Primary-&-Revision-Joint-Replacement

Udai Omni hospital is devoted to the treatment of patients needing primary and revision total joint replacement of the hip, knee and shoulder. Our mission is to provide state-of-the-art care in a professional and compassionate environment while honouring a commitment to research and education in the field of total joint arthroplasty. All our surgeons are experienced. With extensive exposure to surgery in the western world, they are well-trained orthopaedic specialists in the field of joint replacement surgery and orthopaedic surgery.

The team prides itself on offering personalized, patient-centred care and service. Our orthopaedic specialists focus on increasing patient understanding and alleviating patient anxiety from joint replacement surgery through education. Whether you are recovering from a total knee replacement or a partial shoulder replacement, our goal is to minimize each patient’s recovery time.

Joint replacement is an operation during which parts of a damaged or arthritic joint are removed and replaced with a plastic, ceramic or metal device called a prosthesis. The prosthesis is designed to give you the same range of motion as a healthy, normal joint.

When is joint replacement recommended?

There are many joint conditions that can cause pain and disability. Often, joint pain is caused by damage to the articular cartilage that lines the ends of the bones. The damage can result from a fracture, arthritis, or another condition.

When symptoms don’t respond to nonsurgical treatment and the discomfort decreases the quality of life, doctors recommend joint replacement surgery.

Preparing for joint replacement surgery

A couple of weeks before surgery, your joint replacement specialist and primary care doctor will prepare you for the upcoming procedure by checking your general health, which may require several tests, such as blood tests and a cardiogram. Test findings help the team plan a successful operation.

You can help in the preparation process by talking to your doctor and surgeon and asking questions. Eat nutritious meals and regular exercise if you are able. Establishing a healthy lifestyle prior to surgery will help decrease your recovery time. Following a total joint replacement surgery, you will need assistance during your first week at home. Buy assistive items, such as handrails, a long-handled reacher or shower bench. Arrange for a caregiver or family member to help you with daily activities as you recover.

Planning ahead will ensure you have a successful surgery and quick recovery.

Joint replacement recovery

Each patient experiences joint replacement recovery and rehabilitation differently. Typically, your doctor will encourage you to use the “new” joint after your surgery. Patients will often experience temporary pain in the replaced joint, though this is not a reason for concern. The surrounding muscle tissues are healing, and the body is adjusting to the artificial joint. This new joint pain usually goes away in a few months.

It can be challenging to use the artificial joint during recovery, but exercise is vital to the recovery process after joint replacement surgery. Your doctor or physical therapist will give you exercises to help strengthen the joint and surrounding muscles to restore movement.

Joint replacement outcomes

Joint replacement surgery restores the quality of life in the majority of patients. In most cases, a joint replacement will last for many years, providing patients with a pain-free and improved motion that would otherwise not have been possible.

Total hip replacement

Hip pain can be difficult to overcome, as it affects your everyday activities, such as putting on your shoes, getting out of bed or walking. If you are experiencing hip pain, your hip may have experienced damaged from hip osteoarthritis, rheumatoid arthritis, injury, fractures, avascular necrosis, childhood hip disease or other chronic conditions.

If your symptoms are not adequately treated with activity changes, medications and the use of walking supports, your doctor may recommend hip replacement surgery.

The orthopaedic surgeons at Udai Omni hospital are highly trained and experienced in hip replacement surgery. This effective surgery will relieve your joint pain, improve hip function and help you return to the everyday activities you enjoy.

Total hip arthroplasty

Total hip replacement, also called total hip arthroplasty, is an inpatient procedure in which the orthopaedic surgeon removes the damaged bone and cartilage and replaces it with prosthetic components as described below:

  • The damaged femoral head is removed and replaced with a metal stem. The metal stem is placed into the femur’s hollow centre.
  • A metal or ceramic ball is fitted on to the stem to replace the damaged femoral head that was removed.
  • The damaged cartilage surface of the socket (acetabulum) is replaced with a metal socket.
  • A ceramic, metal, or plastic spacer is placed between the new ball and the socket so the artificial components engage smoothly.

Patients may spend three to five days in the hospital following total hip replacement. Some patients may opt for a short inpatient stay at a rehabilitation facility to better make the transition back to independent living. After total hip replacement surgery, a large majority of patients walk freely after two months.

