Joint Replacement Department

Sancheti hospital since 1965 has been an advocate of non surgical measures to correct the pain and only in cases where non surgical measures are of no help, joint replacement is suggested.
The dedicated Joint Replacement unit of Sancheti Hospital in India, one of its kinds in the country, conducts replacement surgeries for knee, hip, shoulder, ankle and elbow.
A specially designed complex of 4 operating theatres incorporating advanced processes, such as laminar airflows, specialized coating of the walls of the theater which are seamless, and the special coating of the flooring which is antistatic and bacterial and fungal resistant;  provides a highly sterile environment essential to avoid post surgery infections.

Availability of computer assisted joint-replacement surgery has substantially increased accuracy of the surgery.

Joint replacement surgery is a procedure in which surgeon will remove the damaged cartilage and bone and then replace it with a new metal and plastic joint surface to restore the alignment and painless functioning of your joints.

Total Knee Replacement Surgery

If non surgical treatments are ineffective, total knee replacement surgery can be considered as a safe and effective procedure to relieve pain and help you resume normal activities. It also helps to correct deformity. The results of knee replacement are predictable and long lasting. Also because of the developments in anaesthesia, pain control and physiotherapy, one can resume back to normal routine activities fairly soon after the surgery.

The Knee

The Knee Joint is among the strongest, largest and most complex joints of the body. During leg movements, you depend on it for support and mobility. when the knee joint becomes painful, its mobility is reduced and performing daily activities of living becomes difficult.

The Indus Knee India’s First Indigenous Implant

Early in the course of his practice, Dr. K. H. Sancheti realized that imported joints, because of their high cost, were not affordable for the Indian patient. In addition Indian patients desired greater flexion of the knee. This led to the design of India’s first high flex design – the Indus knee joint.

In August 2005, the INDUS knee was successfully implemented for the first time on a crippled arthritic patient, and a dream became reality.

Indus Knee Advantages

– Highly cost effective implant
– Specially designed to aid increased range of motion
– Suited to Indian lifestyles
– Minimal removal of bone

Total Hip Replacement Surgery

There are many different causes of pain in the hip joint. These include primary osteoarthritis, or secondary arthritis due to fractures/ dislocations, rheumatoid arthritis; and osteonecrosis (AVN) (restricted blood flow to the bone).

When the other therapies, such as pain medications; have failed, hip replacement surgery is usually the answer. If you experience severe pain, loss of motion or deformity of your hip joint, unable to do your activities of daily living; and the non-operative methods have not yielded the desired results; you may require hip replacement surgery.

In a total hip replacement surgery, the painful parts of the damaged hip are replaced with artificial hip parts called prosthesis, a device that substitutes a joint. The prosthesis consists of metal components: a socket, ball, and stem. The outer shell of the socket is usually made of metal and the inner shell consists of plastic, or ceramic: or the entire socket may be plastic. Patients suffering from a variety of hip disorders are regularly treated at Sancheti Hospital. Special importance is given to thorough analysis, treatment procedure, and use of sophisticated medical equipment.

FAQ

An artificial joint can last for 15 plus or minus 5 years or even longer. However, the life span is affected by the weight of the person and by his activities. An overweight person or a person actively involved in sports can wear out the artificial joint quicker than a thin or a more sedentary person.

The average time taken for the joint replacement surgery is one hour. However it takes about three hours for the patient to come out of O.T.

A person with diabetes, hypertension or heart conditions can undergo joint replacement surgery. However, diabetes and blood pressure must be under control before surgery.

You can drive a four wheeler 4-8 weeks after surgery and only after consulting your surgeon.

Total knee replacement is an elective operation. The decision to have the operation is not made by the doctor, it is made by you. The doctor may recommend the operation, but your decision must be based on the problems faced by you versus the benefit you are going to get after surgery.

An artificial joint can last for 10 to 15 years or even longer. However the life span is affected by the weight of the person and by his activities. An overweight person or a person actively involved in sports can wear out the artificial joint quicker than a thin or a more sedentary person. The life of the prosthesis is also dependent upon the bearing surface which is chosen. The ceramic bearing surface is at present the best as it has a low wear rate and also the particles which are given out are inert i.e. the body shows no reaction to it. This type of the prosthesis has a life of more than 20 years to 25 years in majority of the patients.

Total hip replacement is an elective operation. The decision to have the operation is not made by the doctor, it is made by you. The doctor may recommend the operation, but your decision must be based on the problems faced by you versus the benefit you are going to get after surgery.

Yes, one requires external support aids for 3-6 weeks after the operation. These walking aids are discarded in due course of time once muscle control improves.

If routine activities like getting dressed or walking are being difficult to perform, it may be time to consider a hip replacement surgery. In today’s fast changing world the patient at times chooses the hip replacement if he or she finds that the arthritic hip is coming in the way of attaining the goals of life in personal, professional and family matters. Doctors generally try to delay total hip replacement for as long as possible in favor of less invasive treatments. However in patients with advanced joint disease, hip replacement offers the chance for relief from pain and a return to normal activities.

Generally patients have to spend maximum 3 to 5 days in the hospital after hip replacement surgery. Full recovery takes about 3 to 6 months; however, it depends on the type of surgery, your overall health, and your own participation in the success of your rehabilitation.

Please remember that you make your joint move around. The target is to have a good strength in the patient to allow for desired walking and other activities. For this a scheduled and proactive exercise schedule should be followed.