Partial Knee Vs. Total Knee Replacement
Knee is the largest joint in the body and having healthy knee is required to perform most every day activities. The most common cause of chronic knee pain and disability is arthritis. Although there are many types of arthritis, most common knee pain is caused by just three types of arthritis –
- Rheumatoid Arthritis &
- Post Traumatic Arthritis
Knee replacement , also known as knee arthroplasty might be more accurately termed a knee surfacing surgery as only the surface of bones are actually replaced . The decision to have a TKR should be a cooperative one between you, your family, your family physician and your orthopaedic surgeon.
When is surgery recommended?
Knee replacement surgery is really a cartilage replacement. The knee itself is not replaced but only the damaged cartilage and bone ends are replaced .The implant is designed to create a new, smooth functioning joint that can prevent painful bone on bone contact. Your surgeon may elect to replace all or part of your knee, depending on your condition and extent to which your knee is affected by arthritis.
In patient with only limited arthritis, known as MEDIAL COMPARTMENT ARTHRITIS, surgeons may elect to perform a partial knee replacement. Unlike total knee replacement that removes all the knee joint surfaces, a partial knee replacement replaces only one side of the knee joint. Advantages of partial knee replacement is that it removes 75% less bone and cartilage, is less painful, enables a more rapid recovery and provides more natural motion when compared to a total knee replacement . By retaining all of the undamaged knee parts, the joint may bend and function more naturally.
Knee osteoarthritis usually first occurs in the medial (inside) portion of the joint. In knees that are otherwise healthy, a partial knee replacement can preserve healthy bone, cartilage and ligaments and potentially prevent or delay need for total knee replacement. Partial knee replacement has generated significant interest in view of following advantages –
Total knee replacement is a surgical procedure where by the diseased knee joint is replaced with artificial material. During TKR, the end of femur bone (thigh bone) is removed and replaced with metal shell .The lower end of lower leg bone (tibia) is also removed and replaced with a channelled plastic piece with a metal stem. Depending on the condition of the knee cap portion of knee joint, a plastic button may also be added under the knee cap surface.
Physical therapy is an essential part of rehabilitation after total knee replacement.
Risks of total knee replacement surgery include blood clots in the leg that can travel to the lungs (pulmonary embolism) causing shortness of breadth, chest pain and even shock. Other risks include urinary tract infections , nausea and vomiting ( usually related to pain medication ) chronic knee pain and stiffness , bleeding into the joint , nerve damage , blood vessel injury , infection of the knee requiring reoperation .
Degenerative arthritis can be tremendously debilitating and a life altering condition. What typically begins as subtle discomfort can quickly advance to severe arthritis, which can have significant impact on person’s mobility and quality of life. When arthritic joint surfaces are resurfaced, the original joint pain, caused by exposed bone no longer exists. This gives patient considerable relief and even elimination of pain. When a person is no longer burdened by chronic debilitating pain and joint motion has been improved, the quality of life is improved as well.
Knee OsteoArthritis - Conservative Approach / Knee Replacement, Common problem for visiting Orthopaedic Doctors in Chandigarh
KNEE Osteoarthritis: Osteoarthritis is degenerative joint disease. Osteoarthritis can affect any joint but most commonly affected joints are knees, spine, hips and hands. It affects mostly middle aged and elderly individual. In our area Chandigarh, Mohali, Zirakpur and Panchkula large number of middle and elderly age group people are suffering from osteoarthritis of knee, spine and hips Osteoarthritis of Knee Joints makes knee joint painful while walking leading to chronic pain in knees and in certain individual it can lead to knee deformity that’s bowing of knees, so if these kind of symptoms are present, it should alert patient to make visit to best orthopedic doctor in Chandigarh dealing with knee problem. Knee pain related to knee Osteo-Arthritis could be easily treated by conservative measures and very few patients’ needs surgical management like knee replacement. Below we will discuss few measures and tips to prevent knee replacement by conservative means, Knee replacement is last option if all conservative measures exhaust. If you want your detail assessment for conservative treatment you can see your healthcare provider or you can fix appointment with us for tele video online e-consultation on what’s app for further discussion on your orthopedic knee joint problem by sitting anywhere in India. If you are in Chandigarh you can visit us at our Orthopedics Clinic in Sector 34, Dr Jaspreet Sran is highly experienced orthopedic doctor in Chandigarh, one of best knee replacement surgeons in Chandigarh, dealing with knee osteoarthritis treatment both by conservative measures and last resort as knee replacement surgery.
