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Orthopaedics and Joint Replacement (Bone)

Best Orthopaedic Hospital in Delhi

Department of Orthopaedics and Joint Replacement by Aakash Healthcare Super Speciality Hospital comprises of highly qualified surgeons who have complete training in all aspects of Orthopaedics and Joint Replacement. The department offers the most comprehensive treatment in the area of Orthopaedics, for adults and paediatrics. Our dedicated team of specialists, coupled with state- of-the-art healing environment, internationally accepted surgical protocols and a full-fledged rehabilitation program ensure the best treatment possible.

Our Orthopaedic specialists offer expertise in Joint Replacement Surgery, especially robotic arm assisted knee replacement surgery, hip replacement surgery, shoulder surgery and sports- related injuries. The team also treats various complex and common orthopaedic diseases.

Overview: The Centre of Excellence in Orthopaedics and Joint Replacement is a state of the art facility at Aakash Healthcare; considered among the best orthopaedic hospitals in Delhi. The Centre provides systemic treatment and care for allorthopaedic complications and joint issues. Aakash is the top orthopaedic hospital in Dwarka, and some of Delhi’s best orthopaedic surgeons are available for any knee or joint trouble you might be facing. The Centre couples state of the art technology and orthopaedic excellence in all its specialties; Knee Replacement Surgery, Surgery for Sports Injuries, Robotic Knee Surgery and Joint Replacement, Sports Medicine, Paediatric orthopaedics and Pain Management. Aakash ranks among the best hospitals for knee transplants in Delhi and this is down to the fact that we ensure our patients receive the highest level of care along with the complete attention and expertise of the best knee surgeons in Delhi.

The number of people who partake in physical activities has risen significantly in the past decade, but this has also lead to more injuries and issues, which means more people are seeking orthopaedic

 Treatment in Delhi than ever before.

The field of Orthopaedics has been revolutionised with great advances in technology coming into the fore over the past decade. Some of Delhi’s best Orthopaedic surgeons perform Robotic Joint Replacement Surgery, Robotic Knee Replacement, Arthroscopy, Total Hip Replacement, Knee Replacement, Foot and Ankle Surgery, Shoulder and Elbow Surgery etc with high levels of success at Aakash Healthcare with the help of these advancements.

The Centre of Excellence has digital Orthopaedic operating theatres for robotic surgeries, the joint implants and prosthetics we use are in line with all global standards, perfectly sized and customised for perfect fit and positioning. This affords greater flexibility for replacement joints, and makes for highly satisfied patients, this has made Aakash Healthcare the best hospital for knee replacement surgery in Dwarka and beyond.

Treatments Offered

Disc Replacement Surgery

Common back pain will resolve itself with rest over a few days or weeks, coupled with some therapy but in case the pain has been present for six months and not improving with therapy and medication: could require disc replacement surgery to restore the ability to function properly.

A disc replacement surgery will restore movement and relieve pain. Aakash ranks amongst the best orthopaedic hospitals in west Delhi and with some of the best orthopaedic doctors in Delhi onboard, has raised the bar of orthopaedic treatment and surgery in the city.

Total Knee Replacement Surgery

If you’re looking for the best knee replacement surgery in Delhi, then look no further than Aakash Healthcare. Our total knee replacement surgeries are safe, successful, and beneficial for pain relief, correcting deformity and have helped numerous patients reclaim their everyday lives.

Joint Replacement Surgery

In this surgery, a damaged joint is replaced with prosthesis which replicates the movement of a healthy joint. We perform some of the best joint replacement surgeries in Delhi  for the knees, ankles, hip, wrists, elbows and shoulder. The most commonly performed are hip and knee replacements surgery.

Total Hip Replacement Surgery

This surgery relieves hip pain and restores its function by resurfacing the bones that join at the hip joint. Some of Delhi’s best hip replacement surgeons perform highly successful and seamless hip replacement surgeries at Aakash Healthcare each year with the highest safety possible.

Arthritis

A fairly common joint disorder where inflammation occurs in one or more joints. Doctors will try and make do with anti-inflammatory drugs in the early stages to limit the swelling and control the pain. However, a surgery will become necessary when the joint cartilage is far too damaged and any effort to use the joint becomes too painful.

Osteoporosis

The most common joint bone disorder known to us, osteoporosis makes the bones weaker and suspect to easy and unprecedented fractures. Osteoporosis usually progresses without painful symptoms and in case you suspect you have osteoporosis, you should immediately consult with the best orthopaedic doctors in Delhi for timely intervention.

Spondylitis

This is a fairly common disease and happens as a result of inflammation of the vertebral joints. Like osteoporosis, spondylitis develops without symptoms and becomes prominent once fully developed. There are three types of spondylitis: cervical, lumbar and ankylosing spondylitis. At Aakash Healthcare, our doctors, physiotherapists and caregivers work together to first improve a patient’s posture and mobility as spondylitis can be corrected easily with these in some cases along with medication.

