Severe ankle pain due to major joint damage can be debilitating and that’s where ankle replacement surgery in Delhi comes in. It’s an effective pain relief option and is taken up only when conservative methods of relieving pain or deformities in the ankle are unsuccessful. Multiple techniques are used for ankle replacement surgery to allow relief from pain and regain stability.

The ankle is a weight-bearing joint and carries the body’s full weight, so it is very important to treat a painful ankle. Before you go in for ankle replacement surgery it is a good idea to learn more about ankle surgery options—including ankle replacement and ankle fusion( arthrodesis). Contact us for more details on what type of surgery your condition may require.

What is elbow replacement surgery in Delhi?

During the elbow replacement surgery in Delhi, the two sides of the joint are replaced by implants, with or without cement. The humeral and ulnar components are made of metal and polyethylene. The elbow joint is usually open at the back and the muscles retracted. The worn surfaces are removed from the joint and the humerus and ulna are prepared to accommodate the components which are usually cemented inside the bone.

The shoulder, elbow and wrist prostheses are made of metal alloy and polyethylene (plastic), they restore mobility and alleviate or eliminate pain. The purpose of elbow replacement surgery in Delhi is to create a new, perfectly mobile joint while eliminating pain due to contact between the bones. Your orthopaedic surgeon in Delhi will choose a total or partial arthroplasty depending on your state of health and taking into account the degree of impact of arthritis on the joint.

The elbow consists of three parts (humerus, ulna and radius) which provide two types of movement. The humerus and ulna articulate to ensure a hinge movement. The humerus and the radius ensure rotational movement. The surfaces of the joint are covered with cartilage which serves as elastic resistance (cushion effect) between the bones. Cartilage can wear out due to various events such as a fracture, osteoarthritis, rheumatoid or inflammatory arthritis. When rheumatoid arthritis has damaged the joint, the cartilage is not sufficiently lubricated. This results in loss of mobility and pain in the elbow.

Elbow replacement surgery in Delhi benefits from recent technological advances with completely new surgical instruments offering surgeons a greater variety of options to relieve pain and restore joint functions.

As in the case of total knee and hip replacement, the cartilage and the elbow bone are replaced by an artificial implant. Given the concentration of nerves, vessels and soft tissue in this area, the elbow is a complex joint.

Reasons for Elbow Replacement (Indications)

The common reason for doing an elbow replacement surgery in Delhi is pain that affects the activities of daily living. This is followed by the instability of the elbow and ankylosis (fusion) of the elbow. The underlying disorders that cause the above problems are Rheumatoid Arthritis, Osteoarthritis, post-traumatic arthritis, and other inflammatory conditions.

Pre-operative Assessment before Elbow Replacement

This involves assessment for fitness, having surgery and anaesthesia. You may have x-rays done, to assess the problem. Some blood tests, rule out infection in some instances.

The procedure of Total Elbow Replacement Surgery in Delhi

The elbow joint is approached from the back. A skin incision is made and the tissues are carefully dissected. A nerve called the ulnar nerve is identified, dissected and secured. The muscle-tendon complex at the back is carefully reflected off the bone, to approach the actual joint. The joint surface is prepared and the two components, the humeral component, and the ulnar component are inserted and linked together with a coupling.

It lasts about 1 to 2 hours depending on the surgical method. Generally, the patient is hospitalized for 4 to 5 days after the operation. The length of this stay however depends on several factors. Your surgeon will be able to advise you.

After Elbow Replacement Operation

Your arm will be covered with dressings and elevated in bed. Orthopedic in Delhi will advise you to mobilize as much as you can tolerate. You may have a nerve block, to numb the pain. You may be advised, not to lift heavy weights after the procedure.

The clips or sutures are usually removed in ten days’ time.

In the appropriate patient, the success rate has been reported to be very good (approx. 92%). But it is important for the patient to discuss the pros and cons of the procedure with the orthopaedic surgeon in Delhi, before having it done.

What is a hip replacement in Delhi?

Hip replacement surgery in Delhi is a procedure in which Dr Ashu Consul surgically removes a painful arthritic hip joint and replaces it with an artificial joint, usually made of metal and plastic parts. Hip replacements help millions regain mobility and relieve joint pain, but hip replacements carry some risks and require months of recovery. Hip replacement surgery in West Delhi is supposed to relieve hip pain by making walking easier.

Hip replacement in Delhi, also called hip arthroplasty, replaces damaged or worn parts of the hip joint with artificial implants (prostheses). In hip replacement surgery, Dr Ashu Consul, an orthopaedic surgeon in Delhi will remove damaged cartilage and bone from the hip joint and replaces it with new artificial parts. In a partial hip replacement, an orthopaedic surgeon replaces the head of the hip without replacing the socket.

