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Knee Joint Reconstruction

Written and reviewed by
Dr. Subhash Shalya 90% (50 ratings)
MBBS, MS - Orthopaedics, MS - General Surgery
Orthopedic Doctor, Delhi  •  39 years experience
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Mein Dr. Subhash Shalya, Senior Orthopedic Surgeon, Fortis Hospital, Nehru Place. Vhan me senior consultant hun orthopedics ka. Or joint replacement or sabhi difficulties surgeries mein krta hun.. To me aaj apse jo bat krna chahta hun vo knee joint ka damage or uske replacement ke bare me smjhana chahta hun. Ye normal knee jo hota hai vo is trha se hota hai. Ye knee ka exact model hai, jis tarha ka hmara knee hota hai. Ye samne vali haddi hai jisko patla kehte hain. Ye upar vali haddi hai, jisko fever kehta hain or niche vali haddi ko tivia kehte hain. Isko feura kehte hain. Fewmer, tibia and side ki haddi phiura. Philura jo jod ko badhane me kaam nhi krti lekin iske upar ek ligament attach rehta hai.

To jab age badh jati hai ya bhut jyada sports activity krte hain to aisa krne par ye jo cartilage hai, jo iske gulabi color ki dikhayi gyi hai, ye cartilage ghisne lagti hai. Jo hmara sab vajan andar ki side me hota hai, to andar ki side ki ye cartilage pehle ghis jati hai. Ye jod iske upar chalta hai iske upar. Or is cartilage ki normal gatti me motayi 10mm hoti hai. Cartilage kya hoti hai, jaise hmare kaan ke andar ye cartilage hai or ye skull bone hai, naak ke upar ka hissa bone hai or ye cartilage hai. To thk yhi moti soft flexible bone hoti hai jisko cartilage kehte hain. Thk naak ki haddi jaisi cartilage hoti hai. Or samay ke sath sath, bone ke andar calcium ki kami hone par, maspeshiyon ki kamjoori aane par, ye cartilage quki isme koi blood supply nhi hoti, to dhime dhime ye damage hone lagti hai.

Or hadiyan apas me takrati hain or uske andar dard hota hai. Uske lia hum mariz ka x-ray krate hain. Ek taang par khade ho kr ke pura vajan daal ke isko seneiring leg total weight billing APBO kehte hain. Or later view hum leat kr ke side se x-ray krate hain. Aisa krne se farak pta lag jata hai ke jod ke andar kya kharabi hai or cartilage kitni damage hai or joint ke 3 parts ki nasein konsa part damage ho gya hai. Ek part ye hota hai poterofemoral joint. Ek tibia midial space or tibia ka lateral space. To teeno jod ke andar konsa khrab hai, ye hum pta lga lete hain. Or agar ye pura damage ho gya hai, to uske lia fir knee joint replacement kia jata hai. Knee joint replacement ke andar iske 3 hisse hote hain.

Ek hissa ye hai jo fimar ke andar lgaya jata hai. Or iske 2 hisse hain jo tibia me lgaya jata hai. To ye tibia ki base plate hai. Joint ke andar hum, joint ka alignment khrab ho jata hai, to hum dono ke bich me thik 10mm ka gap, aise le aate hain or purani cartilage nikal dete hain. Or uske andar yhan par ye jo joint ka fimar ka portion hai, ye is tarha se fit kr dete hain. Ye bone cement se, 45 years tak ke lia chipka rehta hai. Or jo nichla vala portion hai, fir tibia vala uske andar ye metal ki bres plate hoti hai. Iske andar hum yhan cement lga kar ke, iske andar aise fit kr dete hain. Or jo cartilage hai uska alternative ye plastic hoti hai. Hum isko aise fit kr dete hain. Or ye hmara joint tyar ho gya. Isi joint ko knee replacement kha jata hai ya ghutno ka puran pratyaropan. Bhut se marizon ke andar knee joint ka sirf midial cartilage involve hota hai.

Or unki umar bhi jyada nhi hoti. Grade 1 or grade 2 or grade 3 or choti cartilage hoti hai. Uske andar fula haddi ko kaat dete hain. Katne se jod khol jata hai. Isko high fuler osteotomy ye problofuler osteotomy kehte hain. Or us se knee joint ko change krne ki awashkta nhi pdti hai. Or ye sirg 10 minutes ka operation hai. Dono tango ka 20 minutes ke andar operation ho jata hai. To ye ek alternative hai total knee replacement ka. Or iska kharcha bhi knee joint ke replacement se 1/10, dusvan hiss ahata hai. Or iske baad mariz second day apne kam pe vapas ja skta hai. Knee replacement ke lia hume karib mariz ko 5-7 days hospital me bistar par admit rkhna pdta hai. Or 7 din ke baad vo vapas ja skta hai.

 

Or knee joint replacement ka khrcha kareeb kareeb 3.5-4 lakhs aata hai. Quki isme 1,30,000/- ki dono ghutno ki jod hi aate hain. Baki hospital ka 7 din ka khrcha hota hai. Knee joint replacement surgery duniya ki sabse achi surgery mani jati hai. Jisme mariz ka dard khtm ho jata hai. Taang sidhi ho jati hai aur vo normal life lead krne lagta hai. Or high fural osteotomy jaise hum fural lga ke upper end se 3 inch niche se cut kr dete hain. Ye bhi duniya ka ek sabse acha operation mana jata hai, jo 50 saal se niche ke umar ke logon me kia jata hai. Ya knee joint replacement nhi kia jata unke lia ye ek bhut acha operation hai. Ek chota operation hai. To mene aaj apko do chizon ke baare me btaya. Total knee replacement or high fural osteotomy. Total knee replacement ke lia hum kosish krte hain, mariz ko 60 se upar nikal jaye. Agar 60 se umar kam hai to high fural osteotomy ek badia operation hai.

Uske baad diet change krte hain thodi si or exercise krate hain to ye operation ek bhut kamyab operation hai. Mein aise sekdon operation kar chukka hun. Or mariz ka dard second day se hi thk ho jata hai. Or vo normal zindagi jeene lgta hai. Sirf ek din ka admission hota hai. 2nd day vo kam par vapis ka skta hai.

Dhanywad. 

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