Thursday, 11 February 2016

Minimally invasive Knee Replacement Surgery in India | Best Orthopaedic Surgery Hospitals India

Minimally invasive knee replacement surgery is a technique sensitive surgery which is now possible in India at a fraction of cost as compared to that in the western countries. With advancing age, a huge percentage of population gets affected by knee problems like knee pain and discomfort due to arthritis. Our panel of top orthopaedic surgeons operate at best orthopaedic surgery hospitals in India while offering orthopaedic surgery at most affordable cost.

Overview

Minimally invasive knee replacement surgery is a modification of the traditional knee replacement surgery. These modifications are meant to reduce the tissue trauma during the surgery. The main purpose of minimally invasive knee replacement is to relieve pain, improve quality of life and maintain or improve knee function with an advantage of reduced post-operative complications and speedy recovery.
This technique also called quadriceps-sparing knee replacement, uses an incision that is typically only 3-4" in length and the recovery time is much quicker, often permitting patients to walk with a cane as early as third day of the surgery.
The benefits with minimally invasive knee replacement over traditional surgery are:
  • Faster recovery of the knee functions
  • Smaller incision thus less discomfort and after surgery
  • Shorter hospital stay owing to overall speedy recovery and rehabilitation
  • Decreased blood loss and post-operative pain
  • Same reliable surgical implants as Traditional Knee Replacement.



 The medical services at MyMedOpinion cost about 70-80 percent lesser than USA, UK and other countries.

Visiting patients will be put up at the top hospitals in India for the procedures. You would be required to be in town for about a week for most of the cases. This is possible because wherever appropriate the surgeries are done by minimally invasive technique. Almost all our doctors are board certified surgeons and trained in the West.

The approximate expense, all inclusive cost of Orthopedic Minimally Invasive Total Knee Replacement will be USD $5700 and this may vary depending on the implant, surgeon, facility and city of the procedure. TransEarth Medical Tourism works towards assuring affordable medical services to its patients.


The quadriceps muscle on the front of the thigh is the key to successful healing after all Total Knee Replacement surgery. Minimally Invasive Total Knee Replacement surgery goes around the quadriceps and not through it that results in less postoperative pain and a speedier return of movement and strength. The incision is three to five inches. The quadriceps isn’t cut, but is released from the underlying joint capsule on one side and then slipped out of the way for the surgery. After the knee joint is exposed, diseased bone and cartilage are taken out from the distal femur and the proximal tibia that are then realigned with implants.

Wednesday, 28 October 2015

Advanced Technology and Hi tech Implants for Elbow Joint Replacement Surgery in India

Elbow joint replacement surgery Elbow joint replacement is surgery to replace the bones of the elbow joint with artificial joint parts (prosthetics). This surgery may also be termed as "Total elbow arthroplasty", "Endoprosthetic elbow replacement". This procedure is also becoming more widely used in aging adults to replace joints damaged by fractures. The artificial elbow is considered successful by more than 90% of patients who have elbow joint replacement.
The elbow joint connects two bones:
• The humerus in the upper arm
• The ulna in the lower arm
How Elbow Replacement Is Done and Who Does It
During elbow replacement, a surgeon removes damaged tissue and parts of the two arm bones -- the humerus and the ulna -- that meet at the elbow joint. After removing tissue and bone, the surgeon replaces the elbow joint with an artificial one. The artificial joint consists of two implants that are attached to the insides of the humerus and ulna. The implants are joined together by a metal and plastic hinge. Various types of implants exist to fit joints of different sizes.

Elbow replacement is similar to hip and knee replacement. It is, though, much less common, with only a few thousand replacements done each year.

If you're considering elbow replacement, it's best to find a surgical team led by an experienced elbow arthroplasty surgeon. There are few such teams nationwide, so it's likely that you'll have to travel to another city or state to have the procedure done.

