Fortis Hospitals Ushers In the Latest Technology in Knee Replacement Surgery

Case Story60- old man suffering from degenerative disease of the knee
Brought to Fortis Hospitals with complications of osteoarthritis , underwent East India’s first Custom Fit Knee Replacement Surgery

Patient was discharged within five days of the knee replacement operation

Benefits of Custom Fit Knee Replacement Surgery

Patient Benefits Technical Benefits
Smaller incision 

Less soft tissue damage

Lesser pain

Early and better mobilization

Better and pain free range of motion

Improves alignment and sizing by using computer generated images of the patients anatomy to determine bone cuts and implant positioning preoperatively

Better planning 

More accuracy

Variation in anatomy easily addressed

Surgical insertions 10-11cms (minimal invasive surgery)

Lesser operative time (60 min)

Reduced infection rate

Better life span of the processes because of the accurate fit and alignment

ü  Surgeon friendly instrumentation hence less loss of bone

  • Patients started walking normally within a fortnight, unlike the usual 6-8 weeks required before resuming normal activities in the conventional surgery Some Other Benefits of   Custom Fit Knee
  • Less soft tissue damage
  • Variation in anatomy easily addressed
  • Surgical insertions 10-11cms (minimal invasive surgery)
  • Lesser operative time (60 min)
  • Reduced infection rate
  • Better life span of the processes because of the accurate fit and alignment
  • Surgeon friendly instrumentation hence less loss of bone
  • Patients started walking normally within a fortnight, unlike the usual 6-8 weeks required before resuming normal activities in the conventional surgery

Ushering in the latest in Joint Replacement Surgery Fortis Hospitals Kolkata today announced Eastern India’s first ‘Custom Fit Knee Replacement Surgery’ performed on a patient with degenerative disease of the knee. Lead orthopedic surgeon Dr. Rakesh Rajput and his team at Fortis Hospitals Kolkata performed this revolutionary surgery by literally remodeling the anatomy of the patient’s knee and recreating or customizing a knee with the right kind of technology and expertise. The new custom fit knee replacement technology designs a perfect instrumentation system that matches the patient’s knee and ensures lesser pain, less tissue damage and faster mobilization.

Dr. Rakesh Rajput, Senior Orthopedic Surgeon, Fortis Hospitals, said, “The operation for knee replacement has been performed for the first time in Eastern India by using the custom fit knee replacement technology. This is indeed a medical breakthrough as this procedure is error free as the planning is done before the operations and likely to revolutionize the way knee replacement surgeries are performed in India. With this technology the outcome bar of knee replacement surgeries had been raised to a much greater level.  We are glad to be the first adapters of this technology.”

Mr. Faisal Siddique, General Manager Fortis Hospitals Kolkata said, “Fortis Hospitals has always been the frontrunner in performing complex surgeries using the latest technologies. Our ultimate objective is to ensure the best treatment for patients with better results. We are confident that going forward, we will continue to break new grounds in new medical technology and bring the best in super specialty treatment to India.”

“We were the first ones to perform Euro-Asia’s Custom Fit knee replacement and now we take pride in performing Eastern India’s first custom fit knee replacement. This testifies our commitment towards combining advanced technology and clinical expertise to offer quality care to our patients added Dr. Lloyd Nazareth, COO, Fortis Hospitals.

The difference that it makes to patients’ knee –

While conventional knee replacement surgeries retro-fit predetermined sizes of prosthetics on to the patients’ knee, this procedure is very different because it works on the principle that no two patients’ knees are similar. With this technology the patient’s knee is digitally recreated with 3D image mapping after taking into account, the bone structure, weight ratios, gender, age and even mechanical alignment. Based on this 3D model the customized knee is created. Something, that just fits them right. This technology ensures far greater accuracy and reduces the operation time by almost 40 % and also results in less loss of bone & tissues.

Faster Recoveries That Get Patients Back To Life Faster –

Right from diagnosis, Fortis Custom Fit Knee Replacement procedure aims to get patients back on their feet faster. It takes about 4 week duration to get the custom fit instrumentation and the doctor being ready with the perfect procedure, the incision is just about 4inches which itself minimizes the pain, infection, blood loss, and tissue damage are also reduced to a great extent. And specialized post-operative recovery procedure ensures that the patient achieves early and full mobility within days after his/her surgery.

Stand tall in 4 weeks

The instrumentation specific to the patient is ready for surgery in less than 4 weeks after the CT scan. Moreover, the alignment settings exclusive to the patients’ bone structure contained within the instrumentation enabling the patient to get back on his/her feet faster after the knee replacement procedure.

How Custom Fit Knee Works –

4 weeks. That’s the time we take to find the knee procedure complete with the instrumentation that fits you perfectly as opposed to the trial and error that you need to endure in the conventional procedure. Fast and convenient, it is a simple 4 step process.

Step 1: Understanding your knee

The process starts with a CT Scan of the whole leg from the hips to the ankle which is then used to create an advanced 3D image of the leg structure. The age, weight and gender are also taken into account, creating a complete patient imaging.
Step 2: Processing and planning

With the 3D plan of the leg structure in place, an anatomical model is created to determine the mechanical alignment – the basic philosophy on which the entire process rests. Virtual instrumentation is then done and the surgery is planned accordingly.

Step 3: Recreating the knee

Once the surgery is approved, the Custom Fit instruments are manufactured at state-of-the-art dedicated manufacturing centers. Even the individual patient name and data are etched on each unit to confirm identification during the surgery

Step 4: Fitting the knee

With the Custom Fit instrumentation in place, the knee bone is chiseled to perfection so that the prosthetics fit exactly without any requirement for later corrective surgeries. After a 60 minute surgery, the patient ill have the knee that fits you perfectly.
Case Details:

Mr. Hsieh Wei Tang, a 60-year-old business man running a Chinese restaurant in Kolkata, was diagnosed with osteoarthritis of right knee after pre-operative evaluation at Fortis Hospitals. He had severe knee pain and could not climb stairs without support. As his knee was swollen and straight he could not even squat. The custom fit knee replacement surgery was successfully performed on Hsieh Wei Tang by Dr. Rakesh Rajput, Senior Orthopedic Consultant and his team and the patient was discharged within 7 days.

 

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