Category Archives: Surgery

It is a minimally-invasive procedure is performed to stimulate the growth of fibrocartilage in an injured joint. This procedure may be performed with general or regional anesthesia. In preparation for the procedure, the patient is positioned and anesthesia is administered. Fluid is injected to expand the ankle to provide a clear view of the joint. The surgeon makes a series of tiny openings in the ankle to access the joint. The surgeon inserts an arthroscopic camera and instruments into these openings. The surgeon locates and inspects the damaged area with the arthroscope. The surgeon uses arthroscopic instruments to clear away the damaged cartilage. This exposes the surface of the bone beneath the injury. This is followed by stimulating the cartilage growth.

When the procedure is complete, the surgeon removes the arthroscope and instruments and closes the openings in the skin. The patient will be able to return home after a short monitoring period. Following surgery, the ankle may be sore and swollen for four to six weeks. Some patients may wear a walking cast or splint. Others may require crutches for a few weeks. The ankle will heal over a period of months. Physical therapy may be needed.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Also referred to as a fusion, Arthrodesis is the fusion of two bones over a joint space. This is done when all other methods such as medication, injection, and immobilization have not provided relief. Injuries, severe arthritis, and deformities are some conditions that may warrant Arthrodesis.

Once the ankle has fused, it is quite durable. Many patients work physically demanding jobs, walk long distances, hike, cycle and ski on fused ankles. The fused ankle will never function exactly like a normal ankle, however. Patients are encouraged to discuss specific hopes for return to activity with their physicians. Running and similar activities are not recommended.

Occasionally the plates and screws may be removed if they are close to the skin and cause irritation. They may also need to be removed if an infection develops. Otherwise hardware is not typically removed. There is usually not enough hardware in place to set off metal detectors.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

Microfracture certainly is one of several procedures that are utilized for chondral defects in the knee. The choice of procedure is based on the surgeon’s experience and preference. It is like religion, it is based on how one has been taught and what works for them.

After a Microfracture procedure has healed internally, which can take up to six months, if pain recurs, one should have the knee re-evaluated by an experienced orthopaedic surgeon.

There are currently several different techniques, or variations on the Microfracture technique for chondral lesions within the knee. Most of them give very similar outcomes.

The type of rehabilitation involved with the Microfracture procedure varies from surgeon to surgeon. Dr. Richard Steadman, of the Steadman-Hawkins Clinic in Vail, Colorado, has popularized this procedure and he recommends using a continual passive motion exercise machine for a period of time, followed by partial weight-bearing with crutches for six to 12 weeks.

There are procedures utilized to treat articular cartilage disorders. The main goal is to stimulate cells from the bone marrow to come to the joint surface and allow healing. The cartilage that grows is not identical to the native articular cartilage, but attempts to serve the same functions. Abrasion techniques may also be used. There is no singular way to manage the joint surface. Sometimes a realignment surgery is coupled with treatment of the cartilage in order to decrease the strain on the affected area. Be sure to talk to your doctor about the various options.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Joint resurfacing is an attractive alternative to total joint replacement for some patients. It’s a more conservative approach that allows patients to conserve more of their natural bone.

At Joint Replacement Surgery Hospital India, we utilize a method that allows patients under 60 to participate in more strenuous physical activity with an implant that is potentially longer-lasting and more stable than total hip replacements.

Traditionally, treatments begin with over-the-counter pain relievers and the use of devices such as heating pads. Physical therapy and exercise can also be helpful, as can corticosteroid injections.

We do not limit patients from sports participation.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Ask your doctor the following questions before undergoing this surgery:

• What guidelines should I follow prior to my procedure? Will I need other tests or evaluations before the procedure?
• Which type of repair will you perform and why is it the appropriate procedure for my condition?
• What will happen if I don’t undergo the procedure now?
• How long will the procedure last and will I be under anesthesia?
• Will I have dressings, bandages, or stitches after surgery? When should they be removed?
• Will I be given medication after surgery? What tips do you have for me to ease discomfort?
• How long of a recovery period can I expect, and what kind of help will I need during my recovery? Are there special instructions for eating, sleeping, or bathing?
• When can I return to work, resume normal activity, drive, and exercise?
• Are the results permanent?
• Will I need physical therapy?

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Also called arthroplasty, total joint replacement is a surgical procedure in which both sides of a joint are removed and replaced by artificial implants (prostheses) that are anchored to the bones.

