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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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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.

Elbow-Dislocation

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.

hip arthroscopy in Delhi

Hip Arthroscopy- All You Need to Know

This was probably the area of ​​Hip Surgery that presented the biggest and most expressive evolution in the last years.

The term arthroscopy in Delhi refers to a surgical technique, the act of “looking at the joint”. It is a method, a means of carrying out a treatment. It allows different procedures to be performed on or near the joint.

This is possible through the use of micro-cameras and special instruments, of small caliber, that give us access to the interior of the joints without the need for surgical accesses of traditional surgeries.

In arthroscopy, we use cutaneous incisions of about one centimeter each, in varying numbers – usually from 2 to 4 accessions, explains the orthopaedic in Delhi.

What can be treated by hip arthroscopy in Delhi?

The most frequent indications are:

  • Femoral-acetabular impact: for bone and cartilage remodeling (osteochondroplasty).
  • Lesions of the acetabular Labrum: for its resection or reinsertion to the bone bed with the use of anchors.

Other indications include:

  • Snap in hip.
  • Removal of free bodies or foreign bodies from the joint.
  • Repair of injuries to the gluteal tendons and lateral hip pain syndrome.
  • Treatment of traumatic and atraumatic cartilage lesions.
  • Lesions of the round ligament.
  • Osteochondritis dissecans.
  • Synovectomy: for rheumatoid arthritis or villonodular synovitis.
  • Deep gluteal pain syndrome or piriformis syndrome: to release the sciatic nerve.
  • Some sequelae of pediatric pathologies, such as Legg-Perthes: for removal of free bodies or chondroplasty.

Can my case be treated by arthroscopy in Delhi?

Through clinical evaluation and imaging tests we can define who will benefit or not from this type of treatment.

Although this surgery is extremely versatile, not all hip injuries can be treated in this way.

Cases of major morphological changes, hip dysplasia and osteoarthritis, for example, are likely to be better treated through conventional surgery, when indicated.

Although common sense is that arthroscopy in Dwarka is “better and more modern”, this is not always true. Each case has its indication. In some cases, traditional surgery may bring more benefits.

The indication of treatment must be decided on a case-by-case basis by the orthopaedic doctor in Delhi.

How is the surgery?

Surgery can be performed with spinal anesthesia and sedation or under general anesthesia.

To gain access to the hip joint, it is necessary to use an orthopedic traction table, under anesthesia, creating space in the joint for the insertion of optics and instruments.

In addition to the video material, we also use a radioscopy device, which is a kind of “live” radiography.

After making the access portals, we introduced the micro-camera and we can use a wide variety of tweezers to correct injuries, sutures, scrapes, micro-perforations, etc.

The instruments used in hip arthroscopy are specific to this surgery, being longer than the material traditionally used for knee and shoulder, for example.

We also have flexible instruments that can deviate from the femoral head and increase our range within the joint, however, the shape and location of the hip imposes a natural limit on the range of the instruments, explains the orthopaedic surgeon in Delhi.

What are the risks?

As with any surgical procedure, there are risks involved.

In addition to the “general” risks, such as: anesthetic risk and infection, there are also specific risks of arthroscopic treatment, especially paresthesias (alteration of sensitivity) in the inguinal region or skin problems, among others. The evolution of technique and materials has fortunately made these problems increasingly rare.

In addition, as with all endoscopic surgery, there may always be a need for conversion to traditional surgery (“open air”).

How is recovery after surgery?

According to the severity of the injury and the treatment instituted, specific physiotherapy protocols are initiated. The use of crutches is necessary for two to six weeks and the return to sports is allowed according to the type of injury, the type of sport and the individual recovery. Final recovery can take anywhere from six months to a year, states the orthopaedic surgeon in Delhi.

It is usually necessary to stay in the hospital for a day for post-anesthetic recovery and the postoperative period is generally not very painful.

Will I never have hip pain again? Can I go back to sports?

