Total Knee Replacement Treatment in Bhuj Kutch
Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability.

 

Orthocare hospital is the best Orthopaedic hospital in Bhuj, Kutch. Dr Sangeen Bhundiya will help you with a permanent solution for your total knee replacement and surgery. Contact us at a suitable time for your total knee replacement treatment.

Total Knee Replacement Treatment in Bhuj Kutch
Total Knee Replacement Treatment in Bhuj Kutch
Anatomy
  • The lateral collateral ligament (LCL)
  • The Anterior cruciate ligament (ACL)
  • The meniscus
  • Articular cartilage
  • The medical collateral ligament (MCL)
  • The posterior cruciate ligament (PCL)
  • Eroding cartilage
  • Bone spurs
  • Exposed bone
Risk Factors
  • Age
  • Female
  • Obesity ( most important modifiable)
  • Previous knee injury, trauma
  • Lower extremity malalignment
  • Repetitive knee bending
  • High impact activities
  • Muscle weakness
  • Infection
Total Knee Replacement Treatment in Bhuj Kutch
Total Knee Replacement Treatment in Bhuj Kutch
Clinical features of Osteoarthritis
  • Pain
  • Loss of function
  • Stiffness
  • Swelling
  • Deformity
  • Crepitus
Total Knee Replacement Treatment in Bhuj Kutch

Weight-bearing AP

Total Knee Replacement Treatment in Bhuj Kutch

Lateral

Total Knee Replacement Treatment in Bhuj Kutch

Tangential Patellar (Sunrise)

Kellgren-Lawrence Stages of knee osteoarthritis
Total Knee Replacement Treatment in Bhuj Kutch

(a) Right knee anteroposterior and lateral radiograph showing severe osteoarthritis (OA) changes and varus deformity.
(b) Left knee anteroposterior and lateral radiograph showing severe OA changes and varus deformity.

Surgical Management

HTO for grade 1,2

UKR for grade 1,2

TKR for grade 3,4

Classification of Implants
  • Unconstrained
    • cruciate retaining
    • cruciate substituting
    • mobile bearing
  • Constrained (hinged)
Component

Cobalt Chrome alloy femoral component

Cobalt Chrome alloy or titanium tibial tray

UHMWPE tibial bearing component

UHMWPE patella component

Candidate for Total Knee Replacement

Daily pain

Restriction of movement

Quality of life is severely affected

Significant radiographic changes

At what time

Old age

Young patient with limited function

Progressive deformities

When other treatment have failed

Evaluation of patient before surgery

Complete medical history

Thorough Physical examination

Lab workup

Anesthesia Assessment

Goal

Pain relief

Normal alignment

Normal range of motion of joint

Successful Results

Precise surgical technique

Proper implant selection

Appropriate use of material while surgery and pre and post operative periods

Surgery Steps
Total Knee Replacement Treatment in Bhuj Kutch
Post Operative Rehabilitation

Rapid post-op mobilization

Range of motion exercise

Muscle strengthening exercise

Weight bearing walker walking from next day

Stairs climbing 3rd day

Examples
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Dr. Sangeen Bhundiya
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Orthocare Hospital
1st Floor, Poonam Arcade, Hospital Road, Bhuj - Kutch
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