In osteoarthritis (OA), the soft, movement-easing cartilage at the ends of joint bones breaks down and wears away as the person grows older. Eventually the bones rub directly against each other whenever the joint moves, causing pain and stiffness. The rest of the body’s joint surfaces are covered with a smooth tissue lining called the synovium :

In rheumatoid arthritis (RA), chemical changes in the synovium cause it to destroy cartilage. In post-traumatic arthritis, joint pain and stiffness may develop after injury to the joint; the resulting failure of the bone and cartilage to heal properly causes the roughened joint surfaces to grind together. For more information on arthritis and knee, hip, or shoulder joint pain, go to:

This is a very personal decision that only you can make, with the help of an orthopaedic surgeon’s evaluation of your pain and its effects on your daily life.

When other treatment options no longer provide relief, joint replacement may be recommended — not only to relieve pain, but also to prevent the disability it can cause. For example, experiencing joint pain day after day without relief can lead to “staying off” the joint — which often weakens the muscles around it so it becomes even more difficult to move. Your orthopaedic surgeon will tell you whether you might benefit from joint replacement and explain the reasons why it may, or may not, be right for you at this time.

You’ll need routine blood tests, urinalysis, a physical examination, and, if you’re over 50 or your doctor thinks they’re advisable, an electrocardiogram (ECG) and chest X-Ray as well. Your own doctor or the hospital where you’ll have the surgery may perform these preoperative tests and evaluations. You may also be asked to donate blood pre-operatively or to have a designated donor — usually a family member or relative — do this. Your doctor or orthopaedic surgeon will specify exactly which tests and evaluations you will need and when you should have them. He or she may also recommend that you take an iron supplement before your surgery, and you may be asked to stop taking certain medications — for example, aspirin and other medications that thin the blood. Your doctor or orthopaedic surgeon will also specify how these and any other medication concerns apply to you. Finally, do not eat or drink after midnight on the day your surgery takes place.

Following joint replacement surgery, hospital stays vary depending on insurance coverage and individual medical status; a total of 7 days (including the day of the surgery) is typical. The surgery may take from 1 to 2 hours; you’ll spend about the same amount of time in the recovery room. On the first day after your surgery, expect to begin physical and occupational therapy, typically several brief sessions a day — first steps on your way to getting back into your life and activities! When you’re ready for discharge, the decision will be made concerning whether you can best continue to recover at home (the usual procedure) or in another facility (Nursing Home) where you can receive specialized rehabilitation help. If you do go to another facility, the goal will be to return you to your home, able to move about with a safe level of independence, within 3 to 5 days.

You shouldn’t be surprised if you feel a little shaky and uncertain for the first day or two after you’re discharged. But soon you’ll get a routine going and gain confidence in your new joint — the start of a new life with less pain. (As with any surgery, you’ll probably take pain medication for a few days while you are healing.) Be aware that you’ll probably need a walker and/or crutches for about 6 weeks, then use a cane for another 6 weeks or so. You’ll be in touch with your orthopaedic surgeon as well as your physiotherapis, so you’ll have plenty of opportunities to ask questions or discuss concerns as well as to report your progress.

This is a decision that only you and your orthopaedic surgeon can make. However, there are some general guidelines:

• You’ll practice stair-climbing in the hospital and should be able to do this by the time you leave.
• You should have no restrictions on leaving your home as long as your safety and comfort are assured. Just don’t tire yourself out; a good balance of exercise, rest, and relaxation is best for helping your body heal and gain strength.
• When to resume driving a car, going to work, and/or participating in sports activities are all highly individualized decisions. Be sure to follow your doctor’s or orthopaedic surgeon’s advice and recommendations.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Hospital stays generally range from two to five days for total knee replacement and two to six days for total hip replacement. The new minimally invasive procedures being performed by our surgeons typically get our patients out of the hospital sooner, with less pain and a faster overall recovery. On occasion, patients may be admitted to a rehabilitation or skilled nursing facility after being discharged from the hospital. However, our goal is to eliminate the need for such interim care. Through the preoperative education, combined with physical therapy and home health services, most of our patients return to everyday activities within a one or two.

Because of advancements in instrumentation and surgical technique, a vast majority of patients can elect to undergo a small incision joint replacement. There is no weight or size limit, nor an age limit for these procedures. The size of the incision is, to some degree, driven by the size of the implants that are placed at the time of surgery.

Larger bones require larger replacement implants and longer incisions. Obese patients may require larger incisions for exposure of the joint that is being replaced, but the same care is taken to minimize the disruption of soft tissue structures at the joint level.

