Most Advanced Total Hip Joint Replacement Surgery at World Best Hospitals in India

Overview

During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.birmingham-hip-resurfacing-stem-surgery2

Also called total hip arthroplasty, hip replacement surgery may be an option for you if your hip pain interferes with daily activities and more-conservative treatments haven’t helped. Arthritis damage is the most common reason to need hip replacement.

Why it’s done

Conditions that can damage the hip joint, sometimes necessitating hip replacement surgery, include:

  • Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
  • Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode bone and cartilage and deform joints.
  • Osteonecrosis. If there is inadequate blood supply to the ball portion of the hip joint, the bone may collapse and deform.

Benefits

The hip replacement operation is one of the most reliable operations in orthopaedic surgery and consistently reduces or eliminates the pain of the arthritis in most patients. Some of the important benefits of a Total Hip replacement surgery are, marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

Risks

Risks associated with hip replacement surgery may include:

  • Blood clots. Clots can form in your leg veins after surgery. This can be dangerous because a piece of a clot can break off and travel to your lung, heart or rarely your brain. Your doctor may prescribe blood-thinning medications to reduce this risk.
  • Infection. Infections can occur at the site of your incision and in the deeper tissue near your new hip. Most infections are treated with antibiotics, but a major infection near your prosthesis may require surgery to remove and replace the prosthesis.
  • Fracture. During surgery, healthy portions of your hip joint may fracture. Sometimes the fractures are so small that they heal on their own, but larger fractures may need to be corrected with wires, pins and possibly bone grafts.
  • Dislocation. Certain positions can cause the ball of your new joint to become dislodged. To avoid this, it is often recommended that after surgery you don’t bend more than 90 degrees at the hip and don’t let your leg cross the midline of your body. If the hip dislocates, your doctor may fit you with a brace to keep the hip in the correct position. If your hip keeps dislocating, surgery is often required to stabilize it.
  • Change in leg length. Your surgeon takes steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. Sometimes this is caused by weakness in the muscles surrounding the hip. In this case, progressively strengthening and stretching those muscles may help.
  • Loosening. Although this complication is rare with newer implants, your new joint may not become solidly fixed to your bone or may loosen over time, causing pain in your hip. Surgery might be needed to fix the problem.

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

During the procedure

To perform a hip replacement, your surgeon:

  • Makes an incision over the front or side of your hip, through the layers of tissue
  • Removes diseased and damaged bone and cartilage, leaving healthy bone intact
  • Implants the prosthetic socket into your pelvic bone, to replace the damaged socket
  • Replaces the round top of your femur with the prosthetic ball, which is attached to a stem that fits into your thighbone

Techniques for hip replacement are evolving. As surgeons continue to develop less invasive surgical techniques, Hip Replacement Surgery in Indiathe hope is that these techniques might reduce recovery time and pain compared with standard hip replacements. However, studies comparing the outcomes of standard hip replacement with those of minimally invasive hip replacement have had mixed results.

After the procedure

After surgery, you’ll be moved to a recovery area for a few hours while your anesthesia wears off. Medical staff will monitor your blood pressure, pulse, alertness, pain or comfort level, and your need for medications.

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Most Advanced Total Hip Joint Replacement Surgery at World Best Hospitals in India

Best Hospitals for knee Replacement Surgery in India

The best hospitals for knee replacement surgery in India have a world class and patient friendly infrastructure with the national and international certifications and accreditation. The hospitals have highly advanced technology which helps using the minimally invasive techniques that helps in lesser pain, lesser blood loss and reduced risks of infection, better surgery outcomes and faster recovery. The top Knee replacement surgery hospitals in India are located at Delhi, Ahmedabad, Mumbai, Nagour, Chennai, Bangalore, Noida, Gurgaon, Hyderabad,etc.

The best knee replacement surgeons in India are highly skilled and have a vast experience of working with the best hospitals across the world and many of them have been trained at some of the finest medical institutions across the world

knee Replacement Surgery

Knee replacement surgery additionally called knee arthroplasty is procedure to switch the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. it should be performed for alternative knee diseases like rheumatoid arthritis and  psoriatic  arthritis.knee 1
The procedure has been proven to assist people come back to moderately difficult activities like golf, bicycling, and swimming. Total knees don’t seem to be designed for jogging, or sports like lawn tennis and athletics (although there actually are people with total knee replacements that participate in such sports).
Knee replacement may be a routine surgery performed on over 600,000 people worldwide annually. Over ninetieth of individuals WHO have had Total Knee Replacement experience associate improvement in knee pain and performance.

