Shoulder, Hip, and Knee replacement surgeries using
the most modern keyhole, endoscopic surgery and arthroscopy
is done at many hospitals in Mumbai, Pune, and Manipal.
These hospitals are equipped with most advanced facilities
as compared to any part of the world. The cost of knee
replacement is about US$ 6,000 to 8,000/- in India and
the same operation in UK with similar surgery procedure, implant
and medical consumables cost around 10,000/-UK Pounds.
The major surgeries like joint replacements, spine surgeries,
inter-locking & nailing, arthroscopic surgeries.
They are supported by state of the art joint replacement
operation theatre. C-arm x-ray equipment facilitates
the orthopedic endeavor. All this is supported by Digital
Radiography that will make the services rendered of
a very high order. The hospitals with such facilities
and highly trained surgeons in Mumbai are Wockhardt
hospital, Hiranandani hospital, Hinduja hospital, Bombay
hospital, Breach candy hospital, Saifee hospital, Jaslok
hospital, Lilawalti hospital, Harkishandas hospital,
Bhatia hospital. Ruby hospital and sanchity hospital
in Pune. Manipal hospital in Manipal and A J.hospital
in Manglore.
Ans: When our knee or Hip pain becomes unbearable,
our physical movement comes to stand still or limited
and you are unable to perform any physical activities,
at such situation joint replacement can be only option
to get rid of all pain and your movement limitations.
In some cases both knee and hip have such painful
problems. Replacement of one knee or hip reduces stress
& load on opposite joints, and the second surgery
can be performed in later years. Consultation with
your hospital orthopedic surgeon will be best option
for such situations.
Qus: Can such joint replacement be avoided through
medication or alternative treatments?
Ans: In early stage of arthritis pain, such
problems are treated by medication, physical exercise
(Advised by physiotherapist), ayurvedic medicines,
or by arthroscopic surgery. If anti inflammatory drugs
and injections in joints do not stop or lessons the
joint pain, these doses have to be stopped because
excessive painkiller drugs & injections can damage
important organs of our body. Therefore joint replacement
is only long term alternative from pain and big relief
to return to an active physical activities.
Qus: What are the risk factors for this surgery?
Ans: Total joint replacement is a major operation
and therefore has some calculated risk factor as in
any other operations. The infection can result in removal
of prosthesis, the other chance is bleeding, and nerve
damage or even blood clot can be formed. But with modern
facilities & highly experienced orthopedic in this
type of surgery the risk factor has reduced to very
nominal and has achieved high success rate for joint
replacement surgeries. Required antibiotic is prescribed
and highest quality of surgical stockings are used to
prevent infections or formation of blood clots which
is the common complication during such type of surgeries.
Most
patient require blood transfusion of approximately
2 units after surgery and the operating surgeon advises
the patient to donate its own blood 2 or 3 weeks before
operation and is preserved in blood bank. (This system
is called "Autologous" blood donation) If
the patient is unable to give his own blood for some
reason then the patients family member or friends
blood is taken after total verification of blood group
and free from any infection or disease.
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