhealthy eating habits and sedentary lifestyles.

What is obesity?

Obesity is a chronic disease and occurs when a person has too much body fat. Obesity is measured by Body Mass Index (BMI), calculated by using the height and weight. Also, obesity can lead to serious health problems such as diabetes, hypertension and heart disease, etc.

If you are aiming to lose weight, then important is to seek the right treatment and adopt weight loss measures that best suit you. You can choose from a variety of treatment options like eating fewer calories, exercising regularly or following a healthy diet plan. But in some cases, despite bringing about major lifestyle changes, weight loss still seems impossible. For those, Bariatric Surgery could be an effective treatment option.

Bariatric Surgery:
Bariatric surgery aims to reduce the size of the stomach. The surgery involves closing off parts of stomach to restrict intake of food into the body, and reduce the absorption of food in the stomach and intestines. The reduced absorption of nutrients and calories from the food pushes weight loss and decreases the risks of obesity-related health problems.

Types of bariatric surgery:
Bariatric surgery has been broadly classified into three types and your surgeon will decide the best procedure after examining your weight, age, and medical history.

1) Gastric band: In this procedure, the surgeon inserts an adjustable silicone band around the upper part of the stomach. This band divides the stomach into two sections: a small upper pouch, and a larger lower stomach. In the small pouch, less food fits in, and so fewer calories are absorbed. Because of small stomach size, patients feel full sooner and because less calories are absorbed, the feeling of fullness lasts longer. The procedure is considered least invasive and the reversible. After removing the band, the stomach returns to its normal size.

2) Gastric bypass: In this procedure, a small pouch of stomach is created and it is then connected to farther portion of small intestine, allowing the bile and pancreatic fluids to help fully digest food. When food enters the body, it moves through the pouch directly into the farther portion of small intestine, bypassing the large part of stomach and small intestine. Because of this, less calories and nutrients are absorbed in the body, facilitating weight loss.

3) Sleeve gastrectomy: In this procedure, the stomach isn’t rearranged as in Gastric Bypass Surgery. Rather the stomach is resized in the procedure, leaving only a banana-shaped portion. 70% of the stomach portion is removed and only a vertical sleeve, 30% stomach, remains that resembles a banana. The stomach is permanently reduced to 15-20% of its original size and the procedure isn’t reversible. Because the size of the stomach gets smaller, food intake and thereby consumption of calories and nutrients too get restricted, thus resulting in weight loss.

Benefits of Bariatric Surgery

If despite dieting and exercising, you don’t see much change in your excess weight or weight loss doesn’t last, then bariatric surgery may be an ideal solution for you.

Long term weight loss: The surgery not only helps you lose weight, but also helps you maintain it and keep it off. Bariatric surgery is considered to be the most effective treatment to tackle severe obesity and maintain long term weight loss.

Improved health conditions: Bariatric surgery can improve or even relieve weight-related health issues such as Type 2 diabetes, sleep apnea, joint pain, high blood pressure, high cholesterol, and so on.

Better quality of life: With a healthier weight, people report increase in self-esteem and self-confidence. They also get more economic opportunities and could indulge in their favorite recreational and physical activities.

Your health outcomes after the surgery will depend greatly on the type of procedure, and how committed you are towards bringing the lifestyles changes as suggested by the surgeon. It might take a few days before you are able to resume a normal lifestyle. And for all those who think it is a magical treatment, it is not. After the surgery, you will have to change your eating habits and make exercise a permanent part of your life.

Type diabetes

Osteoporosis - Tips To Help You Deal With It!

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Osteoporosis - Tips To Help You Deal With It!

Osteoporosis is a Latin word for “porous bones”. A healthy bone holds tiny spaces within it resembling a honey comb. Osteoporosis causes an expansion in the dimension of these spaces so much so that the bone loses out on its density and strength, at the same time turning brittle and thin on the outer part. People afflicted with osteoporosis are prone to experiencing fractures at the slightest stimulation while engaging in daily chores. It usually affects one’s wrists, hip and the spine, thus rendering a stooped posture, loss in height and back pain as a result of a collapsed vertebra. Factors such as lowered estrogen count in women and testosterone in men, long term use of certain medications, certain medical conditions such as damage to the liver or the kidneys and a sedentary lifestyle along with excessive tobacco and alcohol consumption make one vulnerable to osteoporosis.

