superpath

posted Apr 18, 2016, 8:02 AM by Soneet Aggarwal   [ updated Apr 18, 2016, 8:04 AM ]


latest in hip surgery

FAQs :all about knee replacement

posted Jan 16, 2016, 10:49 PM by Soneet Aggarwal   [ updated Apr 18, 2016, 8:00 AM ]

FAQs knee replacement

this interview in hindi describes everything you want to know about knee replacement. common misconceptions whats in and what hyped . a true story.

DEFORMITY CORRECTION

posted Dec 27, 2015, 5:46 AM by Soneet Aggarwal   [ updated Apr 18, 2016, 7:58 AM ]

DEFORMITY CORRECTION

28 YEARS OLD MALE WITH POST TRAUMATIC MALTREATED FRACTURE WHICH WAS CORECTED WITH EX FIX BY GRADUAL DISTRACTION . PATIENT RECOVERED COMPLETELY AND WAS BACK TO HIS DAILY ACTIVITIES

Minimally Invasive surgery - Knee Joint replacement

posted Jan 27, 2013, 8:41 AM by Soneet Aggarwal   [ updated Feb 12, 2013, 1:41 AM ]

Minimally Invasive surgery (MIS) Knee Joint Replacement is considered a step forward in total knee replacement for a
number of reasons: a shorter hospital stay, faster recovery, and much less scarring.

The MIS Knee Joint Replacement procedure is an advancement in total knee replacement that offers important advantages over the standard surgical procedure. The Stryker MIS Knee Joint Replacement technique brings together high quality knee implants, new minimally invasive surgical techniques, and new instrumentation.

Less is more

Unlike conventional total knee replacement-which requires a large incision (8 to 12 inches) and significant disruption of the muscles and tendons-MIS Knee Joint Replacement is performed through an incision as small as 3 to 4 inches. In some MIS procedures the amount of soft tissue (muscles and tendons, etc.) that are disrupted during surgery may also be reduced. Through that same small incision, the diseased surfaces of the knee joint are exposed and then replaced, one at a time, with the artificial joint components.

Minimally invasive surgery

Over the past 25 years, minimally invasive surgery has revolutionized many fields of medicine. Its key characteristic is that it uses specialized techniques and instrumentation that enable the physician to perform major surgery without a large incision. In this respect, MIS Knee Joint Replacement is indeed "minimally invasive," requiring only a small incision and causing minimal trauma to the soft-tissues. Minimally invasive surgical techniques may offer benefits including: less pain, less recovery time, and less scarring.

Listing the advantages

Because fewer muscles and tendons are disturbed with MIS Knee Joint Replacement, their reconstruction is more natural, wound closure is easier, and recovery may be faster(1). Clinical studies have shown that the midvastus surgical approach used in the MIS technique results in less pain (at both 8 days and 6 weeks after surgery) and quicker restoration of muscle control and strength(2). It can take several months to recover from the large incision and muscle disruption with the standard approach.

References:
1. White R, Allman J, Trauger J, Dales, B. Clinical Comparison of the Midvastus and Medial Parapatellar Surgical Approaches. Clinical Orthopaedics & Related Research. 1999; 367: 117-122.
2. Tria AJ. Minimal Incision Total Knee Arthroplasty. Clinical Orthopaedics & Related Research. 2003; 416: 185-190.

How to avoid osteo arthritis

posted Jan 18, 2013, 12:55 AM by Soneet Aggarwal   [ updated Feb 12, 2013, 1:40 AM ]

You can view this information in Hindi here...

Osteoarthritis is among the most common causes of disability in adults. By age 40, 90% of people
have some level of osteoarthritis in their weight-bearing joints (knees, hips, feet, back) but they may remain asymptomatic (without symptoms) until they are older. 

Clearly, osteoarthritis is a significant medical condition. Can it be prevented? There are 6 basic recommendations for osteoarthritis prevention. Think about each one and ask yourself if you are doing what you should be doing.

1 - Maintain Your Ideal Body Weight

It has been estimated that the force of 3 to 6 times a person's body weight is exerted across the knee while walking. In other words, being 10 pounds overweight increases the force on the knee by 30 to 60 pounds with each step taken while walking. The force across the hip is, at most, 3 times body weight. Losing weight reduces stress on your joints.

2 - Exercise Regularly and Participate in Regular Physical Activity

For optimal joint health, it's recommended that people perform 30 minutes of moderately strenuous exercise at least 5 days a week. It's an established fact that regular exercise has health benefits. Lower levels of exercise can also be beneficial, according to study results. It's better to get some exercise as opposed to no exercise.

3 - Protect Your Joints

There are several joint protection principles, which if followed, will help to conserve energy and preserve joint function. The advice is quite simple, but you must be mindful of proper movements and recognize body signals (e.g., pain). Good posture and proper body mechanics are important because protecting your joints is a factor in osteoarthritis prevention.