You can locate surgical teams that regularly perform elbow replacement through:
  • University schools of medicine
  • County medical societies
  • State orthopaedic societies
  • Local rheumatologists
  • Professional associations such as American Shoulder and Elbow Surgeons

Why Elbow Replacement Is Done
Elbow replacement was first done to replace joints damaged by RA. Its success rate is still highest among people with arthritis who are highly motivated and in the best health. Because early mechanical failure is more likely to occur among younger, more active people, the procedure is most suited for people older than 60 years of age.
In recent years, candidates for elbow replacement have included more than just people with RA. Others who might consider it include people whose elbows have been damaged by:
  • Osteoarthritis
  • Joint disease
  • Arthritis after injury (traumatic arthritis)
  • Arthritis after previous surgery
  • Acute fractures in the upper or lower arm near the elbow
  • Tumors or tumor resection
Advanced Technology and Hi tech Implants for Elbow Joint Replacement Surgery
Latest technological advancements are now available for elbow implants, giving surgeons more options in their efforts to relieve pain and restore joint function.Elbow implants are very "high tech." Their designs can be quite complex, and the materials used to make them, called biomaterials, are highly developed. The materials most commonly used have a long history of clinical use.
There are many different biomaterials, but there's no single biomaterial that is best for all implants and all patients. The specific requirements of an implant material vary depending on how the implant was designed to be used. Our Joint Replacement Surgeons in India will provide you with the options of very Hi Tech Next Generation Implants according to your medical requirement.

Low Cost Hand & Wrist Surgery in India | World Class Orthopedic Hospital India


Our hands are integral part of most of the work we do in our daily living. To eat, dress, write, earn a living, create art and do many other activities, you need hands and to accomplish these tasks and activities, our hands require sensation and movement, such as joint motion, tendon gliding and muscle contraction.
When a problem takes place in the hand, care must be given to all the different types of tissues that make function of the hand possible. Hand surgery is the field of medicine that deals with problems of the hand, wrist and forearm. There are specialized surgeons who do hand surgery- they can orthopedic, plastic or general surgeons who have additional training in surgery of the hand. 
The movement and power in hands and wrists are controlled by muscles and tendons. Hand and wrist surgery refers to the treatment of bones and soft tissue injuries with the use of the latest equipments and tools.
Common problems in both hands and Wrists
Following are s one of hand and wrist conditions which need surgery:

Who needs it ?
It is not necessary that people who have arthritis-related problems with their hands and wrists, need surgery. But those who need it, surgery is a great help in relieving pain and in the improvement of the functioning of the hand.
Whether  a surgery is needed or not, following become the considerations:
  • The severity of problem
  • The preferences of the patient
  • Response of the patient to other treatments
AdvantagesThe main advantages of hand and wrist surgeries are:
  • Reduced pain
  • Improves in hand functioning
  • Hand- appearance can get improved

Hand surgery - Hand surgery is an orthopedic process dealing with problems dealing with the fingers, hands and wrists. This procedure helps in improving the range of motion, for repairing muscles, tendons or  damage in hones due to injury or disease. It also helps in restoration of the appearance of hands and fingers, due to any reason.
Who Benefits from Hand Surgery ?Hand injuries in automobile accidents or other forms of trauma can get treated
  • Restoration of hand function
  • Advantageous for people with medical conditions such as carpal tunnel syndrome, arthritis or osteoporosis
  • Reduce pain
  • Restoration of range of motion
  • Patients suffering from birth defects or severe infections can get treated

Types of Hand SurgeriesCommon types of hand surgeries are :
  • Tendon or nerve repair
  • Skin grafts
  • Closed Reduction and Fixation
  • Joint replacement
Tendon or nerve re pairs are  for patients with conditions due to trauma, infections and sports injuries. It is performed within 24 hours of injury for best results. These are very complex procedures and need to be done carefully.
Skin grafts are needed in the case of replacement or reattachment of skin of the hands or fingers, mainly used in the case of amputations of fingers. Here healthy skin is used from another area of the body to cover the problem area.