Tips To Help you Manage manage and prevent it

  1. Medications: Zoledronic acid, Ibandronate, Risedronate and Alendronate are some of the widely used medicines to combat the risks of fracture. However, these medicines carry considerable side-effects, for instance adnominal pain, nausea or a heart-burn like sensation. Ipriflavone, a laboratory manufactured product, in combination with calcium can be used as an alternative medicine to inhibit bone loss and alleviate pain.
  2. Quit smoking: Smoking escalates the rate of bone loss and the chances of sustaining another fracture.
  3. Refrain from excessive alcohol intake: Alcohol meddles with one’s bone formation. Also, excessive alcohol intake might cause one to feel tipsy and thus fall down, aggravating risks of injuries and fractures even more.
  4. Be careful while walking: Choose low or flat heeled footwear with soles that do not slip. Watch your step. Be careful with rugs, slippery surfaces, electrical cords or other scattered substances which might make you trip over and fall. Install ‘grab bars’ in your house so that you can hold on to them if you suddenly feel unsteady on the feet. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2482 people found this helpful

Everything You Need To Know About Heel Pains!

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Everything You Need To Know About Heel Pains!

Heel pains can be extremely annoying. Most people experience the pain either behind the heel or just under it. Heel pain can affect anyone, irrespective of their age and sex. The pain, though common, seldom poses a threat or any serious health complications.

Factors responsible for heel pain

Walking, running or exercise, the heel bone or calcaneus bears the maximum stress. It acts a shield and provides strong support to the body. However, an injury, infection, or some medical conditions can affect (damage) the heel, resulting in a mild to severe pain. Heel pain can be triggered by;

Plantar Fasciitis: It is one of the most common causes of heel pain. Plantar Fasciitis is a condition characterized by inflammation of plantar fascia (tissue connecting the tip of the foot to the heel). The inflammation mainly results from overstretched plantar fascia. Tight calf muscles (Achilles tendons), obesity, strenuous physical activities, faulty footwear or flat feet can overstretch the plantar fascia.

  1. Posterior tibial neuralgia or Tarsal tunnel syndrome (TTS): TTS is a painful compression neuropathy (ankle or foot) where there is compression of the tibial nerve.
  2. Heel bursitis: In heel bursitis, the retrocalcaneal bursa (located at the back of the heel) gets inflamed. Excessive pressure from the footwear or improper landing on the heel acts as a catalyst, resulting in the inflammation. In heel bursitis, one experiences the pain behind the heel or deep within the heel.

 Severe inflammation of the heel pain

  1. Achilles tendinitis: In Achilles tendinitis, there is an injury to the Achilles tendon (tissue that connects the heel bone to the calf bone). Continuous and repeated stress and pressure on the Achilles tendon cause the injury. Though anyone can be affected by Achilles tendinitis, it mostly affects runners and sports person.
  2. Sever's disease: Common among children (7-15 years), Sever's disease occurs when there is an inflammation of the epiphyseal plate (growth plate) in the heel.
  3. Heel bumps: It results from an excessive rubbing of the immature heel bone. Teenagers are mostly affected by this. Heel bumps can also affect ladies wearing high heels while their heel bones are yet not matured.
  4. Conditions like, Gout, Bone cyst, Rheumatoid Arthritis, Osteoporosis, Bone inflammation due to infection (Osteomyelitis), Peripheral neuropathy, Morton's neuroma can also cause the heel pain.

Treatment and Prevention:
Seek medical assistance in case of

  1. Heel pain accompanied by fever, swelling, and numbness.
  2. Pain that lasts longer than usual.
  3. Difficulty in bending the foot downwards.
  4. The heel pains even when you are resting.

Treatment:

  1. Physiotherapy is the best way to deal with a heel pain.
  2. Corticosteroids.
  3. Non-steroidal anti-inflammatory drugs are also effective against heel pain.
  4. Assistive devices such as Insoles and orthotics can help speed up the healing process.
  5. Night splints, fitted to the foot and the calf at night (before sleep) can provide great relief.
  6. In extreme cases, surgery may be recommended.

Remember to

  1. Rest as much as possible.
  2. Go for proper fitted, good quality footwear.
  3. Apply ice compress on the affected area.
  4. Maintain a healthy body weight.
  5. A proper warm-up prior to any sports activities or exercise.

How To Protect Your Knees?

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
How To Protect Your Knees?

The knee is known as the largest and one of the most complex joints in the human body, and also one of the most vulnerable, as it supports the weight of the entire body. The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain. So how can you protect your knee from damage and injury? Take a look at these three points!

Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury. Also, it is important to take a bone density test regularly, especially after the age of 40 or for women going through menopause, as this will point to any deficiencies and even warn you in case there is any trace of osteoporosis.