Knee Replacement treatment in India

India is the most preferred medical destination by the patients coming from various parts of the world for knee replacement treatment. The reasons include the low cost advantage for knee replacement treatment along with the best quality as catered in the developed nations of US and UK.

List all types of Knee Replacement surgeries offered in India.

  • Knee Replacement
  • Unilateral Knee Replacement
  • Bilateral Knee Replacement
  • Total Knee Replacement
  • Unicondylar Knee Replacement
  • Partial Knee Replacement
  • High Flex Knee Replacement
  • Both Knee Replacement Together
  • Minimally Invasive Knee Replacement
  • Revision Knee Replacement

Who needs a knee replacement surgery?

A knee replacement is major surgery and is mostly preferred if other treatments, such as physiotherapy or steroid injections, haven’t helped in reducing pain or improve mobility. Most common reasons for undergoing this surgery are:

  • Osteoarthritis-This is age related arthritis which develops due to inflammatory breakdown of cartilage of the knee joint.
  • Rheumatoid Arthritis- This is a chronic arthritis which results in soreness and stiffness of the knee joint.
  • Post traumatic Arthritis Caused due to severe knee injury.
  • Hemophilia
  • Gout

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Best Hospitals for knee Replacement Surgery in India

Most Advanced Shoulder Surgery in India

Shoulder Surgery

Your shoulder is that the most flexible joint in your body. It permits you to position and rotate your arm in several positions in front, above, to the aspect, and behind your body. This flexibility also makes your shoulder susceptible to instability and injury.
Depending on the nature of the problem, non surgical strategies of treatment typically are suggested before surgery. However, in some instances, delaying the surgical repair of a structure-of-shouldershoulder will increase the probability that the matter are going to be more difficult to treat later. Early, correct diagnosis and treatment of shoulder problems will create a big difference within the long-term. alternative a lot of less common causes of shoulder pain are tumors, infection, and nerve-related problems.

Different Types of Shoulder Surgery Procedures in India

Bursitis

Bursae are small, fluid-filled sacs that are located in joints throughout the body, including the shoulder. They act as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.

Sometimes, excessive use of the shoulder leads to inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade known as the acromion. The result is a condition known as subacromial bursitis. Bursitis often occurs in association with rotator cuff tendinitis. The many tissues in the shoulder can become inflamed and painful. Many daily activities, such as combing your hair or getting dressed, may become difficult.

Tendinitis

A tendon is a cord that connects muscle to bone. Most tendinitis is a result of a wearing down of the tendon that occurs slowly over time, much like the wearing process on the sole of a shoe that eventually splits from overuse.

Generally, tendinitis is one of two types:

  • Acute. Excessive ball throwing or other overhead activities during work or sport can lead to acute tendinitis.
  • Chronic. Degenerative diseases like arthritis or repetitive wear and tear due to age, can lead to chronic tendinitis.

The most commonly affected tendons in the shoulder are the four rotator cuff tendons and one of the biceps tendons. Orthopedics-Surgery2The rotator cuff is made up of four small muscles and their tendons that cover the head of your upper arm bone and keep it in the shoulder socket. Your rotator cuff helps provide shoulder motion and stability.

Tendon Tears

Splitting and tearing of tendons may result from acute injury or degenerative changes in the tendons due to advancing age, long-term overuse and wear and tear, or a sudden injury. These tears may be partial or may completely split the tendon into two pieces. In most cases of complete tears, the tendon is pulled away from its attachment to the bone. Rotator cuff and biceps tendon injuries are among the most common of these injuries.

Impingement

Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues when the arm is lifted away from the body. As the arm is lifted, the acromion rubs, or “impinges” on, the rotator cuff tendons and bursa. This can lead to bursitis and tendinitis, causing pain and limiting movement. Over time, severe impingement can even lead to a rotator cuff tear.

Instability

Shoulder instability occurs when the head of the upper arm bone is forced out of the shoulder socket. This can happen as a result of a sudden injury or from overuse.

Shoulder dislocations can be partial, with the ball of the upper arm coming just partially out of the socket. This is called a subluxation. A complete dislocation means the ball comes all the way out of the socket.

Once the ligaments, tendons, and muscles around the shoulder become loose or torn, dislocations can occur repeatedly. Recurring dislocations, which may be partial or complete, cause pain and unsteadiness when you raise your arm or move it away from your body. Repeated episodes of subluxations or dislocations lead to an increased risk of developing arthritis in the joint.