Closed Reduction and Fixation is necessary in the case of fractures occurred in the fingers or the bones of the hands. The process helps in proper re-alignment, reconstruction and repair of the bones with the help of rods, wires, splints and casts.


Joint Replacement, that is arthroplasty, is a surgical procedure for patients suffering from severe arthritis problems and needs replacement of joints of the fingers or wrist that are made of plastic, metal or silicone rubber.


Wrist surgery
Wrist of human beings is a complex structure of our hand, which consists of eight kinds of carpal bones.There are various conditions seen in the wrist joint:
Ligament Injurya) Scapholunate Ligament Rupture - Writs have many ligaments (soft tissues) to connect bones to each other. If due to any trauma, it gets ruptured, this surgery is performed.b) Skiers (Ulnar Collateral Ligament) Thumb - This injury common in footballers and skiers, deals with the treatment of Ulnar collateral ligament of thumb. It happens when the thumb is bent backwards from the fingers
FractureScaphoid Fractures - This  is the most important wrist bone and most commonly injured too. This surgery is performed in the case of a fracture.
Arthroscopya)T.F.C.C. Tears-  Triangular Fibrocartilage (T.F.C.) is a strong ligament type in the wrist important for a number of purposes. When torn, causes pain in clicking or catching.b)Wrist Arthroscopy- Performed under local anesthesia, it is useful in a number of conditions like removal scar tissues, assessment of joint surface etc.
Lumps and Bumpsa) Ganglion-It is a form of a lump/ cyst (non-cancerous), that occurs mainly in 4 sites. It might be painful and for its correction, a surgery is required.
Carpal Tunnel SyndromeThis is a painful condition in wrist, hands and arms that is caused due to depression of the median nerve, caused due to a number of reasons.
Why India has become the ultimate destination for patients from all over the world for advanced Hand Surgery?

  • Top Class Hand Surgeons with more than 3,000 successful hand upper extremity surgeries. Trained in hand surgery at global centres like Mayo Clinic MN, USA and Frieberg, Germany. Have performed large number of Total Wrist replacement (ceramic on ceramic), fixation of hand and wrist fractures with locking plates and expert in advanced techniques of plastic, orthopedic, microsurgery and reconstructive surgery.
  • Highly trained in techniques of surgery for all the soft tissues of the upper extremity and the bones of the hand and wrist as well as wrist arthroscopy and the endoscopic carpal/cubital tunnel treatment.
  • First to percutaneous fixation (< 1 cm incision) and vascularised bone grafting for nonunion scaphoid and Keinbock's disease.
  • World Class Hospitals having the latest technology like Computer Navigation, 64 slice CT, High end MRI, Neuro-navigation surgical systems, Neuro-physiology etc.
  • Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.

Types of Orthopedic Surgery and Joint Replacements Surgery in India


Orthopedic Surgeries in IndiaOrthopedic (sometimes spelled orthopaedic) surgery is surgery performed by a medical specialist, such as an orthopedist or orthopedic surgeon, trained to deal with problems that develop in the bones, joints, and ligaments of the human body.
Orthopedic surgery corrects problems that arise in the skeleton and its attachments, the ligaments and tendons. It may also deal with some problems of the nervous system, such as those that arise from injury of the spine. These problems can occur at birth, through injury, or as the result of aging. They may be acute, as in injury, or chronic, as in many aging-related problems.orthopedic surgeons dealt with bone deformities in children, using braces to straighten the child's bones. With the development of anesthesia and an understanding of the importance of aseptic technique in surgery, orthopedic surgeons extended their role to include surgery involving the bones and related nerves and connective tissue.
Some of the most common surgical procedures 

Total joint replacement
Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint, such as a knee joint, are removed and replaced with an artificial joint that moves like a healthy joint.

