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Orthopaedics Disease and Treatments

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Treatments

Benign Bone Tumors (non- cancerous) does not spread to the other parts of the body. These tumors may destroy the bone and surgical treatment is required in order to remove the tumor and thereby restoring the bone health. Types of bone tumors-

• Benign Lesions

• Unicameral Bone Cyst

• Aneurysmal Bone Cyst

• Osteoblastoma

• Enchondroma

• Unicameral Bone Cyst

• Giant Cell Tumor

• Osteoid Osteoma

• Fibrous Dysplasia

• Chondromyxoid Fibroma

• Osteochondroma

These cancerous tumors require an early treatment at the start of the disease. Radiotherapy and chemotherapy are the treatments required either before or after the surgery. The aim of the surgery is to remove the entire diseased bone in order to avoid amputation and thereby restoring the appearance and function of the diseased area. Its types are-

• Malignant tumors of bone

• Osteosarcoma

• Metastatic Carcinoma

• Chondrosarcoma

• Ewing’s Sarcoma

• Metastatic Carcinoma

• Multiple Myeloma

They generally occur in the form of capsules of joints like shoulder, foot, hip, knee, elbow or wrist. These lesions can develop and harm or create pain in the joint. The surgical procedure is done to remove the lesion of the joint and thereby restoring the health and function of the diseased area. Its types are

• Tenosynovial Giant Cell Lesion

• Pigmented Villonodular Synovitis

• Synovial Chondromatosis

These tumors mostly arise either in fat or muscle and not in the bone. They can be both malignant or benign. These tumors are rare and generally develops in the pelvic area or in the limbs. Radiotherapy and chemotherapy are the two treatments available that are done either before or after the surgery. The types are-

• Malignant soft tissue lesions

• Liposarcoma

• Malignant fibrous histiocytoma

• Rhabdomyosarcoma

• Fibrosarcoma

• Synovial cell sarcoma

It is a serious condition where there is a growth of abnormal cells in the bone that could be benign or cancerous. The abnormal growth usually occurs in the areas of fast growth and the reason of this bone tumor is still unknown. Probable causes could be trauma and radiation or inherited mutations. In most cases no particular reason is found for this cancerous condition.

What is the cause of knee joint disintegration?

One of the major reasons that affect the knee joint and hinder routine activities is Arthritis. The slowly wearing condition of the tissue on the ends of the bones leads to reduction of joint space, severe joint pain, regular shifts in bone movement and friction in the exposed bone surface. There are three types of arthritis

Osteoarthritis

Osteoarthritis occurs from ‘wear and tear’ and is the most common reason for the total knee replacement. It usually occurs after the age of 50 and is a genetic problem. When the tissue covering the bones softens and wears away, the bone began to rub against each other and leads to severe pain.

Rheumatoid Arthritis

When the tissues surrounding the bone releases excessive fluid due to inflammation, it causes damage to cartilage and other parts of the joint and causes pain and stiffness.

Traumatic Arthritis

This type of arthritis usually occurs after a serious knee injury. Due to the knee fracture, the connective tissue and the tissue covering the ends of the bone wears away, resulting in pain and stiffness.

• Key hole surgery for disorders of the knee, shoulder, elbow and ankle

• Trauma and Fracture surgery

• Management of fractures

• Correction of deformities

• Meniscal Repair

Meniscus is a very important part of the Knee Joint and acts as a shock absorber for the knee.Meniscal tears are very common and are of different types.

Causes and Symptoms

The causes of meniscus tears are sports injuries, fall and squatting and sudden twisting. Old degenerative knees will tear even by a simple movement like getting up from a chair.

Symptoms

• Pain

• Stiffness and swelling

• Catching or locking of your knee

• The sensation of your knee “giving way”

• You are not able to move your knee through its full range of motion.

• Treatment

It can be diagnosed with an MRI. The larger tears in the white red zone and the red zone are epaired with Arthroscopic Meniscal repair anchors.

• Disc surgery

• Micro surgery for disc

• Fixation systems for fractures

• Surgery for correction of spinal deformities

• Surgery for spinal tuberculosis

• Endoscopic spine surgery

• Joint replacement surgeries and revision surgeries ( Hip and knee ) using the latest KICK navigation computerised technology for accuracy and minimum stay in hospital

Knee replacements

Prashanth Bone, Spine and Joint Replacement Centre aims to deliver super speciality healthcare with cutting edge technology on par with international standards at an affordable cost. Our highly qualified experienced team of specialists strive for perfection ensuring patient safety and comfort.

Total Knee Replacement surgery is one of the most significant advancements of the 20th century. With rapid improvement in technology, computer is being increasingly used in knee replacement surgeries, where it helps overcome the drawbacks of conventional surgery. India is among a few affordable destinations in the world for knee replacement surgery.

The typical symptoms which need immediate attention

• Inability to fully straighten your knees

• Swelling or stiffness

• Popping or crunching noises

• Redness or warmth to touch

What is computer assisted joint replacement surgery and how does it help in proper positioning of the implants ?

Joint replacement surgery is the last step in treatment for severe arthritis and is most commonly performed in the hip and knee. When a joint replacement surgery is performed, it is crucial that the components of the new implant are properly positioned. The surgeon attaches special reflectors to the patient’s thigh and leg bones that are detected by an infrared camera connected to the computer. The computer subsequently constructs an electronic model of the knee based on the information fed by the surgeon. The computer can then guide the surgeon in achieving proper positioning of the implants.

Is proper positioning of implants crucial?

An incorrectly aligned implant can lead to early wear and loosening of the replaced joint. Computer is an important tool to confirm proper placement of the implants. Though most patients are concerned about the type of implant when considering knee replacement, the most important consideration should be how well these implants are positioned.

What are the other benefits of Computer Assisted Surgery ?

(i) Knee arthritis with complex extra-articular deformities and in situ hardware can be tackled appropriately using computer where conventional techniques may be inadequate.

(ii) In obese patients where limb alignment is difficult to assess, computer improves accuracy and avoids error.

(iii) Less blood loss

(iv) Early functional recovery and quicker discharge from hospital.

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Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai

Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai