Sundar Spine

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Joint Replacement

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Hip Replacement

Hemiarthroplasty, Total Hip Replacement

Knee Replacement

Unicondylar and Total Knee Replacement

Shoulder Replacement

Hemi, Total and Reverse Shoulder Arthroplasty

Hip Replacement

Hip replacement surgery (Total hip arthroplasty) is one of the most commonly done procedure for long term hip pain in elderly people. Its usually done when the hip pain interferes with daily activities and nonsurgical treatments haven’t helped or are no longer effective. Arthritis damage is the most common reason to need hip replacement.

During hip replacement, the surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.

When is the surgery performed?

Conditions that can damage the hip joint, sometimes making hip replacement surgery necessary, include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Osteonecrosis
  • Fracture Neck of femur

Advantages of hip Replacement:

  • High rewarding surgery with very good success rate
  • Early weight bearing
  • Improvement in active lifestyle
How is the surgery performed?
  • The surgery is performed under spinal anasthesia.
  • Incision is made either at the back, sides or in the from of your hip joint depending on the surgeons preferance.
  • The damaged or diseased hip bone is resected and the joint is prepared. 
  • The joint prosthesis – a cup and a stem is implanted with or without bone cement.
  • Stability of the joint and limb lenght is assessed.
  • Wound is closed with sutures
A variation of Hip replacement that involves changing only the femoral stem is called Hemiarthroplasty.

Recovery time:
Duration of surgery: 2-3 hours
Walking started: 12-24 hours
Hospital stay: 2-4 days
Resume work: 6 weeks
Brace: Nil
Driving (Car, Bike): 12 weeks
Strenous Activity (bending down, lifting weigths): 12 weeks

Knee Replacement

Knee replacement surgery — also known as knee arthroplasty  can help relieve pain and restore function in severely diseased knee joints. The procedure involves cutting away damaged bone and cartilage from the thighbone, shinbone and kneecap and replacing it with an artificial joint (prosthesis) made of metal alloys, high-grade plastics and polymers.

The most common reason for knee replacement surgery is to relieve severe pain caused by osteoarthritis. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some also have knee pain at rest.

When is the surgery performed?

Conditions that can damage the hip joint, such as:

  • Osteoarthritis
  • Rheumatoid arthritis

Advantages of Knee Replacement:

  • High rewarding surgery with very good success rate
  • Early weight bearing
  • Improvement in active lifestyle
How is the surgery performed?
  • The surgery is performed under spinal anasthesia.
  • Incision is made in the front of the knee.
  • The patella bone is everted to the side and the knee joint is visualized
  • Specialized measurement instruments are used to cut the layers of both joint surfaces to recreate the joint line and knee alignment.
  • The implants are fixed to the femur and tibia using bone cement.
  • Stability is assessed and the wound is closed.

Knee replacement is one of the most commonly done surgery worldwide. Sometimes both the knees can be replaced in the same sitting depending on the patient and disease condition.

Recovery time:
Duration of surgery: 2-3 hours
Walking started: 12-24 hours
Hospital stay: 2-4 days
Resume work: 6 weeks
Brace (knee brace): 0-2 weeks
Driving (Car, Bike): 12 weeks
Strenous Activity (bending down, lifting weigths): 12 weeks

Shoulder Replacement

Shoulder replacement surgery is done to relieve pain and other symptoms that result from damage to the shoulder joint. The procedure involves removing damaged areas of bone in the shoulder and replacing them with implants made of metal and highly specialized plastic.

When is the surgery performed?

Conditions that can damage the hip joint, such as:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Rotator cuff arthropathy
  • Severe fracture of upper arm (proximal humerus)
  • Osteonecrosis

Advantages of Shoulder Replacement:

  • Improves shoulder function
  • Reduces pain and stiffness

Types of Shoulder Replacement:

  1. Hemiarthroplasty
  2. Total Shoulder Arthroplasty
  3. Reverse Shoulder Arthroplasty
How is the surgery performed?
  • The surgery is performed under spinal anasthesia.
  • Incision is made in the front of the shoulder.
  • The muscles are retracted and the shoulder joint is visualized
  • The joint is resected and humeral stem and glenoid cup is placed and fixed.
  • Stability is assessed and the wound closed.
Recovery time:
Duration of surgery: 2-4 hours
Walking started: 6-12 hours
Hospital stay: 2-4 days
Resume work: 3-6 months
Brace (Arm Sling): 2-4 weeks
Driving (Car, Bike): 3 months
Strenous Activity (bending down, lifting weigths): 3 months
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