Total knee replacement
if you have very severe arthritis, for example, total knee replacement surgery may be an option. When knee replacement surgery is performed, the cartilage of the knee joint is replaced with a metal and plastic implant. Sometimes, the artificial joint is anchored in place with bone cement or a material is used that allows the bone tissue to grow into it.

Total hip replacement
the procedure involves removing the ball and socket of a joint with arthritis and inserting a new ball and socket to allow movement at the new joint. There are many types of total hip replacement implant options including the type of material (metal and ceramic), and how the implant is designed to work.

Total shoulder replacement
this procedure involves replacing damaged bone and cartilage with an implant made of metal and plastic. It is much like the hip procedure. This procedure can improve range of motion at the shoulder joint.
Rotator cuff repairthe rotator cuff helps keep your shoulder anchored and helps it to move, too. A tear in the cuff can limit your range of motion and cause pain. Many times these tears can be repaired with surgery to relieve pain and improve strength and functioning of the shoulder.
Arthroscopic surgeryArthroscopy is a method of viewing or performing surgery on a joint by use of an arthroscope, which consists of a tube, a lens, and a light source using fiber optics to visualize the surgical area. Our orthopedic surgeons perform shoulder, knee and other repairs with arthroscopy. The incision made for inserting the arthroscope is very small, and fewer stitches may be required. The advantage to arthroscopy is a smaller incision heals more quickly and there is less trauma to tissue.

Ankle surgeryA variety of problems with the ankles and wrists require surgical treatment. Overuse injuries, rheumatoid arthritis, stress fractures and sprains can often be treated with surgery if more conservative treatment fails.
ACL reconstructionThe anterior cruciate ligament (ACL) is the major stabilizing ligament of the knee. When it ruptures, reconstruction can be performed in a number of ways. Harrison orthopedic surgeons use state-of-the-art reconstructive techniques using tendon grafts.
Benefits of Orthopedic Surgeries
In most cases, recovery from most types of orthopedic surgery is relatively rapid. Depending on the specific type of surgery, recovery time varies from two weeks to four months. Physical and Occupational therapy usually follows any type of orthopedic surgical procedure, which will help restore muscle strength, coordination, and mobility. Some physical therapy is also performed through the use of hydrotherapy and massage. 
After orthopedic surgery that addresses a variety of issues, such as partial or total joint replacement, arthroscopy to remove bone or cartilage tissues as well as procedures to relieve pain and loss of movement through osteoarthritis or rheumatoid arthritis, patients can expect a reduction of pain, increased mobility and improved quality of life. Success rates with joint replacement and Arthroplasty are higher than 90%, and longevity of prosthetic implants provide long-term relief.
MyMedOpinion affiliated hospitals in India - The ultimate destination for thousands of people across the world who are seeking high quality Orthopedic Surgery?
  • Top Class Doctors, some of whom have an experience of performing more than 10000 joint replacement surgeries.
  • World Class Hospitals having the latest technology like Computer Navigation, 64 slice CT, High end MRI, Neuro-navigation surgical systems, Neuro-physiology etc.
  • Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.

Total Hip Replacement Surgery in India | Best Orthopedic Surgery Hospital India

Total Hip Replacement 

Hip Joint replacement or Total Hip Replacement is surgery to replace all or part of the hip 

joint with an artificial device to restore joint movement (prosthesis). 
There are different types hip replacements. If a hemi-arthroplasty is performed, either 
the femoral head or the hip socket (acetabulum) will be replaced with a prosthetic device. In a total hip replacement, both the femoral head and the hip socket is replaced by the 
prosthetic device. 



WHAT IS ARTHRITIS AND WHY DO JOINTS WEAR OUT?


The normal joint in our body is made up of two bones which are lined by surface 
cartilage. The joint is surrounded by a capsule which has a thin lining of synovial cells which produce a thin layer of lubrication film. The lubrication film (synovial fluid) together with the surface cartilage (articular cartilage) acts as a shock absorber and allows the joint to move smoothly and lasts for many, many years. 