Statistically up to 80% of patients are able to resume their sports activities with at least partial relief of symptoms.

In practice, each case is different. Depending on the problem you had in your hip, arthroscopy can only be palliative, in an attempt to preserve your joint. In some situations, it may be more prudent to abandon impact sports altogether.

Eventually the symptoms may remain or appear again after a while. You should inquire about the details of your case with your orthopaedic surgeon in Dwarka.

In our practice, we observed the best results in those patients who obtained an earlier diagnosis and in small lesions, without compromising cartilage.

For this reason, you should not neglect your symptoms, in case of pain in the groin or hip always look for an orthopaedic in Delhi.

shoulder pain

SHOULDER PAIN WHEN RAISING AN ARM: CAUSES AND TREATMENT

The inability to raise your hand up is a fairly common problem. Shoulder pain can be one of the most tiring and painful conditions. Many of you will one day just wake up with this pain. Pain can be localized to the top or side of the shoulder joint. In some patients, pain is most pronounced in the evening and at night, in others it occurs only when the arm is raised up. Most of you will not remember any kind of shoulder injury. Most did not change their training regimes or make them more aggressive. In most cases, you are 40-60 years old, and this could be your dominant or non-dominant hand. Let’s take a look at the most common causes:

  • Pain in the upper shoulder
  • Shoulder pain when lifting the arm
  • Restriction of movement in the shoulder joint.

According to the orthopaedic in Delhi, there are many problems that can lead to limited shoulder movement or pain when lifting or moving the arm. Most often these are problems with the rotator cuff.

The rotator cuff is the most common cause of outer shoulder pain in adults. This is also the main reason why you are unable to raise your arm up or are in pain when moving, explains the orthopaedic in West Delhi.

Shoulder pain can be caused by injury. Believe it or not, shoulder injury is a less common cause of pain.

Rotator cuff injuries are more likely to occur as a result of repetitive stress, for example, when working with weights, when throwing and throwing sports equipment. Damage to the rotator cuff can also occur from falls and prolonged work with raised arms (for example, cutting trees or painting a house).

The rotator cuff of the shoulder is formed by four muscles located under the deltoid muscle. Together, these muscles control movement in the shoulder joint, ensuring normal shoulder function.

If the rotator cuff becomes damaged, inflamed, or torn, you are unable to raise your arm upward.

Let’s take a quick look at each of the most common causes of pain and limitation of movement in the shoulder joint.

ROTATOR CUFF TENDONITIS

In persons over 30, rotator cuff tendinitis is very rare, and the most common cause of pain in the shoulder joint when lifting the arm up is rotator cuff tendinosis.

The term tendinosis refers to degenerative changes in the rotator cuff. Along with degeneration in the rotator cuff tendons, the number of blood vessels and nerves increases. This is how the body responds to degeneration and this is what causes the pain. The appearance of new nerve endings leads to pain during certain movements. If the pain is severe enough, you cannot raise your arm and sleep on this side.

Physiotherapy is usually effective in patients with rotator cuff tendinosis. If, despite treatment, pain persists, surgery is possible, which helps to reverse the changes and reduce the severity of pain, says the orthopaedic surgeon in Delhi.

PARTIAL TEARS OF THE ROTATOR CUFF

As you age or degenerate, a portion of the rotator cuff may separate from the bone to which it is attached. This is a natural stage in the progression of tendinosis. When a significant part of the rotator cuff is separated, a small gap or defect appears in it. This condition is called partial rupture. Partial tears are not large enough to cause impaired movement. However, if this gap is accompanied by pain, then the pain may be localized in the upper part or along the lateral surface of the shoulder. It will also hurt to raise your hand up.

Some partial tears hurt, others don’t. You can determine this during the examination. Most patients with partial tears of the rotator cuff respond well to physiotherapy. If physical therapy or other nonsurgical treatments are ineffective, surgery is likely to help relieve night-time pain and pain when raising an arm, says orthopaedic in Dwarka.