Arthritis

Shoulder pain can also result from arthritis. There are many types of arthritis. The most common type of arthritis in the shoulder is osteoarthritis, also known as “wear and tear” arthritis. Symptoms, such as swelling, pain, and stiffness, typically begin during middle age. Osteoarthritis develops slowly and the pain it causes worsens over time.

Osteoarthritis, may be related to sports or work injuries and chronic wear and tear. Other types of arthritis can be related to rotator cuff tears, infection, or an inflammation of the joint lining.Often people will avoid shoulder movements in an attempt to lessen arthritis pain. This sometimes leads to a tightening or stiffening of the soft tissue parts of the joint, resulting in a painful restriction of motion.

Fracture

Fractures are broken bones. Shoulder fractures commonly involve the clavicle (collarbone), humerus (upper arm bone), and scapula (shoulder blade).Shoulder fractures in older patients are often the result of a fall from standing height. In younger patients, shoulder fractures are often caused by a high energy injury, such as a motor vehicle accident or contact sports injury. Fractures often cause severe pain, swelling, and bruising about the shoulder.

Diagnosis of Shoulder Surgery:-

Your doctor may order specific tests to help identify the cause of your pain and any other problems.

X-rays. These pictures will show any injuries to the bones that make up your shoulder joint.

Magnetic resonance imaging (MRI) and ultrasound. Thes imaging studies create better pictures of soft tissues. It may help your doctor identify injuries to the ligaments and tendons surrounding your shoulder joint.

Computed tomography (CT) scan. This tool combines x-rays with computer technology to produce a very detailed view of the bones in the shoulder area.

Electrical studies. Your doctor may order a tests, such as the EMG (electromyogram), to evaluate nerve function.

Arthrogram. During this x-ray study, dye is injected into the shoulder to better show the joint and its surrounding muscles and tendons.

Arthroscopy. In this surgical procedure, your doctor looks inside the joint with a fiber-optic camera. Arthroscopy may show soft tissue injuries that are not apparent from the physical examination, x-rays, and other tests. In addition to helping find the cause of pain, arthroscopy may be used to correct the problem.

Different Types of Shoulder Surgery Procedures in India

  • Arthroscopic acromioplasty – This is an arthroscopic procedure to widen the space between the upper arm and the shoulder blade so that the rotator cuff tendons do not get stuck between them. Arthroscopy with shoulder instability – In case of dislocation of the shoulder, it is normal to have an arthroscopy. It is often possible to repair damage to the shoulder but sometimes a separate operation is needed.
  • Rotator Cuff Repair – Arthroscopic repair of the shoulder tendons. The goal of these procedures is to minimize the pain, restore strength and functionality.
  • Total Shoulder Replacement Surgery

Also known as Total Shoulder Arthroplasty, the Total Shoulder Replacement Surgery is a surgical procedure wherein the intention is to reduce the joint pain and improved the motion function in patients suffering from a variety of arthritic conditions. In this type of surgery, the both sides of the joint are replaced which include humeral head and the glenoid.

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Most Advanced Shoulder Surgery in India

Hand Surgery in India

Hand surgery is an orthopedic procedure performed for a large type of reasons. Hand surgeries and procedures address issues that involve the fingers, hands and wrists and generally the forearms, elbows and shouldersimages1651. those who perform hand surgeries or non-surgical procedures may also be trained and authorized as general, orthopedic or plastic surgeons World Health Organization are experienced in specialized fields of hand, arm, and even shoulder anatomy, physiology and treatment procedures and surgeries. Hand surgery is supposed to assist alleviate restricted vary of motion, to repair muscles, tendons or bones damaged through injury or disease, similarly on restore the looks of hands and fingers within the case of disfigurement or birth defects.

Advanced Hand Surgery and Upper Extremity Surgery Options available at best  hospitals in India

Hand Fractures :-

  • Open Reduction internal Fixation
  • Metacarpal Fractures
  • Phalangeal Fractures
  • Scaphoid Fracture
  • Percutaneous fixation
  • Non union with vascularized bone grafting

 

Wrist Fractures :-

  • Fracture Distal radius
  • External fixation
  • Metacarpal Fracture
  • Phalanges Fracture
  • Fracture Distal radius
  • Non union with vascularized bone grafting

 

Tendon Surgeries :-

  • Acute tendon repair
  • Tendon grafting and two stage grafting with Silastic rods pulley reconstruction

 

Carpel Tunnel Syndrome :-

  • Endoscopic carpal tunnel release
  • Open Release

 