Depending on your medical conditions and your level of physical fitness before surgery, typically patients undergoing less invasive joint replacement stay 1-2 days before going home. Our Orthopedic Surgeons believe it is usually necessary to stay one night after joint replacement surgery for medical observation for even the most fit and healthy patients. Despite our many advancements in recent years, less invasive joint replacement is still a major orthopaedic surgery and can have significant complications that your medical team will be watching for during your hospital stay. The majority of these complications is observed in the first 1-3 days after surgery.

Most patients can drive safely in as few as 2-6 weeks after surgery. Each patients recovery is different after joint replacement. To be able to safely drive, the patient must discontinue narcotic pain medication and have the strength and reaction time to safely operate their vehicle without endangering others.

As long as it needs to be for your surgeon to safely and accurately perform your surgery. Using less invasive techniques and instruments, the incision is usually 3-4 inches in length. However, if this length of the incision does not allow adequate visualization to do the surgery appropriately, the incision is lengthened. More complicated hip and knee replacements with significant joint deformity, re-do or revision joint replacements require larger incisions. The length of the incision for a traditional approach to hip or knee replacement is 8-12 inches.

It is widely accepted that less invasive approaches to joint replacement are more difficult to perform correctly than standard approaches to hip and knee replacement. It is important to select a surgeon with appropriate training and experience performing these procedures. Specific modifications to surgical instrumentation and technique must be made to safely and reproducible perform a less invasive approach. Simply making a shorter incision without significant adaptations can result in poor surgical results and severe complications. Without appropriate surgical exposure or visualization, errors in alignment and sizing of components, damage to nerves and arteries, and poor soft tissue balancing can compromise the end result for the patient. It is important to talk to your surgeon about their training and experience performing minimally invasive procedures.

Currently there are no long-term studies of minimally invasive joint replacements as the techniques and instruments used to perform these surgeries have been evolving over the last ten years. The orthopaedic literature shows that patients who undergo a less invasive joint replacement enjoy a faster recovery in the first 2-4 weeks after surgery. Studies have documented less blood loss at the time of surgery, less pain and pain medication usage, shorter hospital stays, faster return to walking with a cane or no assist device, and faster return to work. These early advantages are only significant in the first 6-12 weeks after surgery. By 3 months, joint replacement patients have achieved 90% of their ultimate recovery regardless of the approach used at the time of surgery. Long term success of a hip or knee replacement depends on the appropriate selection, sizing, and alignment of the implants.

With appropriate instruments and surgical training, this can be achieved through a minimally invasive or traditional approach to the procedure. Current studies of long-term results of hip and knee replacement suggest a 90-95% survivorship of the reconstructed joint at 20 years follow-up.

The goal is to safely and accurately reconstruct your hip or knee while disrupting as little normal tissue around your joint as possible. This results in faster relief of pain and restoration of normal function, getting you back to life, back to work, and back to the activities that you enjoy most.

A less invasive approach to hip or knee replacement is a much more technically demanding procedure than traditional approaches. Without appropriate training and equipment, and an experienced surgical team, complications can occur that affects the long term function of the reconstructed joint. In addition, most revision (or re-do) replacements and some primary (first time) joint replacements require significantly more exposure of deep joint structures than can be safely accomplished using minimally invasive techniques. Your surgeon can describe what is needed for your specific procedure.

Where were you trained to complete small incision hip and knee replacements? These procedures are fundamentally different than traditional joint replacements in both technique and instrumentation. This technique is not something a surgeon can learn on a weekend course and immediately incorporate into their practice. Without appropriate training, the surgery can lead to poor outcomes with serious complications.

Many surgeons advertise minimally invasive approaches, but change nothing but the size of the skin incision. What really matters to the patient is what is done with the soft tissue (muscles, tendons, ligaments) under the skin. To safely and reproducibly complete these new approaches, a whole new set of instruments and techniques have been developed.

We use a spinal anesthetic when possible, combined with regional techniques that allow patients to participate with therapy right after surgery.

Our Orthopedic Surgeon chooses a family of implants with a proven track record of clinical success. He routinely uses a knee prosthesis that has one of the lowest rates of revision in large total joint registries. The hip implants selected by the surgeons are based on individual variations in anatomy. These are fine tuned to adjust for gender differences and patient size to best recreate a patient’s anatomy. The less invasive techniques he uses do not influence the selection of the correct implant for each patient.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Success is difficult to assess. The most important factor relates to your expectation of success. Total joint replacement is one of the most successful operations when performed in the right patient. While total joints have seen great advancement they are still not better, than your native joint prior to arthritis. 98% of patients will answer yes to the following three questions 1 year after surgery:

• Are you glad you had the surgery?
• Did it fulfil your expectations?
• Would you do it again?

