JOINT REPLACEMENT SURGEON IN INDORE WHAT IS JOINT REPLACEMENT? Joint replacement as the name suggests is the replacement of the torn or damaged joint in the body of an individual. The damaged joint in the body is replaced by artificial joint (prosthesis) made of metal, plastic or ceramic. Joint replacement is most commonly done to relive joint pain that can be caused die to various reasons. Some of these reasons are as follows: 1.osteoarthritis 2.rheumatoid arthritis 3.joint injuries The joint replace surgery helps restore the mobility of the patients and give him back the old quality of life where he doesn’t have to struggle with day to day activities due to joint related issues. The joint replacement surgery is mostly performed when the medicines and physiotherapy can’t seem to relieve the pain of the patient. Common Joints Replaced: 1.Knee (most common) 2.Hip 3.Shoulder 4.Elbow 5.Ankle TYPES OF JOINT REPLACEMENT 1. Knee Replacement Total Knee Replacement (TKR): Entire knee joint is replaced — both sides of the joint and the kneecap. Partial Knee Replacement (PKR): Only one part (inner, outer, or kneecap area) of the knee is replaced. Revision Knee Replacement: Done if the first knee implant wears out or fails. 2. Hip Replacement 3. ⁠Total Hip Replacement (THR): Both the ball (femoral head) and socket (acetabulum) are replaced. Partial Hip Replacement (Hemiarthroplasty): Only the ball of the hip joint is replaced. Hip Resurfacing: Bone is preserved by capping the ball instead of replacing it. Revision Hip Replacement: Second surgery if the first implant fails. 3. Shoulder Replacement Total Shoulder Replacement: Both the ball (humeral head) and socket (glenoid) are replaced. Partial Shoulder Replacement (Hemiarthroplasty): Only the ball part is replaced. Reverse Shoulder Replacement: Used in cases of rotator cuff damage or failed previous surgeries — ball and socket positions are reversed. 4. Elbow Replacement Replaces the damaged parts of the elbow joint with metal and plastic components. Mostly done for rheumatoid arthritis or complex fractures. 5. Ankle Replacement Less common than other joint replacements. Used in advanced arthritis or post-injury damage when movement is severely limited. SIGNS THAT ONE IS IN NEED OF JOINT REPLACEMENT: Joint replacement is usually considered when joint damage severely affects your daily life, and other treatments like medicines, physiotherapy, or injections no longer help. Here are the key signs that someone might need a joint replacement (knee, hip, shoulder, etc.): 1. Persistent Joint Pain Constant or severe pain that doesn’t go away, even with rest or medication. Pain that wakes you up at night or limits your ability to sit, stand, or sleep. 2. Stiffness and Limited Movement Difficulty in bending, straightening, or rotating the joint. Trouble doing everyday activities like climbing stairs, walking, or lifting your arm. 3. Swelling and Inflammation Chronic swelling that doesn’t improve with rest, ice, or medicines. Signs of joint inflammation that come and go, or stay constantly. 4. Joint Deformity Visible changes like bowed legs, uneven leg length, or misalignment of the joint. The joint may appear “sunken,” twisted, or bulged. 5. Dependence on Painkillers or Walking Aids Needing pain medicines daily just to function. Using a walker, cane, or crutches regularly due to pain or weakness. 6. X-ray or MRI Shows Severe Damage Imaging shows bone-on-bone contact, joint space narrowing, cartilage loss, or joint collapse. Bone spurs, cysts, or joint erosion. 7. Failed Conservative Treatments No long-term relief from: Physiotherapy Joint injections Weight loss and lifestyle changes 8. Declining Quality of Life You avoid walking, traveling, or socializing because of joint pain. Pain interferes with work, hobbies, or mental health. ADVANTAGES OF JOINT REPLACEMENT SURGERY: 1.Pain Relief Significantly reduces or completely eliminates chronic joint pain. 2.Improved Mobility and Function Restores movement, making walking, climbing stairs, or daily tasks easier. 3.Better Quality of Life Helps you return to normal activities, work, and hobbies with greater independence. 4. Long-Lasting Results Modern implants can last 15–20 years or more, giving years of active, pain-free living. For more details on total hip replacement/ DAA total hip replacement, please visit our dedicated website for hip joint issues created by Dr Vikas jain- www.hipreplacementindia.in https://hipreplacementindia.in/treatment/bikini-hip-replacement/

