A Total Knee Replacement surgery is one of the most common surgeries performed today in elderly in view of osteoarthritis and damage to the knee joint. The traditional knee replacement has 3 limitations- severe pain after surgery, restrictions such as not sitting on floor & unequal legs leading to abnormal walking. Though robotics knee replacement has advanced the process, but it involves high risks such as increased infection & intraoperative fracture risk due to multiple pins insertion making bones weaker. Introducing MIS Laser Precision High Performance Advance Total Knee Replacement Surgery, the most advance technique for Knee replacement which takes into account the advantages of robotic surgery but without the disadvantages & fracture risks. With Laser Precision Technology, we can get precise component placement for lasting durability as well as equal knee length ensuring no limping after the surgery. With High performance Advance Total Knee replacement, only the damaged part of knee is removed, ensuring saving maximum natural bone of the knee joint which helps in maintaining skeletal strength which is important for walking & quicker recovery. We mobilize our patients on day 1 walking & stairs on day 2. Patients can walk even WITHOUT walker within 3 days. Climb stairs & patients can now perform all activities including gymming, running, exercising & even sitting on floor without any restriction. For more details or Appointment, please call+91 7760547341. .

Shoulder Arthroscopy- Frozen Shoulder Release Frozen shoulder, also called adhesive capsulitis is a condition characterized by pain and loss of motion in shoulder joint. Frozen shoulder release is extremely useful in cases of frozen shoulder that do not respond to therapy and rehabilitation. The aim of the surgery is to decrease pain, reduce the recovery time and help to gain full range of movement. Arthroscopic capsular release and manipulation under anesthesia (MUA) are the surgical procedures performed to treat the frozen shoulder. PRE-OPERATIVE STEPS Every effort is made to assess the patient prior to surgery in order to ensure safety of the patient for the elective procedure. 1. After admission, routine blood work-up will be done prior to surgery. Depending on the age of the patient and other premorbid conditions, other investigations such as Echocardiography may be performed. 2. All the investigations prior to surgery are performed in order to ensure that the surgical procedure can be safely tolerated by the patient, since shoulder arthroscopy is an elective procedure. If any risk is involved, the patient/ attendants will be informed so. 3. Blood transfusion though rarely required, may be done depending on the reports. 4. X-rays and/or MRI may be done depending on the surgeon’s choice and the surgical indication. 5. Surgical consent will be explained to the patient detailing the procedure as well as the risks involved, if any. INTRA-OPERATIVE STEPS A manipulation under anesthesia (MUA) is most commonly indicated in patients with simple frozen shoulder. This procedure is performed with the patient sedated under anesthesia. Your surgeon moves the shoulder through a range of motion which causes the capsule and scar tissue to stretch or tear. Thus the tight capsule is released allowing increased range of motion. The procedure involves freeing the shoulder by manipulation and does not involve any incisions. Arthroscopic capsular release is a keyhole surgery that involves the release of the tight, constricted capsule. It is an effective treatment for most people with stiff shoulder after injury, trauma, or fracture, and diabetes. 1. During the procedure 2 to 3 small incision holes are made in the shoulder in the front and the back. 2. The thickened, swollen abnormal capsule tissue is cut and removed using a special radiofrequency thermal probe with adequate precautions to not damage the normal tissue. 3. Once adequate capsular release is achieved, wound is closed and dressing applied. 4. Once again the shoulder movements are checked to ensure adequate shoulder release. POST-OPERATIVE MANAGEMENT Following Capsular release, immediate rehabilitation is necessary to prevent the recurrence of Frozen Shoulder. The aim of the rehabilitation is to reduce pain and to restore full range of motion. • Pain medications are recommended to control pain • Following these procedures, though much easier than the pre-operative phase, aggressive regular exercises need to be done in order to maintain full range of motion for 1 week- 1 month. • If you feel comfortable and have good range of movement, you can begin driving 1 week after your surgery. • Returning to work depends on the nature of your work. If you are in a sedentary job you may be able to return as early as 1 week after surgery • But if your job requires heavy lifting or using your arm at shoulder height, it may take longer time to return to your work. • Full range of motion is achieved at 4 – 6 weeks once the swelling is reduced.