There will be individual variations in recovery time. Most will be able to walk without an assist device (crutches, cane, walker) in a few weeks and return to normal function by 3 months. Wearing in and improvement may occur over the first year.

While some centers are attempting to make joint replacement an outpatient procedure (I do offer outpatient arthroplasty procedure in appropriate candidates), I feel most patients will require 1-2 days of hospitalization. Pre-existing medical conditions (heart problems, diabetes, hypertension, kidney problems, pulmonary problems) may lengthen your hospital stay. Patients will be discharged home when their pain is well controlled on oral medications and they have been cleared by physical therapy.

Most will be discharged home and participate in an outpatient physical therapy program. Most insurance programs do not recognize total joint replacement as criteria for admission to a rehabilitation facility unless extenuating medical conditions exist. If social or health issues prevent discharge home, you may be transferred to a skilled nursing facility with therapy. Please note that if you are considering a rehabilitation unit after surgery, it would be advisable to visit prior to surgery.

For surgery on the right leg it is recommended that you not drive for 4 weeks. You may drive thereafter if you feel comfortable applying enough force to brake suddenly and you are no longer taking narcotics for pain control. For left leg surgery, you may drive as soon as you feel comfortable and are no longer taking narcotics.

As soon as you feel comfortable. It is recommended that you stretch and walk each hour during long trips to prevent blood clots in your legs (deep venous thrombosis).

For a sedentary job (ex. Deskwork) you may return in 2-4 weeks. For more labor intensive work you should plan on at least 3 months. Average time to return to work across all jobs is just under 9 weeks.

You may return to all low-impact activities when you feel comfortable (walking, golf, swimming, bicycling, skiing). You should avoid high impact activities such as running and jumping.

The literature reports a 0.5-1% chance of requiring additional surgery each year. So at 10 years, 90-95% are functioning normally and at 20 years 80-85% remain normal. After 20 years the success declines more rapidly. There is promising data that the newer components may exceed these expectations.

Knee replacements rarely notice any real or functional differences. For hip replacements a leg length discrepancy may occur requiring the use of a shoe lift. The chance of this occurring is increased by a prior leg length difference, severe hip arthritis, and/or severe back issues. For hip replacements, achieving stability of the hip joint super-cedes exact equalization of leg lengths.

I feel it is very beneficial to see or at a minimum notify your primary physician to ensure that your health status is optimized prior to surgery. If you do not have a primary physician then we will assist you in obtaining one for evaluation.

Ordinarily no. If however you suspect you have a dental infection, have poor dental hygiene, or have not had a dental check up in 12 months then it would be advisable to proceed with a formal dental examination.

Complication rates vary. The most important risk of complications is related to the health status of the patient. Patients with health issues are at greater risk of complications. Some of the most important include, but are not limited to; diabetes, heart disease, pulmonary disease, kidney disease, rheumatoid arthritis, vascular disease and obesity. Diabetics should have optimum blood glucose control and those whose HbA1c are elevated will likely be postponed. A patient who is found to have active infections or illnesses should delay surgery until the issue is resolved. The risk of infection at our facility is below the national average. A national average being between 1-2%.

Ultimately that decision is made between you and the anesthesiologist. I however, strongly recommend you consider a spinal anesthetic. Spinal anesthesia is associated with less blood loss, lower risk of blood clots, lower risk of stroke, less post-operative nausea, less pain, and faster recovery (many of these claims are debated).

Most patients receive a Foley catheter that remains in place until the day after surgery. There are some rare exceptions.

Having IV access for the first day is important for the rapid administration of medications. The patient will receive IV antibiotics 1 hour prior to surgery and usually no longer than 24 hours after surgery.

National statistics are 12% need for transfusion for knee replacements and 19% for hip replacements. Our facility employs tactics to decrease the need for blood transfusion. Our transfusion rate is well below 5%. We can usually identify who might require a transfusion before surgery (persons who are anemic prior to surgery or who have more complicated medical or surgical issues).

