Joint Replacement

JOINT REPLACEMENT CARE IN PANVEL, NAVI MUMBAI

It involves removal of the damaged joints and replacing them with artificial implants.It gives relief from chronic joint pains and other joint related disorders With rising life expectancy,incidence of arthritis is rising in our country.Arthritis is nothing but wear and tear of the joint.Certain diseases rheumatoid arthritis or previous fracture can also lead to arthritis and deformities of the joint.Arthritis leads to pain and loss of normal mobility which leads to poor quality of life.The Joint replacement unit of Purohit Clinic offers joint replacement to such patients to relieve their pain and disability.
The unit at Purohit clinic has an experience of more than 25 years in joint replacement under the leadership of Dr Deepak and Mandar Purohit.We have always kept ourselves up to date with the most recent advances in joint replacement to give the best possible functional results to our patients. Ceramic on ceramic bearing surfaces,oxinium knee implants,dual mobility hip replacement,hinged knee implants and other such newer techniques are performed to provide better results. Our goal is to provide good results to patients with minimal complications and low infection rates at affordable cost.

Facilities available

  1. Modular (All steel) and spacious operation theatre with HEPA filter to minimise infection
  2. Use of full body space suit
  3. Safe and effective anaesthesia techniques in the form of nerve blocks and epidural anaesthesia for better pain relief and faster mobility post surgery
  4. In house physiotherapy services for faster rehabilitation
  5. Digital radiographs for better planning of the surgery
  6. Use of latest implants to provide superior results

KNEE REPLACEMENT:

It is the most commonly performed joint replacement. Knee replacement is predominantly performed to replace a diseased or damaged knee with an artificial joint.It improves the overall functioning of the knee and gives a relief from the chronic pain.

ANATOMY:

The knee is the largest joint in the human body.It is made up of lower end of the thighbone (femur),upper end of the shinbone (tibia) and a kneecap (patella).The ends of these three bones are covered with articular cartilage.It is a smooth substance that creates a shield for the bones and enables them to move easily within the joint.The menisci are located between the femur and tibia.The ligaments within the knee provide locomotive stability and strength to the knee.The other remaining surfaces of the knee are surrounded by a thin layer called the synovial membrane.This membrane releases a fluid that lubricates the cartilage ultimately reduces the friction.When all these components have seamless and smooth functioning, one has healthy knees.

WHEN IS KNEE REPLACEMENT RECOMMENDED?

It is mainly recommended for knee diseases like,Rheumatoid arthritis,Osteoarthritis and Psoriatic arthritis.Here the cartilage over the joint gets worn out leading to friction between opposing bone surfaces.Depending upon the severity, there are two broad categories of knee replacement surgery;Total Knee replacement and Partial Knee replacement.

TOTAL KNEE REPLACEMENT

Total knee replacement (TKR) involves the entire replacement of the knee joint.It involves replacement of the joint surface at the end of the thigh bone named femur and the joint surface at the top of the shin bone named tibia.TKR is performed with metal called prosthesis.Here,the implants are fixed to the underlying bone with bone cement.

HIP REPLACEMENT

The hip joint is the junction where it adjoins the leg to the trunk of the body.It constitutes of two bones;a thighbone called as femur and the pelvis.Pelvis is made up of three parts; ilium, ischium and pubis.The hip joint has two primary parts known as acetabulum and femoral head.The ball of the hip joint is made up of femoral head and the socket is formed by the acetabulum.

It is usually recommended when a patient is suffering through severe hip arthritis or has undergone any severe accident or injury.It is also recommended when one is experiencing chronic stiffness in the hip.

TOTAL HIP REPLACEMENT:
Here both the femoral head and acetabulum are replaced with artificial implants.The femoral head is replaced with a metal ball and the acetabular socket is resurfaced with a metal shell and a plastic liner inside.
PARTIAL HIP REPLACEMENT:
In this surgery only the femoral head is replaced.It is usually performed in fractures around the neck of femur

  • Pain relief
  • Increased joint mobility
  • Enables patients to walk without support


SHOULDER REPLACEMENT

In shoulder replacement,the damaged part is replaced with an artificial component known as prosthesis.There are two categories of shoulder replacement;Depending upon the severity,either the head of the humerus bone is replaced or both the ball and socket are replaced.The head portion is known as ball and the socket is known as glenoid.

The shoulder bone comprises of three parts;the upper arm bone,the shoulder blade and the collar bone.The upper arm bone is known as humerus,the shoulder blade is known as scapula and the collar bone is known as clavicle.
The shoulder is mainly a ball and socket joint.The head of the upper arm is fixed into a socket in the shoulder blade.The socket is known as glenoid.All the remaining surfaces in the shoulder joint are covered by a smooth tissue known as synovial membrane.

It is mostly recommended when the patient is suffering through acute shoulder pain or has any disability within the shoulder joint.Avascular necrosis is also one of the prominent factors for shoulder replacement.In this, blood supply to the bone is disrupted.Other causes include osteoarthritis and complex fractures where shoulder head blood supply can not be restored or there is fracture in the head itself so that roundedness of the bone is lost.

Shoulder replacement provides relief from severe shoulder grief.It restores the strength and functioning of the shoulder.In cases of fractures,sometimes,replacing the shoulder head is the only option to help the patient use his arm effectively

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