CALCIFIC TENDONITIS

Rotator cuff calcific tendonitis is a very painful condition. It is quite simple to diagnose it precisely due to the severity of the pain syndrome. The condition is characterized by the appearance of deposits of calcium crystals in the thickness of the tendons. Fortunately, in most such cases, surgery is not needed, and it is enough to inject a drug into the focus under ultrasound guidance, which helps to wash out calcium crystals. The operation is necessary only in rare cases.

PAIN IN THE SHOULDER JOINT AFTER INJURY

Some of you may be reading this article because you fell on your shoulder and you cannot raise your hand after that. In the event of injury, there is a possibility that the rotator cuff has torn off the bone. Therefore, in such situations, we recommend that you quickly contact a specialist. Now we’ll talk about what to look out for if you suspect you have a serious shoulder injury.

The rotator cuff controls movement in the shoulder joint. If a rotator cuff rupture occurs, your complaints and symptoms will depend on the size of the rupture. For the most significant breaks, you will not be able to raise your hand at all. Many patients with fresh massive tears in the rotator cuff require surgery to restore shoulder function. Thus, treatment for a rotator cuff tear depends on the cause of the tear.

ADHESIVE CAPSULITIS OR FROZEN SHOULDER

Adhesive capsulitis or frozen shoulder is a fairly common cause of pain and limited movement in the shoulder joint. The pain in this case can be localized in the upper shoulder or axillary region. In this condition, the ligaments and capsule around the joint thicken, become tense and inflamed. Diagnosis is simple enough … by definition, frozen shoulder is a lack of movement in one shoulder joint compared to the opposite one. Treatment for frozen shoulder is usually conservative and includes physical therapy. With the help of the block system, you can independently stretch the capsule of the shoulder joint. Sometimes orthopaedic doctor in Delhi can recommend the injection of corticosteroids into the joint to control inflammation. If physical therapy proves to be ineffective, doctor may recommend going for arthroscopy in Delhi.

ARTHROSIS OF THE ACROMIOCLAVICULAR JOINT

The acromioclavicular joint (ACS) is a small joint located at the top of the shoulder. This is the joint between the clavicle and the shoulder blade. Over time, this joint can undergo degenerative changes. ACS arthrosis is the # 1 cause of pain in the upper shoulder. With sufficient severity, this pain leads to a limitation of lifting the arm up and movement in the shoulder joint. Ice, heat, and anti-inflammatory drugs can help cope with pain in such cases. It is also possible to inject drugs directly into the joint. If this treatment is ineffective, surgery is possible.

The causes of shoulder pain vary by age. Some problems are more common in certain age groups. Tendonitis is more common in athletes at a younger age. In middle age, tendinosis, calcific tendonitis, arthrosis of the acromioclavicular joint (ACS), and frozen shoulder.

Orthopaedic surgeon in Delhi widely uses arthroscopy and other minimally invasive methods of treating shoulder joint pathology. Operations are carried out on modern medical equipment from major world manufacturers.

However, it should be noted that the result of the operation depends not only on the equipment, but also on the skill and experience of the surgeon. The orthopaedic in Delhi has extensive experience in treating diseases of this localization for many years.

Knee Arthroscopy For Better Mobility of Your Knee

Knee Arthroscopy For Better Mobility of Your Knee

Arthroscopy in Delhi is a surgical intervention allowing the exploration of the joint using a tube a few millimeters in diameter, introduced into the knee through several tiny holes (2 to 4) (about 1 cm). This tube, fitted with optics coupled to a miniaturized video camera, is connected to a color television screen on which the main elements of the knee will be viewed:

  • the cartilages of the femur, tibia and patella
  • the cruciate ligaments (anterior and posterior),
  • menisci (internal and external),
  • synovial membranes

ARTHROSCOPY THEREFORE ALLOWS:

  • to specify the possible causes of a knee dysfunction: pain, blockage, swelling, instability, in addition to the clinical and radiological examination, then guiding at best the choice of the subsequent treatment which will be proposed.
  • to perform a certain number of surgical procedures using fine instruments, “without opening the knee” under the control of the television screen.

