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Orthopedics and Joint Replacement in India

Delhi, India

Delhi, India

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Orthopedics is the branch of medicine that deals with the surgery which concerns with the conditions that involve our musculoskeletal system. Our musculoskeletal system provides form, stability, support and movement to our body. It consists of skeleton, cartilage, tendons, ligaments and tendon. The work of all of these parts is done in coordination.

Bones are connected with each other and muscles through connective tissues such as tendons and ligaments. The role of muscles is to keep bones in place and help in their movement. The motion of the bones is allowed by joints. Cartilage prevents the bone ends from rubbing directly onto each other.

There are different reasons which do not allow our muscular and skeletal systems to perform normally.

1. Arthritis – arthritis is a condition in which there is swelling of the joint. It leads to stiffness as well as pain. There are more than 100 different types of arthritis that are known to human beings. There is diminishing range of motion as we approach old age.

2. Fracture also negatively affects our musculoskeletal system. In many cases, bone projects out of our body and this depends on the severity.

3. Old age is also a cause. With old age, there comes pain of knees and hips for which there is need of surgery.

4. If there is injury in contact sports or vehicular accident, then it can be massive which is corrected with the help of surgery.

Pain of joints can be brutal and can only be solved with the help of surgery. Surgery that is provided is given according to the different affected body parts. Some of the common types of surgeries that are provided are –

1. Knee replacement surgery – knee replacement surgery is provided to replace weight bearing surfaces of the knee joint. The most common condition for which knee replacement is given is osteoarthritis. In this procedure, the diseased knee joint is removed with the help of an artificial one. The treatment of the damaged knee is preferably done with the help of arthroscopy which is a minimally invasive procedure. An incision is made and an endoscope is inserted into the joint through that incision.

2. Hip replacement surgery – in a hip replacement surgery, hip joint is replaced with the help of an implant which is known as hip prosthesis. Arthritis is the most common condition that is used to treat with this surgery. Anesthesia is provided to relax the muscles. A cut will be made along the side of the hip to remove the damaged cartilage and attach the new implant to the bone. The muscle is reattached and incision is closed.

3. Shoulder replacement surgery - this surgery is provided to replace the damaged part of the upper arm with the help of metal prosthesis. In this surgery, the damaged upper arm bone or the shoulder bone are replaced with artificial surfaces which are lined with plastic or metal implants. A holding material is used so that the artificial implant holds on the joint. After this surgery is done, you are advised to see a therapist which will check your progress.

4. Arthroscopy – arthroscopy is a minimally invasive surgical procedure in which the treatment is carried out with the help of an arthroscope. This procedure is preferred as it is not a complex surgical method. In this procedure, an arthroscope, which is a small tube and contains optical fibers, is inserted into the joint that is to be examined. This arthroscope is connected to a video camera and the interior of the joint is seen on the monitor.

1. Joint replacement surgery

Joint replacement surgery is a type of orthopedic surgery in which dysfunction, damaged or diseased joint is replaced with an orthopedic prosthesis. Joint replacement surgery is an option for people who are not getting relief by undergoing less invasive therapies. The prosthesis that is used can be made of ceramic, plastic or metal. Hip and knees are two of the most commonly performed joint replacements. A joint replacement surgery is advised when treatments like medications, physical therapy, do not relieve pain and disability.

Joint is a connection where the ends of two or more bones meet. There are several different conditions that can cause joint pain and disability. One of the most common reasons out of all is Arthritis in which there is inflammation of joints which hinders the movement of the joint. There are various steps that are needed for the preparation of the surgery. Blood tests and cardiogram is done for proper planning of the surgery.

The procedure of joint replacement takes a few hours to get completed. During the surgery, the damaged cartilage and bones are removed from the bones and replaced with prosthetic components. The prosthetics are set in such as way that it mimics the shape as well as the movement of a natural joint. If we take the example of hip replacement, the upper end of the femur is replaced with a metal ball attached to a metal stem that is fitted into the femur and a plastic socket is implanted into the pelvis.

2. Sports Injury Surgery

It is common to get injured while playing contact sports. But the problem occurs when the injury turns out to be the major one. And it that case, surgery is the last option. The surgery is imparted after several months of conservative treatments are tried but without any successful outcome. With the help of sports injury surgery, conditions like chronic ankle instability, patella femoral syndrome, tendonopathy, ACL tears, shoulder labral tears, meniscus tears etc. are solved.

There are several deciding factors which tell us if there is need of surgery or not. Common tissue such as anterior cruciate ligaments and fibrocartilage are unable to heal well on their own. Severity of the injury is also a factor which often determines the need for surgery. There are different grades of ligament sprain. A grade one ligament sprain is more likely to heal on its own than grade 3 sprain.

One of the most common surgeries for sports injury is ACL reconstruction. In this procedure, reconstruction of the anterior cruciate ligament is there which then requires extensive rehabilitation. In case of shoulder surgery, one of the most preferred surgeries is shoulder arthroscopy in which a small instrument with camera is used known as arthroscope.



Orthopaedics Procedures Cost In India For A Patient

Hip Replacement (Single Hip) $ 5,650
Hip Resurfacing (Single Hip) $6,000
Knee Replacement (Single Knee) $ 4,650
Arthroscopy Repair (Excluding Implants) $ 1,600
Shoulder Replacement $6500-7000

Disclaimer- Please note that all costs have been calculated at the exchange rate of 1 US $ = INR



1. How long does it take for joint replacement surgery to heal?

With proper care and rest, patients heal sufficiently to return to most activities within several weeks.

2. How long do artificial joints last?

On an average, joints have a lifespan of 10-20 years.

3. What is arthroscopic surgery?

It is a minimally invasive procedure joint problem is solved with the help of small instruments, cameras and an orthopedic surgeon.

4. What is ACL reconstruction?

It is a minimally invasive procedure joint problem is solved with the help of small instruments, cameras and an orthopedic surgeon.

1. Is surgery necessary for ACL tear?

Yes. Anterior Cruciate Ligament (ACL) is needed for performing activities like walking, jogging, running etc. Any damage to ACL can lead to Arthritis.

2. When can I return to sports activities?

While daily activities can be resumed in a month’s period, sports and exercise can take from four to six months.

3. What is sports medicine?

It focuses on the treatment of athletes and sportspeople. While any joint is susceptible, knee is one of the most susceptible.

4. What is computer assisted surgery?

It is one of the most advanced treatments for preparing of knee operation.

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    A child born with Cerebral Palsy, a progressive nerve disorder. At the age of 8 this boy had serious limitations in his limbs due to the disease. He came to us and got evaluated by our Neurology and Orthopaedicians. The family agreed to undergo Ligament transfer and tissue release surgery for both his legs and hands. The child is undergoin physiotherapy and looking at brighter future.

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