Hip Arthroscopy Arthroscopy, also referred to as keyhole or minimally invasive surgery, is a procedure in which an arthroscope is inserted into a joint to check for any damage and repair it simultaneously. An arthroscope is a small, fibre-optic instrument consisting of a lens, light source, and video camera. The camera projects an image of the inside of the joint onto a large screen monitor allowing the surgeon to look for any damage, assess the type of injury, and repair the problem. Hip arthroscopy is a surgical procedure performed through very small incisions to diagnose and treat various hip conditions including: Removal of torn cartilage or bone chips that cause hip pain and immobility. Repair a torn labrum: The labrum is a fibrous cartilage ring which lines the acetabular socket. Removal of bone spurs or extra bone growths caused by arthritis or an injury. Removal of part of the inflamed synovium (lining of the joint) in patients with inflammatory arthritis. This procedure is called a partial synovectomy. Repair of fractures or torn ligaments caused by trauma. Evaluation and diagnosis of conditions with unexplained pain, swelling, or stiffness in the hip that does not respond to conservative treatment. Hip arthroscopy is performed under regional or general anaesthesia depending on you and your surgeon’s preference. Your surgeon will make 2 or 3 small incisions about 1/4 inch in length around the hip joint. Through one of the incisions an arthroscope is inserted. Along with it, a sterile solution is pumped into the joint to expand the joint area and create room for the surgeon to work. Surgical instruments will be inserted through other tiny incisions to treat the problem. The larger image on the television monitor allows the surgeon to visualize the joint directly to determine the extent of damage so that it can be surgically treated. After the surgery, the incisions are closed and covered with a bandage. The advantages of hip arthroscopy over the traditional open hip surgery include: Smaller incisions Minimal trauma to surrounding ligaments, muscles, and tissues Less pain Faster recovery Lower infection rate Less scarring Earlier mobilization Shorter hospital stay

OVERVIEW Fractures (Broken Bones) of the Shoulder, Elbow and Wrist are common from both minor and major accidents. These are incapacitating in the short term as they commonly require the use of a cast or brace and restrict the use of the affected limb. DESCRIPTION Upper limb fractures occur from either direct trauma or indirectly from forces applied to the limb (eg twisting injuries). The type of fracture depends on the size and direction of the injury to the limb. Low energy injuries (such as falls from a standing height), usually result in less complex fracture patterns and less soft tissue injury. Typical symptoms of a fracture include: • Pain • Swelling • Deformity • Difficulty lifting things Lower energy injuries can be missed and may be passed off as ‘sprains’ or ‘strains’. If you have had an injury that is not responding to treatment, it is advisable to see your doctor and obtain X-Rays to rule out a fracture. Higher energy injuries (such as motorcycle and car crashes) typically fracture bones in multiple places, into smaller pieces, and commonly disrupt the soft tissues resulting in large amounts of bruising and swelling. These can be challenging to treat and frequently require surgery to restore the bones to their anatomical position to make healing quicker and your function better in the long term. TREATMENT The treatment of lower limb fractures requires careful tailoring to the individual patients demands and the type of fracture sustained. Non-operative treatment of upper limb fractures may involve: • Braces or Slings • Plaster Casts • Activity Restriction • Physiotherapy Dr. Jain always encourages non-operative treatment whenever possible, however, many fractures do much better with surgical intervention as surgery can speed up recovery and improve the short and long term outcome. As there many different types of upper limb fractures, there are a large range of surgical options that can be used, these can include: • Plates + screws • Wires • Rods/Nails • External Fixators Sometimes a combination of these is used, and Dr. Jain will discuss the surgical plan with you pre-operatively. He uses the latest technology in orthopedic trauma implants to give you the best outcome possible. After surgery, Dr. Jain will discuss your operation as well as plan your rehab in line with your goals and expectations. He uses a highly qualified team of physiotherapists and rehabilitation specialists to get you back to your activities as quickly as possible. Dr. Jain has extensive experience treating fractures, he has completed Training at Cascais Hospital in Lisbon (Portugal, Europe) with world recognized leaders in Orthopedic Trauma Surgery, and has worked as an Orthopedic Joint Replacement & Trauma Consultant at Tata Hospitals. He routinely attends conferences and visits trauma centers worldwide to refine his skills and stay on top of the most recent advances in trauma surgery.