THESE INTERVENTIONS CAN BE:

  • meniscal lesion removal
  • ligament plasty (cruciate ligament operations)
  • regularization of cartilage when it is irregular or worn,
  • removal of free bone or cartilage fragments in the joint,
  • synovial biopsy
  • release of adhesions,
  • fold section (plica)

IN PRACTICE

Arthroscopy in West Delhi is performed in the operating room, under anesthesia. The terms of this will be decided between you and the anesthesiologist. You will be admitted to the hospital the same morning; you must bring the x-rays as well as the biological examinations in your possession and report the usual treatments in progress.

On the day of the arthroscopic surgery in Delhi you must be on an empty stomach and respect the  instructions of orthopaedic surgeon in Delhi.

As soon as you get back to your room, you can start to gently mobilize your knee, walking being allowed with the help of the nurse or physiotherapist a few hours later.

The exit from the hospital will generally be rapid. During this, you will be given:

  • a first consultation appointment,
  • a rehabilitation order intended to improve functional recovery,
  • a work stoppage suited to the nature of your knee injuries and the type of professional activity you exercise.

During the first week, you will be advised:

  • not to bend the knee more than 90 °,
  • to walk or climb the stairs moderately,
  • avoid prolonged immobile standing, – apply an ice pack (4 times – 10 minutes a day),
  • to contract the extended quadriceps leg muscle many times,
  • not to resume sport before medical authorization

Arthroscopy is a surgical procedure.

If the hazards inherent in this technique are rare, do not hesitate to report any local incident to orthopaedic in Delhi that would worry you: persistent fever, increasing pain, hematoma or significant swelling of the knee (moderate, painless swelling is however usual with possible sensation of ” splashing “due to temporary persistence of fluid in the knee).

Knee Arthroscopy: General Information

What is knee arthroscopy?

Knee arthroscopy in Delhi is a minimally invasive procedure that allows access and treatment of injuries that affect the various structures of the joint. For this, 2 or 3 small incisions of less than one centimeter are made that allow access to the joint.

Most knee surgeries that do not involve the knee replacement in Delhi are performed with a complete or partial approach with knee arthroscopy. It is the technique of choice to deal with many injuries because it allows a better and greater visualization of the joint. In a non-aggressive way, all the points of the knee can be accessed to make a cartilaginous cleaning, small perforations of the bone that has lack of cartilage (microfractures), stabilize the cartilage and apply substances or elements that regenerate cartilage (plasma rich in platelets or stem cells).

Likewise, knee arthroscopy in Delhi is also used to support other open techniques, since it improves the diagnosis and prognosis of the patient’s injury, as it is less aggressive.

Surgery can be performed under local, regional or general anesthesia, depending on the injury and the patient himself. The anesthesiologist will decide the best method for the patient, provided he suffers as little as possible, explains the best knee surgeon in Delhi.

Why is it done?

Knee arthroscopy in Delhi is used to resolve knee injuries. Thus, meniscus injuries are one of the most common pathologies and, thanks to arthroscopy, it is possible to preserve most of the menisci, since the resection is not complete but partial. Meniscal sutures and the possibility of transplanting the meniscus with knee arthroscopy are common techniques that allow better protection of the cartilage of the joint.

Another of the most dangerous injuries related to sports is the rupture of the anterior cruciate ligament. If this is injured, it causes instability in the knee that makes it impossible for the patient to practice practically any sport. Continued instability can injure surrounding structures, such as menisci and cartilage. Hence, it is necessary to reconstruct the anterior cruciate ligament with grafts, accessing the joint by arthroscopy, explains the sports injury specialist in west Delhi.

On the other hand, cartilage injuries (chondropathies, arthrosis or osteochondritis) are also very frequent. Preserving cartilage will also preserve the joint, avoiding wear and tear on the knee.

