KNEE REPLACEMENT

Once you have been diagnosed with arthritis, it is a matter of finding the right treatment for you depending on the kind of arthritis you have, how bad it is and how it is affects you. Temporary treatment solutions are Medications, Physiotherapy, Injections into the joint, Arthroscopy and joint wash and Osteotomy. The result varies depending on factors such as age, severity of disease, obesity and osteoporosis. Often, the only permanent solution for pain relief and return of function is Total joint replacement.

Total Knee Replacements in Mumbai knee3 Total Knee Replacements in Mumbai - Dr. Sanjay Agarwala Total Knee Replacements in Mumbai - Dr. Sanjay Agarwala

Benefits from a joint replacement surgery:

1. Reduced joint pain

2. Increased mobility

3. Increased strength

4. Correction of deformity

5. Restoration of limb-length

6. Improved quality of life

Total joint replacement essentially replaces the old, worn-out surfaces of the joint, with an artificial joint, which is made of metal alloys, ceramics and plastics. These high- quality joints resemble the normal joint closely and are durable, lasting for almost 15 to 20 years.

 High Flexion Knees

 There are various types of knee implants available in the market today. Their cost varies depending on the amount of flexion (bending) they provide, and other design perspectives.

Why do I need high flexion knees?

Many daily activities in the Asian sub continent require the ability to flex the knee beyond 125 degrees. Consider climbing stairs (75- 140 degrees), sitting in a chair and standing up again (90-130 degrees), or squatting (130-150 degrees). For patients with the ability and desire to perform high-flexion activities, implant design should not limit postoperative range of motion.

What is the latest in knee replacement?

Joint replacement has been fine-tuned, standardized and perfected over the last three decades. Recent innovation of knee design is a breakthrough where complete flexion can be achieved. Earlier implants provided only pain relief while newer ones offer the additional advantage of full functional recovery.(make this bold)

Some people may think it’s better to delay surgery until they’re older because they believe that knee implants don’t last long. These newer knees are designed for patients who want their knee replacement to accommodate normal movements while significantly minimizing implant wear as compared to traditional knees. Minimizing implant wear can in turn help your knee replacement last longer.

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TKR HI-Flex4
TKR HI-Flex2

What are the types of High Flex knees?

Rotating Platform (Mobile Bearing) and Posterior Stabilized High Flex knee system are the two types of high flex knees. They are designed to provide high knee flexion (bending) up to 155 degrees. This means that with appropriate rehabilitation a patient can resume an active life style after total knee replacement prolonged kneeling, squatting and cross legged sitting.

Complete knee bending is a prerequisite for patients of Asia, more so in the Indian continent due to socio-cultural requirements. For this very reason, I has been offering this procedure to all his patients.

Box Osteotomy

HiTibialOsteotomy

 

For more information you can read the following booklet  (click to open): Osteotomy Booklet

For Preoperative & Post Operative Exercises please see Exercise charts in Gallery (click to view)