Rest, exercise, and food should be kept in fine balance for a healthy body. These are a few measures that one can take to keep knee pain at bay. Yet, it is also advisable to speak with a doctor at length regarding measures to protect your knees. If you wish to discuss about any specific problem, you can consult an Orthopedist.
 

2814 people found this helpful

Bone Health And Osteoporosis

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Bone Health And Osteoporosis

Bones are similar to a porous framework which is filled with minerals that make it hard and strong. With age, there is gradual degradation and the mineralized portion is lost, thereby leading to thinning of the bone. The word osteoporosis literally translates to porous bones, which is due to the gradual demineralisation. In addition to the natural ageing process, there are other diseases that can accelerate the demineralization process.

Women are more prone to demineralisation, and after the age of 40, they should take extra precaution to slow down the onset of the condition. The following are some ways to improve bone health and halt osteoporosis in the long run-

  1. Diet: Ensure that your diet has sufficient amounts of vitamin D and calcium. Though calcium is the essential mineral for bone formation, vitamin D is required for the absorption of calcium, and therefore both these elements play a vital role in maintaining the quality of the bones in our body. Most people require about 1,000 mg of calcium and about 500 units of vitamin D for optimal bone health. This requirement goes up slightly in postmenopausal women.

  2. Sun Exposure: In most people, exposure to the sun allows the body to make vitamin D, but careful sun protection prevents this from happening. Also, with age, the body’s ability to form intrinsic vitamin D also declines. The body, therefore, relies on supplements. Most dairy products are good sources of calcium. In addition, spinach, salmon, turnips, and broccoli are some calcium-rich foods. Supplements of calcium carbonate or calcium citrate can be taken if your diet is lacking in calcium. Vitamin D also should be included in the supplementation. The treatment for osteoporosis is incomplete without these two supplements.

  3. Exercise With Weights: The constructive tension that exercise puts on the body helps in bone building, whatever the age may be, which prevents the onset of osteoporosis. Any exercise which improves muscle mass strengthens the bones, and puts stress on the bones is advisable. Since the fractured area due to osteoporosis mainly includes the spine, lower back exercises, yoga, tai chi, and abdominal exercises all work wonders. Pick any of these and do them for 30 minutes three times a week.

  4. Quit Smoking: Continuing to smoke while taking osteoporosis medications is completely useless. Nicotine negates all the effects which defeat the purpose of taking the medication and is as good as taking no medication at all. So if you want the bone thinning to stop, stop smoking.

  5. Alcohol Consumption: While a drink or two per week is permissible, more than this can harm the bones significantly.

  6. Constant Health Watch: Talk to a doctor about how other routine medications (if any) can affect your bone health. Also, identify how frequently you should check your bone mineral density and stick to the schedule.

Bone health and osteoporosis can be managed with some conscious efforts.

2837 people found this helpful

All About Shoulder Dislocation

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
All About Shoulder Dislocation

A shoulder dislocation is a shoulder injury which is characterized by the upper arm bone popping out of the socket of your shoulder blade. The shoulder joint is the most mobile among all the joints in the body, making it the most prone to dislocation. The dislocation of the shoulder joint can either be partial or complete depending on the injury. In a partial dislocation, the head of the upper arm is partially shifted out of the socket whereas in a complete dislocation, the head comes out of the socket in its entirety.

Symptoms-

The symptoms of shoulder dislocation are:

  1. Swelling or bruising of the affected area.

  2. Deformed shoulder.

  3. Excruciating pain in the shoulder region.

  4. Mobility of the joint is greatly reduced.

Apart from these symptoms, there may be tingling, numbness and weakness in the affected region.

Causes-

There can be multiple ways in which a shoulder can be dislocated because of its ability to move and swing in all the directions. The fibrous tissues that connect the bones of your shoulder may also get stretched or torn. These injuries occur due to a sudden blow or a strong force exerted on the shoulder joint.

It is caused by:

  1. Trauma to the Shoulder Joint: Hard blows to the shoulder joint such as one suffered from a vehicle accident can lead to shoulder dislocation.

  2. Sports Injuries: In contact sports such as hockey and football, the sudden forceful contractions of the shoulder region may lead to dislocation of the shoulder.

  3. Falls: Tripping or falling from an elevated place and landing on the shoulder can cause shoulder joint dislocation.

Treatment-

The treatments for shoulder dislocation are –

  1. Medication: Medications such as pain relievers can be prescribed by the doctor to reduce pain.

  2. Surgery: Surgery of the shoulder joint can help in treating chronic shoulder dislocations. Surgery is also required if the blood vessels or the nerves along the shoulder joint are damaged.

