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Hip Replacement

Hip Surgery – Indications, Description of the Procedure, Complications

What is hip joint degeneration?

Contrary to appearances, degeneration of the hip joint is not a disease that affects only the elderly, because the first symptoms of this disease may be felt even in people over 45, and sometimes even earlier. If the disease is not properly treated, the accompanying symptoms worsen over time and cause pain in patients, mainly in the groin, hip and buttock, gait disturbances in the form of limping and rocking to one side while walking, such as also the stiffness and limitations of movement that are most troublesome in the morning.

Additionally, patients report to best orthopaedic in Delhi with symptoms such as jumping and crackling in the hip, and complaints of weakening of the thigh and buttock muscles on the degenerative side. All these ailments result from the weakening of the regenerative capacity of the articular cartilage, which due to the influence of various factors becomes thinner and loses its elasticity and, above all, ceases to act as a shock absorber. As a result, the surface of the head and acetabulum rub against the surface of the hip joint and secondary inflammation is formed in and around the joint, leading to reduced mobility.

The causes of hip osteoarthritis

Degeneration of the hip joints can be both primary, where the disease is mainly caused by natural wear and tear. The secondary causes responsible for the accretion of degenerative changes include: congenital defects of the hip joint (dysplasias), inflammation of the hip joint caused by e.g. rheumatoid arthritis or gout, acute injuries of the hip joint such as fractures and dislocations leading to the disturbance of the anatomical conditions of the hip. In addition, overloads that occur as a result of the nature of the work performed or the overweight or obesity of the patient are also important.

Hip osteoarthritis diagnosis

In most cases, a detailed medical history combined with an examination and an X-ray image are sufficient to make a diagnosis, on the basis of which the symptoms of degeneration are assessed, such as e.g. bone tissue thickening, bone spurs (osteophytes) on the edges of the acetabulum or narrowing of the joint space due to the loss of cartilage thickness. In some cases, the orthopaedic doctor in Delhi also orders an MRI of the hip, which allows him to assess in detail any damage to the labrum and cartilage of the hip joint.

When is a hip endoprosthesis necessary?

The indication for hip arthroplasty is critical and irreversible damage to the joint, which causes permanent and resting pain, the importance of limiting the range of motion. These ailments do not respond to treatment with other therapeutic methods. In these cases, arthroplasty is the only effective solution. Additional indications for the procedure are rheumatoid diseases, consequences of fractures in the area of ​​the hip joint, fractures of the femoral neck, early forms of sterile bone necrosis as well as neoplastic diseases.

What is a hip endoprosthesis?

An endoprosthesis is an artificial joint that replaces our natural one in the form of an implant. Thus, the endoprosthetics procedure consists in removing degraded and worn out elements of the hip joint and replacing them with artificial parts. Endoprostheses are made of metals inert to the patient’s body, such as titanium, which minimize the risk of implant rejection. The endoprosthesis consists of a shaft that is inserted into the medullary canal of the femur and the spherical head is mounted on it, which allows for movements. Additionally, the endoprosthesis includes an acetabular component in the form of a hollow hemisphere, which is implanted in the place of the diseased natural, bony acetabulum and it is between the acetabulum and the head that moves.

What types of hip endoprostheses are there?

Hip joint endoprostheses can be divided due to the way they are bound to the bone base, and they are:

  • cement prostheses where it is attached to the bone with the so-called bone cement. In most cases, this type of prosthesis is used in procedures in the elderly as well as in patients suffering from osteoporosis or rheumatoid arthritis.
  • Cementless endoprostheses, which are implanted directly into the bone and are used in the case of young patients who have not had bone degeneration
  • Hybrid endoprostheses, which are a combination of both previous types, because one element of the prosthesis, which is most often the cup, is embedded with the cementless method and the other element of the implant with the cement method

What does hip arthroplasty look like?

The duration of the hip replacement surgery in Delhi depends on the degree of deformation of the hip joint and lasts from 1 to 2 hours. The procedure is performed under spinal or epidural anesthesia, during which the feeling in the legs is turned off. After the surgical approach is performed, the orthopaedic surgeon in Delhi reveals the affected area and proceeds to resection of the head and neck of the femur, which creates space for an artificial joint element. In the next stage of the operation, the bone bed is prepared for the hip joint endoprosthesis and the endoprosthesis is fixed. At the beginning of implantation, an artificial acetabulum is implanted into the iliac bone, and then the endoprosthesis stem is inserted into the femoral canal. The stage that ends the procedure is the reconstruction of soft tissues, placing a layered suture on the surgical wound,

Does hip replacement surgery pose a high risk to the patient?

Correctly performed hip joint prosthesis implantation is a routine operation with documented good results. As with any surgical procedure, postoperative complications may occur, the most common being mechanical loosening of implants, infections in the skin and tissues near the prosthesis, the occurrence of venous thrombosis, change in limb length or joint ankylosis.

Do implanted endoprostheses need to be replaced? 

Due to the fact that modern prostheses are made of good-quality, long-lasting materials, a properly implanted endoprosthesis can serve the patient for decades. However, it should be emphasized that a hip joint prosthesis is an artificial element in our body that can simply wear out in the form of loosening, displacement, falling out of the joint or cracking. Although such situations rarely occur, it is good news for patients because virtually every malfunctioning endoprosthesis can be replaced during the so-called revision replacement of the hip joint endoprosthesis.

What is the patient’s life like after the hip replacement surgery?

Hospitalization after hip replacement in Delhi is approximately 5 – 6 days. For each patient, an antibiotic shield is used for 3-4 days after the procedure, as well as thromboprophylaxis, which is applied until the 30th postoperative day. The next day after the surgery, the patient is upright and learns to walk on crutches and skillfully weight the operated side of the body. As a standard, on the next day after the procedure, it is possible to start walking with gradual loading of the operated limb. It takes about 3 months to recover. During this time, rehabilitation is recommended, followed by a gradual introduction of physical activity such as walking, cycling or swimming.

Hip prosthesis implantation procedures are actually a rescue operation that will damage but a very important part of our skeletal system, which allows patients to regain the correct quality of life, eliminate pain as well as return to everyday life and work activities.