I prefer starting out with narcotics and then decreasing their use based on patient comfort. I have had patients not use narcotics, but it is very important that the patients pain be well controlled so that they may participate and progress with therapy. Playing “catch up” on pain control is not ideal. Some patients do react poorly to narcotics and final pain medication treatment will be tailored post-operatively. Patients who have been on narcotics leading up to surgery may experience increased difficulties with pain control.

Once a waterproof dressing is applied you may shower. Typically the day after surgery. You should keep a dressing on the incision for at least 1 week.

Typically 3-4 weeks after surgery. I favor closer to 4 weeks just to be on the safe side.

Often I use an absorbable suture placed below the skin and Dermabond (super glue for the skin) on top and therefore there are no sutures/staples to remove. If, however, your skin condition required sutures/staples they are typically removed by 10-14 days.

It is common to require pain medication for up to 2-3 months. Initially you will be taking a narcotic. You may choose to switch to an over-the-counter medication such as ibuprofen or acetaminophen as soon as you are comfortable. Most discontinue narcotic by 4-6 weeks. Requiring narcotics beyond 3 months is unusual.

For knee surgery the duration is 10-14 days. For hip surgery the duration is 21-35 days. I typically use Xarelto which is an oral pill. It is easy to monitor and administer and has a very high safety margin. The medication is expensive, but it is necessary. An alternative is an injectable anti-coagulant but it too is expensive.

Coumadin (Warfarin) is a much cheaper option but is difficult to manage and requires regular blood draws to monitor its effectiveness. I typically reserve its use for persons who are on it for another reason. Recently the AAOS has demonstrated that Aspirin therapy may be safe in select individuals, but I feel our elevation precludes its routine use. I do recommend patients consider Aspirin 325mg daily after completing the Xarelto or other chosen agent for 60 days unless you have a contraindication to its use. Your specific anti-coagulant and duration of use will be based on your risk of developing clots against your risk of having a bleeding event.

If you are taking coumadin you should avoid alcohol. Only very modest consumption should occur if you are taking narcotics (I do allow for a glass of alcohol when in the hospital). Beyond this, you may consume in moderation at your own discretion.

I no longer recommend iron post-operatively as its benefit has been called into question and it can contribute to constipation, which is common after surgery and while taking narcotics.

Initially, ice is most effective at reducing swelling. After 2 weeks you may use whichever makes you most comfortable.

I prefer the use of the compressive stockings (TED hose) until the first postoperative visit (2 weeks). After discontinuing, if your ankles swell, then you should use them until this normalizes. For long trips they are recommended for 3 months following surgery.

I recommend going upstairs leading with your non-operative leg and going down stairs lead with your operative leg. “Good leg up, bad leg down.” This will be taught to you by our therapy team.

As a matter of habit I use formal therapy, but in select situations you may not need therapy. Initially they may need to come to you until you are able to present to an outpatient program. Therapy can be essential to short and long term improvement. Typical duration 6-8 weeks.

For knee replacement and anterior hip replacement as soon as you are comfortable. For posterior hip replacement you should wait for at least 6 weeks and focus on your hip precautions.

It is not uncommon. Factors such as pain, narcotic usage, increased dependency on others, and limitations in mobility can contribute to mild depression. These feelings usually subside as you recover. If these feelings are pervasive or persistent please bring them up to me or your primary physician.

This is a very common complaint. Over-the-counter Benadryl or Melatonin may be effective. If not you may require a prescription medication.

It is very common. A stool softener (Colace over-the-counter) is recommended. Drink plenty of water. Our hospital provides a post-operative plan to assist with constipation. It is very important that if you have painful constipation that you cease all narcotic consumption and notify us or present to an emergency department. If a long acting narcotic is prescribed it is the first agent that should be stopped until constipation is improved.

Wallet cards indicating surgical implants are no longer recognized. You will have to inform the security officer of your surgery and may be asked to demonstrate the incision so wear appropriate apparel. Over 1 million total joint replacements are performed each year, so you are not alone.

Avoid any invasive procedures for 6 weeks after surgery. For simple dental cleaning, antibiotics are not required. For invasive procedures it has been recommended to take antibiotics prior to the procedure for 2 years after surgery. The most recent update states antibiotics are not required unless the patients immune status is compromised. I recommend antibiotics for dentistry of any form for the first two years and then at patient discretion. If your dentist has a recommendation, then you should take that into consideration as well.