  3. Immobilization: This process involves attaching a sling or a splint to the affected area to prevent it from moving. This allows the shoulder joint to heal and recuperate faster.
2741 people found this helpful

All About Hip Replacement

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
All About Hip Replacement

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

2647 people found this helpful

Steps Involved in Knee Replacement Procedure

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Steps Involved in Knee Replacement Procedure

Knee replacement is a procedure where the weight-carrying surfaces of knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.

Surgery Types: 
Knee replacement is mainly of two main types:

  1. Total knee replacement where both the sides of knee joints are replaced
  2. Partial knee replacement where only single side of the joint is replaced

Procedure: In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.

In total knee replacement, four steps are performed:

  1. Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
  2. Replacement with metal components, which help as a recreated surface of the joint
  3. Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
  4. Insertion of a medical grade plastic spacer amid the metal components. This creates an effortless gliding surface.

After general or spinal anaesthesia, an incision of 8-12 inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin as well as knee cap is attached to the artificial joint with either cement or a special material.

After Effects of the Procedure: After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.

There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.

Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all!

3999 people found this helpful

6 Tips To Prevent Arthritis

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
6 Tips To Prevent Arthritis

Arthritis is a very painful disease. It restricts you from doing a lot of the activities you would love to engage in. However, there are steps you could take to reduce the chances of it happening to you.

Here are some tips, which help you in preventing Arthritis:

  1. Take Omega-3 fatty acids: Research proves that the regular consumption of Omega-3 fatty acids, present in fish, result in decreased risks of rheumatoid arthritis. Omega-3 fatty acids are also found in foods such as olive oil and walnuts.
  2. Take Vitamins and olive oil: Vitamins are crucial, especially A, C and D. Vitamin A can be found in carrots. vitamin D can yet again be found in fish while vitamin C can be found in strawberries, mangoes, pineapples and oranges. Olive oil is also useful because it contains polyphenols which reduce the chances of developing arthritis.
  3. Eat ginger and broccoli: Ginger and broccoli are two of the most therapeutic foods for various reasons and the chances of getting arthritis are also proven to reduce due to these foods.
  4. Avoid injury: Although this is very hard to do sometimes, avoiding injuries do reduce your chances of getting arthritis.
  5. Control your weight: This is very important, especially for your knees. It has been proven by researchers at John Hopkins University that if you are 10 kg overweight, then 30 to 60 extra kilograms of weight fall on your knees.
  6. Exercise: Strengthening your muscles around your joint decreases the pressure on the joint. If there is less pressure on the joint, then the chances of arthritis are reduced. The best way to decrease pressure on the joint and strengthen your muscles is to exercise.
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Right Time to Have a Knee Replacement Surgery

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
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I am Dr Deepak Thakur, senior consultant of joint replacement surgery. My area of specialization includes joint replacements including computer navigations knee replacements.

When should we go for a knee replacement? Is there any particular age?

 Well, today’s modern time age is not the criteria for undergoing a knee replacement surgery. Your level of pain, as well as your level of disability, decides when you should go in for a knee replacement. Most of the patients, they are very fearful.

Will there be a lot of pain during the surgery?

Well, with modern pain relieving medications and procedures, nowadays the knee replacement surgery is as pain-free as possible. Even the recovery part, it is a multimodal pain relief which we employ including epidural analgesia’s, patient control analgesia’s, patches and IV medication. Generally, the patient is pain-free, even during the surgery as well as post the recovery. The recovery part starts from the day of the surgery. On the day of the surgery, we make you do some exercises. The next day we make you stand and the second to third, we make you walk with the help of a walker and gradually as the recovery progresses with the help of a stick. We may even allow you to climb and come down from the stairs, depending upon your level of recovery. We generally, advice avoiding contact sports. By contact sports, I mean playing football hockey etc after knee replacement surgery. But most of the activities like swimming, cycling and doing brisk walking you are able to do it very efficiently. You are able to bend your knees after the surgery. Your knee replacement surgery consists of a metal implant which is there implanted in the thigh bone. This is your thigh bone. As well as a metal and a plastic implant

which is implanted on your leg bone. So, this again is your new knee. Of course, you will be able to bend your knees like this, straighten up your knees like this. You will be able to do your normal activities like bending. Your level of bending depends upon how well your leg muscles touch your thigh muscles. This will be the amount of bending that you will be having, which is generally equal to your preoperative status. So yes you will be able to bend and straighten your knees after your knee replacement surgery. You will be able to sit cross legged, but generally, we advise you to not sit cross legged because when you get up it puts a lot of pressure on the knees. But you can sit easily cross legged on the bed because getting up from a bed does not require a lot of pressure on your knees. We employ a computer navigation which is highly accurate even in few degrees. The life and with modern day implants is on an average 15 to 20 years.