Hand Microsurgery / Neurosurgery :-

  • Nerve repair
  • Fascicular repair
  • Digital nerve repair
  • Cable grafting
  • Microvascular
  • Revascularisation
  • Latissimus dorsi free flap

 

Vascular Surgery :-

  • Vascular repairs
  • Traumatic
  • Iatrogenic
  • Vascularised joint transfer
  • Free flaps
  • Lateral Arm free flap

 

Congenital anomalies :-

  • Radial Club Hand
  • Syndactyly
  • Thumb in palm deformity
  • Madelung Deformity
  • Kirner’s deformity
  • Triphalangism
  • Congenital trigger thumb

 

Wrist Arthroscopy :-

  • Arthroscopic assisted fracture fixation for lower end radius.
  • Syndactyly
  • TFCC repair and debridement.
  • Synovial biopsy & Synovectomy.
  • Loose body removal
  • Wrist injuries

 

Ring fixators in hand :-

  • Congenital deformities
  • Camptodactyly
  • Radial club hand
  • Post traumatic deformities
  • Periarticular fractures
  • Chronic dislocations
  • Digital lengthening
  • Acute fractures

 

Keinbock’s Disease :-

  • Joint leveling procedure in wrist
  • Revascularization Lunate using Vascularised Bone grafting
  • DRUJ stabilization procedures
  • Tumor and tumor like conditions
  • GCT tendon sheath
  • GCT Bone
  • Hemangioma
  • AV Malformations
  • Ganglion

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Hand Surgery in India

Hip Replacement Surgery in India

Total Hip Replacement Surgery (THR)

Hip replacement may be a surgical procedure within which the hip joint is replaced by a prosthetic implant. Hip pain is caused by osteoarthritis, fracture, rheumatoid arthritis, and aseptic bone necrosis. typically these conditions improve, however there’s no cure for joint pain and severe cases cannot invariably be controlled by medication and rehabilitation. once this happens, some patients have issue in walking and also the impaired movement hinders everyday activities.Hip-Replacement-Surgery-india These patients typically pick hip replacement surgery. This entails removal of the broken hip and replacement with prosthesis. The prosthetic hip is sometimes made from a combination of metal and plastic.

 

When is it recommended?

Total Hip Replacement is recommended when the patient is suffering from Rheumatoid Arthritis, Osteonecrosis, Injury of the hip joint, or some bone tumors have been diagnosed that are adversely affecting the hip joint. Additionally, if the patient has any of the following conditions then hip replacement is required:

  • Hip arthritis (Primary osteoarthritis)
  • Secondary osteoarthritis (more common in India)
  • Femoral neck fractures with preexisting osteoarthritis
  • Femoral neck fracture, Non unionship
  • Malunited hip socket and ball fractures
  • Avascular necrosis(AVN)
  • Protrusio acetabuli (deep socket)
  • Slipped upper femoral epiphysis
  • Perthes disease
  • Rheumatoid arthritis
  • Ankylosing spondylitis

What are the types of Hip Replacement Surgery?

Following are the various types of Hip Replacement Surgeries:

  • Total Hip Replacement
  • Partial Hip Replacement
  • Hip Resurfacing
  • Minimally Invasive Hip Replacement
  • Double Hip Replacement
  • Revision Hip Replacement

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Hip Replacement Surgery in India

Carpal Tunnel Release Surgery in India

What is the carpal tunnel?

The carpal tunnel could be a narrow canal within the wrist. very cheap and sides of the tunnel are shaped by a semi-circle of bones called carpal bones. a powerful tissue, called a ligament, forms the highest of the tunnel. The median nerve and tendons pass through this narrow area. carpel(The tendons are “rope-like” structures that connect muscles within the forearm to bones within the hand.) Tendons enable the fingers and thumb to bend and straighten. Conditions that further narrow the carpal tunnel or cause the tendons that meet up with this tunnel to swell cause carpal tunnel syndrome by compression the median nerve.

What is carpal tunnel syndrome?

The wrist comprises of several small bones collectively known as the carpal bones. The carpal bones are interconnected via strong ligaments and connective tissue known as the flexor retinaculum. Collectively, this arrangement forms a space known as the carpal tunnel .The carpal tunnel contains numerous flexor tendons from the muscles of the forearm allowing them to attach to the wrist and fingers via the carpal tunnel. In addition, a nerve known as the median nerve lies within the carpal tunnel . The median nerve is responsible for supplying some sensation and motor control to the hand.