Types of Hip Replacement

The most common type of this surgery is total hip replacement, in which both the acetabulum (hip joint) and femoral head (the “ball” of the hip joint) are replaced. The surgeon replaces the patient’s femoral head with a ball, and the natural grip in the hip joint is replaced by an artificial cup. They are replaced by similar implants: a cup that acts as a socket and a ball that acts as a femoral head.

Head and femoral resurfacing surgery are most often performed on young and active patients. During the procedure, an orthopaedic surgeon in Dwarka rebuilds the bones that make up the ball of the hip joint. Surgeons use a predetermined surgical approach to make incisions and then use precise instruments to remove bone and cartilage from the ball-and-socket hip joint.

Consultation before Hip Replacement Surgery in Delhi (Pre-OP)

It is a very important thing for the patients to know about the steps to be taken before hip replacement surgery in West Delhi. It is important to discuss with your surgeon, your diagnosis, other options for treatment, the procedure, the post-operative course, and possible complications.

Hip resurfacing

During hip resurfacing, the worn surfaces of the hip joint are replaced (i.e. the upper end of the femur and the acetabulum on the pelvis) with metal surfaces. The operation is called metal hip resurfacing arthroplasty.

This operation is recommended if you are under 65 and have advanced hip wear and if you are otherwise able to undergo a conventional hip replacement in West Delhi. Hip resurfacing involves less bone loss, which allows you to possibly undergo the same operation or perform a new hip replacement with a total prosthesis several years later. A hip resurfacing operation can improve the quality of life. However, it is not suitable for everyone.

The operation

Dr Ashu Consul will put the new hip sleeve in place, insert a metal rod into the femur, and place a ball for the new joint. The surgeon replaces hip joints by gently moving the muscles along their natural tissue planes, retracting them without cutting or separating them from the bone. Surgeons replace old joints with artificial joints (prostheses). When hip implants need to be replaced because they have loosened or worn out over time, so-called hip revision surgery is required.

There is also the possibility of a loose hip implant, persistent symptoms, or the need for revision surgery. When medications and other treatments fail to keep hip pain manageable, hip repositioning or replacement surgery may be appropriate. Most physicians will ask patients to consider alternative methods of pain relief or increased mobility before recommending an artificial hip implant.

Who Requires Hip Replacement Surgery in Delhi

For most people with advanced hip arthritis, if the pain does not improve with conservative treatment, the best long-term option is a total hip replacement in Delhi, which replaces all of the damaged areas of the hip joint. As with any major surgery, there are risks with total hip surgery and the decision to have a hip replacement should be seen as a quality-of-life choice that each patient makes with a good understanding of these risks. Non-surgical treatments, such as drugs and physical therapy to strengthen the joints, are highly recommended before considering total hip replacement surgery in Delhi.

Surgery may be recommended for patients with severe cartilage damage if conservative treatments such as anti-inflammatory drugs and physical therapy do not relieve symptoms. This surgery may be an option after a hip fracture or severe pain due to arthritis. This surgery is more often performed to reduce pain and improve mobility in patients with symptoms of hip osteoarthritis that have not improved with conservative treatment. This procedure is most often done in older patients with hip fracture.

Femoral osteotomy, a procedure that involves cutting and rearranging bones. However, doctors may consider hip replacement when alternative treatments do not provide relief, increase mobility, or improve quality of life. The goal is to improve the biomechanics of the hip joint, improve patient symptoms, and delay the need for joint replacement surgery. After hip replacement surgery, it is critical that patients move the new joint and work with a physical therapist to develop an exercise program to increase strength and improve range of motion.

There are subgroups of patients in whom joint stiffness without pain in the hip joint is an indication for surgery. Patients tend to be older and therefore more likely to have other conditions, such as heart disease and type 2 diabetes, which put them at greater risk of medical complications (such as heart attack, blood clots, or kidney damage) during or after surgery. Elderly patients undergoing elective hip replacement for osteoarthritis or rheumatoid arthritis have a life expectancy greater than the median of 16, likely reflecting the lower incidence of comorbidities in patients eligible for elective surgery. Factors that are considered poor prognostic indications for total hip arthroplasty are serious medical conditions in which the risk of surgery outweighs the expected benefit, mental illness, dementia, or systemic infections.

Convalescence

Physiotherapy exercises are important after a hip replacement in Delhi and a good recovery is only guaranteed if the patient follows the defined postoperative exercise routine. Typically, patients recover fairly quickly. However, in some cases the patient will need crutches or a walker at the start, going as far as using a cane for a few months.

Total hip replacement surgery in Delhi has helped a large number of osteoarthritis patients regain normal activity and relieve their pain.

The length of hospital stay varies. It can range from 3 to 10 days. After discharge, the patient will have to consult a physiotherapist and exercise daily.

During the postoperative period, techniques are taught for walking, tackling stairs, getting in or out of a chair, getting in and out of a car, and getting in and out of the toilet.