What does it consist of?

The orthopaedic surgeon in Delhi will make the small incisions in the knee to be able to access it. Firstly, you will fill the knee joint with a sterile solution and remove any cloudy fluid. This way you can see the joint clearly and in detail.

The specialist will then insert the arthroscope (a very thin device with a camera at its end) into the knee. This device sends the images to the television monitor, so that the surgeon can see all the structures in detail. Through the other holes the orthopaedic surgeon in Delhi will introduce the surgical material that will allow him to tackle the injury and repair the damaged structures.

It is a procedure that usually does not last more than an hour. After that, the patient will be transferred to a rehabilitation room and will be able to leave the hospital after two hours, more or less.

Preparation for knee arthroscopy

Before surgery, the patient must undergo a complete physical examination so that the orthopaedic in Delhi can assess his health and any abnormality that may interfere with the arthroscopy. Likewise, the patient must inform the surgeon of the medication they are taking, so that they can tell them which ones they should stop taking before the intervention. Some additional preoperative tests will also be performed, such as MRI, EKG, or blood tests.

Care after the intervention

Recovery after arthroscopy in Dwarka is faster than conventional open surgery. However, the advice of the orthopaedic doctor in Delhi must be followed so that the knee recovers correctly.

It is normal for the patient to suffer inflammation in the days after the intervention, so it is recommended that the leg be elevated during those first days after surgery. Also, applying ice will relieve pain and reduce inflammation.

Incisions should also be healed, keeping them clean and dry. The orthopaedic in Delhi will indicate to the patient when they can shower or change the bandage.

On the other hand, shortly after the intervention, the patient should begin rehabilitation exercises with a Physiotherapy specialist, who will establish a program appropriate to the patient and the injury. This will help you restore movement and strengthen your knee muscles.

Alternatives to this treatment

The alternative to knee arthroscopy in West Delhi will be conventional open surgery, which is currently only used in more severe cases, in which a prosthesis must be placed. Any other technique will suppose a greater invasion in the knee and worse postoperative, explains the orthopaedic in Delhi.

MENISCUS DAMAGE

The meniscus is a semi-circular structure inside the knee located between the joint areas of the femur and tibia.

The meniscus distributes the load and protects the articular cartilage, and also partly gives stability to the knee while walking. Inside the knee are two menisci – internal and external. The external meniscus is more mobile; therefore, it is injured much less often. A meniscus injury is a fairly common occurrence, which is most common among physically active citizens.

Despite this, in a small number of cases, menisci are damaged during various degenerative processes inside the knee, for example, osteoarthritis, explains orthopaedic in Delhi.

HOW IS MY KNEE ARRANGED?

The knee joint consists of three bones (femur, tibia, and patella), connected rigidly together with the help of ligaments that stabilize the joint. The articulating surfaces of the bones inside the joint are lined with a smooth protective tissue called articular cartilage, it allows the bones to glide relative to each other.

With arthritis and arthrosis, as well as damage to the menisci and ligaments, cartilage is significantly damaged.

Ligaments are dense structures of connective tissue that hold bone to bone and stabilize the knee. Inside the knee joint are two main ligaments. An anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). They cross crosswise in the center of the joint, from which they got this name. The other two main ligaments are actually located outside the knee joint, on the outside and inside of the knee. They act to stabilize the lateral movement of the knee.

The ligament on the inside of the knee is called the medial collateral ligament or MCL. The ligament on the outside of the knee is called the lateral collateral ligament or LCL.

The patellar ligament connects the lower pole of the patella with the upper part of the lower leg. The central third of this ligament is sometimes used as a source of graft when restoring a torn anterior cruciate ligament.

The meniscus is a crescent-shaped or C-shaped structure located between the joint areas of the thigh and lower leg. There are two menisci in each knee, one on the inside called the “medial meniscus” and one on the outside called the “lateral meniscus”.