Hip Fracture Treatment


The femur is the longest and strongest bone in the human body. For its fracture to occur, the effect of a sufficiently high force is necessary. One of these reasons could be, for example, a car accident.

The long, straight part of the femur is called the diaphysis. The fracture can occur at any part of it. Such fractures almost always require surgical treatment.


Depending on the energy of the injury, the nature of femoral fractures can vary greatly. Fragments may remain in their normal position (stable fractures) or significantly displaced (displaced fractures). The skin in the area of ​​the fracture may be intact (closed fracture) or it may be damaged, and the fracture may communicate with the external environment (open fracture).

Fractures are referred to by orthopaedic doctor in Delhi according to various classification systems. Hip fractures are classified according to:

  • Fracture localization (femur diaphysis is divided into thirds – distal, middle and proximal)
  • The nature of the fracture (the fracture line can be located in different ways: transversely, obliquely, etc.)
  • Damage to the skin and soft tissues in the area of ​​the fracture.

The most common types of hip shaft fractures are:

Transverse fracture. In this fracture, the line runs horizontally across the long axis of the thigh.

Oblique fracture. The fracture line is located at an angle to the axis of the thigh.

Spiral fracture. The fracture line is located in a spiral, as if surrounding the diaphysis of the thigh. The mechanism of such fractures is twisting along the long axis of the thigh.

Comminuted fracture. With such fractures, three or more bone fragments are formed. In most cases, the number of bone fragments is proportional to the severity of the traumatic effect that caused the fracture.

Open fracture. In such cases, the bone fragment can perforate the skin, or there is an open wound in the fracture area that communicates with the fracture zone. Open fractures are often characterized by greater damage to the surrounding muscles, tendons, and ligaments. These fractures have the highest risk of complications, especially infections, and usually take longer to heal.


Fractures of the femur in young people are often the result of some kind of high-energy impact. The most common cause of hip shaft fractures is car accidents. Other common causes are pedestrian collisions with a moving vehicle and falls from a height.

Low-energy injuries, such as falls from their own height, can cause hip shaft fractures in older people with poor bone quality.


A hip shaft fracture usually immediately results in severe pain in the affected area. The victim loses the ability to lean on the injured leg, the hip may look deformed – it may be shorter and take an uncharacteristic position.


The orthopaedic in Delhi must know the circumstances of your injury. This information will help the orthopaedic surgeon in Delhi assess the energy of the injury and the presence of possible collateral damage.

It is important that the orthopaedic in Dwarka knows about any comorbidities you have – hypertension, diabetes, asthma, or allergies. The doctor will also ask you if you smoke or take any medications.

After discussing with you the nature of the injury and history, the orthopaedic in Janakpuri will perform a thorough physical examination. In doing so, the doctor will assess your general condition and then the condition of the injured limb. In this case, the orthopaedic in West Delhi will pay attention to details such as:

  • Visible limb deformity (unusual angle, rotation, or shortening of the limb)
  • Damage to the skin
  • Hemorrhage
  • Perforation with bone fragments of the skin

After a visual examination, the best orthopaedic in Delhi palpates the thigh, lower leg and foot, not the subject of possible pathological changes, tension of the skin and muscles in the fracture area. Also, the doctor will assess the nature of the pulse on the foot. If you are awake, your doctor will evaluate sensitivity and movement in your lower leg and foot.


Radiation testing allows the doctor to obtain more detailed information about your injury.

Radiography. It is the most commonly used method for diagnosing bone fractures. It allows not only to see the fracture, but also to characterize its type and localization.

Computed tomography. If the doctor needs more information about the nature of the fracture than is shown on the x-ray, the doctor may prescribe a CT scan. Sometimes the fracture line is very thin and almost invisible on radiographs. CT can help visualize these fractures more clearly.



Most hip shaft fracture treatment in Delhi require surgical intervention and rarely can be treated conservatively. So, the method of plaster immobilization is sometimes used to treat hip fractures in young children.


The timing of the operation. Most hip fractures are best operated within the first 24 to 48 hours after injury. Sometimes the operation is postponed due to the presence of life-threatening conditions or the need to stabilize the patient’s condition. To reduce the risk of infection in open fractures, patients are given antibiotics right after hospitalization. During the operation, open wounds, tissues and bone fragments are treated from contamination.

During the waiting period between admission to the hospital and surgery, the orthopaedic surgeon in Dwarka may temporarily fix your leg with a cast or skeletal traction. This allows you to maintain a more or less optimal position of the fragments and the length of the limb.

Skeletal traction is a system of blocks and weights with which bone fragments are held in one position. It allows not only to achieve the correct position of the fragments, but also to stop the pain syndrome.

External fixation. During such an operation, metal wires or rods are inserted into the femur above and below the fracture site, which are fixed to an external fixation device. This allows you to keep the fragments in the correct position.

External fixation is most often used as a method of temporary stabilization of a fracture in patients with multiple injuries, whose condition does not allow performing a more traumatic operation of internal fixation of the fracture. The second stage in such cases is performed after the patient’s condition has stabilized. In some cases, the external fixator is left on until the fracture is completely healed, but this is not common.

Intramedullary osteosynthesis. Today it is the most commonly used method of internal fixation of hip shaft fractures. In this case, special metal rods are used, which are inserted into the medullary canal of the femur. The rod passes through the fracture zone and holds the fragments in the correct position.

An intramedullary nail is inserted into the medullary canal from the side of the hip or knee joint. Above and below the fracture site, the rod is locked with screws to exclude mobility in the fracture area.

Intramedullary rods are usually made of titanium. They come in various lengths and diameters to fit most of the thigh bones.

Plates and screws. In such operations, the bone fragments are repositioned first, i.e. returning them to their normal position, after which the fragments are fixed from the side of the outer surface of the bone with a metal plate and screws.

This method is used when intramedullary osteosynthesis is not possible, for example, when the fracture line extends to the hip or knee joint.


Most fractures of the femoral shaft will heal within 3-6 months. Sometimes, for example, with open or comminuted fractures, as well as in smokers, it takes longer.


