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Treatment of Neurological Problems
Treatment of Hip Disorders
Back Pain Treatment
Neck Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment Of Disk Slip
Chronic Pain Management
Treatment Of Herniated Disc
Treatment of Spine Injuries
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Treatment of Muscle Pain Skeleton System
Treatment Of Foot Infection
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Treatment of Spinal Diseases
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Hi sir /madam I am 29 years old my hand is paining not continuously but muscle pain please suggest medicine.
Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need Knee Replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
Some of the common reasons why you may opt for this particular surgery are:
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee
- Disorders that cause unusual bone growth (bone dysplasias)
- Death of bone in the knee joint following blood supply problems (avascular necrosis)
- Knee deformity with pain and loss of cartilage
- Unusual growth of bones in the knee joint
Knee replacement surgery is classified into:
1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to two years to recover completely from a knee replacement surgery. If you wish to discuss about any specific problem, you can consult a orthopedist.
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.