The meniscus is one of the varieties of cartilage. The meniscus can be torn during twisting movements in the knee. Rupture can occur along the inner edge of the meniscus, or, less commonly, along the outer edge. There can also be only a small meniscus gap, for example, a patchwork or a large so-called “handle-watering” gap; it represents a gap along the entire length of the meniscus. Such a gap can block the joint, which means that the leg cannot be straightened to the end. All types of meniscus tears can be successfully treated with arthroscopy in Delhi.

WHAT IS THE MECHANISM OF MENISCUS DAMAGE?

Menisci most often burst during sports, with sharp rotational and rotational-flexion movements in the knee, deep squats, and jumps. A torn meniscus fragment moves into the joint cavity during movements and causes sudden pain and periodic blockages. Meniscus tears are often accompanied by trauma to the cruciate and lateral ligaments of the knee. Due to the peculiarities of meniscus nutrition, they grow to the place of separation extremely rarely, says orthopaedic in West Delhi.

HOW CAN YOU SUSPECT A MENISCUS INJURY?

Common symptoms with a fresh joint injury are inflammation, severe pain, limited mobility in the knee, and fluid buildup in the joint. According to the abatement of the acute period, after a few weeks, the symptoms characteristic of the meniscus rupture come to the fore: local pain at the level of the joint space, “clicks”, “crackling” during movements, muscle hypotrophy, inflammation of the synovial membrane with the formation of effusions, periodic blockages.

HOW TO DIAGNOSE MENISCUS INJURY?

The menisci of the structure are cartilaginous; therefore, they are not visualized on x-rays. The diagnosis is made by a specialist orthopaedic in Dwarka based on complaints, clinical test results, and magnetic resonance imaging data.

WHAT TO DO IMMEDIATELY AFTER AN INJURY?

Immediately after a knee injury, orthopedic in Delhi recommends:

  • immediate limitation of knee loads, moving on crutches;
  • placing a cold compress on the joint, this will reduce pain and swelling, as well as stop bleeding inside the joint. – it is better to use an orthosis or gypsum in a pinch for fixing the knee;
  • giving the limb an elevated position will also help reduce swelling and pain in the knee;
  • take non-steroidal anti-inflammatory drugs.

HOW TO CURE A TORN MENISCUS?

Treatment of meniscus lesions is more often surgical. Using arthroscopy of the meniscus, partial (partial) or less often complete removal is performed. It is also possible to put stitches on the meniscus and fix it to the tear point, but unfortunately, this does not in all cases give the planned result.

With minor injuries of the meniscus, non-surgical treatment is possible. Indications for surgery are large gaps characterized by mechanical symptoms (clicks, crunching, pinching, limitation of mobility), the recurrent formation of fluid in the joint, as well as in cases of unsuccessful non-surgical treatment. It is worth emphasizing that with meniscus tears orthopaedic surgeon in Delhi does not advise to postpone treatment and put up with poorly tolerated pain in the knee.

A torn meniscus and its fragments can irreversibly destroy articular cartilage, up to its erasure to the bone. In modern conditions, meniscus surgery is performed using arthroscopy. Arthroscopic intervention is performed through two punctures up to 0.7 cm long. An arthroscope is connected to one of the arthroscopes through the camera to the monitor, and instruments for manipulating the joint are inserted through the other.

Meniscus arthroscopy is performed in an aqueous medium. With arthroscopy, it is possible to achieve excellent cosmetic results, the method is not very traumatic, accelerated rehabilitation. The arthroscope allows us to the most distant parts of the joint, the examination of which is not always possible with open operations explains orthopaedic in Janakpuri.

Hip Arthroplasty

Hip Prosthesis Surgery

The hip replacement in Delhi is an operation performed with a 10-12 cm incision and through which makes resection of the femoral head and the acetabular cartilage to allow for its replacement by an implant (prosthesis) of metal.