Pain after injury or surgery is a natural component of the healing process. Your doctor and nurses will do whatever is necessary to reduce pain and make your recovery more comfortable.

Various medications are usually used to relieve pain after an injury or surgery. These are paracetamol, non-steroidal anti-inflammatory drugs, muscle relaxants, opioids and topical drugs. In order to optimize the analgesic effect and reduce the patient’s need for narcotic analgesics, these drugs are often used in combination with each other. Some of these drugs can have side effects that affect your ability to drive or engage in other activities. The doctor will definitely tell you about the possible side effects of the drugs prescribed to you.


Many doctors recommend starting movements in the joints of the operated limb as early as possible, but you need to load the leg when walking only in this way and only when and as your doctor permits.

In some cases, almost full loading is allowed immediately after the operation, but sometimes this is possible only after the first signs of fracture union appear. Therefore, we recommend that you strictly follow all the instructions of your orthopaedic surgeon in West Delhi.

You will need to use crutches or walkers when walking.


After surgery, the muscles in the area of ​​the fracture are likely to be significantly weakened, so exercises to help restore muscle strength are very important during the rehabilitation process. Physiotherapy in Dwarka will restore normal muscle strength and joint mobility. It can also help you cope with postoperative pain.

A physiotherapist in Dwarka will likely start working with you while you are still in the hospital. He will also teach you how to use crutches or walkers correctly.

Contact Best Orthopaedic in Delhi for all Orthopaedic Treatments.

Knee Arthroscopy in Delhi

All About Knee Arthroscopy

What is knee arthroscopy?

Arthroscopy in Delhi is a surgical technique that allows you to directly see the inside of the knee joint and work inside it, without having to open it. Only two small incisions or cuts are made in the skin, about one centimetre each (which is why it is called a mini-invasive technique).

Arthroscopy in Delhi is considered the best current technique for meniscal injuries, adhesions, plica, loose bodies, cartilage injuries (chondroplasty) and reconstruction of cruciate ligaments, explains the orthopaedic in Delhi.

How is knee arthroscopy done?

The orthopaedic surgeon in Delhi, in order to see the inside of the joint well and avoid tissue injury with his manoeuvres, fills it with sterile pressure serum, which has the effect of inflating a balloon; and at the same time, it allows continuous joint washing, eliminating blood residues, excised tissue fragments, etc.

The patient lies on his back on the operating table. No system is necessary to pull the joint. You only need to lock the position of the thigh and the surgeon or assistant mobilizes the leg, opening the joint space.

Through an incision, a micro camera is introduced that illuminates and amplifies the interior of the joint, viewing the image on a television monitor. On the other hand, work instruments are introduced, such as probes, hand grippers and motorized smoothing devices.

The anaesthesia used is spinal anaesthesia (patient conscious but asleep from the waist down). Some sedation may be associated with this procedure to be calmer during the surgical act. General anaesthesia is reserved for special cases.

A tourniquet is used on the thigh to prevent bleeding from the knee during the operation, thus promoting vision through the camera.

Although it is a surgical act and requires the same aseptic conditions (cleanliness and sterility to avoid infection) as any other operation, the hospital stay is usually very short. In most cases, the patient can be discharged on the same day, when the anaesthetic effect has worn off. These operations can therefore be included in the program of major outpatient surgery, explains the orthopaedic surgeon in Delhi.

What does knee arthroscopy in Delhi show?

  • The appearance of synovialfluid (viscous fluid that lubricates the joint), which may be cloudy, contain blood or loose bodies, usually cartilage. Synovial fluid can be analysed to determine its composition in special cases.
    • The synovial membrane(the sac that lines the joint inside and produces synovial fluid). In certain cases, a sample (biopsy) is taken for analysis under a microscope.
    • The cartilage that lines the articular surfaces of the femur, tibia, and patella. It is palpated with a special hook to see the consistency and it is observed if it has injuries: wear (osteoarthritis), fissures, chondromalacia …
    • The menisci (internal and external): observed and palpated with the probe hook. Breaks, tearing, wear are detected …
  • The cruciate ligaments(anterior and posterior): they are seen and touched to determine partial or total tears, laxity, function … The collateral ligaments are not seen with this technique.
    • The way the patellamoves when the knee is bent and stretched, as well as the friction surfaces.

In which cases should an arthroscopy in Dwarka be performed?

Less and less to diagnose, as advances in ultrasound, CT (scanner) and nuclear magnetic resonance resolve it more and more frequently, although they are not infallible.

However, in cases of doubt or when a major intervention on the knee is planned, an arthroscopy can be performed beforehand, which will make it possible to confirm the diagnosis, rule out other injuries and decide the best possible treatment, which is also sometimes arthroscopic. Thus, in the same surgical act it is diagnosed and treated. In addition, there are patients who have contraindicated MRI (due to claustrophobia, or prosthetic heart valves), in those cases, diagnostic and therapeutic arthroscopy would be indicated by the orthopaedic doctor in Delhi.

Another diagnostic utility is to allow a synovial biopsy in certain diseases.

Currently, the main indications for performing a knee arthroscopy in Dwarka are:

  • Meniscal injuries: remove broken fragments, suture certain tears, regeneration techniques and meniscal reimplantation
  • cruciate ligament reconstruction: avoid opening the knee as before
  • cartilage injuries: cleaning, regenerative techniques (platelet growth factors, mosaicplasty)
  • removal of intra-articular loose bodies: fragments of detached cartilage or meniscus
  • removal of synovial plica or synovitis (synovial membrane hypergrowth)
  • cleaning on knees with osteoarthritis (wear) before reaching the total knee replacement

Recommendations at hospital discharge:
They are usually quite simple since it is a mini-invasive technique.

A compression bandage is placed, which the patient will remove at home after 48 hours. Then the first treatment is carried out, which consists of painting the two small wounds with Betadine and covering them with two adhesive dressings.