Occasionally, the carpal tunnel may narrow resulting in compression of the median nerve. When this occurs, the condition is known as carpal tunnel syndrome. Carpal tunnel syndrome normally occurs following damage to the flexor tendons within the carpal tunnel. This results in swelling and inflammation of the tendons, thereby reducing the dimensions of the carpal tunnel, compressing the median nerve.

Damage to the flexor tendons usually occurs due to overuse of the forearm flexors. During contraction of the forearm flexors, tension is placed through the flexor tendons within the carpal tunnel. When this tension is excessive due to too much repetition or high force, damage to the tendons may occur. This is usually due to gradual wear and tear associated with overuse, however, it may also occur traumatically due to a specific incident. Although carpal tunnel syndrome can occur at any age, it is commonly seen in patients greater than 50. Carpal tunnel syndrome is also more common in women

Symptons :-

The Most Common Symptons of Carpal Tunnel Syndrome Include :-

  • Numbness, tingling, and pain in the handsigns-symptoms-img1
  • An electric shock-like feeling mostly in the thumb, index, and long fingers
  • Strange sensations and pain traveling up the arm toward the shoulder

Symptoms usually begin gradually, without a specific injury. In most people, symptoms are more severe on the thumb side of the hand.

What are the Aims and Benefits of Carpal Tunnel Release Surgery?

  • Relief from Neural Compression
  • Pain Reduction
  • Prevention of Further Deterioration

The chance of obtaining a significant benefit from surgery depends upon a wide variety of factors. Your neurosurgeon will give you an indication of the likelihood of success in your specific case.

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Carpal Tunnel Release Surgery in India

Elbow Joint Replacement Surgery in India

Elbow Joint Replacement Surgery at World’s Best Hospitals in India

Any style of surgery performed on a bone or joint is taken into account a kind of orthopedic surgery. Injuries to the elbow square measure common in athletes, like people who play contact sports, also as lawn tennis, golf, and baseball or soccer, however also are caused by falls or accidents. many varieties of elbow surgery square measure available for treatment, counting on the harm done to bone, muscular tissues or tendons and ligaments.elbow-replacement-surgery
Elbow joint replacement, additionally called Total elbow arthroplasty or Endoprosthetic elbow replacement, is that the surgery to switch the worn out bones of the elbow joint with man- made joints of metal or plastic. Elbow replacement surgery is sort of successful; the success rate is over ninetieth. The procedure is so turning into quite popular among patients and surgeons in aging adults to switch suffering from arthritis and fracture.

Who should consider undergoing Elbow Replacement?

Elbow replacement was 1st done to exchange joints broken by RA. Its success rate continues to be highest among people with arthritis who area unit extremely motivated and within the best health. as a result of early mechanical failure is more doubtless to occur among younger, additional active people. elbow-painElbow Replacement Surgery is most fitted to people older than sixty years older. In recent years, candidates for elbow replacement have enclosed quite simply people with RA. Others WHO may take into account elbow replacement in India embrace people whose elbows are broken by:

  • Osteoarthritis
  • Joint disease
  • Arthritis after injury (traumatic arthritis
  • Arthritis after previous surgery
  • Acute fractures in the upper or lower arm near the elbow
  • Tumors or tumor resection

Various Types of Elbow Surgeries

Tennis Elbow Surgery – Tennis elbow surgery consists of making an incision over the outside of the joint, and locating the area of the tendon that has suffered damage. Tennis Elbow, also known as lateral epicondylitis, is the most common treatment available for patients seeking surgical treatment for elbow joint pain. It is caused due to small tears of the ligaments that attach forearm muscles to the arm bone in the elbow joint.

Elbow Arthritis Surgery – Also known as Elbow debridement, Elbow Arthritis Surgery is a type of surgery wherein arthritis causes significant loss of movement. During the surgery, a 10 centimeter incision is made on the back of the elbow. Thereafter, all the loose bodies and bone spurs that are hindering elbow movement are removed. A fenestration is then made at the end of the arm bon

Arthroscopic Elbow Surgery – It is used to diagnose and treat conditions inside the joint.

Benefits of Elbow Replacement Surgery

Elbow surgery is one of the most successful joint replacement procedure and most patients are happy with the result.

  • It improves flexibility
  • Prevents further deterioration and the risk of a disability
  • Return to independence and normal routine
  • It relieves pain and comfort
  • Elbow replacement surgery enables them to return to their normal way of life
  • Return to work, drive a car or use public transport and participate in sports and exercise. Freedom and independence back.

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Elbow Joint Replacement Surgery in India