At Aakash, our doctors do not recommend surgery unless there is no other option, and provide our patients the best treatment and comprehensive care from consultation to discharge. Our patients are carefully assessed for determining if they are the right candidates for a particular surgery. The right candidates are those who do not have any history of disc surgery, do not have osteoporosis or any spinal deformity, must have good general health, no arthritis, and spinal infection, should not be overweight and should not be pregnant, preferably.

Orthopaedics and Joint Replacement: Treatment & Conditions

  1. Arthritis

Overview: Arthritis is a joint inflammation that causes pain and stiffness that worsens with age. There are various types of arthritis, each caused by a different factor such as wear and tear, infections, or underlying illnesses. In India, more than 188 million people suffer from arthritis. Arthritis sufferers consist of women and men, youngsters and adults.

Types of Arthritis

The most common types of arthritis are:

• Osteoarthritis: This is a type of joint damage that includes cartilage wear and tear. Osteoarthritis is more common in women and usually affects people over the age of 45. The knees, fingers, hips, and back are the most commonly affected body parts.

• Rheumatoid Arthritis: This is a type of inflammatory arthritis that is also known as an auto immune disorder. Inflammation occurs when the body sends extra fluid and blood to a specific area in order to combat an infection. Adults of any age can be affected. It usually begins in people between the ages of 40 and 60. Women are more likely to experience this.

Arthritis Causes:

The two main types of arthritis, osteoarthritis and rheumatoid arthritis, can both cause joint damage in different ways.

1. Osteoarthritis: This condition affects the entire joint. It alters the bones and deteriorates the connective tissues that connect muscle to bone and hold the joint together. It also causes joint lining inflammation.

2. Rheumatoid arthritis: Inflammation and excess fluid in a joint can result in the following problems: 

• Difficulty and pain in joint movement.

• Chemicals in the fluid can cause bone and joint damage.

• Excess fluid can cause the joint capsule to stretch. A joint capsule never returns to its original position after being stretched.

• Chemicals in the fluid can irritate nerve endings, resulting in pain.

Symptoms of Arthritis

 • Arthritic joint inflammation is characterised by joint stiffness, swelling, redness, pain, and warmth.

• Tenderness of the inflamed joint can occur with or without pain.

• When large joints, such as the knee, are involved, there may be cartilage loss and limitation of motion due to joint damage.

• When arthritis affects the small joints in the fingers, bone growth and loss of hand grip can occur.

Arthritis can also cause symptoms that affect organs other than the joints, such as fever, gland swelling, weight loss, fatigue and feeling unwell

Treatment of Arthritis:

 Arthritis treatment focuses on symptom relief and joint function improvement. There are several medications that can provide relief. Medication that is commonly used includes:

• Pain killers - These medications relieve arthritis pain but do not reduce inflammation like acetaminophen. If the pain is severe, opioids such as tramadol, which act on the central nervous system to relieve pain, may be prescribed.

• Nonsteroidal anti-inflammatory drugs (NSAIDs)- NSAIDs such as ibuprofen (Advil, Motrin IB, and others) and naproxen reduce both pain and inflammation (Aleve)

• Anti-irritants-Some creams and ointments contain menthol, the ingredient that makes hot peppers spicy. Rubbing these creams on the skin over your aching joint may interfere with the transmission of pain signals from the joint itself.

• Disease-modifying antirheumatic drugs (DMARDs)- DMARDs slow or stop your immune system from attacking your joints. These are frequently used to treat rheumatoid arthritis. Methotrexate is one such example.

• Corticosteroids- A class of drugs that includes prednisone and cortisone that reduces inflammation and suppresses the immune system. Corticosteroids can be injected directly into the painful joint or taken orally.

Therapy for Arthritis

Some types of arthritis may benefit from physical therapy. Exercises can help to improve range of motion and strengthen the muscles around joints.

Surgery for Arthritis treatment:

If conservative measures fail to provide relief, the doctor may recommend surgery, such as:

  •  Joint repair- Joint surfaces can be smoothed or realigned in some cases to reduce arthritis pain and improve function. Small incisions over the joint are frequently used for these procedures.
  • Joint replacement-This procedure involves the removal of a damaged joint and the replacement of it with an artificial one. The most common joints to be replaced are the hips and knees.
  • Joint fusion- This procedure is more commonly used for smaller joints like the wrist, ankle, and fingers. It separates the ends of the two bones within the joint and then locks those ends together until they heal into one rigid unit.

Visit Aakash Healthcare today if you are suffering from severe arthritis. Aakash Healthcare Super Specialty Hospital is one of the best arthritis treatment hospitals. In Delhi, we have one of the best rheumatologists. Robotic arm assisted Arthroscopic Surgery, Traumatic Orthopaedic Surgery, Hand, Shoulder & Elbow Surgery, Spine Surgery, Articular Surface Replacement Hip Surgery, Foot & Ankle Surgery, Total Knee & Hip Replacement Surgery, and other procedures are performed by the Orthopaedics and Joint Replacement Department.