From there, the treatment will be repeated every day until the stitches fall out (about 2 to 4 weeks). It can be made to coincide with the shower as long as two rules are met:

  • quick shower: the less time the wounds are wet the better
  • WITH the dressings on: so that soap, shampoo, dirty water do not get into the wounds

After showering, the wet dressings are removed, the wounds are thoroughly dried with sterile gauze, painted with Betadine, and new dressings are placed.

From the moment the mobility of the legs recovers after anaesthesia, it is advisable to start walking. At first helped with crutches and following the indications of your orthopaedic surgeon in Dwarka regarding load (partial or complete). Usually, the patient leaves the hospital the same day walking with the help of two crutches.

An anti-inflammatory treatment is usually recommended at discharge for the first days.

It is advisable to apply ice locally for 10-15 minutes about 3-4 times a day to help reduce inflammation.

Depending on the diagnosis and treatment carried out, a specific physiotherapy may or may not be prescribed, with the recovery times greatly varying. The time in which you can return to sports or hard work depends on the injury: from 1 month to several months.

In the event of residual effusion (usually due to the persistence of the arthroscopic lavage fluid and more rarely due to bleeding into the joint, which is the hemarthros), an evacuating puncture may be necessary: ​​the area is punctured, and the excess fluid is extracted with a syringe. This procedure should only be performed by an orthopaedic surgeon in Delhi.

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Hip Replacement

5 Myths About Hip Replacement

When hip osteoarthritis is in an advanced state, the pain is intense and limits our quality of life, it is time to consider the option of placing a hip replacement in Delhi.

The professional who can advise us when making this decision is the orthopaedic surgeon in Delhi; the orthopaedic doctor in Delhi who specializes in musculoskeletal injuries. This surgeon, together with the anesthetist, will be in charge of evaluating each specific case, taking into account all the factors that increase the risk of an intervention.

Many of you wonder how long do hip prostheses last? Am I too young for this intervention? Will I be able to play sports again?

Well, we are so helpful, today we bring you the 5 most popular myths about hip prostheses explained by the orthopaedic surgeon in Delhi.

  1. Hip prostheses only last 10 years

Hip replacement in Delhi does not have an expiration date. The figures are an estimated average of how long these prostheses last in other patients. The length of time depends on the type of prosthesis that has been placed and how it is implanted. One that is well implanted in the bone can last 20 years perfectly. The material from which the prosthesis is made also influences. Formerly they had a plastic component that was wearing out and loosening the prosthesis. Today, the new designs are made of ceramic that prevent wear and inflammation caused by loosening of the prosthesis, explains the orthopaedic in Delhi.

  1. Hip prostheses can only be put on from the age of 60

Prostheses now last 20-25 years, so an adult under 60 can be operated on, as long as there is no other way to avoid it. Ideally, this person should not need more than two replacements of said prosthesis throughout his life.

  1. Only two hip replacements can be made

Traditionally, the prostheses were cemented to the bone, so there was a risk of fractures when a hip replacement surgery in Delhi was performed. Nowadays, when using cementless prostheses, and under the concept of bone preservation to avoid that bone fracture, what is tried is to maintain the bone reserve for future implants and that patients can change their prosthesis three, four or five times throughout your life.

  1. After the implantation of a hip replacement you are left lame

If the patient has a history of lameness, this antalgic gait is likely to persist after the implantation of the new prosthesis, due to the bad habit acquired during those years. And that can be solved with physiotherapy sessions. But the normal thing in is not to remain lame and you cannot even notice that they are wearing a prosthesis.

  1. With a hip replacement, you cannot do sports again

You can do sports; another thing is that it is recommended or not to do some type of sport. If the prosthesis is well implanted, the patient will notice improvement and will be able to make movements that they could not before. What seems clear is that impact sports (running, soccer, basketball) would not be suitable because they would shorten the life of the hip replacement in Delhi due to small loosening of the implant in the bone. Orthopaedic in Delhi recommends that the patient exercise and maintain an active life: swimming, cycling, golf, ballroom dancing, or any type of activity as long as it is adapted to their condition.

Knee Arthroscopy

Knee arthroscopy: What are its benefits?

Thanks to knee arthroscopy, the orthopaedic surgeon in Delhi is able to see the joint completely while operating. Find out more below.

Knee arthroscopy in Delhi is a surgical procedure used in traumatology and orthopaedic surgery. This technique facilitates diagnosis and treats many problems and diseases located inside the joint.

In different part of world, it has been commonly used since the 1970s. For this reason, despite being carried out for years, it is still considered as a new technique in continuous advancement and expansion.

Keep in mind that, despite being a much less invasive method than others, knee arthroscopy in Delhi is a surgical procedure. For this reason, only surgeons specializing in traumatology and surgery should perform it.

The image it offers is collected thanks to a camera and only a minimal incision that barely leaves a scar is necessary. It is a non-invasive method that allows to reduce hospital admission times. In most cases, patients are discharged on the same day, facilitating recovery, explains the orthopaedic doctor in Delhi.

Indications of knee arthroscopy

This technique allows to visualize the inside of the knee in a minimally invasive way.

There are several problems or injuries in which this useful technique is used. Diseases of various types and injuries can damage different parts of the joint such as:

  • bone.
  • cartilage.
  • Meniscus.
  • tendons.
  • muscles.
  • ligaments.

Ligament injury

Cruciate ligament injury is one of the injuries that require knee arthroscopy in Dwarka for accurate diagnosis. The injury can occur in both the anterior and posterior ligaments.

The anterior cruciate ligament is the isolated ligament with an important stability function. The name is because it crosses with another ligament called the posterior cruciate ligament, which has an antero-posterior and lateral half direction.

This injury is the most common intraarticular problem and is usually caused by lateral leg twisting. In addition, if associated with internal meniscus rupture and internal lateral ligament, it is called triad. It is very common in footballers, says the sports injury specialist in west Delhi.

In a young person, moderately active, with discomfort and feeling of failure, the ligament must be reconstructed. This is because in the medium term it usually causes early degeneration of the joint and predisposes to meniscus injury, explains the orthopaedic in Delhi.

Meniscal injury

Meniscus injuries are often one of the main indications for using this technique, both in diagnosis and repair.