Simple “nicks” do not require antibiotics, but if you have an injury that is obviously infected or requires medical assistance then you should seek medical attention and notify the provider that you have a joint replacement. Viral conditions do not require antibiotic coverage. If you have a bacterial infection you should consult your primary physician.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

A wrist fusion can be a very effective operation for controlling pain in an arthritic wrist. Arthritis can arise as a consequence of a number of conditions, including trauma, generalised wear and tear arthritis, inflammatory arthritis, such as those caused by rheumatoid arthritis or psoriasis.

Arthritis is a term that is defined as inflammation of a joint and used to describe over 100 different conditions that can affect the human body. Arthritis affects millions of Americans each year with symptoms including pain, stiffness, swelling, and loss of motion in affected joints.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Arthritis can occur in a wrist as a consequence of a fracture that may have gone into the joint and healed with a step, causing localised wear and tear. Arthritis can occur as a generalised wear and tear process, with increasing age. Arthritis can occur as a consequence of inflammatory joint disease such as rheumatoid arthritis or psoriatic arthritis.

Patients often complain of pain and a decreased range of movement in the wrist. Painful actions include lifting and bending the wrist. These can be quite painful. Restricted range of movements can affect patients, with inability to perform common day-to-day tasks.

Generally speaking the arthritic wrist is swollen and has a restricted range of movement.

There are two main types of fixation for wrist fusions. The first is a contoured plate that is held across the back of the wrist joint, with screws into the bone to secure fixation. The surgeon will carefully remove the remaining articular cartilage from the wrist joint to allow the bone to completely solidify underneath the plate. The second type of fixation is a pin that is passed across the wrist joint (usually down through the middle knuckle joint). This second type of fixation is often performed for patients with rheumatoid arthritis.

If a plate fixation is used and the fixation is solid often no post-operative immobilisation is required, and patients are advised to move their fingers as soon as possible. Swelling is common after such a surgery and it is highly advisable to elevate the hand for the first few weeks after surgery. If a pin fixation has been used, then often this is supplemented with plaster of Paris for four to six weeks until the underlying bones have solidly united.

These, generally speaking, can be well tolerated with a plate fixation within the first two to three weeks. Heavy loading activities should be avoided until the bone has completely solidified.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

The surgery to treat an Achilles tendon rupture involves an incision along the back of the ankle. Usually the incision is made just to the side of midline so shoes will not rub on the site of the scar. The torn ends of the Achilles tendon are identified and strong sutures are placed at both ends of the tendon. These strong sutures are then tied together to repair the tendon.

Achilles tendon rupture is most often treated surgically to reattach the tendon to its normal position. Non-operative management can be undertaken, generally people who live sedentary lifestyles or who may have problems with wound healing. Non surgical treatment of an Achilles tendon rupture is accomplished by casting the Achilles tendon for several months. In these patients, the number of re ruptures is higher compared to those patients who have surgical repair. In patients who have surgery for an Achilles tendon rupture, less than 3% experience a rerupture of the tendon.

Patients will be provided a discharge instructions sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program.

Rehabilitation following Achilles tendon repair is a controversial topic. Traditionally, patients were casted after surgery for a period of 4 to 8 weeks and after that time, patients were allowed to gently move the ankle. More recently, studies have shown that patients do well and heal faster with more rapid mobilization. If a solid repair is attainable, patients may not be casted at all, and allowed to begin motion immediately after surgery. These patients will use a removable boot when walking for several weeks.

The most common and worrisome complications following an Achilles tendon repair are problems with wound healing. The skin over the Achilles tendon, sometimes does not heal well. Therefore, careful wound management is of utmost important following surgical repair of an Achilles tendon rupture. Other potential problems include infection, ankle stiffness, and rerupture of the tendon.

Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight, you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persists, contact your surgeon if you have any concerns.

Exercises are very important, as most of the ankle’s strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to the directions.

Weight bearing is not usually possible after tendon achilles surgery. Crutches or some form of weight support may be recommended by your surgeon depending on the operation. Once the pain eases it is important to gradually increase weight bearing on the leg.

Any sport that involves significant weight-bearing stresses or twisting movements must be avoided until approved by your surgeon. Although cartilage and ligament repair often results in a near normal ankle, the ankle does have an increased likelihood of developing arthritis in the long term, so extreme weight-bearing activities need to be modified. Exercises that have less impact on ankles include swimming, cycling and walking.

Maintaining a normal body weight, low impact exercises and a healthy diet.

It is important that you follow your surgeon’s instructions with regards to exercising the ankle to avoid complications of stiffness in the ankle. Exercises are very important, as most of the ankle’s strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to the directions.

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