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Unilateral Knee and Hip Replacement

Price: $5,000 (USD) with 4 days stay in the hospital

Implant:

• Metal implant for Knee Replacement
• Cemented implant for Hip Replacement

Inclusions:

• Investigations
• Room Charges
• Medicines
• Food and Beverages for the patient and 1 companion
• Complimentary pick and drop to the Airport
• Complimentary stay for the companion in the guest house untill the patient is in the hospital (Maximum upto 4 days)

Exclusions:

• All expenses for stay beyond the package period
• Professional charges of other consultants
• Any other additional procedure
• Use of special drugs/ consumables
• Blood products
• Complex lab investigations

Total Knee Replacement

What causes knee pain?

The knee is the most used and therefore stressed joint in the body. The common causes of pain in the knee are injury, arthritis and infection.

Is there a cure?

This depends entirely on the nature of the problem. Sometimes knee pain can be treated through rehabilitation, and on occasion surgery may be
required. It is important to consult a doctor for proper advice as soon as the symptoms are evident.

What is Total Knee Replacement?

Total Knee Replacement is a procedure in which the parts of the bones that rub together are resurfaced with metal and plastic implants. Precision instruments are used to remove and replace damaged parts of the bone with implants. The surface of the femur is replaced with a rounded metal component that matches closely the curve of your natural bone. And the surface of the tibia/leg bone is substituted with a smooth plastic component.

How to tell if you need a knee replacement?

If your knee pain is so severe that it causes difficulty in walking and performing daily activities, knee replacement might be called for. However it is mandatory that these symptoms be taken to a doctor for an accurate diagnosis. Doctors try and delay the procedure for as long as possible by using non-invasive treatment. However if the disease is in an advanced stage, knee replacement is a means to achieve relief from pain as well as return to daily activities.

How do you prepare for Total Knee Replacement surgery?

A complete physical check-up is required to rule out any medical problems that may interfere with your surgery. At this time the doctor will also review your medical history. Do not forget to inform the doctor about any medication that you may be taking. A few routine pre-surgery tests will also be performed. The surgery can result in blood loss which will require transfusion. So you might be asked to donate a few units of your own blood prior to surgery.

What happens during Total Knee Replacement surgery?

Prior to surgery an IV line will be inserted into your arm to administer medication during the operation. Thereafter anesthesia is administered in the OT. Once anesthesia has taken effect, the knee is scrubbed and sterilized. The surgery then begins with an incision to expose the knee joint. The surgeon then uses precision guides and instruments to remove damaged surfaces. The ends of the bones are then shaped to accept the implants. The implants are then fixed, and the incision closed. A sterile bandage is applied to the wound and routine post operative care will follow as anesthesia wears off.

How is the implant affixed in the body?

Bone cement is used to secure the knee implants.

What can you expect after the surgery?

A specially designed rehabilitation routine will be started to help regain strength, balance and movement in the knee. 24 hours after surgery, you will be asked to stand. And in 48 hours, you will start to walk with support. You can expect to stay in hospital for 3 days after surgery. Your sutures will usually be removed before discharge, and you will be advised on exercises to continue at home.

How soon can you return to normal activities?

On an average, patients walk with a cane in 6 weeks, and start to drive in 2 months. While the surgery will relieve you of pain and allow you to resume most normal activities, this does not include contact sports and activities that put excessive strain on your knees.

What about sex?

Patients can resume sexual activity as soon as they feel able. Again, the important consideration is avoiding excessive strain on the knee.

How long will a joint replacement last?

Longevity of the prosthesis depends on the patient's activity levels, weight as well as the accuracy of the implant placement. Recent studies have found common implants to be functional in 96% patients even after 20 years. However it must be understood that implants are not as durable as the natural knee, and will eventually wear out and no assurance can be given about its longevity.

Hip Replacement

What is Total Hip Replacement?

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant.

What does it involve?

A total hip replacement consists of replacing both the acetabulum and the femoral head. The diseased ball and socket is removed and replaced with a metal ball and stem, referred to as the prosthesis, in a surgery that takes approximately 1 hour.

When is hip replacement needed?

Several hip problems occur that result from many years of wear and tear, disease or injury. The ones that commonly lead to a need for hip replacement are:

• Osteoarthritis
• Rheumatoid Arthritis
• Traumatic Arthritis
• Avascular necrosis

What is the post surgery treatment protocol?

1. The patient is allowed to recuperate in a recovery room for a period of up to 4 hours
2. Medication to control pain is given using a PCA (Patient Controlled Analgesia) pump. This lets patients administer the prescribed dose of medication on their own.
3. Care is taken to prevent blood clots at the lower extremeties.
4. Compression stockings are used to force blood circulation.
5. Patients are encouraged to actively move their lower extremities in order to mobilize venous blood and prevent blood clots.
6. Medication to thin the blood and prevent clots are also administered.

When can the patient first walk after hip replacement?

1. The patient can walk with support on the second day after surgery.
2. When can the patient return home after hip replacement?
3. If there are no complications, the patient can be discharged after 72 hours. And in a month, he/she can return to their regular work.
4. What precautions must a patient take after hip replacement?
5. Avoid bending the hip beyond 90 degrees for the first 2 months.
6. Do not sit on furniture that will cause excessive flex at the hip.
7. Do not bend over at the hip to reach the floor.
8. Do not cross the operated leg over the other.
9. Feet must be kept between 3 and 6 inches apart.

Do not turn the operated leg inwards How can patients protect the replaced hip joint in the long term?

Running and contact sports are to be avoided as they are too strenuous. Swimming is encouraged as it increases muscle strength, and improves mobility and stamina.