4 - Avoid Repetitive Stress on the Joints

Signs of repetitive stress include too many uninterrupted repetitions of an activity or motion, unnatural or awkward motions, overexertion, incorrect posture, and muscle fatigue. These symptoms usually are associated with your occupation. Try to find solutions at your workplace and avoid prolonged periods of repetitive stress.

5 - Listen to Your Pain

This recommendation seems so obvious, yet people don't always do it. Learning to view pain as a signal that you are overdoing it and that it's time to rest requires conscious effort. Balancing rest and activity is optimal for healthy joints. It's part of self-management to learn not to overuse your joints and to learn not to push past your limits. Consider that the pain is like a stop sign.

6 - Avoid Injury to Joints

Previous joint injury is recognized as a common cause of osteoarthritis. In joints burdened by improper alignment due to injury, articular cartilage wears away and osteoarthritis can begin to develop. Avoid injury if at all possible -- and if you do injure a joint, seek treatment immediately.

New Hip replacement Technique

posted Jan 14, 2013, 12:40 AM by Soneet Aggarwal   [ updated Feb 12, 2013, 1:43 AM ]

A new hip replacement strategy, an anterior approach technique, allows the patient
to experience less pain, have a quicker recovery, and improved mobility.

The technique is called the anterior approach because the surgery is performed through the front of the hip, instead of the back (posterior). In order to gain access to the hip joint, the posterior approach cuts through muscles and tendons, while the anterior technique goes between them. The incision made is about 2 and a half inches long.

Since the muscles and tendons are not cut, there is less pain while the patient recovers because they are not forced to sit on the incisions. With this technique, the patient also has a reduced risk of dislocating the new hip.

The majority of hip replacement surgeries are done using other techniques because many hospitals do not yet offer the anterior approach. However, people are becoming increasingly aware of its benefits. Within the next 5 to 10 years, Dr. Rees believes that it will become the primary technique.

Although some doctors may question the approach because it is more technically challenging, there are specially-designed operating tables that make the technique easier. The surgeons are able to accurately control the angle, position, traction and rotation of the hip and leg.

You can go through Hip replacement surgeries by Dr. Soneet here.

Neck and back care

posted Dec 29, 2012, 1:26 AM by Soneet Aggarwal   [ updated Feb 12, 2013, 1:42 AM ]

Many adults complain of back and neck problems. In some cases back and neck pain result from preventable
injuries. Fortunately, the following strategies can reduce your risk or help ease the pain if 
you've already got a problem.

For the Back

Get in shape. Being overweight and out of shape are a dangerous combination due to the stress and pressure they place on the spine. Getting in shape by doing aerobic conditioning on a treadmill, stair machine or elliptical trainer accomplishes two things: It strengthens the trunk muscles so they can support the spine and it burns calories, which can lead to weight loss.

Lift properly. If you have to lift something heavy, make sure you:
  • Stand close to the object
  • Place your feet shoulder-width apart
  • Bend at the knees and tighten your stomach muscles
  • Lift with your leg muscles as you stand up
  • Don’t twist your spine—pivot your feet to change directions
  • Do these steps in reverse as you put the object down.
Adjust your workstation. Start by adjusting your chair to support your back. To do so, adjust the lumbar support to fit your low back’s inward curve. Adjust the height so your feet can rest flat on the floor. Place your computer monitor and keyboard directly in front of you.

Keep moving. Avoid sitting in one position for hours at a time. Make it a point to take a break every hour and get out of your chair to walk. Doing so will stretch and strengthen the muscles in your back.

If you experience lower back pain despite your best efforts, experts suggest several self-care strategies:
  • Apply a heat wrap around your lower torso — one study found thermal wraps to be more effective at relieving back pain than acetaminophen or ibuprofen
  • Avoid prolonged bed rest, which may delay your recovery. Instead, get back to your normal activities and exercise as soon as possible
  • Take an over-the-counter pain reliever, such as ibuprofen or acetaminophen
  • Try not to bend over first thing in the morning, when the risk of injury to your spinal discs is highest
For the Neck

Got a pain in the neck? You aren't alone. Neck pain is extremely common and can be caused by a wide range of factors. These include bad posture, your sleeping position, improper lifting, arthritis, degeneration of the neck’s cervical disks, and injuries. Rarely, a tumour or infection is to blame. Fortunately, these simple steps can prevent many cases of neck pain:
  • Balance your load. Substitute a backpack for a heavy purse. The key is to wear it with both arms through the shoulder straps.
  • Change positions frequently while sitting down. If you must sit in the same position for long periods of time, maintain good posture. Make sure your hips are a little higher than your knees, keep your back supported and don’t hunch your neck forward. If you’re travelling by train, air plane  or car, a rolled-up towel or small pillow placed between your neck and the headrest can keep your neck in a healthy position.
  • Don’t cradle the telephone between your neck and shoulder. Instead, attach a neck cradle to your telephone or use a speaker phone or headset.
  • Lift properly. Bend with your knees, keep your head and shoulders up and hold the object you’re lifting close to your body.
  • Sleep on your side or back instead of on your stomach. And be sure to use a pillow that’s neither too firm nor too soft. Your pillow should keep your spine straight and your neck in a neutral position — not bent forward, backward or to one side.

