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Knee Replacement And Osteoarthritis

Written and reviewed by
DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedic Doctor, Delhi  •  30 years experience
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Hi,

I am Dr. Neelabh, Orthopedist. Meri speciality joint replacement means knee, hip replacement and spinal surgery me hai. Aaj me apko knee replacement or osteoarthritis ke bare me btaunga. Knee joint pe pure body ka weight aata hai. Problem arises when the articular cartilage starts to wear out in the knee. Isme cracks ate hain and ye tutna shuru ho jata hai or baad me khtm ho jata hai. Meniscus bhi khrab hona shuru ho jata hai. Hadiyon me ragdna shuru hone se pain start ho jata hai. Iske causes hain hereditary or genetic, obesity, knee fracture, hemophilia, knee infection. Knee ki alignment khrab hone se isme arthritis hona shuru ho jata hai. Rheumatoid arthritis me bhi knee khrab ho jate hain. Arthritis ke kayi grades hain. Symptoms hain pain while climbing stairs, walking and standing. Patient ko kuch time baad road pe walk krne se bhi pain shuru ho jata hai.

Ye pain aise stage pe aa jata hai ki pain killer liye bina thik nhi hota hai. Ek time aata hai jab patient so nhi pata hai. Investigation me common test hain x-ray of knee (grade 1, 2, 3 & 4). Hum blood test krate hain dekhne ke lia ki patient ko diabetes, lack of calcium or vitamin D ka problem to nhi hai. Grade 1 & 2 treatable hai. Grade 3 & 4 me operation hi reh jata hai. Grade 1 & 2 me exercise, physiotherapy and medicines di jati hai. Patient ko suggest kia jata hai ki palti maar ke na baithe and zameen pe na baithen. Weight control karen. Patient ko anti-inflammatory drugs dia jate hain. Medicines grade 1 & 2 tak hi successful hoti hain. Knee me injections bhi dia jate hain fluid ko increase krne ke lia.

Grade 3 & 4 me knee replacement ka hi option rehta hai. Ye operation bhut simple hai and uske baad patient ko pain bhi nhi rehta hai. Patient ko operation ka darr bhut hota hai. Agar patient ko chalne me problem aa rhi hai to patient ko jldi se jldi operation kra lena chaiye. WHO ka slogan hai life is moment and moment is life. Iska success rate bhi 90-98% hai. Operation ke darr se agar hum chalna chor denge to hmari body bhi khrab ho jayegi. Hume heart problem hoti hai, lung shrink ho jata hai, overweight ho jata hai patient. Patient ka moment hona jruri hai, chalna jruri hai. Delay krne se patient ko 100% result dene me hume problem aati hai. Hmesha chalte rhen, healthy rhen or agar knee khrab ho rha hai to operation krayein. Aaj ki date me 2 lakhs se jyada operations per day ho rhen hain.

Dhanywad!

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