  1. Back pain surgery

Back pain is pain felt in the back that is caused by muscles, nerves, bones, joints, or other structures in the spine. Back pain can be acute or chronic; it can be constant or intermittent; it can be localised or radiate to other areas.

Most of us experience lower back pain after a certain age or as a result of stressful activity; however, this is easily treatable without having to go through the trouble of finding the best spine surgeons and back pain specialists in Delhi. Did you know that in most cases, surgery will not help relieve pain? According to recent studies, 20 to 40% of back pain surgeries are not "successful." You can talk to the best orthopaedic surgeons in the area, and they'll tell you that this lack of success with back surgeries is quite common, and there's even a term for it; failed back surgery syndrome.

However, there are times when back surgery is a good or necessary option to treat musculoskeletal injuries or nerve compression. If you're thinking about having back surgery, feel free to consult with some of Delhi's best back specialists at Aakash Healthcare, who will help you, decide if surgery is a viable option after ensuring that there are no better alternatives. If you're concerned about the cost of back surgery, don't be: we offer exceptional low cost spine surgery to our patients, with the same successful outcomes.

When is it necessary for me to have back surgery?

Back surgery is used as a last line of treatment in a number of situations. For example, if your spinal discs have deteriorated with age, if you have vertebral fractures due to a spinal injury or osteoporosis, herniated or ruptured discs, spinal stenosis, or spondylolisthesis.

Back pain can be caused by a tumour, infection, or a nerve root problem known as caudaequina syndrome in rare cases. In these cases, surgery should be performed as soon as possible to alleviate pain and prevent further complications

Back pain treatment:

Back pain treatment include:-

  • Physiotherapy- A physical therapist can teach you exercise to increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. The use of these techniques on a regular basis can help prevent pain from returning. Physical therapists will also teach you how to modify your movements during a back pain episode to avoid flare-ups while staying active. Heat, ice, ultrasound, and electrical stimulation, as well as some muscle-release techniques, may help relieve pain in the back muscles and soft tissues.
  • Medication-   Medication is effective in the short term. Doctor may recommend some non-steroidal and inflammatory drugs like Ibuprofen or naproxen sodium depending upon the condition of the patient. Patient may be advised some muscle relaxants, or tropical pain relievers. They may also be prescribed codeine or hydrocodone narcotis for shorter period of time.
  • Cortisone injections - If other options fail, these can be injected into the epidural space, which surrounds the spinal cord. Cortisol is an anti-inflammatory medication. It aids in the reduction of inflammation around the nerve roots. Injections may also be used to numb areas suspected of causing pain.
  • Radiofrequency neurotomy – It is a type of neurosurgery that uses radiofrequency energy.  In this procedure, a fine needle is inserted through your skin so that the tip is close to the source of your pain. Radio waves are passed through the needle, damaging nearby nerves and interfering with the delivery of pain signals to the brain.

Surgery for back pain

A few surgical options for back pain are listed below.

Vertebroplasty and kyphoplasty are procedures used to repair compression fractures of the vertebrae caused by osteoporosis. A glue-like bone cement that hardens and strengthens the bone is injected through both of these procedures.

• Lumbar decompression back surgery entails:

a) Discectomy – This is a surgical procedure used to remove a herniated disc and presses if a disc is pressing against a nerve root or the spinal cord. Most likely, a sponsor laminectomy and discectomy will be performed concurrently.

b) Spinal laminectomy or spinal decompression, which is performed when spinal stenosis has narrowed the spinal canal, causing severe pain, numbness, and/or weakness. The bony walls of the vertebrae and any bone spurs will be removed during this surgery to relieve pressure on the nerves.

A foraminotomy is a surgical procedure in which the surgeon enlarges the bony hole where a nerve root exits the spinal canal in order to make more room and prevent bulging discs or joints from pressing against the nerve.

• Nucleoplast or plasma disc decompression is a laser surgery that uses radio-frequency energy to treat people who suffer from lower back pain caused by a mildly herniated disc. The surgeon will insert a needle into the herniated disc, then insert a plasma laser device into the needle and heat the tip, vaporising the tissue in the disc and relieving pressure. This is thought to be a minimally invasive spine surgery.

Spinal fusion, in which a back surgeon removes the spinal disc between two or more vertebrae and then uses grafts or metal devices to fuse the adjacent vertebrae. Spinal fusion can cause some loss of spine flexibility and requires a lengthy recovery period to allow the bone grafts to grow and fuse the vertebrae back together.

• Artificial disc replacement, a treatment option for people with severely damaged discs that is less invasive than spinal fusion. The disc is removed and replaced with a synthetic disc, which restores height and movement between the vertebrae.