Total hip replacement: indications

There are a number of reasons for patients to undergo total hip replacement surgery, including osteoarthritis, rheumatoid arthritis, or traumatic injury. Affecting approximately 10 million americans1, osteoarthritis is the most common indication for total hip arthroplasty. Additionally, hip joint deformity and deterioration due to rheumatoid arthritis can be surgically repaired through total hip replacement.

Trauma to the hip can also cause considerable damage, to the extent that the hip joint must be surgically repaired. Older patients, whose cartilaginous lining has worn down, may damage the hip during a fall. Oftentimes, these traumatic falls are significant enough to warrant total hip replacement.

Anterior approach hip replacement with Hana table

The hip is a ball-and-socket joint formed by the femur (thighbone) and acetabulum (a rounded socket in the pelvis). A thin gel-like layer of cartilage coats the femur and the interior of the acetabulum and prevents friction from building in the joint. Attacking the protective layer of cartilage that keeps the hip joint moving smoothly and wearing away the femoral head and acetabulum, the effects of arthritis can cause constant pain and limit mobility. When a hip joint is severely damaged by the effects of arthritis, a total hip replacement procedure can be the best option.

Direct anterior approach to hip replacement

Traditional total hip replacement procedures require incisions on the side or back of the patient and the displacement of muscle tissue in order for the surgeons to gain access to the hip joint. The direct anterior approach hip replacement technique allows surgeons to access the hip joint through an incision on the front of the hip. This approach does not displace muscle tissue, lessening the impact of the surgery. Direct anterior approach hip replacement is a minimally invasive surgical procedure and results in a smaller scar and a shorter recovery time than traditional hip replacement surgery.

Hana® table

The Hana® table gives surgeons a new platform on which to perform direct anterior approach total hip replacement procedures. The specially designed table allows for the precise placement of a patient’s body during the procedure. The freedom to reposition the patient for optimal access to the hip joint gives surgeons a significant advantage over procedures performed on traditional flat operating tables.

Benefits of direct anterior hip replacement with the Hana® table

The Hana® table allows surgeons to precisely adjust the position of the patient’s legs, hips, and torso, and allows surgeons to perform direct anterior approach hip replacement procedures with less damage to the tissues and muscles surrounding the hip joint than a traditional surgery. Consequently, the amount of scar tissue created by the procedure is reduced and the length of time needed to recover from the surgery is shortened.

Revision hip replacement

Hip revision surgery is performed to repair an artificial hip joint that has been damaged due to normal wear or an infection. It helps to correct the problem to gain optimal hip function again.

While an artificial hip implant is extremely effective in improving the hip joint, the prosthesis does not last forever. An artificial hip joint usually lasts 10-15 years, depending on the patient’s activity level. After many years of typical wear and tear, the prosthesis does not fit as securely and loses its effectiveness. To correct this problem, hip revision surgery may be recommended by your doctor.

Infection may warrant revision surgery as well. Infection can damage the hip bone and tissue surrounding the joint, plus weaken muscle, tendon and ligament tissues.

Pain relief is a huge benefit of hip revision surgery. Hip revision surgery can improve strength, coordination, the appearance of the hip and increase mobility.

The success of revision surgery is contingent on the patient’s dedication to the rehabilitation program following surgery.

Total knee replacement

Total knee replacement is performed on patients with knee pain, knee instability, knee ligament injury or knee disability that does not respond to nonsurgical treatment and affects the quality of life.

Total knee replacement surgery is only considered for people whose knee joints have been damaged in some way, be it progressive arthritis or trauma to the knee joint, which causes uncomfortable pain. In the united states, the most common reason for surgical knee replacement is severe osteoarthritis. This degenerative joint disease is especially common in older people.

Our expert orthopaedic surgeons are committed to performing each surgical knee replacement with precision, ensuring that each procedure is as un-invasive as possible for the patient. In a total knee replacement, the diseased knee joint is replaced with artificial components, called a prosthesis. The femur bone end is removed and replaced with a metal shell. The tibia is also removed and replaced with a channelled plastic piece attached to a metal stem. If the kneecap is damaged, a plastic “button” will be added under its surface.