HIP REPLACEMENT SURGEON IN INDORE WHAT IS HIP REPLACEMENT SURGERY? Hip replacement surgery, also known as hip arthroplasty, is a surgical procedure in which a damaged or worn-out hip joint is removed and replaced with an artificial joint (prosthesis) made of metal, ceramic, or plastic. This is usually done to relieve severe pain, stiffness, and loss of mobility caused by conditions like osteoarthritis, rheumatoid arthritis, fractures, or avascular necrosis. The surgeon replaces the ball-and-socket parts of the hip joint: the head of the femur (thigh bone) and the hip socket (acetabulum). Hip replacement helps restore normal movement, reduce or eliminate pain, and significantly improve quality of life when other treatments like medication, physiotherapy, or lifestyle changes no longer work. MAIN CAUSES OF HIP REPLACEMENT 1. Osteoarthritis The most common reason. Caused by age-related wear and tear of the hip joint cartilage.Leads to pain, stiffness, and reduced mobility. 2. Rheumatoid Arthritis An autoimmune disease that causes chronic inflammation of the joints. It Destroys cartilage and bone, leading to severe joint damage and deformity. 3. Hip Fractures This is Especially common in older adults after falls. If the bone can't be repaired properly, hip replacement is often needed. 4. Avascular Necrosis (AVN) It Occurs when the blood supply to the hip bone is reduced, causing the bone to die and collapse. It Can be due to steroid use, alcohol abuse, trauma, or certain medical conditions. 5. Childhood Hip Diseases (e.g., Developmental Dysplasia, Perthes' disease) Improper hip development can cause long-term joint problems. These conditions may eventually lead to early joint damage and arthritis, requiring replacement in adulthood. TYPES OF HIP REPLACEMENT SURGERY 1. Total Hip Replacement (THR) – Most Common Both the ball (femoral head) and the socket (acetabulum) are replaced with artificial components. 2. Partial Hip Replacement (Hemiarthroplasty) In this surgery Only the femoral head (ball) is replaced and the socket is left as it is. 3. Hip Resurfacing In this surgery The femoral head is not removed, but instead it is reshaped and capped with a metal cover. The socket may still be replaced. 4. Revision Hip Replacement A repeat surgery is done when a previous hip replacement has failed or worn out. This is More complex and may involve replacing only part or maybe all components. It is Needed due to implant loosening, infection, fracture, or wear. WHO NEEDS HIP REPLACEMENT Hip replacement surgery is recommended for people who have severe hip joint damage that causes chronic pain, stiffness, and difficulty in movement, and does not improve with medicines. Who needs it : 1.People with Advanced Osteoarthritis 2.Patients with Rheumatoid Arthritis 3.Individuals with Avascular Necrosis (AVN) 4.People with Hip Fractures (Especially Elderly) 5.Those with Childhood Hip Disorders. Common signs that you may need hip replacement surgery : 1.Constant hip pain, even while resting 2.Stiffness and limited range of motion 3.Limping or difficulty standing/walking 4.No improvement with physiotherapy, medication, or injections. HOW IS HIP REPLACEMENT DONE? Hip replacement surgery is a procedure where a damaged hip joint is replaced with an artificial implant to relieve pain and restore movement. It usually takes 1.5 to 2 hours and is done under spinal or general anesthesia. How is it done? 1.Anesthesia The patient is given spinal anesthesia (numbs the body below the waist) or general anesthesia (makes you sleep during surgery). Sometimes a combination is used. 2. Incision A cut is made over the side, front, or back of the hip, depending on the approach used. Traditional approach: larger incision (20–30 cm) Minimally invasive: smaller incision (8–15 cm) 3. Removing the Damaged Bone The femoral head (ball part of the hip joint) is removed. The damaged cartilage and bone from the socket (acetabulum) are also cleaned out. 4. Inserting the Artificial Implants A metal or ceramic cup is placed into the hip socket. A metal stem is inserted into the thigh bone (femur), and a ball (metal or ceramic) is attached to the top. These parts together form the new artificial hip joint. 5. Fixing the Implants Implants may be cemented into place (common in older adults) or left uncemented, allowing bone to grow onto them Sometimes a combination of both methods is used. 6. Closing the Incision Muscles and tissues are repaired, and the skin is stitched or stapled. For more details on total hip replacement/ DAA total hip replacement, please visit our dedicated website for hip joint issues created by Dr Vikas jain- www.hipreplacementindia.in https://hipreplacementindia.in/treatment/bikini-hip-replacement/