Meniscus is a cartilage that has important functions within the knee such as:

  • cushioning.
  • Cartilage protection.
  • Improve joint function.

Sometimes, when a clean, recent and peripheral injury occurs, the meniscus can be sutured. There are two types of suture: all with a knee arthroscopy, or mixed, less frequent.

With a knee arthroscopy in Dwarka, meniscus transplants from tissue donors can also be performed.

Wear or degeneration of joint cartilage.

Cartilage is a pearly layer of low friction that coats the joint part of the femur, tibia and kneecap. The most common cause of cartilage lesions is osteoarthritis.

However, more triggers are in this situation. It can also be caused by osteochondritis desiccant, infections, metabolic problems or trauma, among others. Depending on the patient’s age, activity and expectations, there are several surgical techniques for repairing or reconstructing cartilage.

Benefits of knee arthroscopy in Delhi

Thanks to this technique the hospitalization time is reduced, facilitating a prompt recovery of the patient.

The advantage of this technique over other common surgical procedures is that the orthopaedic surgeon in Delhi is able to see the joint completely. It does this thanks to a small instrument called an arthroscope.

Another advantage of knee arthroscopy in Delhi is that only very small incisions are needed. Thus, usually this technique leads to a reduction of the time of stay in the hospital and a rapid recovery.

Many patients who have knee arthroscopy can leave the medical centre the same day they are operated on. In turn, being small incisions, a better aesthetic result is achieved, especially in exposed areas of the body.

But don’t forget that patients undergoing knee arthroscopy can do so due to different injuries or pathologies. Therefore, the previous particular conditions will condition the stay in the hospital and the total recovery time. In short, not all patients will respond equally to this surgery, says the orthopaedic in Delhi.

Total Hip Replacement in Delhi


Total hip replacement (arthroplasty) is a surgical procedure consisting in replacing the hip joint with artificial parts. Most often, it is people whose degenerative disease destroys the hip joint and causes chronic pain.

The World Health Organization (WHO) has said that approximately 28% of people over 60 years of age have osteoarthritis and, of this group, 80% have limitation in their movements of ordinary life. In India, as we continue to age, the possibility of this reality is becoming more and more frequent.

According to the orthopaedic in Delhi, Osteoarthritis of the hip, in musculoskeletal diseases, is perhaps the one that generates the greatest disability; the functionality of the patient decreases due to loss of movement and disabling pain. But let’s review what osteoarthritis really is to understand its treatment.

Articular cartilage is a specialized tissue that covers every joint, allowing mobility and ideal adaptation in these areas to favour arches of motion.

But how is cartilage formed? They are highly specialized cells called chondrocytes, which differ from the embryonic stage and, when located in the joints, have biomechanical properties; They are capable of supporting the necessary loads associated with movement, walking, etc.

These cells produce collagen, which makes it possible to better support the physiological loads of movement and determine the characteristics of structure and differentiation according to the stimulus. These cells accompany us throughout life in our joints.

The downside is that these cells are not capable of reproducing in vitro and if there is injury or local damage they do not regenerate.

There is still no proven drug that can stimulate the reproduction of new chondrocytes that have the same properties as the original cells. When the cartilage erodes, a cartilage with regular characteristics called fibrocartilage is produced, which is not capable of imitating the original functions of the original articular cartilage. If the injury is considerable, it will inevitably end in osteoarthritis, says the orthopaedic surgeon in Delhi.

Osteoarthritis has different origins. It can be presented by a degenerative process, such as collagen diseases and the best known is rheumatoid arthritis; due to mechanical alteration, as is the case of angular or rotational alterations of the extremities, which wear irregularly the articular surface, for example, untreated hip dysplasia in children will surely end in osteoarthritis at some point in life. Osteoarthritis, too, can occur due to intra-articular fracture, which destroys cartilage and ends in post-traumatic osteoarthritis.

Finally, patients who have been apparently healthy, for genetic reasons and individually end up developing osteoarthritis in a primary way.

The treatment of osteoarthritis is aimed at protecting the function of the joint; This implies controlling the patient’s weight, performing activities of daily living that reduce excessive loads on the compromised joints, maintaining an adequate balance of the muscles around the joints, and understanding that the progression of osteoarthritis will possibly end in a greater compromise, explains the orthopaedic doctor in Delhi.

Each case is different and therefore the approach must be individualized.

On the market they offer different drugs that promise to “improve” osteoarthritis; unfortunately, studies show that the vast majority either do not work or barely achieve a feeling of pain control and a placebo effect. But none have succeeded in making the destroyed cartilage regenerate hyaline cartilage. Caution should be exercised with the use of these options, some of which are expensive and do not guarantee substantial changes.

When osteoarthritis has compromised the hip and the pain becomes disabling, the patient should go to the orthopaedist in Delhi, who will assess the age, work activity, sports and family expectations of the patient. Generally, total hip replacement in Delhi will be the option, to control pain and regain mobility.

We owe the development of hip prostheses to the British orthopaedist Sir John Charnley, who through experiments on animals and then on humans in the 1940s managed to design and develop hip replacement using bone cement. (methyl methacrylate) to better adapt it to the bone.

This design allowed the hip joint replacement technique to be perfected in the following years, being today one of the most frequent surgeries in the world of orthopaedic surgery.

This managed to change the prognosis of the disease and allowed the patients to have an ordinary life, without pain, and with the functionality necessary according to their condition.

For this reason, when this procedure is defined, one must have the peace of mind of traceability over time, the high performance of prosthetic materials, refined techniques and in-hospital processes that favour a rapid recovery of the patient.

Of course, this total hip replacement surgery in Delhi embodies inherent risks such as infection associated with any procedure, thromboembolic disease and other entities that are generally associated with the condition of each patient.

They are risks that are tried to be minimized with guides and protocols that help to give patients an excellent post-operative period and that increasingly show us success stories.

So, when you have hip pain, lameness and functional limitation, go to an orthopaedic doctor in Delhi specialized in traumatology to guide you and improve your style and quality of life.

Hip Replacement Surgery

Hip Replacement Surgery- What you need to know

The specialty is generically known as the hip and deals with complex problems involving the pelvis region (pelvis), in addition to the hip joint itself, which is the meeting point between the femoral head and the pelvis.