  1. Disc Replacement Surgery

Overview:  Discs cushion the bones (vertebrae) that make up the spine in the back. These discs have a tough outer layer (annulus) that surrounds the nucleus and are round, like small pillows. Discs, which are located between each vertebra in the spinal column, serve as shock absorbers for the spinal bones.

If you have neck pain or an aching back as a result of cervical spine damage, don't worry: there are viable treatment options for you. Aakash Healthcare has the best total disc replacement surgeons in Delhi, and you can say goodbye to living in pain after selecting the best treatment options and procedures for you, right here at one of the best hospitals for disc replacement surgery in Delhi. We'll walk you through the entire process, from consultation to surgery, and a dedicated care team will be there to help you through your rehabilitation and recovery.

Aakash Healthcare's orthopaedic department provides successful and effective cervical spine surgeries, artificial disc replacement, and cervical discectomy surgery. If you're thinking about disc surgery and are concerned about aspects of your treatment, such as the time and cost of cervical disc replacement surgery, contact us and we'll help you with whatever you need. Continue reading to learn about these procedures and how they are similar but not the same.

When to go for Disc Replacement Surgery?

When all non-surgical options, such as physical therapy, medications, and injections, fail to relieve pain, orthopaedic surgeons recommend disc replacement surgery. To replicate the functions of a normal disc, the affected disc is replaced with an artificial disc. The artificial disc allows normal motion and bears the same load as the natural one. The procedure takes about 1 to 2 hours and is done under general anaesthesia. Post surgery, patients have regular check-ups with the surgeon/doctor.

Who are the right candidates for Disc Replacement Surgery?

One must consider the following points before going for the Disc Replacement Surgery:

  • A diagnostic MRI reveals disc degeneration.
  • Nonsurgical therapy has been ineffective.
  • Other potential causes of chronic pain have been thoroughly ruled out.
  • Chronic pain that has lasted more than six months
  • Cause of pain is neurosurgically established

Apart from the mentioned requirements above, patients undergoing Disc Replacement Surgery should have no prior history of disc surgery, be in good health, and be free of osteoporosis, spinal infection, arthritis, and spinal deformities.

Surgeries for Disc replacement:

  • Anterior cervical discectomy and fusion (ACDF) – It is the well-established cervical spine surgery: it is regarded as the gold standard in spine surgery due to its long history of increasing efficacy and better outcomes. This surgery is the safest, most effective, and simplest to perform, with the best potential recovery. ACDF surgeries are divided into two parts. The damaged cervical disc is completely removed in the first stage (discectomy). Following that, a bone graft will be placed over the affected vertebra to assist it in growing into the backbone above or below it.

This eliminates the possibility of later painful vertebral movement. The surgeons will enter the cervical spine from the front of the neck, rather than the back, because it is more convenient. You should be able to return to work and daily activities in a few weeks, but full recovery may take a month or so. In about three months, the vertebrae will be completely fused back together.

  • Cervical Disc Replacement: - Cervical Disc Replacement is also known as total disc arthroplasty or artificial disc replacement. During the procedure, a damaged cervical disc is removed and replaced with a metallic or polymeric prosthetic. The surgeons begin by making a slit in the side of the neck and carefully removing any tissue. The damaged disc is then removed, along with any bone spurs. The prosthetic is then precisely inserted and the incision is stitched up. After this surgery, patients can usually return to work and light activity in three to four weeks. More strenuous and vigorous activity will have to be postponed for six to eight weeks.
  •  Artificial Disc Replacement in the Lumbar Spine: - The worn and/or damaged disc material found between the small bones of the spine (vertebrae) is removed and replaced with an "artificial" synthetic disc in artificial disc replacement. The goal of lumbar disc replacement surgery is to relieve back pain while preserving motion, which is more than some other procedures can achieve such as spinal fusion.

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Did you know that approximately 70% to 80% of all people experience some form of lower back pain at some point in their lives? However, the majority of people do not require surgery to alleviate their pain. Only after other nonsurgical or conservative treatments have failed to alleviate lower back pain, surgery becomes an option.

We recommend disc replacement surgery for patients who have exhausted all nonsurgical options but continue to experience pain; for this, lumbar fusion surgery is the most commonly used treatment option for lower back pain. If you're wondering what fusion is, it's essentially a type of "welding" in which the goal is to fuse the painful vertebrae together so that they can heal into a single, solid, pain-free bone.

In other cases, patients who had successful fusion surgeries did not experience any improvement in their back pain. Aakash Healthcare is one of Delhi's best hospitals for spine surgery, and with us, you'll have access to the best spine surgeons in the field to help you get better.

While lumbar fusion provides significant relief for many patients, the outcomes of the surgery vary: even if you are treated by the best lumbar disc replacement surgeons in Delhi.

Some medical professionals believe that the inability to improve after fusion surgery is due to the fact that fusion does not allow normal motion in the spine. For this reason, artificial disc replacement, which allows for normal motion, has emerged as a viable option for low back pain. If you're curious about the cost of artificial disc replacement surgery or want to learn more about this novel procedure, please contact us.