The hip prosthesis can be fixed to the bone by applying a special cement (cemented prosthesis), which adheres and hardens within a few minutes, allowing the load to patients immediately after hip replacement surgery in Delhi. It is ideal for older patients, with more osteoporotic bone, or who have worse bone stock due to rheumatism pathology.

Cementless prostheses are applied under pressure (press-fit). They are produced with a rough and porous surface, usually coated with hydroxyapatite, to allow a process of incorporation by bone growth into the interior of your pores, allowing a very firm and lasting fixation.

Generally, the application of a total hip prosthesis does not require general anesthesia, but a locoregional block, with the placement of a catheter to control postoperative pain.

Total Hip Arthroplasty

hip replacement surgery in West Delhi is a surgery that has undergone a major evolution. Its application is possible by mini-invasive techniques, which provide the patient with better and easier recoveries.

Also, in terms of instruments for placing the total hip prosthesis, technical advances have been made in order to make them more precise and versatile with solutions for the different types of hip to be replaced. This evolution was based on a better knowledge of the anatomy and biomechanics of the joint.

Finally, the interfaces between the femoral and acetabular components have also improved. In addition to the classic metal-polyethylene, it is possible to apply ceramic components that show wear rates and production of smaller particles, and therefore, allowing greater durability of the implants.

Partial Hip Arthroplasty

In some situations, in which the acetabulum is spared and a very elderly patient has suffered a fracture of the femoral neck, it is possible that the Orthopaedic in Delhi may choose to perform a partial hip arthroplasty, replacing only the femoral head and thus making a procedure simpler and less invasive for the patient.

This saves operational time and blood loss, which can be important in patients who are very weak and whose general condition needs to be optimized.

Hip Arthroplasty – Risks, Complications

Hip replacement in West Delhi is not without risks and complications.

First of all, there are complications that can occur in any joint replacement surgery in Delhi, regardless of the joint. These are hemorrhages, infections or venous thrombosis.

Then there are the specific complications of hip arthroplasty. At an early stage, during and immediately after surgery, vascular injuries (including injuries to the sciatic nerve), dysmetria and instability may occur, with the occurrence of dislocation of the prosthesis. In a later stage, periprosthetic fractures or even detachments of the prosthesis may occur.

Currently, the technical solutions available to the orthopaedic surgeon in Delhi are increasingly varied and versatile to solve these situations, namely with the use of the so-called hip arthroplasty revision surgery.

Hip Arthroplasty – Recovery

The recovery after performing total hip arthroplasty, is increasingly rapid and simple for the patient, since the surgery is less invasive, more effective control of pain and more accelerated rehabilitation protocols.

The recovery time is thus substantially reduced. Lift and load on the operated limb are allowed on the first day after surgery, with discharge to hospital generally occurring between the 3rd and 4th day. The stitches are removed at 15 days in the outpatient consultation and the patient usually dispenses with the use of external gait supports (Canadian), at around 3-4 weeks.

In our clinical practice, on the 1st postoperative day, the patient undergoing a total hip prosthesis begins a physiotherapy regimen, with a bi-daily visit by a specialized Physiotherapist in Delhi. Immediate mobilization prevents the occurrence of deep venous thrombosis, prevents muscle atrophy and facilitates lifting.

Physiotherapy starts immediately with exercises taught during hospitalization, namely gait training and up and downstairs.

After the first 2 weeks after a total hip replacement in Delhi, the exercises are specifically aimed at strengthening the muscles involved in walking, especially the glutes or swimmers (namely the middle).

Hydrotherapy is also recommended at a more advanced stage of recovery, in order to improve joint tone and proprioceptivity, as well as increase the patient’s general well-being and confidence.

Hip Prosthesis Surgery – Price

The price of a hip surgery can vary according to the type of surgical intervention and the type of prosthesis placed. The amount may also fluctuate if the patient has any health insurance and associated conditions.

Only the orthopedic in Delhi can determine how much the operation costs, through a thorough analysis in the consultation.