A tissue called the posterior cruciate ligament stabilizes knee joint on each side so that the lower leg cannot slide backwards. In total knee replacement surgery, the posterior cruciate ligament is either retained or replaced by a polyethylene post.

Recovery from a knee replacement surgery can be frustrating and slow going. An average hospital stay after total knee replacement is usually between three to five days. Having a knee replacement surgery recovery plan is important to get you back on your feet after the operation. Physical therapy is a must and usually lasts one to two months after the surgery. Every patient is different, and recovery must be treated on an individual basis based on a patient’s progress. Our expert orthopaedic and physical therapy staff is committed to not only help you get back on your feet but to reach all of your post-operation goals.

Minimally invasive and computer-assisted knee surgery

Dedicated to helping patients return to their active lifestyles quickly, Dr Udai Prakash and his team will utilize minimally invasive or computer-assisted surgical techniques whenever possible to remove the damaged joint and properly attach the prosthetic implant.

Minimally invasive knee replacement surgery involves the use of specialized instruments to remove and replace the affected joint. It has numerous benefits over traditional open surgery, including:

  • Immensely smaller incision(s)
  • Reduced scarring
  • Less blood loss
  • Shorter hospital stay
  • Greatly decreased recovery time

During total knee replacement surgery, dr. Biggs often uses the computer-assisted navigation to view within the interior of the joint during surgery. Computer-assisted surgery has many potential benefits for patients, including:

  • More precise placement of the prosthesis
  • Better wear characteristics of the implant
  • Improved stability of the knee joint
  • Reduced scarring
  • Shorter post-operative rehabilitation period

Learn more about the benefits of computer-assisted surgery

Gender specific and custom fit knee replacement

Recent advancements in prosthetic implant design now offer patients the opportunity to have a more natural joint movement after surgery than ever before. In order to receive the most benefits from knee replacement surgery, it is important that the prosthetic implant fits naturally into the existing bone structure.

Traditional implants are created as “one size fits all”; however, bone structure can vary greatly from person to person, as well as by gender. The structure of the female knee joint is thinner and has a greater curve than the male joint.

Due to recent advancements in the engineering of implants with a woman’s anatomy in mind, female patients have experienced a more natural placement and fit of the prosthetic, as well as an increased lifespan of the implant due to improved wear characteristics, with gender specific implants.

Learn more about gender specific implants

Custom fit knee replacement surgery is the most recent advancement in joint replacement, ensuring that the new joint will function as naturally as possible. To create the custom implant, Our doctors will use 3d imagery and computer modelling technology, to take precise measurements of the remaining healthy bones of the knee. They will also create a custom cutting guide for properly fitting the implant onto the healthy bone. By using the custom implant and guides, with this, our doctors are able to recreate the exact feel and movement of the original joint.

Partial knee replacement

Uni-compartmental knee replacement (also known as a Uni-compartmental knee replacement) is an option for patients with more advanced osteoarthritis that have exhausted the nonsurgical treatment options.

  • The medial compartment (the inside of the knee).
  • The lateral compartment (the outside of the knee).
  • The patellofemoral compartment (the knee front between the kneecap and thighbone).

In a Uni-compartmental knee replacement, your southern joint replacement institute surgeon will perform this surgery using knee arthroscopy along with special saws to remove the damaged compartment cartilage. He or she will cap the ends of the thigh bone and shin bone with metal coverings held in place with medical cement. A plastic insert is placed between the two metal coverings to provide a smooth surface.

The bone, cartilage and ligaments in the healthy parts of the knee are kept intact.

Dr Udai Prakash is an expert in a variety of orthopaedic knee pain treatments, including custom fit knee replacements and partial knee replacement surgery. While afflictions of the knee joint tend to encompass the entire knee, often times only part of the knee is affected. By targeting the damaged area, Dr Udai Prakash is able to work around the remaining healthy areas of the knee, minimizing the impact of the surgery and helping the patient’s body work with the prosthetic implant.

Partial knee resurfacing: an improvement to total knee joint surgery

The knee is made up of three compartments – the medial (inside), lateral, (outside), and patellofemoral (kneecap). Each individual compartment can be damaged by osteoarthritis, leaving the other two compartments relatively unscathed and still functional. In this situation, a partial knee resurfacing procedure may be the best orthopaedic option for the patient.

