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Arthritis is Wear and Tear of the joint surfaces leading to pain, swelling, stiffness and reduction in function of the joint. This restricts routine activities like walking, climbing stairs, standing, sitting on the floor etc. |
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| Loss of Normal Articular Cartilage. |
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A Joint is formed by articulation of two bones. Within the joint, bone ends are covered with a smooth substance called cartilage. This tough elastic material acts as a shock absorber and wllows the bone ends to glide smoothly across each other during joint movement. If the cartilage is destroyed, the bones of a joint can grind against each other causing pain, loss of mobility, deformity and dysfunction.
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No, the cartilage can not re-grow (regenerate). Only in early arthritis, the pain can be controlled with use of medications, exercises, braces, injection etc. In most patients arthritis progresses with age and so these treatment methods do not provide any long lasting relief. |
Deformity of legs : Bowing and Knock-knees (loss of normal Alignment of limb) |
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The permanent relief in advanced arthritis can only be achieved by |
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Restoring the smooth joint surface |
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Correcting the limb alignment |
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Joint (Hip & Knee) replacement is the only
solution |
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It is removal of irregular and worm out joint surface and replacing them with new artificial surface (Implant). At the same time, it also corrects the limb deformity. |
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Patients with severe joint pain on activities of daily living |
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Stiffness in the joint, along with deformity |
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Needs medicines every day for pain |
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X rays suggestive of advanced arthritis |
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Joint becomes normal, No pain, No stiffness, No deformity |
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Painless movements of the new joint |
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Resumption of normal daily activities |
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No medicines are required for the joint |
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Quality of life improves remarkably |
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Chance of human error during operation |
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Possibility of poor alignment of joint |
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Improper balancing of joint may lead to painful movements |
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The placement of implant may be unsatisfactory during surgery |
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The success of the joint replacement surgery depends on greater accuracy and precision. For long term success, three things are absolutely necessary |
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| Perfection – using the best material and technology available in the surgery. |
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Surgeon's experience and skill – after all, the surgery is done by the surgeon, all the planning and precision is executed by the surgeon himself. |
| Infrastructure facilities – to accomplish complication free outcome |
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Computer Navigation has become the standard of care in different fields such as neurosurgery and is also having a profound effect on orthopedic surgery. In computer assisted Hip & Knee Replacement, the computer guides the surgeon in precisely planning the exact amount of bone to be removed, to give precise angle of bone to be provided during surgery. This, in conventional method is done by simple eye-balling. |
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Provide precise and perfect alignment of joint |
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Reduce blood loss during surgery |
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Prevent damage to muscles and ligaments |
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Shorten time of recovery |
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It works on Satellite Navigation Technology. By combining 3-D infra-red digital camera images of the bones with an implant specific software, the computer hardware can track the patient's leg, the implant and the surgeon's instruments all times during the procedure. The surgeon also has chance to verify images on computer screen and rectify the alignment of prosthesis with accuracy of 0.5mm and 0.5 degree. |
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