For any further queries, you can contact me on lybrate offline or online.
 

3096 people found this helpful

Right Time to Have a Knee Replacement Surgery

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
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Here are some tips on knee replacement surgery

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Computer Navigated Knee Replacement: Why it is the Most Reliable Option?

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Computer Navigated Knee Replacement: Why it is the Most Reliable Option?

Taking knee replacement surgery to the next level

When the world is driven by technology, can we as surgeons can be far behind?
Let's see what does technology has to offer to a knee replacement surgeon?


Precise alignment and balancing of the new knee implants is imperative for its long time survival - that's where technology kicks in. The computer helps us to accurately define the axis and the angles so that your new knee fits well and is placed within millimeters of defined scientific parameters. It reduces the chances of human error towards the placement of the new knee implants. If the implants are not aligned well it leads to pain, poor function and early loosening and failure of the surgery. This technology has lead to an improvement in the precision factor of the surgery and made the results more predictable and reproducible.

How is it different from the conventional/regular knee replacement surgery and what advantages can you derive from the procedure?

A number of benefits can be derived from computer navigated knee replacement surgery such as:

1. It enables us to make smaller incisions with minimal soft tissue dissection occurring as well. As a consequence, there's greater protection of your quadriceps tendon and muscle during the procedure which helps in early rehabilitation.

2. Bone cuts are more precise in nature as well as are reproduced in a highly clear manner imparting greater accuracy and fit of the implant.

3. In a computer navigated knee replacement the ligament balancing is done in a highly precise manner which ensures the longevity of the new knee.

4. It eliminates the need to place a rod inside the intramedullary bone canal of the thigh bone, thereby, decreasing chances of postoperative bleeding and embolism.

5. In complex cases involving deformity of the thigh or leg bones due to previous fracture, excessive bowing, and trauma implants such as plate and screws in situ, traditional alignments systems are difficult to use. In these cases, computer navigated knee surgery is the most preferred method as all these doesn't pose any challenge.

The outcome is a better performance of the replaced knee, both short and long-term in nature.

'Consult'.

Related Tip: What kind of treatment does your knee pain require?

1 person found this helpful

My mom is suffering from severe burning in right lower limb. Burning aggravates at night. MRI report s/o neurofibroma at D7 level of spine. Is surgery only option? And is surgery safe n also what are the chances of recurrence of neurofibroma after surgery.

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
My mom is suffering from severe burning in right lower limb. Burning aggravates at night. MRI report s/o neurofibroma...
Well depiction for surgery cannot be taken without seeing the patient and mri reports etc. But yes surgery is definitely a viable option and recurrence in neurofibroma is documented.
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I am 34 years male, I had an accident on 24 March 2016, I have encountered a lot of injuries, rt tibial condylar fracture and acute ACL tear in rt. Knee, so what I do, some doctors saying operative and some doctors saying conservative.

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
I am 34 years male, I had an accident on 24 March 2016, I have encountered a lot of injuries, rt tibial condylar frac...
It's only operative at your age if it's a complete tear of acl. Cus leaving it may lead to early arthritis.
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I am 83 years old male with Osteoporosis of Left Knee for more than 14 years or so. Now there is swelling under the 2, 3, 4th toes of left sole and 2, 3rd of right also. I do oil massage to both the knees. Walking difficulty. If No bandage the knee gives away and I loose balance. Any Remedy?

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Seems to be advanced osteoarthritis. No oil is going to cure. Foot pain is secondry. Need to see the x rays. If advanced a sweet is only knee replacement.
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13 Myths About Total Knee Replacement (TKR), Busted!

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
13 Myths About Total Knee Replacement (TKR), Busted!
Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery”
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery.

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so I cannot undergo Knee replacement surgery.”
Fact - diabetes hypertension or heart.



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2897 people found this helpful

What is the best treatment option for a 75 year woman with trocanteric fracture of femur. She's a known cad patient. Not. Diabetic or hypertensive.

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
The foremost aim would be to make her ambulatory asap after obtaining fitness for surgery. Well the choice of surgery will depend upon x ray pic bone quality and pre op ambulatory status.
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