 

Recovery after the disc replacement Surgery: Patients who have had a disc replacement surgery typically require only one or two days in the hospital. Any additional pain or unexpected difficulty may require a stay in the hospital for an extra day or two. Patients can walk the next day with the assistance of a collar.

Doctors also advise a few gentle exercises during the recovery process. Within a month of the surgery, the doctor calls the patient for a follow-up appointment and takes an X-ray to ensure the disc is in place.

What are the benefits of Disc Replacement Surgery?

  • Improves quality of life
  • Pain is relieved
  • Return to normal activities
  • Increased mobility
  1. What is a Slipped Disc?

Overview- Our spinal column is made up of a series of bones (vertebrae) that are stacked on top of each other. The column is made up of seven bones in the cervical spine, 12 in the thoracic spine, and five in the lumbar spine, followed by the sacrum and coccyx at the base. Discs cushion these bones. The discs protect the bones by absorbing shocks from daily activities such as walking, lifting, and twisting.

Symptoms of slipped disc:

  • Pain and numbness, usually on one side of the body, that extends to your arms or legs
  • pain that worsens at night or when performing certain movements
  • pain that gets worse after standing or sitting pain that gets worse when walking short distances
  • Muscle weakness that is unexplained
  • sensations of tingling, aching, or burning in the affected area

Diagnosis of slipped disc:

Your doctor will first conduct a physical examination. They'll be looking for the source of your discomfort and pain. This includes assessing your nerve function and muscle strength, as well as whether you experience pain when moving or touching the affected area. Your doctor will also inquire about your medical history and symptoms. They'll want to know when you first noticed symptoms and what activities make your pain worse.  Your doctor will advise some imaging tests like CT scan, MRI scan and X-ray to view the bones and muscles of your spine and identify any damaged areas.

Causes of Slipped disc: The outer ring of a slipped disc becomes weak or torn, allowing the inner portion to slip out. This is something that can happen as you get older. A slipped disc can also be caused by certain movements. When twisting or turning to lift an object, a disc can slip out of place. Lifting a large, heavy object can put a lot of strain on the lower back, leading to a slipped disc. If you work in a physically demanding job that requires a lot of lifting, you may be more prone to slipped discs.

Overweight people are also more likely to have a slipped disc because their discs must support the extra weight. A sedentary lifestyle and weak muscles may also contribute to the development of a slipped disc.

Treatment of Slipped Disc:

A patient today has a variety of treatment options for a prolapsing or already prolapsed Disc disease.

Non-surgical treatment options include the following:

  • Physiotherapy (Physical Therapy)
  • Other chiropractic treatments include chiropractic manipulative therapy (CMT).
  • Manipulation by an osteopath
  • Anti-inflammatory medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or epidural spinal injections, can often provide adequate relief from the troubling symptoms.

If your symptoms do not improve after six weeks or if your slipped disc is interfering with your muscle function, your doctor may recommend surgery. Your surgeon may choose to remove only the damaged or protruding portion of the disc rather than the entire disc. This is known as a microdiskectomy.

In more severe cases, your doctor may remove the disc and fuse your vertebrae together, or replace it with an artificial disc. This procedure, in conjunction with a laminectomy and spinal fusion, strengthens your spinal column.

  1. Spinal  disorders  and treatment

The spine is made up of 26 bones known as vertebrae that protect and support the spinal cord and nerves. A variety of conditions and injuries can affect the spine, causing vertebral damage, pain, and mobility limitations.

Our neurosurgeons, orthopaedic surgeons, physiatrists, pain physicians, psychologists, and other specialists have extensive experience treating even the most complex spinal conditions, providing our patients with access to a wide range of expertise to help them improve their pain and quality of life.

Types of Spinal disorders:

Some common spinal disorders include:

  • Arthritis
  • The disease of degenerative discs
  • Disc herniation
  • Spinal stenosis
  • Spondylosis
  • Back pain
  • Neck pain
  • Spinal Tumours
  • Osteoporosis
  • Spinal fractures
  • Spinal cord inflammation

What are the causes of Spine Disorders?

  • Congenital abnormalities (present since birth)
  • Inflammation
  • Infection
  • Disorders that are inherited
  • Injuries ranging from minor to severe
  • Aging-related degenerative wear and tear
  • Sudden blow to the spine due to accidental fall while driving or playing outdoor games

Diagnosis of Spinal Injury:

Your doctor will first perform a physical examination on you. They'll look for the source of your distress and pain. This includes evaluating your nerve function and muscle strength, as well as whether you feel pain when moving or touching the affected area. In addition, your doctor will inquire about your medical history and symptoms. They'll want to know when you first started experiencing symptoms and what activities make your pain worse. Your doctor will recommend imaging tests such as a CT scan, MRI scan, and X-ray to examine the bones and muscles of your spine and identify any damaged areas. Apart from this surgeons may take a small tissue sample for biopsy if cancer is suspected.