Best Knee replacement Surgeon in Indore WHAT IS ARTHRITIS? Knee replacement surgery is mostly performed in the cases of arthritis. It is a general term for various conditions which can cause pain, swelling and stiffness in the joints. It can affect one or multiple joints in the body sometimes leading to complete damage of cartilage which leads to making the movement severely painful. Symptoms of Arthritis: 1. Joint pain 2. Swelling and warmth 3. Stiffness (especially in the morning) 4. Redness 5. Limited movement 6. Cracking or grinding sounds. WHAT IS KNEE REPLACEMENT? Knee replacement, also known as knee arthroplasty, is a surgical procedure where a damaged or worn-out knee joint is replaced with an artificial joint (implant). This artificial joint can be made of metal, plastic, or ceramic. It is usually done to relieve severe knee pain and improve movement when other treatments like medicines or physiotherapy doesn’t seem to work or provide relief. TYPES OF KNEE REPLACEMENT There are 4 main types of knee replacement surgeries, each chosen on the basis of how damage the knee is and the patient's age, activity level, and overall health. 1. TOTAL KNEE REPLACEMENT SURGERY (TKR) As the name suggests total knee replacement surgery is the type of surgery which replaces the complete knee of the patient. In this surgery entire knee is replaced including both sides if the knee ( femur and tibia) and sometimes even the knee cap ( patella). This surgery is generally suitable for the people going through severe arthritis as it provides long term relief and generally the recovery of 2-3 months. Most people above 60 with arthritis are advised with Total knee replacement surgery. 2. PARTIAL KNEE REPLACEMENT SURGERY (PKR) As the name is self explanatory, partial knee replacement unlike total knee replacement replaces only one part of the knee. It can either be any of the two sides of the knee or the frontal part. It is recovered fast as compared to total knee surgery and is less invasive. It is usually done in early stages of arthritis. 3. BILATERAL KNEE REPLACEMENT In bilateral knee surgery both knees are replaced on the same day or in the single surgery. It is suitable if both knees are severely affected and you are medically unfit and in alarming need if both knee replacements. The recovery is intense as compared to the prior two surgeries as both the knees are replaced. REVISION KNEE REPLACEMENT A repeat surgery done when an old knee implant wears out, loosens, or gets infected. It is more complex than the first surgery. It is Usually needed after 15–20 years of the first replacement (or earlier if complications arise). SIGNS THAT YOU NEED KNEE REPLACEMENT: Knee replacement surgery is generally required when the non surgical treatment can’t seem to relieve the pain any longer. 1. Severe knee pain. 2. ⁠Advanced Arthritis 3. ⁠Joint Stiffness and limited range of motion 4. ⁠Swelling and inflammation doesn’t just go away 5. ⁠Failed non surgical treatments 6. ⁠Poor quality of life like difficulty in performing day to day activities like walking. 7. ⁠Deformity or structural instability. Knee visibly looks crooked. 8. ⁠post traumatic Arthritis. For more details on total knee replacement/ robotic total knee replacement, please visit our dedicated website for knee issues created by Dr Vikas jain- www.tkasurgery.com https://tkasurgery.com/robotic-total-knee-replacement-surgery/

INTRODUCTION This means that part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full. Total Hip Replacement (THR) procedure replaces all or part of the hip joint with an artificial device (prosthesis) with a plastic liner in between to restore joint movement Why does a hip need to be revised? Pain is the primary reason for revision. Usually the cause is clear but not always. • Plastic (polyethylene) wear : This is one of the simpler revisions where only the plastic insert is changed. • Dislocation (instability) : means the hip is popping out of place. Repositioning of the implants has to be planned. • Loosening of either the femoral or acetabular component: This usually presents as pain but may be asymptomatic. For this reason, you must have your joint followed up for life as there can be changes on X-ray that indicate that the hip should be revised despite having no symptoms. • Infection usually presents as pain but may present as an acute fever or a general feeling of unwell. Such revisions may be performed in a single or two stages to prevent recurrence of infection. • Osteolysis (bone loss): This can occur due to particles being released into the hip joint that result in bone being destroyed. • Pain from hardware e.g. cables or wires causing irritation. Such procedures are amongst simpler revisions where patients can expect excellent results. PRE-OPERATIVE PHASE • Your surgeon will send you for routine blood tests to rule out infection, CT scan to look closer at the anatomy, and bone scans to help to determine if a component is loose. • X-rays and/or MRI will be considered. • Aspiration of the hip joint is