The pelvis is responsible for the transmission of body weight and its distribution to the lower limbs, a frequent site of inflammation, pain, tendonitis, and muscle imbalances, which compromise the quality of life, both of sedentary patients, and of amateur or professional athletes.

The complicated anatomy characterized by an intimate relationship with the lumbar spine, in addition to pelvic organs and neurovascular bundles, often causes diagnostic doubt and treatment errors, says the orthopaedic in Delhi.

Hip pain, as in any joint (meeting between two bones), can be of intra or extra-articular origin. The most prevalent intra-articular diseases are: femoroacetabular impingement, arthrosis, and avascular necrosis of the femoral head. Tendonitis, also known as bursitis, is the main cause outside the joint.

When is hip surgery indicated?

Hip Arthroplasty or hip replacement in Delhi is surgery to replace the joint with a mechanical model called a hip prosthesis. It reproduces joint function very similar to the original biological model.

We know that the hip is a joint formed by the meeting of the head of the femur (thigh bone) and the acetabulum (part of the pelvis), stabilized by a reinforced set of ligaments.

In this way, Hip Arthroplasty is indicated when the patient has some type of disease in the hip that results in the joint’s inability to perform natural day-to-day activities.

The main advantage of hip replacement surgery in Delhi is the relief of pain and the recovery of the functions of the joint, which makes the patient return to perform daily activities painlessly, explains the orthopaedic surgeon in Delhi.

There are several factors that cause a person to experience pain in the hip. Some of them are:

  • Osteoarthritis: type of arthritis that causes wear of the cartilage that cushions the hip bones and is related to age. It can also be caused by small irregularities in the development of the hip in childhood.
  • Rheumatoid arthritis: autoimmune disease that causes inflammation and thickening of the synovial membrane, which can damage cartilage, causing pain and stiffness.
  • Post-traumatic arthritis: cartilage injury that may arise following an injury or severe hip fracture, causing pain and stiffness in the hip over time.
  • Avascular necrosis: limitation of blood supply to the femoral head caused by an injury to the hip, such as a dislocation or fracture.

Once the orthopaedic doctor in Delhi and the patient opts ​​for hip surgery, the specialist can request several physical exams before the surgical procedure, to confirm that the health conditions allow the surgery to be performed.

Before and after hip surgery

Now let’s talk a little more about everything that involves before and after hip replacement surgery in Delhi. Do you know how you know the care that must be taken by both patients and doctors?

Before surgery

Before surgery, the patient is advised to perform blood tests, chest radiography, electrocardiogram and urine samples. That’s because many elderly patients may have undiagnosed urinary tract infections that can lead to a hip infection after surgery, explains the orthopaedic in Delhi.

The type of anaesthesia can vary between general anaesthesia with a breathing tube or regional blocks. In some situations, where only a few screws are planned for fixation, local anaesthesia with heavy sedation can be considered, explains the orthopaedic surgeon in Delhi.

During surgery and for the next 24 hours, all patients receive antibiotics.

After surgery

After hip arthroplasty, patients may be discharged from the orthopaedic clinic in Delhi to return to their homes or to seek a stay in a rehabilitation unit. In all cases, assistance and attention is needed for patients to recover properly, says the orthopaedic in Dwarka.

Pain after hip surgery is a natural part of the healing process and so the doctor and the nursing staff work to reduce the pain. The drugs are prescribed for short-term pain relief.

It is possible that some patients will be encouraged to get out of bed the day after surgery with the assistance of a physical therapist, who will work to assist in the recovery of strength and the ability to walk. This process can take up to three months.

In some cases, a blood transfusion may be necessary after surgery. However, long-term antibiotics are generally not needed. Most patients can still receive a dose of blood thinning medications to reduce the chances of developing blood clots.

It is also important to note that, after hip replacement surgery in Delhi, most patients will regain the mobility and independence they had before the injury.

Some important precautions after hip surgery, to avoid complications such as prosthesis dislocation and bone fracture are:

  • Lie on your back and with your legs spread;
  • Do not cross your legs to avoid displacement of the prosthesis;
  • Do not sit in very low places;
  • Avoid turning your leg in or out;
  • Physiotherapy;
  • Perform activities only under the guidance of the doctor or physiotherapist.

What are the main diseases of the hip?

The patient should seek guidance from an orthopaedic specialist in the hip in the following cases:

  • Hip arthritis: inflammation of local joints. The most common type is inflammatory arthritis, which is when there is a change in the patient’s immune system, involving pain and swelling in the region.
  • Hip arthrosis: it is also known as osteoarthritis; it is degeneration of the cartilage that protects the bones. This damage also extends to the ligaments and joints causing pain, swelling and difficulty in movement.
  • Hip stress fractures: it occurs in the neck of the femur when stress is generated in the bone.
  • Fracture in the coccyx: occurs mainly in cases of fall or a very strong impact, capable of causing some type of injury at the site. It is common for the patient to feel a lot of pain in the region, in addition to having difficulty moving.
  • Hip dislocation: it is a dislocation of the bones of the hip joint. They happen in moments of trauma in the place, for example, in a fall. However, the condition can also be congenital, when the child is born with the dislocation or ends up acquiring it (developmental dysplasia of the hip).
  • Hip tendonitis: inflammation in the tendons of the region, capable of causing pain and swelling.
  • Hip bursitis: inflammation of the bursa that is between the muscle and the tendon, in order to avoid a large impact between tendons and bones. When the patient presents this condition, he feels pain in the joints and difficulties to move the inflamed site.
Shoulder Bursitis

Shoulder Bursitis – What it is, Symptoms, Treatment, Cure

What is shoulder bursitis?

The shoulder bursitis results from an inflammation of the synovial bags (or bursae) that exist around this joint and the tendons of the rotator hood.

It is one of the most frequent causes of pain in this joint. It can be bilateral, reaching both the left shoulder and the right shoulder.

It can be acute or progress to chronic shoulder bursitis, says the orthopaedic in Delhi.