Spinal Injury treatment:

Depending on the specific condition or injury, our spine specialists may employ one or more treatments. Among the treatments we provide are:

  • Bracing for the back
  • Cancer treatment options include tumour removal surgery, radiation therapy, radiosurgery, and chemotherapy.
  • Injuries can benefit from either ice or heat therapy.
  • Injections for pain, such as corticosteroids or nerve blocks
  • Anti-inflammatories, pain relievers, and muscle relaxants are examples of medications.
  • Physical therapy is used in rehabilitation to strengthen and stretch the back and abdominal muscles.
  • Surgery to replace discs, fuse vertebrae, open the spinal canal, or repair nerves

Different types of Spine surgery offered at Aakash Healthcare.

We provide a variety of traditional and minimally invasive spine surgical treatment options.

Laminectomy, microdiscectomy, and traditional lumbar fusion are some of the traditional spine surgery procedures we perform. We perform a variety of minimally invasive spine procedures, including Lateral Lumbar Interbody Fusion (LLIF), Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF), and percutaneous instrumentation.

We aim to help patients by providing accurate and honest surgical opinions, and when surgery is not an option, we help them choose other conservative options by connecting them with our spine care department.

Patients who come here benefit from our multidisciplinary team approach and have access to the full range of care provided by our doctors and surgeons.

Book an appointment today with Aakash Healthcare Super speciality Hospital , Dwarka, Delhi to understand the treatment plan better for Spinal injury.

  1. Knee Replacement Surgery:

Overview- Knee replacement surgery, also known as knee arthroplasty, can relieve pain and restore function in severely damaged knee joints. The procedure involves removing damaged bone and cartilage from your thighbone, shinbone, and kneecap and replacing it with a prosthesis made of metal alloys, high-grade plastics, and polymers.

The most common reason for knee replacement surgery is to relieve severe osteoarthritic pain. Patients who require knee replacement surgery frequently have difficulty walking, climbing stairs, and getting in and out of chairs. Some people experience knee pain even when they are at rest.

The cost of a knee replacement in India is significantly lower than any other European countries while the quality of the surgery is at par with global standards. The cost is heavily influenced by the patient's condition as well as the type of surgery performed. If you have any questions about knee replacement costs or the best Knee Joint Replacement surgery or knee replacement operation options in Delhi, please contact us at +91 8800015905. Our team of highly experienced surgeons has treated all types of orthopaedic conditions, including debilitating knee pain, and we can help diagnose your condition and advise you on the best type of treatment and the expected results.

A state-of-the-art Digital Orthopaedic Operating Suite is available at Aakash Healthcare's Orthopaedics & Joint Replacement Surgery department in Dwarka, Delhi. We provide comprehensive care for a variety of orthopaedic conditions, including knee, hip, and joint issues. The joint implants are planned pre-operatively for perfect size and positioning based on the patient's anatomy, thereby protecting their health. Our extensive range of services has earned us a place among the best hospitals in Delhi. We have elevated orthopaedic treatment to a world-class level by focusing on providing the highest level of patient care and professional expertise for early mobilisation.

 

Types of Knee Replacement Surgery:

  1. Total Knee Replacement Surgery( TKR)
  • Conventional Technique – The traditional method of knee replacement, also known as the conventional method, has been in use for many decades. The surgeon operates on the knee by making an 8 to 12 inch incision with standard tools and equipment. Many people have benefited from this surgery and are now able to live a normal life. Traditional surgery sparked a medical revolution and was widely accepted by the public. However, as a result of research and development in this field, new types of surgery have emerged to benefit patients in a more convenient and effective manner. These procedures are a step forward from the traditional method of knee replacement surgery. Essentially, these surgeries can be viewed as the roots of the same tree, with modern features serving as added benefits.
  • Robotic method - Knee Replacement using Robotic technique is a step forward and a blessing for those who are suffering from knee problems. It has sparked new innovation and accelerated the growth of the Orthopaedics field. The surgeons can operate with the least amount of error. It has outperformed other methodologies and continues to do so. Before inserting the knee implant, the surgeon shapes the surrounding bone with handheld robotics. The surgeon uses a 3D representation of the knee profile to determine the size and position of the implant. Because it is possible to precisely target only the damaged bone, the results of this surgery are more accurate and reliable. It can help with both partial and total knee replacement.
  1. Partial Knee Replacement: Unicompartmental knee arthroplasty or unicondylar knee arthroplasty are other terms for partial knee replacement. Damaged cartilage and bone are removed and replaced only in one diseased portion of the knee during this surgery. This differs from a total knee replacement, in which the entire joint's bone and cartilage are replaced.

Partial knee replacement is appropriate for people who have arthritis in only one compartment (section) of the knee joint rather than the entire joint. It can also provide pain and stiffness relief in some people who have medical conditions that preclude them from having total knee replacement surgery.

