FAQs - Orthopedics

  • What is systemic sclerosis?
    What is systemic sclerosis?
    J S Pasricha

    In this video, Dr. J S Pasricha, Retired Professor, Department of Dermatology and Venereology, AIIMS, New Delhi will explain systemic sclerosis. It is a group of diseases having a varied manifestations. The skin becomes very thick and hard, joints are affected and painful, fibrosis of lungs are the major symptoms of systemic sclerosis. It is a slowly progressing disease.

  • What are collagen vascular diseases?
    What are collagen vascular diseases?
    J S Pasricha

    Dr. J S Pasricha, Retired Professor, Department of Dermatology and Venereology, AIIMS, New Delhi will talk about collagen vascular diseases. He will explain the different types of collagen vascular diseases and how common they are. These diseases are treatable with pulse therapy regimen. Dermatomyositis is one more form of these diseases. The patients cannot use the muscles properly. He will further explain the treatment given to these patients.

  • How common is infection after knee replacement?
    How common is infection after knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, talks about the infection after knee replacement and how common it is. He says that infection in knee replacement is not very common nowadays specially in centers such as tertiary health care hospitals which are well-equipped. Dr. Mahajan also states that these hospitals maintain hygiene standards and the rate of infection is decreasing.

  • Why do knee replacements fail?
    Why do knee replacements fail?
    Ramneek Mahajan

    This video talks about the reason for failure of knee replacements by Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi. The most common cause of knee replacement failure is infection followed by mal-alignment or mal-positioned knee.


    Dr. Mahajan talks on infection which is very prevalent in India because there are other associated problems or medical diseases which are not managed well by the patients, hence rate of infection is higher. He will also talk about centers which are not adequately equipped during knee replacement surgery and may be the source of infections.

  • What are the results of total knee replacement?
    What are the results of total knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, will discuss the results of total knee replacement. Many patients with satisfied results of total knee replacement have been reported. It has been published that 80 – 82 % of success rate in 20 years of knee replacement surgery.

     

    He states that the older implants are still in good state. Also, the new implants are introduced as a modified version of the old implants and which can last for approximately 30 years. He will also highlight that the success rate of knee implants are documented in Australian and Canadian registries. Also, the new version of implants have US FDA approval.

  • Unilateral vs. bilateral knee replacement?
    Unilateral vs. bilateral knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi. He says that it is debatable because literature shows benefits of both unilateral and bilateral knee replacement. The type of knee replacement depends upon the patient’s condition. Generally patient comes very late when both the knees are involved.

     

    Dr. Mahajan will also talk on whether one knee is done and other knee is also bad then he won’t be very stable and comfortable for the rehabilitation program. He also states that when one of the knee is very healthy then it gives support to the other replaced knee. He will also talk about the conditions when can be knee replacement done or advised.

  • What is Patellar knee replacement?
    What is Patellar knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, will talk about patellar knee replacement. He discusses that literature reports that some people complain of anterior knee pain. Many of the surgeons have started replacing the patella with the patella button hoping that the anterior knee pain would get better. But it has been reported that anterior knee pain continues even after patella replacement. 


    Dr. Mahajan further says that if the patella is healthy then there is no need to resurface it. If the patella cartilage is eroded then a patella replacement is done. He also states that the replacement of patella also depends upon the thickness of patella.

  • What is a total knee replacement?
    What is a total knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi will discuss about total knee replacement in this video. He explains that the total knee replacement is done when the disease process has occurred in more than one compartment.


    He further states that there is a tibial, femoral component and a base plate made up of polyethylene and sometimes occasionally the patellar button is also replaced. If the patella is not involved then it is not replaced.

  • What is partial knee replacement?
    What is partial knee replacement?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, will talk about partial knee replacement. 


    Dr. Mahajan explains that knee is classified into three compartments, medial, lateral and patella-femoral compartment. Partial knee replacement means any one component gets arthritis and is replaced. The most common partial knee replacement is in the medial compartment.

  • Can surgery be avoided in osteoarthritis?
    Can surgery be avoided in osteoarthritis?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, will talk on whether surgery can be avoided in osteoarthritis. He says that surgical options are divided into arthroscopy, osteotomy, partial knee replacement and total knee replacement. There are four types of surgery who suffer from osteoarthritis. 


    Dr. Mahajan will discuss when are the different options of surgery are used. Depending upon the patient’s osteoarthritis stage, the surgeries are planned. Surgery can be avoided in early stages by physiotherapy, lifestyle modifications, losing weight, etc.

  • What is the cost of knee replacement surgery in India?
    What is the cost of knee replacement surgery in India?
    Ramneek Mahajan

    This video talks about the cost of knee replacement surgery in India by Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi. He discusses that Government of India has fixed rates for all knee implants.


    Recently knee replacements have become more subsidized and cheaper for the population. A simple knee replacement can cost as less as one lakh eight thousand rupees and bilateral knee replacement can cost approximately three lakhs fifty thousand rupees in current scenario. It is type of package provided by the hospital which includes surgery and hospital fees, doctor’s fees, stay etc.

  • What are revision implants for a second surgery?
    What are revision implants for a second surgery?
    Ramneek Mahajan

    In this video, Dr. Ramneek Mahajan, Director - Orthopedics & Joint Replacement, Max Smart Super Specialty Hospital, New Delhi, will talk on revision implants for second surgery in this video. He explains the reason when the primary implants are removed such as infection, mal-positioning etc. When the implants are removed, some loss of bone occurs. This loss of bone can cause defects and the basic primary implants won’t fit back and hence the need of special implants arises.

     

    Dr. Mahajan will explain the special types of implants. He states that a revision implant is an implant with additional things added to it which gives it a modularity which can be in a form of rods, cones or wedges to fill the defects.

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