Osteoporosis

posted Dec 29, 2012, 1:17 AM by Soneet Aggarwal   [ updated Feb 12, 2013, 1:45 AM ]

What is osteoporosis?

Osteoporosis is a long-term medical condition that causes your bones to become weak, brittle, and more
likely to fracture. Osteoporosis occurs when your body absorbs more bone than it makes. It is also caused by a lack of calcium and estrogen (female hormone).

What increases my risk of osteoporosis?

  • Age: Everyone loses bone mass as they age. The body builds less new bone to replace old bone after the age of 35. The older you are, the more likely you will develop osteoporosis.
  • Estrogen: Estrogen keeps women's bones strong. A woman's body makes much less estrogen after menopause. Exercising too much and eating disorders, such as anorexia and bulimia, also decrease estrogen.
  • Gender: Women are at a higher risk of developing osteoporosis.
  • Illnesses: Some illnesses, such as thyroid diseases, bone cancer, and long-term lung diseases, may increase the risk of osteoporosis.
  • Lifestyle: Cigarette smoking or drinking too much alcohol or coffee over a long time can weaken your bones. Not exercising regularly or not being active also weakens your bones.
  • Medicines: Certain medicines, such as steroids, anticonvulsants, and blood-thinners increase your risk.
  • Nutrition and body size: You are at higher risk if you do not eat a good diet with enough calcium and vitamin D or you are small-boned or thin.
What are the signs and symptoms of osteoporosis?

You may not have any signs or symptoms of osteoporosis. You may break a bone after a muscle strain, bump, or fall. A break usually occurs in the hip, spine, or wrist. A collapsed vertebra (bone in your spine) may cause severe back pain, spinal changes, or loss of height with bent posture.

How is osteoporosis diagnosed?

You may have one or more of the following tests:
  • Blood and urine tests: Blood and urine samples may be sent to the lab to measure how much calcium, vitamin D, and thyroid hormone you have in your body.
  • X-ray: An x-ray of your bones will show any fractures or collapsed vertebrae.
  • Bone density test: The test uses an x-ray to check for early signs of osteoporosis. It compares your bone density to what is expected for someone of your same age, gender, and race.
  • CT scan: This is also called a CAT scan. An x-ray machine uses a computer to take pictures of your bones. The pictures may show if you have decreased calcium levels in your bones. You may be given a dye before the pictures are taken to help caregivers see the pictures better. Tell caregivers if you are allergic to iodine or seafood. You may also be allergic to the dye.
How is osteoporosis treated?

Medicines for osteoporosis help prevent bone loss and increase bone density which can decrease the risk of spine and hip fractures:
  • Bisphosphonates: These medicines increase your bone density and may help prevent future fractures.
  • Calcitonin: This medicine helps build new bone.
  • Hormone replacement therapy: This is also called HRT. You may be given a hormone called estrogen. Caregivers will monitor you closely while you use this medicine.
  • Selective estrogen receptor modulators: These medicines have an estrogen-like effect on your bones and may be used to treat osteoporosis.
How can I help prevent further bone loss?
  • Eat a variety of healthy foods that are high in calcium: This helps keep your bones strong. Good sources of calcium are milk, cheese, broccoli, tofu, almonds, and canned salmon and sardines.
  • Increase your vitamin D intake: Vitamin D is in fish oils, some vegetables, and fortified milk, cereal, and bread. Vitamin D is also formed in the skin when it is exposed to the sun. Ask if or how often you should be in the sun.
  • Drink liquids as directed: Adults should drink between 9 and 13 eight-ounce cups of liquid every day. Ask what amount is best for you. For most people, good liquids to drink are water, juice, and milk. Avoid liquids with caffeine.
  • Get plenty of exercise: Talk to your caregiver about the best exercise plan for you. Exercise can decrease your blood pressure and improve your health.
  • Avoid alcohol: Alcohol decreases bone mineral density, which can weaken your bones.
  • Do not smoke: If you smoke, it is never too late to quit. You are more likely to have heart disease, lung disease, cancer, and other health problems if you smoke. You will improve your health and the health of those around you if you quit. If you smoke, ask for information about how to stop.
When should I contact my caregiver?

Contact your caregiver if:
  • You have pain when you do your daily activities.
  • You have questions or concerns about your condition or care.
When should I seek immediate care?

Seek immediate care if:
  • You have severe pain in your chest or back, bones, muscles, or joints.
  • You have increasing pain after a fall.

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