Robotic partial knee replacement is a procedure similar to conventional partial knee replacement, but surgeons use a special robotic device called NAVIOplasty (NAVIO Robot) to make the surgery more precise and accurate.

Proper pre-surgery planning will ensure the perfect size and placement of the implant, and the surgeon will use a robotic arm to control certain aspects of the surgery for maximum precision and success with the help of computer guidance.

Advantages of Knee Replacement Surgery:

  • A pain-free life 
  • Any deformities will be corrected.
  • Knee inward/outward bending correction
  • Risk Factors of Knee Replacement Surgery:

Certain activities should be avoided following Total Knee Replacement Surgery. These are some examples:

  • Squatting
  • Sitting with one leg crossed
  • Using an Indian toilet
  • High-impact activities, such as sports, require a lot of physical effort.

Life after Knee Replacement Surgery:

Even after complete recovery, some activities are not recommended, and you should avoid sports that involve jerking, twisting, pulling, or running. Lower-impact activities such as hiking, gardening, swimming, and tennis will be easier for you.

Recovery at home:

  • When you are getting dressed remember the following points:
  •   Putting on your pants while standing up. For more hip stability, sit in a chair or on the edge of your bed.
  •  Have devices to help you get dressed without bending too much, such as a reacher, a long-handled shoehorn, elastic shoelaces, and a sock aid.
  •  Always wear pants, socks, or underwear on the surgically repaired leg.
  •  When it's time to undress, start with the surgery side first.

 

  • Points to remember while sitting at home:
  • Avoid sitting in the same position for more than 45 to 60 minutes.
  • Keep your feet and knees straight ahead, not bending inwards or outwards Your knees could be stretched out or bent as instructed by your therapist.
  •  Take a seat in a firm chair with a straight backrest and armrests. Avoid stools, sofas, soft chairs, rocking chairs, and very low chairs after surgery.
  • To get up from a chair, first slide toward the edge and use the chair's arms, a walker, or crutches for support.

 

  • Points to remember while walking:
  • Use crutches or a walker until your doctor says it's safe to stop, which should be around 4 to 6 weeks after surgery. Only use a cane when instructed to do so.
  • Put only a small amount of weight on your knee and stretch your knees as straight as you can while standing.
  • When turning, take small steps.
  1. Spondylitis:

Spondylitis is caused by an inflammatory condition of the joint, which leads to arthritis.It is one of the most common causes of back and neck pain and is caused by an inflammation of the vertebral joints. The problem with detecting the condition is that it develops silently and only becomes apparent once it has fully developed. Spondylitis pain is typically concentrated in the cervical region of the neck, shoulder, and lower spine, with instances and stings of pain spreading further downwards.

Spondylitis is technically a type of arthritis and is common, but usually not serious. Many people who have it do not feel any pain, though it can be painful for some. The majority of patients with spinal osteoarthritis do not require surgery but if the condition worsens and is not cured by medication and physical exercises, surgical intervention may require. The types of Spondylitis are given below:

  • Ankylosing Spondylitis -  Ankylosing spondylitis (AS) is a rare form of arthritis that causes back pain and stiffness. This chronic condition, also known as Bechterew disease, typically begins in the lower back. It has the potential to spread to your neck or damage joints in other parts of your body.
  • Cervical Spondylitis - Cervical spondylosis is the natural deterioration of your neck's cartilage, discs, ligaments, and bones. The most common symptoms are neck pain or stiffness. Physical therapy, ice, heat, massage, a soft collar, and drugs are the first approaches to be tried. Injections or surgery are used to treat more severe cases, such as a herniated disc, bone spurs, or pinched nerves.
  • Lumbar Spondylitis - Normal wear and tear of the lumbar (lower back) spinal discs is referred to as lumbar spondylosis. Spinal discs lose moisture and shrink as we age, bone spurs form, and bones become weaker. While many people over the age of 50 have mild lumbar spondylosis, the majority have no symptoms.

Symptoms of Spondylitis :

  • Soreness in back
  • Severe pain and stiffness in the lower back
  • Tingling sensations

Treatment for Spondylitis:

A comprehensive treatment plan includes medication and exercise to help maintain a normal upright posture and spinal mobility, reducing the impact of hip and other joint manifestations and pain and stiffness.

A comprehensive treatment plan will include the following:

Exercise:

Stretching and spinal exercises can improve mobility and posture while minimising long-term effects.

Medications for Spondylitis: Your doctor will recommend the best medication option for you, which will usually differ from case to case. The medication categories are as follows:

  • Non-steroidal anti-inflammatory drugs
  • Corticosteroid
  • Tumor necrosis factor inhibitors( TNF)

Surgery:

When a joint has been severely damaged, total hip, shoulder, or knee replacement are options for restoring mobility. Since the advent of magnetic resonance imaging, corrective spinal surgery has become a safer option, and it may be required if your spine fuses into a severely bent position.