Subacromial bursitis

There are several bursitis that can occur in the shoulder depending on whether one or the other synovial pouch is affected.

The most frequent are those that reach the sub deltoidal subacromial bursa, forming what is commonly called subacromial bursitis.

Shoulder bursitis – symptoms

Shoulder bursitis presents a clinical picture similar to that of tendonitis in the shoulder.

The most characteristic symptoms are the presence of inflammatory pain, located on the antero-lateral face of the shoulder, eventually radiating to the arm and elbow. Its worsening is especially felt with efforts or during the night, making it impossible for the patient to sleep on the affected shoulder.

Also characteristic of shoulder bursitis is the presence of crackling that is palpable, or perceived by the patient, when mobilizing the joint, explains the orthopaedic doctor in Delhi.

Shoulder bursitis – causes

The most frequent causes of are trauma and repeated efforts, such as those that occur with certain work activities (painters or plasterers, warehouse replenishers, etc.) or with the practice of certain sports, such as weight training, swimming or others practiced with the arm above the head (“overhead sports”), says the sports injury specialist in west Delhi.

Certain rheumatic diseases (such as, for example, rheumatoid arthritis, gout, lupus, psoriatic arthritis) also often develop with bursitis (namely subacromial).

Shoulder bursitis – diagnosis

The diagnosis of this pathology is made, essentially, through a careful clinical examination, carried out by your specialist shoulder orthopaedic doctor in Delhi.

The exams to be performed later may be an x-ray that helps to exclude other causes of shoulder pain (such as osteoarthritis or calcifying tendinitis) and an ultrasound of the shoulder that easily visualizes the fluid in the subacromial bursa (caused by the inflammatory effusion).

The nuclear magnetic resonance (NMR) of the shoulder is, however, one that has a better diagnostic accuracy, obtaining high-resolution images of the surrounding muscle-tendon structures and eluding any intra-articular pathology, states the orthopaedic in West Delhi.

Is shoulder bursitis curable?

Shoulder bursitis is curable. Next, learn how to treat shoulder bursitis.

Shoulder bursitis – treatment

The medication or remedy most commonly used to treat shoulder bursitis is anti-inflammatory. The most common are ibuprofen, diclofenac, naproxen, among others. Its use is aimed at relieving pain and decreasing the inflammation that is always present in these conditions. Its application can be topical in the form of creams (or gels), or impregnated dressings that will make a prolonged release of these agents in the affected area.

The patient can also take these drugs in oral form (in capsules or diluted), taking care to do so after meals or preceded by taking gastric protectors, in order to avoid the aggression of the gastric or duodenal mucous membranes, states the orthopaedic doctor in Dwarka.

The physiotherapy is essential to maintain joint function and help control pain. A well-oriented physiotherapeutic treatment, with adequate exercises, can prevent the installation of a marked stiffness in the shoulder, usually called adhesive or retractable capsulitis (frozen shoulder or “frozen shoulder”). This would oblige to prolong the treatment for its complete resolution.

In cases of very acute and incapacitating pain, or reluctant to any other non-invasive treatment, infiltration or local injection of corticosteroids diluted with local anesthetic, may be a therapeutic weapon to be used by your orthopaedic doctor in Dwarka to resolve the condition. Your institution should be judicious and always consider the pros and risks of its application.

Shoulder bursitis – surgery

Shoulder arthroscopy in Delhi (surgery) is reserved for cases that are resistant to medical treatment or that simultaneously present other pathologies, such as rotator cuff tears or osteoarthritis, says the orthopaedic surgeon in Delhi.

This operation is performed using mini-invasive techniques that allow an excellent articular visualization, performing a minimal surgical aggression and thus providing a well-tolerated postoperative period and an easier and faster rehabilitation.

It should be carried out in specialized orthopaedic clinic in Delhi and by experienced orthopaedic surgeon in Delhi in order to obtain the best results.

hip pain

Hip Pain- Causes, Treatment, Prevention

The hip is one of the most important joints in the body, in addition to being quite complex. However, because it is subjected to constant movement and for integrating several anatomical structures, such as muscles and bones, the hip may present with pain.

The function of the hip is to support the entire spine, as well as to make the connection with the lower limbs, allowing their movement. Thus, it is to be expected that a region that suffers so much with impact may present some pathologies related to it.

But what are the main diseases that cause hip pain? And how to prevent pain in that region? That’s what we’re going to check!

What are the main causes of hip pain?

Hip pain can have several different causes.

There are several factors related to hip pain, from problems caused by aging of the hip joint, to the development of other pathologies in younger patients.

Let’s talk about the main causes of hip pain.

1 – Trochanteric bursitis 

Trochanteric bursitis is a very common pathology resulting from inflammation of the bursa, which is a bag-like structure between the upper and lateral part of the femur. This structure can become inflamed due to the constant friction of the femur with the hip.

This region between the femur and the hip is called the trochanter and, in trochanteric bursitis, it becomes inflamed, causing pain in the hip.

The treatment of trochanteric bursitis involves administration of anti-inflammatory drugs, as well as rest until disinflation occurs.

In more severe cases, physiotherapy is mandatory, however, in some cases, surgery is indicated, since the region is quite deteriorated, requiring the placement of a prosthesis in it, says orthopaedic in Delhi.

2 – Tendinopathies 

There are all the problems that involve the tendons in the hips. When these tendons are in trouble, starting with inflammation, the patient suffers from pain in hip region.

There may be confusion between tendinopathies and trochanteric bursitis, so analysis by a orthopaedic surgeon in Delhi is essential for the correct diagnosis.

In the case of tendinopathies, treatment involves anti-inflammatory drugs and physiotherapy exercises with stretching.

3 – Herniated Disc and Sciatic Compression 

Many people experience pain in the lower back, not necessarily caused by a hip structure, but by herniated discs in the lower back.

Another factor that causes pain in the hip region is the compression of the sciatic nerve, pain that can remain in the gluteal region and extend until posterior to the thigh.

It is important for the orthopaedic in Dwarka to analyze the type of pain, as well as the limitation of movement and make imaging exams to evaluate the lower back with greater care.