Benefits of partial knee resurfacing

Benefits of Stryker’s partial knee resurfacing prosthetics include:

  • Advanced bearing (x3) technology affords for reduced wear
  • Smaller incision
  • Quicker recovery time

Osteoarthritis treatment utilizing partial knee resurfacing

Osteoarthritis is the most common form of arthritis to affect the knee joint and is also known as “wear and tear” arthritis. Osteoarthritis of the knee affects the joint’s cartilage, its main shock absorbing and cushioning material. When osteoarthritis deteriorates the knee’s cartilage, the bones of the upper leg can come into direct contact with the bones of the lower leg, causing pain and leading to a destabilization of the knee joint. Arthroscopy and other minimally invasive surgical techniques can provide low-impact surgical solutions for this debilitating musculoskeletal condition.

Knee resurfacing surgery: Stryker orthopaedic implants

Dr Udai Prakash and his team use two types of specially designed implants during partial knee replacement surgery – the triathlon partial knee resurfacing and Oxford partial knee implants. The triathlon implant is designed for either side of the knee, while the Oxford implant is tailored specifically for the medial side of the knee joint, allowing for a much smaller implant compared to a traditional full joint implant.

The smaller, tailored implants decrease the overall area that needs to be resurfaced, allowing the still healthy portions of the knee joint to more easily incorporate the new implants. This process allows for less recovery time, a stronger bond between the implants and the remaining portions of the natural knee joint and a longer life for the implant.

Revision Knee Replacement

Implants used in a total knee replacement can fail for a variety of reasons. Even the best implants need to be replaced in 10 or 15 years. Sometimes parts loosen from the bone or the artificial joint components simply wear out from physical activity and time. If this occurs and your knee becomes painful or unstable during normal daily activities, you may need a revision surgery.

In performing a revision, your Udai Omni orthopaedic surgeon will remove and replace the original total knee replacement implants. The extent of the revision will depend on the condition of your thigh bone and shin bone. Sometimes bone grafts from your body or a donor may be used or special parts may need to be created.

The compassionate surgical staff at Udai Omni Hospital is happy to answer your questions about revision knee replacement and explain what type of implants will be used and why it is the right choice for you.

Total shoulder replacement/h4>

Shoulder replacement surgery may be needed to treat severe shoulder fractures and other painful conditions, such as different forms of arthritis. Joint replacement surgery is effective in relieving pain and helping you get back to enjoying an active life.

The orthopaedic surgeons at Udai Omni hospital may recommend surgery if your shoulder pain and other symptoms do not respond to nonsurgical treatments.

A highly-skilled and experienced Udai Omni orthopaedic surgeon will remove the damaged areas of the shoulder joint and replace the bone with artificial components, called a prosthesis. Surgical options are either replacement of just the ball of the humerus bone, or replacement of both the ball and the socket.

Shoulder replacement options

Shoulder replacement surgery requires a surgical team with experience in this highly technical procedure. The orthopaedic surgical team at southern joint replacement institute has years of experience performing these different types of shoulder replacements:

  • Total shoulder replacement. In this surgery, the surgeon typically replaces the shoulder joint surfaces with a smooth metal ball attached to a stem and a plastic socket.
  • Stemmed hemi arthroplasty. In a traditional hemi arthroplasty, the ball of the humerus is replaced with a metal ball and stem, similar to the prosthetic used in a total shoulder replacement. Sometimes the surgeon will replace only the ball.
  • Resurfacing hemi arthroplasty. The surgeon will replace the joint surface of the humeral ball with a cap-like prosthesis to preserve the bone. No stem is used. It is a good alternative to the stemmed shoulder replacement for patients with arthritis.
  • Reverse total shoulder replacement. The prosthesis used in this surgery has 5 parts: the glenoid base, the glenosphere, a polyethylene cup, humeral neck, and the humeral stem. This surgical procedure is most often used for patients with severe arthritis, whose previous shoulder replacement failed, or completely torn rotator cuffs with severe arm weakness.

Your southern joint replacement institute shoulder surgeon will evaluate your condition carefully and recommend the best type of replacement surgery to help you achieve pain relief and reclaim mobility.

Our caring surgical staff is happy to answer your questions about shoulder replacement surgery and explain what type of implant will be used and why it is the right choice for you.

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