occasionally done to diagnose or rule out infection • Patient will be asked to undertake a general medical check-up with a physician • Patient should have any other medical, surgical or dental problems attended to prior to the surgery in order to prevent a risk of infection. • Cease aspirin or anti-inflammatory medications 10 days prior to surgery as they can cause bleeding. • Any antiplatelet drugs / blood thinners such as clopidogrel, warfarin will be stopped 3-7 days prior to the date of surgery. • Surgical consent will be explained to the patient detailing the procedure as well as the risks involved, if any. • Blood transfusion, if required will be informed and done. Day of surgery • You will meet the nurses and answer some questions for the hospital records • You will meet your anesthetist, who will ask you a few questions and assess the risk factors for surgery. • You will be given hospital clothes to change into and have a shower prior to surgery • The operation site will be shaved and cleaned • Approximately 45 minutes prior to surgery, you will be transferred to the operating room • After explanation of the procedure, you will be asked to sign the consent for surgery. Occasionally, a high risk consent for surgery may be requested depending on the blood reports and clinical examination. SUGRICAL PROCEDURE Hip Revision will be explained to you prior to surgery including what is likely to be done. The surgery is often, but not always, more extensive than your previous surgery and the complications similar but more frequent than the first operation. It is difficult describing the steps of the procedure as each revision procedure is different based on the indication of surgery. Depending on the indication, the surgery varies from a simple liner exchange to changing one or all of the components and the operating surgeon will plan extensively regarding the planned procedure as well as certain associated complications which are often acknowledged during the complicated surgery. In certain cases bone graft may need to be used to make up for any bone loss. POST-OPERATIVE MANAGEMENT • You will wake up in the recovery room with a number of monitors to record your vitals. (Blood pressure, Pulse, Oxygen saturation, temperature, etc.) You will have a dressing on your hip and drain coming out of your wound. • Post-operative X-rays will be performed in recovery. • Once you are stable and awake you will be taken back to the ward. • You will have one or two IV’s in your arm for fluid and pain relief. • On the day following surgery, if inserted, your drains will usually be removed and you will be allowed to sit out of bed or walk depending on your surgeon’s preference. • Pain is normal but if you are having extreme pain inform your nurse. IV antibiotics as well as pain medications will be continued ranging from 1 to 4 days. • You will be able to put all your weight on your hip and your physical therapist will help you with the post-op hip exercises. • You will also be trained by the physical therapist regarding ascending/ descending the stairs as well as toilet training. • You will be discharged home or to a rehabilitation hospital approximately 3-5 days after surgery depending on your pain and help at home. • First dressing will be done on day 3-5, followed by suture/staples removal on 10-14th post-operative day. • A post-operative visit will be arranged prior to your discharge. You will be instructed to walk with crutches for two weeks following surgery and cane from then on until 6 weeks post-op. Special Precautions Remember this is an artificial hip and must be treated with care. AVOID THE COMBINED MOVEMENT OF BENDING YOUR HIP AND TURNING YOUR FOOT IN. This can cause DISLOCATION. Other precautions to avoid dislocation are • You should sleep with a pillow between your legs for 6 weeks. Avoid crossing your legs and bending your hip beyond right angle. • Avoid low chairs. • Avoid bending over to pick things. • Slippers are helpful. • Elevated toilet seats are helpful. • You may shower once the wound has healed. • You can apply Vitamin E or moisturizing cream into the wound once the wound has healed. • If you have increasing redness or swelling in the wound or temperatures over 100.5 degrees you should call your doctor. • If you are having any procedures such as dental work or any other surgery you should take antibiotics before and after to prevent infection in your new prosthesis. Consult your surgeon for details. A Revision Hip replacement is a complex procedure and requires a highly skilled surgeon with adequate expertise. Our Consultant in chief, Dr Vikas Jain is one of the few surgeons in the region who is trained from Europe and has adequate surgical experience in such complex revision procedures.