Risk Factors for Osteoarthritis of Knee Joints may lead to pain in both knees and eventually osteoarthritis and visits knee replacement surgeons in Chandigarh or ortho surgeons in Chandigarh. Incase anyone wants to avoid visits knee replacement doctors in Chandigarh one has to take care of following factors to keep their knee health and pain free and avoid osteoarthritis of knees.
Avoid being overweight can put stress over weight bearing joints which may prone weight bearing joints to trauma, early degeneration and meniscus injuries by trivial trauma and hence forth leading to osteoarthritic changes over span of years.
Avoid injury and overuse of knee joints in certain sports activities knees is more prone to injuries and thus leading to degenerative changes over span of years and certain life style habits like squatting and doing work also predispose knee to trauma like in Indian females most of household works are done by squatting and moving like cleaning and mopping of floors and also predispose knee joints to injuries hence increased chance of osteoarthritis in Indian females.
Symptoms of Osteoarthritis Knee Common symptom of Osteoarthritis of knee joint is pain in one or both knee joint, knee degenerative changes progress over years, each person is different as far discomfort due arthritis of knees. Knee joint pain can occur while getting in and out of chairs after period of rest, history of difficulty in climbing/coming down stairs with difficulty as disease progress. Stiffness of knee joint also commonly occurs after inactivity/prolonged sitting., In advanced stages grinding feeling or crepitus noise can be felt when cartilage wears and bony surfaces rub. If these symptoms are present on should seek help from healthcare provider or visit our ortho clinic which provides one best care in knee joint problem and Dr Sran is one of best knee replacement doctor in Chandigarh, who can guide you about right time for knee replacement and how other measures like knee supplements, knee braces and life style modifications, walking aids and certain health tips to delay knee replacement for years if possible in your case.
Diagnosis of Osteoarthritis Knee is done by your, orthopedic surgeon/ knee specialist by way physical examination, he may look for your range of movement is it decreased or normal, Is movement at knee joints painful or pain free, he may also note grinding sensation / crepitus of your knee joints by placing hand over them and moving knee joints with other hand, he may also acess the stability of ligaments by certain medio-lateral and antero-posterior movements. He will also look out for bend knee which can’t be straightened called as fixed flexion deformities or bowing of knees called as varus deformities, may also ask you walk to access your gait stability.
Management of Knee Osteoarthritis: Depending upon your physical examination and history he will access your disability and will guide you regarding various modalities of treatment for your knee osteoarthritis weather you knee only joint supplements and on and off pain relievers, local application certain pain oils, heat /cold packs, knee exercises help to maintain joint mobility and decrease stiffness, weight loss program which may include diet modification and exercises, as we know that increased bodyweight puts more stress on knee and hip joints losing weight off loads these joints and may lead to decrease in pain and increased quality of life, knee supports in form simple knee caps or hinged braces also called as knee osteoarthritis braces there are many different kind of braces, your orthopedic surgeon will guide you about right brace required as per your grade of arthritis, further he may guide about walking aids like sticks to offload knee joint stress and preventive measures to prevent fall and dressing techniques to change clothes and wear shoes without discomfort as this problem knee osteoarthritis commonly affects middle aged to elderly population. He may also guide you about viscosupplementation that artificial thick fluid mimic the normal knee joint fliud to provide correct amount lubrication by the way of injection into knee joint which outpatient procedure and can be performed in orthopedic clinic. Above measures if taken under supervision of your orthopedic doctor can help in great way in relieving pain of patient and improving quality of life of patient. Dr Jaspreet Sran is their to provide best guidance to his patients to lead high quality of by way of Tele Consultation to patients across India, If you looking out for best orthopedic doctor in Chandigarh and can visit his clinic, he will happy to guide you.
If all the above measures may not be helpful to his patient, he may discuss with you about operative options like knee arthroscopy, partial knee replacement, Total knee replacement in case of knee osteoarthritis and for hip osteoarthritis procedures like hip replacement, total hip replacement are needed depending upon stage of arthritic disease. If you have more questions please contact us through our telemedicine clinic as we are one of best orthopedic doctor in Chandigarh or you can also plan to visit our ortho doctor in Chandigarh in person by booking an appointment with us.
Best Orthopaedic Doctors in Chandigarh now available for ONLINE VIDEO Consultations its Information and BENEFITS.
INFORMATION AND BENEFITS of ONLINE VIDEO CONSULTATIONS given by Best Orthopedic Doctors in Chandigarh.