If the surface cartilage is badly damaged or if the joint surfaces are not aligned properly 
(example, in a shallow hip) then the cartilage will wear out much more quickly than the 
normal wear and tear and as a result the bone under the cartilage layer is exposed. The 
exposed bone starts to rub against each other and the process of osteoarthritis (wear 
and tear) is established. 

Osteoarthritis is therefore the result of mechanical wear and tear on a joint. The main 
feature is a loss of surface cartilage with bone rubbing on bone. This process produces 
pain. The body tries to relieve this pain by increasing the amount of fluid in the joint. 
This is why joints are sometimes swollen. The formation of bone spurs and cysts around 
the joint is another hallmark of osteoarthritis. 

In an arthritic hip
  • The cartilage lining is thinner than normal or completely absent. The degree of 
    cartilage damage and inflammation varies with the type and stage of arthritis.
  • The capsule of the arthritic hip is swollen
  • The joint space is narrowed and irregular in outline; this can be seen in an X-ray image.
  • Bone spurs or excessive bone can also build up around the edges of the joint.
The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue.
Diagnosis
  • The diagnosis of osteoarthritis is made on history, physical examination & X-rays
  • There is no blood test to diagnose Osteoarthritis (wear & tear arthritis)

Surgical procedure 


You are admitted to the hospital and after appropriate pre-operative tests and admission 
procedures you will be taken to the operating theatre. The anaesthetist will discuss with you the type of anaesthetic. Anaesthesia may be either general or regional. With a general anaesthetic you are asleep and with a regional (spinal or epidural) your legs and hips are numb allowing you to have the operation without pain. Usually the anaesthetist will either sedate you or give you a full anaesthetic if you have a spinal/epidural procedure. 

Most approaches to the hip are done with the patients lying on their side. When you are 
asleep you are positioned in a special brace that stabilises your pelvis and keeps you on 
your side. An incision is made along the side of your hip joint and the muscles carefully split and divided to expose the hip joint. 

The worn out joint is exposed and the femoral head is resected. This allows visualisation 
of the acetabulum (socket). The socket is then cleared of debris and a reamer is inserted to appropriately fashion the socket to accept the artificial acetabular component. 
After reaming is complete, the artificial socket is inserted. There are two types of sockets, 
(a) a cemented socket or (b) an uncemented socket. A cemented socket is cemented into 
the bone and an uncemented socket allows bone to grow into it. Your surgeon will advise 
you which is the most appropriate socket for your bone quality. 

An uncemented socket has the ability to accept a socket lining which is either polyethylene (special plastic), ceramic or metal. The liner is inserted into the socket. Ceramic and metal articulating joint surfaces have lower wear rates than plastic sockets and therefore tend to be used in younger patients. The newer plastics last a lot longer than the older ones and are appropriately used in older patients. 
After preparation of the socket, the femoral bone is prepared with various instruments to 
accept either a cemented or an uncemented femoral component. Once the canal is prepared the femoral stem is inserted with or without cement. A trial femoral head is placed on the stem and the hip is reduced. During the trial reduction the hip is tensioned appropriately and put through a range of motion. At the same time leg lengths and stability are examined. 


  • Hip replacement improves quality of life.
  • Age is no barrier to hip replacement benefits.
  • Hip replacement is cost effective.
  • High rate of patient satisfaction associated with hip replacement
  • The artificial hip often improves the movements in a hip joint that has become increasingly stiff from the effects of long term arthritis and this permits the patient to resume at first gentle activity and then their favourite leisure hobbies
  • Improves mobility
  • Independence of arthritis sufferers

Wednesday, 14 October 2015

Benefits of Knee Replacement Surgery - Best Orthopedic surgery Hospital in India

Knee Replacement Surgery in India

Your knee joint is made up by the lower end of your thigh bone (femur) and the upper end of your shin bone (tibia). These normally glide over each other easily because they are covered by smooth cartilage. If your cartilage is damaged by injury or worn away by arthritis, it can make your joint painful and stiff . A new knee joint will usually improve your mobility and reduce pain, although your new knee won’t be able to bend quite as far as a normal knee joint.