8. Osteoporosis:

The term "osteoporosis" means "porous bone." It's a bone-weakening illness that puts you at a higher risk for unexpected bone fractures if you have it. Osteoporosis is defined as a loss of bone mass and strength. The disease frequently progresses without causing any signs or discomfort, and it isn't detected until the weakening bones result in severe fractures. The majority of these are hip, wrist, and spine fractures.

Bone is a living tissue that breaks down and replaces itself on a regular basis. When the formation of new bone does not keep up with the loss of old bone, osteoporosis develops.

Men and women of all races are susceptible to osteoporosis. However, white and Asian women, post menopause, are the most vulnerable. Medications, a good diet, and weight-bearing exercise can all assist to prevent or strengthen bone loss.

What are the causes and risk factors of Osteoporosis?

Many factors, such as age, race, lifestyle, and health, can increase the risk of osteoporosis. Postmenopausal women are at risk of developing osteoporosis. Estrogen (female hormone) usually helps maintain bone mass. After menopause, estrogen levels drop. The specific conditions listed below can also lead to osteoporosis.

  • People with kidney, liver, or lung disease, or those with long-term problems with the immune system, nervous system, or other organs may suffer from osteoporosis
  • Hormonal problems
  • Cancer patients
  • Malnutrition.

Aside from that, various drugs have been linked to osteoporosis. Steroids and epilepsy medications are among the medications available.

Some risk factors of osteoporosis are uncontrollable and cannot be changed. Sex, race, and a family history of osteoporosis are all factors to consider. Some lifestyle choices, such as those listed below, can help minimise the risk of osteoporosis: -

  •   A diet lacking in calcium and vitamin D
  •   Excessive dieting
  •   An inactive lifestyle
  •   Heavy alcohol use
  •   Tobacco
  •   Smoking

What are the signs and symptoms of Osteoporosis?

In the early stages of bone loss, there are generally no symptoms. Until they have a fracture, most people appear to be normal. However, if your bones become weakened as a result of osteoporosis, you may experience the following signs and symptoms:-

  1. Fractured spine causing back pain
  2. A loss of height
  3. A bent appearance

Treatment for Osteoporosis:

There are medications that can treat osteoporosis and lower the risk of fractures. These medications come in a variety of forms. Osteoporosis medications can be taken as tablets or as injections once a year, twice a year, or daily. Before recommending medications, your doctor will consider your osteoporosis history as well as your overall health.

Non- surgical treatment includes:

  • Biphosphonates
  • Hormonal Therapy
  • Calcium and Vitamin D
  • Adopt a healthy lifestyle
  • Pharmacologic agents are used.
  • Teriparatide
  • Raloxifene,
  • Salmon Calcitonin

Surgical treatment includes:

  • Kyphoplasty - This is a surgery for vertebral augmentation. This procedure is used to treat vertebral compression fractures. It entails injecting bone cement into a fractured vertebra through a small skin incision. The goal is to alleviate the back pain caused by the fracture.
  • Surgery for femoral neck fractures – These are the types of hip fracture. Occur where femur fits into hip joint. Depending on the severity of your femoral neck fracture, you may require:
  1. Metal screws: Also known as internal fixation, your surgeon may insert metal screws into the bone to stabilise it while the fracture heals.
  2. Hemiarthroplasty: Your surgeon may choose to replace the femoral head and neck with metal instrumentation.
  3. Hip replacement: After removing the upper part of your femur and pelvic bone socket, your surgeon may implant prosthesis.
  • Distal radius fracture treatment: The radius is the larger of the two bones that make up the forearm. The distal end is the end closest to the wrist. A distal radius fracture occurs when the area of the radius near the wrist breaks. Treatment options include Closed Reduction and Casting, Pins and Plaster technique, Open Reduction & Internal Fixation (ORIF), and External Fixation. The treatment chosen is determined by the fracture's condition.

Our expertise for osteoporosis management:

Aakash Healthcare Dwarka in Delhi provides comprehensive care for a variety of orthopaedic conditions, including knee, hip, and joint issues. It is regarded as the best orthopaedic hospital in Delhi, and it offers a wide range of services, including sports medicine, paediatric orthopaedic services, arthritis diagnosis, treatment, and pain management. The centre also has a digital orthopaedic operating suite. Our orthopaedic specialists are experts in joint replacement surgery, particularly robotic-arm assisted knee replacement surgery, hip replacement surgery, shoulder surgery, and sports-related injuries. The team also treats a variety of complex and common orthopaedic diseases

When it comes to osteoporosis, the doctors at Aakash Healthcare Dwarka in Delhi are well-versed. In terms of investigation, we have a wide range of investigative tools available to help us detect osteoporosis early. In terms of treatment, we have all of the most up-to-date techniques and equipment to treat all types of osteoporotic fractures (including Vertebroplasty & Kyphoplasty). Furthermore, the joint implants are planned pre-operatively for perfect size and positioning based on the patient's anatomy, thereby protecting the patients.

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