With use of modern technology with WHAT’s APP VIDEO CALL you can take TELE Consultation from your orthopedic doctor just like visiting his clinic visit.
Your Orthopedic Doctor will take history of your pain how it started, then he may ask you to do self-examination and then he will write a Digital E-Prescription regarding your diagnosis, required medications and tests.
In this you can see and talk to your doctor, hear his expert advice with personal involvement by getting answer to your queries. In certain cases doctor may request for in person examination also.
Paying Doctor Fee can be easily done by Google Pay, Pay TM, BHIM pay, Debit Card, Credit Card etc.
WHAT’s APP VIDEO consultation AFFORDABLE, CONVINIENT, COMFORTABLE, PHONE CALL AWAY & STRESS FREE, most patients highly rate these consultations.
NO RISK of getting infection in this COVID 19 pandemic as you are taking consultation best orthopaedic doctors in chandigarh from SAFETY of your HOMES.
NO BOUNDARIES on can take consultation from ANYWHERE, ANYPLACE, ANY TIME from any part of India.
NO NEED to TRAVEL just pick you’re mobile and start your TELE consultation. Saves 3 to 4 hours and very useful for patients who UNABLE TO VISIT or has BUSY LIFE to leave work places TELE-CONSULTATIONS is ANSWER.
Best Orthopaedic Doctors and Specialists EXPERT MEDICAL ADVICE or SECOND OPNION from best orthopaedic doctors in chandigarh, who are not in your city is now call away, no need to sit in WAITING area, now wait in comfort of your home before taking to your doctor.
Anyone having health problem not any medical emergency can avail online what’s app video consultation from home. INCASE OF EMERGENCY please Visit Nearest Hospital at Earliest.
In this era of modern technology Tele Medicine Online WHAT’s APP Video Consultation are now becoming NEW NORMAL, More and more patients are availing online / consultation on different platforms, so above we have discussed about Information related to online consultations given by best orthopedic doctors in Chandigarh and other specialists its benefits and advantages.
Incase you want to have more information. Please contact our SUKVARSHA Orthopaedic Clinic in Chandigarh or call at +91988892222.
Written by Dr Jaspreet Singh Sran, Senior Consultant Orthopaedics and Joint Replacements, MCH Ortho (UK), MS Ortho (University Topper), Ranawat Fellow(USA), he is leading and one of best orthopedic doctor in Chandigarh. He is also Life Member of Tele Medicine Society of India, Life Member Indian Orthopedic Association.
BOOK APPOINTMENT CALL US AT 9888892222
LOW BACK PAIN Various CAUSES of low back pain are activities leading bending, lifting weight, strenuous activity may cause low back pain, other causes of low back pain are like lumbar spondylosis degeneration of vertebra due to ageing, infection, tumour, overweight, weak back muscles,ligament/ muscle tears, spinal canal stenosis, herniated disc, PIVD (Prolapsed intervertebral disc disease, arthritis, osteoarthritis,spondylisthesis,spondylitis, compression fractures, osteoporotic fractures of spine, traumatic fractures can cause back pain. So above mentioned reasons are causes leading to visits to orthopaedic doctors in chandigarh.
SYMPTOMS OF LOW BACK PAIN is pain in lower back or radiation to one or both limbs/buttocks/thigh/legs and foot and may interfere in your daily activities. If you suffering from such symptoms one must see orthopaedic doctor/ healthcare provider for further treatment.
TESTS required may X rays, CT Scan, MRI, Bone Scan, Electromyogram etc and orthopaedic doctor may also order blood tests.
TIPS TO PREVENT BACK PAIN is by maintaining healthy lifestye which may include doing regular back excercises, maintaining ideal body weight, using proper techniques while lifting weights from floors, maintaining good siting postures at your office.
MANAGEMENT of back pain may include pain relievers, muscle relaxants,physiotherapy, back support, lifestyle changes like weight reduction, exercise programs, reducing stress, proper sitting posture etc.
Other modalities of treatment may also be required in certain group of patients like surgeries depending upon severity, duration and cause (diagnosis).
If you are in search of Back pain specialist doctor, best orthopaedic doctor in chandigarh, mohali, kharar, zirakhpur, panchkula, you can contact Dr Jaspreet Sran, Senior Consultant Orthopaedics, MCh Ortho (United Kingdom), MS Ortho (Univ. Topper) who is one of best orthopaedic doctors in chandigarh, for appointments please call.
BOOK APPOINTMENT CALL US AT 9888892222