Total Knee Replacements in Mumbai – Knee Anatomy
Thank you for opting to have your surgery done with us.
I hope that you are cognizant of the other methods of treatment of your problem which has been discussed with you by me, my staff and assistants in my clinic, in advance, at the time of your consultation, and I trust if you have had any queries, they have been answered.
Based on our discussions, we have determined the suggested plan of action as the best option under the circumstances, keeping in mind your requirements and our current expertise.
To help you understand the process, I am comparing it to taking a flight from Mumbai to a foreign destination.
Just like before a flight, you need passports, visa, ticket bookings, like-wise for the operation, you need to book a date for admission and a date and time for surgery.
Just like the visa process, we need to know that you are fit for surgery and therefore, you need to share your medical history with us, alongwith ALL the medication that you normally take including tablets such as Aspirin and Clopilet which are blood thinners and can cause bleeding at the time of surgery, and medication for Asthma (you may need more oxygen during the surgery) and Diabetes (if your blood sugars are high, then wound healing is very poor). All inputs by you help make us more prepared to help you.
Specific medication & conditions of the heart (ECG, 2D Echo), lungs (PFT/X-rays), liver and kidney etc., need to be known as various drugs can interact with these functions. The physical act of giving you anesthesia may require extra tests like specialized x-rays of your spine, CT or MRI screening of parts of your body, so that we are better prepared to tackle your spinal position during the process of the surgery.
Just like you have a security check before taking a flight, we need the Physician and the Anesthetist to look through these pre-operative medical reports and to examine you so that we may reduce the risks still further.
Just like in an aircraft before take-off, there is a safety drill in case of any risks, likewise, in any surgery we are taking RISKS but minimizing it by trying to cover as many events as we can.
Just as every landing at an airport, the pilot has to contend with cross-winds, haze, other flights, weather changes, quality of communication etc., similarly every surgical procedure is individualized, some are longer, some are shorter and there are multiple variables.
The OTC is like a ticket. Just like you pay for a ticket before your travel. The Hospital expects you to do an OTC (Operation Theatre Clearance) so that the hospital and you are both aware of the expected expenses. Against your paid ticket you get a boarding pass, likewise against an OTC, the institution permits you to be taken to the theatre for surgery. This is based on averages, but in your individual case the total expenses may be more if there are complications or emergency requirements which may or may not be related to the actual surgical procedure.
You need to be aware therefore that this is an estimate only based on an AVERAGE and is NOT a PACKAGE.
Recovery thereafter is a natural process, and we as doctors help nature help you, with medication, nursing, physiotherapy and other techniques required for your recovery. I reiterate that healing is a process dictated by nature, we only help in this. Just as nature has storms, weather changes, etc, recovery can sometimes in your individual cases be slower and therefore worrisome to you.
Such delays are also worrisome to us as individuals and as a team. The nurses, other staff and my team help the recovery process. Your concerns will be addressed.
Just like in the airline industry the cost of the ticket for travel supports the airline staff, the salaries, the fuel for the aircraft etc., for our team to successfully execute the whole process, there is staff in the hospital which is supported by the expenses incurred for your case, for administration, security, laundry, dining, meals, air-conditioning, water, catering etc.,
Like certain budget airlines offer cheaper fares and skeleton services many doctors and medical facilities will be able to offer you these at lesser rates. In our institutions we have overheads to ensure that checks and measures are carried out for your safety and these necessitate the charges quoted by us.
Just like in any travel there is an Economy class or Business Class or First class at different charges, helping you reach the same destination, similarly in the hospital there are various classes of admission with different levels of comfort, helping you attain the best results. My team’s training, experience, etc., should make this a smooth landing.
I hope this helps you understand the process and I really look forward to greeting you on the other side with every success in your case.
– DR. SANJAY AGARWALA
SA:bf:10th July 2018
The following article will provide knee anatomy information for patients and their families.
The largest joint in the body, the knee is also one of the most complex. The knee may be described as a modified hinge joint, similar to the hinge on a door. However, the knee not only bends back and forth like a hinge, it has a complex rotational component that occurs with flexion and extension of the knee.
The knee is a major weight-bearing joint that is held together by muscles, ligaments, and other important soft tissue. Cartilage is the material inside the joint that provides shock absorption to the knee during weight-bearing activities such as walking or stair climbing.
Below is an illustration of knee anatomy with its major bones, ligaments and muscles appropriately labeled.
Knee Anatomy: Bones
The bones of the knee are the femur (thigh bone), tibia (shin bone) and patella (kneecap). The femur and tibia meet to form a hinge with the patella in front of these two bones protecting the joint. The patella slides up and down in a groove in the femur (the femoral groove) as the knee is bent and straightened.
Knee Anatomy: Ligaments
Ligaments hold the knee together and give it stability. The medial (inner) collateral ligament (MCL) and outer (lateral) collateral ligament (LCL) limit sideways motion of the knee. The posterior and anterior cruciate ligaments (PCL and ACL) limit forward motion of the knee bones, keeping them stable.
Knee Anatomy: Cartilage
Two structures known as menisci sit between the femur and the tibia and act as cushions or shock absorbers for the knee. A torn meniscus is often referred to as “torn cartilage.” Menisci are one of two types of cartilage in the knee. The other type, articular cartilage, is a smooth and very slick material that covers the end of the femur, the femoral groove, the top of the tibia and the underside of the patella. This articular cartilage allows the bones to move smoothly.
Knee Anatomy: Tendons
Tendons connect muscle to knee. The quadriceps muscles on the front of the thigh are connected to the top of the patella by the quadriceps tendon, which covers the patella and becomes the patellar tendon. The patellar tendon then attaches to the front of the tibia. The hamstring muscles in the back of the leg attach to the tibia at the back of the knee. The quadriceps muscles straighten the knee and the hamstring muscles bend the knee.
Bones, ligaments, cartilage and tendons all work together to build a healthy knee.
Click on the image below to view an interactive animation of knee anatomy.
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