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In a survery of 4000 hospitals and healthcare providers , Fortis Hospitals, Mumbai at Mulund was chosen by Doctors, consumers and a panle of distinguished juries, as best specialty Orthopaedic Hospital at the ICICI Lombard and CNBC Tv 18 Healthcare Awards
Total Knee Replacements: Knee replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material.
Knee Replacement At Fortis Hospitals,Mulund Mumbai ,surgeries are conducted in special environments called Space Theaters that are created and constructed for knee replacements. This special environment is a combination of expert surgeons and their team, Clean Air Laminar Air Flow System, and Space suits.
The Laminar Air Flow System helps keep the air clean of dust and micro-organisms. The HEPA (High efficiency particulate absolute) filter, which is the filtration of air on control velocity condition, cleans the air as per the specifications of the federal standard 209E. The efficiency of HEPA filters is 99.999% of all particles larger than 0.3 micron ensure that the laminar air flow is ultra cleaned over the entire operating area and instantly the theatre is bacteria free.
During the surgery, the surgeon and the immediate assistant wear specially designed space suits to assure absolute sterile handling of Bones and Joints. This suit comprises of a helmet worn and covered by a space gown.
Computer aided surgery facilitates current placement of artificial joint Prostheses to match the normal human anatomy. A normative anatomical data is already established in the computer. Based on the intra-operative findings during the surgery, the surgeon can control the outcomes by precisely implementing the 3D plans while collecting and analyzing detailed treatment data. This information reduces the risk of complications, surgery time, hospitalization time, and artificial joints wear through suboptimal selection and position of the implant.
Fortis Hospitals , Bangalore Ushers In the Latest Technology in Knee Replacement Surgery, Conducts Asia’s First Custom Fit Knee Replacement Surgery in Bengaluru
Ushering in the latest in Joint Replacement Surgery Fortis Hospitals Bangalore today announced Asia’s first ‘Custom Fit Knee Replacement Surgery’ performed on two patients with degenerative disease of the knee. Lead orthopedic surgeon Dr. Sanjay Pai and his team at Fortis Hospitals Bangalore 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.
Case Highlights
A 56 and 59-year- old women suffering from degenerative disease of the knee
Brought to Fortis Hospitals with complications, underwent Asia’s first Custom Fit Knee Replacement Surgery
Patients were discharged within five days of the knee replacement operation
Patients started walking normally within a fortnight unlike the usual 6-8 weeks required before starting normal activities in the conventional surgery.
Benefits of Custom Fit Knee Replacement Surgery
According to Dr. Sanjay Pai, Senior Orthopedic Surgeon, Fortis Hospitals “The two operations for knee replacement have been performed for the first time in Asia using the custom fit knee replacement technology. This is indeed a medical breakthrough and likely to revolutionize the way knee replacement surgeries are performed in India. We are glad to be the first adapters of this technology.”
Difference between conventional Knee Replacement and Customized 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.
Benefits of Customized Knee Replacement
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
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.
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: Stages of Custom Fit Knee Replacement
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.
Patient Case Details:
Mrs. Rukmini Thimmaiah, a 59-year-old woman, was diagnosed with osteoarthritis of right knee after pre-operative evaluation at Fortis Hospitals Bangalore. The custom fit knee replacement surgery was successfully performed on Rukmini by Dr Sanjai Pai, Senior Orthopedic Consultant and his team at Fortis Hospitals and the patient was discharged within five days.
After 14 days, the patient started walking independently, was able to sit and get up comfortably, climb stairs without any support and did not complain of any pain, swelling or discomfort around the right knee.
Mrs. Sujatha Venkatesh, a 56-year-old woman, had a similar problem in her left knee. She also successfully underwent the custom fit knee replacement surgery at Fortis Hospitals and was discharged within five days. Within a fortnight, Sujatha was also able to walk, sit and climb stairs normally like in the above case.
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