Depending on the condition of your knee joint, you may need to have part, or all, of your knee joint replaced. If you have arthritis just in one area of your knee joint, usually the inside part of the joint called the medial compartment, you may be offered a partial knee replacement (called a unicondylar knee replacement). However, a total knee replacement is more common. Artificial knee parts are almost always made of metal (on the femur side) and plastic (on the tibia side) and a knee replacement can last for up to 20 years. 

Knee Replacement Surgeries :
Total Knee Replacement : Also called total knee arthroplasty, this surgery is for people who have extensive damage in several parts of their knee. The surgeon removes the diseased cartilage, as well as some of the underlying bone, and then fuses an artificial joint to the bone that remains.
 • Partial Knee Replacement : If the cartilage in just one of the knee's sections becomes damaged, Mayo Clinic surgeons can sometimes replace just the damaged section instead of the whole knee joint. Recovery is easier than with total knee replacement, but the results may not last as long, because arthritis could develop in other areas of the knee.
 • Minimally Invasive Surgery : Minimally invasive techniques allow surgeons to replace a knee using smaller incisions. This usually results in less pain and a quicker recovery. But minimally invasive knee replacement requires special surgical training, and it may not work for everyone. Your orthopedic surgeon will determine whether you're a good candidate for the minimally invasive approach.
• Bilateral Knee Replacement : Having both knees replaced at once can reduce the overall time spent in rehabilitation following surgery, but it's not recommended for some people, such as those with heart or lung disease. 

Some of the most important benefits of knee replacement surgery include:
  1. Dramatic reduction in knee pain & increased activity levels- Total Knee replacement surgery makes you regain your lost mobility & helps you do your everyday activities like walking, shopping, visiting friends, household chores, etc. by taking care of the culprit- severe knee pain. According to the American Academy of Orthopaedic Surgeons (AAOS), more than 90% of total knee replacement patients experience a dramatic reduction of knee pain & thus much improved quality of life.
  1. Increased Range of Motion at Knee joint- The Range of Motion (ROM) refers to the distance and direction a joint can move to its full. Severe Osteoarthritis of the knee limits the joint’s ROM to a large extent & thus limits the functions that knee can perform. Once the worn out parts of the joint are replaced after the surgery, the ROM of is restored & thus you can perform the normal functions again.
  1. Correction of Deformity & Stiffness- Severe Osteoarthritis may lead to either bowlegs or knock knees deformity, which is corrected after the knee replacement surgery
  1. Peaceful sleep- Once you get relief from the severe knee pain after the joint replacement surgery, you would also have peaceful sleep at night & there would no more be pain waking you at night
  1. Improved Sexual life- Studies have shown that more than 90% of patients in the younger age group of 55-60 years undergoing knee replacement surgery have improved overall sexual function, including frequency and duration.
With an overall increase in Total Knee replacement surgeries, India has emerged out as the hub for the procedure. Indian Joint replacement surgeons are considered among the best orthopedic surgeons in the world. They are board certified & extensively trained and have years of experience behind them in performing the procedure. The knee replacement surgery in India reviews, are excellent & International patients travelling to India are all praise for Indian doctors.

Besides excellent facilities & highly trained doctors, Total knee replacement surgery cost in India is also a very lucrative factor which attracts a lot of medical tourists in India. The Knee joint replacement surgery cost in India is as less as USD 5,000 for a single joint & USD 8,500 for both joints. The cost of knee replacement surgery in India thus works well for those people also who are on a tight budget but want to get relief from their knee joint problems.