4 – Fractures 

Fractures are the main cause of orthopedic surgeries for older people, and a number of factors contribute to this.

Among these factors, we can mention osteoporosis, lack of physical conditioning, lack of balance, as well as visual difficulties. All of these factors contribute to falls in the elderly and, consequently, fractures in the hip region.

Women are more susceptible to fractures for a number of reasons, including hormonal changes that contribute to osteoporosis.

The consolidation of fractures in the elderly can be quite challenging, especially if there are other comorbidities. For this reason, fractures end up leading a percentage of patients to death in the first 2 years.

On the other hand, there are quite evolved orthopedic materials and they can be options in several cases.

When there is a fracture of the femoral neck, the hip replacement in Delhi is necessary.

5 – Arthrosis 

Arthrosis is the wear and tear of the hip joint. It is common in older people and can cause pain in the hip and thigh region.

Over time, movement may become more difficult, limiting movement.

Treatment includes physiotherapy sessions and analgesic measures to relieve pain, restoring range of motion.

What is the treatment for hip pain?

Physiotherapy is essential to treat hip pain.

First, the correct diagnosis is necessary.

Thus, if you have persistent pain in the hip region, you should seek assistance from a specialist.

Often, treatment will include analgesic and anti-inflammatory medications, as well as rest and physiotherapy sessions.

Some cases will have surgical indications, but it is a minority. Most cases will have conservative treatment, with analgesic measures and physical therapy.

Surgical treatments must have associated physical therapy rehabilitation, so that the patient can return to movement as soon as possible.

How to prevent hip pain? 

Hip pain can be prevented with a few measures.

  • Stay within the weight;
  • Have an active life, with physical exercises supervised by an orthopaedic in West Delhi;
  • Always do stretching exercises;
  • Do specific strengthening for the hip region;
  • Don’t be sedentary;
  • At the pain signal, do not force and consult a specialist;
  • If treatment has been prescribed, do the recommended physiotherapy sessions.

What to do in case of hip pain?

In case of sever pain in hip rest is recommended.

If you experience pain in the hip area and cannot immediately seek specialized emergency care, some actions can help to temporarily reduce the pain.

But, it is important to remember that these actions only temporarily reduce pain, and cannot be replaced by a consultation and physiotherapy sessions.

  • Rest, lying on your back and try to raise the hip region, as in a bridge;
  • Apply hot compresses on the side of the hip;


Persistent hip pain can be a sign of several problems. For the correct diagnosis, it is necessary to consult a specialist orthopaedic doctor in Delhi who will evaluate and prescribe the best treatment.

Physiotherapy is a strong ally in the treatment of pain, since it has analgesic measures and specialized treatment to reduce pain and improve the patient’s general condition.

In addition, physiotherapy is part of post-surgical rehabilitation in patients who have undergone surgery to place prostheses on the hip, however, most treatments indicated for hip pain are conservative, obtaining good results, says the orthopaedic in Delhi.


Elbow Dislocation. Causes and types of treatment

What is an elbow dislocation?

Elbow dislocation is a very common pathology in traumatology. This occurs when the relationship between humerus, ulna and radius is broken, and the pain that it produces in the person who suffers it is very intense, says the orthopaedic in Delhi.

When the articular surfaces of an elbow are separated, the elbow is displaced. Elbow displacement can be complete or partial. In complete displacement, the joint surfaces are completely separated. In a partial displacement, the surfaces of the joints are only partially separated. A partial displacement is also called a subluxation.

For this reason, we suggest that you consult an orthopaedic doctor in Delhi specialized in arthroplasty and elbow arthroscopy in Delhi, techniques through which elbow injuries can be solved quickly and in a minimally invasive way.

It is important to note that expectations in the case of this injury are very high and recovery occurs satisfactorily in at least 80% of cases.

What are the causes of elbow dislocation?

The main reason for this injury is a heavy fall on the outstretched hand since there is a high chance that the humerus will be out of its correct alignment with the joint, explains the orthopaedic doctor in Delhi.

Traffic accidents are also a common cause due to severe trauma.

Elbow dislocation can occur in sports such as soccer, hockey, skiing, gymnastics, or volleyball.

In this sense, sports practice becomes one of the risk factors along with age (children’s elbows are more prone, so we must avoid jerks when walking), sex (affects more men than women) or heredity (people with looser ligaments).

How is the preoperative elbow dislocation?

First of all, the bones must return to their place and for this an orthopaedic in Delhi will perform a reduction, but not before correctly evaluating the injury so as not to cause further damage. Subsequently, the pathology will be studied to decide whether to perform an elbow surgery that will be necessary in the following cases:

  • Fracture of any of the dislocated bones.
  • Ligament tear.
  • Damage to nerves or blood vessels and bones of the elbow.

In the case of operating on the patient, the team of orthopaedic surgeon in Delhi prepares thoroughly for possible complications with a set of fundamental tools in the operating room:

  • Radius Head Fracture Fixation Kit, Coronids, Proximal Ulna.
  • Implants to replace radio head.
  • Bone anchors for soft tissues.
  • Articulated external fixation

What are the types of elbow dislocation treatments?

Orthopaedic surgeon in Delhi proposes two possibilities to treat elbow dislocation that we expose below and that will be useful one or the other according to each case:

Acute treatment:

It is applied in cases where there are fractures associated with the head of the radius and / or coronoid and the approach can be lateral or medial. Specifically, this surgery is used to successfully repair radial head fracture, proximal ulna and coronoid tear, and lateral ligament.

Likewise, in this type of treatment articulated external fixators are sometimes used for the following cases:

  • Neutralization of the load on the repairs when they are seems weak.
  • The elbow appears vulnerable to reluxation.
  • So that the patient can move the arm from the first day in a regulated way.

Deferred treatment:

The parts that are restored are the same as with the acute treatment but with complications such as scar tissue, partially or totally united bone fragments, little identifiable joint surfaces.

If you have suffered an elbow dislocation and need advice, do not hesitate to contact orthopaedic in Delhi to assess your case, establish the appropriate diagnosis and carry out your recovery with optimal results.