Preoperative and postoperative treatments vary depending on many factors. Discuss with your surgeon which treatment and exercise program is best for you.

Return to work

Usually, recovery lasts 3 months, but a large number of patients, especially those with sedentary work, can return to work much earlier. Everyone is different and your orthopaedic doctor in Delhi is best suited to advise you when you are ready to go back to work.

The Neo Orthopaedic Clinic

31 A, Pkt-II, Sector – 6 Dwarka, New Delhi 110075 India
Phone: 011-45020554
Secondary Phone: 9871442963

Monday	5:00 PM – 8:00 PM
Tuesday	5:00 PM – 8:00 PM
Wednesday	5:00 PM – 8:00 PM
Thursday	5:00 PM – 8:00 PM
Friday	5:00 PM – 8:00 PM
Saturday	5:00 PM – 8:00 PM
Sunday	Closed

Dr Ashu Consul is one of the pioneers in painless total knee replacement surgery in Delhi. He has performed more than 2500 painless knee replacement surgery.

The most common reason for total knee replacement surgery in Delhi is to relieve severe arthritis pain. Dr Ashu Consul may recommend it if: You are having pain from knee arthritis that keeps you from sleeping or doing your normal activities. He cannot walk or take care of himself.

All About Total Knee Replacement Surgery in Delhi

What is arthritis and why does my knee hurt?

In the knee joint, there is a layer of smooth cartilage on the lower end of the FEMUR  (thighbone), the upper end of the TIBIA  (shinbone) and the undersurface of the kneecap (patella). This cartilage serves as a cushion and allows for smooth frictionless motion of the knee. Arthritis is the wearing away of this smooth cartilage. Eventually, it wears down to the bone. Rubbing of bone against bone causes pain, swelling, and stiffness & a characteristic sound known as crepitus.

What is its type?

Broadly they are categorized into.

1. Osteoarthritis – It is a degenerative (age and wear tear-related)disease, and is the most common type of arthritis characterized by the breakdown of joints and cartilage leading bones to rub against each other, causing stiffness, pain/loss of joint movement.
2. Rheumatoid Arthritis – It is a blood born arthritis in which our immune system attacks its joints and damages them. It involves multiple joints in a symmetrical pattern. Commonly known as “gathia bai”
3. Posttraumatic Arthritis – It is a form of arthritis that develops after an injury to the knee. For example, a broken bone may damage the joint surface and lead to arthritis years after the injury.

How many people suffer from it?

Osteoarthritis (OA) is the second most common rheumatologic problem and is the most frequent joint disease with a prevalence of 22% to 39% in India. This is the most common cause of locomotor disability in the elderly.

What is the treatment of arthritis?

Sadly there is no cure for arthritis but there are a number of treatments that may help relieve the pain and disability it can cause.

Is there any nonsurgical treatment available for it?

Yes! as with other arthritic conditions, initial treatment of arthritis of the knee is nonsurgical. Orthopedic in Delhi may recommend a range of treatment options. Like lifestyle modifications, physiotherapy, assistive devices, and losing weight which can be of help in the initial stages.

I am able to just manage with painkillers is surgery advisable for me?

If you are taking painkiller tablets, are not able to walk, or are not able to perform your daily routine activities comfortably, denying the fact you have a problem is not the solution. Painkillers of allopathic/ayurvedic/homoeopathy are not the solution. These are temporary methods.

Do pain killer have side effects

Their excess intake exposes you to the risk of gastric ulcers and kidney damage. all painkillers cause kidney damage for sure and prolonged use may damage kidneys irreparably, thus forcing one to go for repeated dialysis and kidney transplant in Delhi.

Gastrointestinal toxicity is present in 50% of NSAIDs (Pain Killers) users and 5.4% develop a more serious event requiring hospitalization due to its frequent use.

What goals does replacement fulfil?

1. Permanently relieves pain that does not respond to other treatment options, so making walking pain-free.
2. Straightens the knee to the original position.
3. Brings back the walking ability.
4. Improved alignment of deformed joints.

When to go for surgery /replacement in arthritis?

Ask yourself: Have I tried everything? Is my knee holding me back from doing the things I enjoy?

Delaying or declining a necessary knee replacement in Delhi could result in a less favourable outcome. But if you are having trouble getting up to answer the phone or walk to your car, you may be a candidate.

At what age should it be done?

Age is not the deciding factor.

I have reservations regarding its success?

Total knee replacement surgery in Delhi has a high rate of success in eliminating pain and restoring range of motion; 90-95% of patients achieve good to excellent results.

What is a total knee replacement?

Total knee replacement surgery in Delhi is really a cartilage replacement with an artificial surface. The knee itself is not replaced, as is commonly thought, but rather an artificial substitute for the cartilage inserted on the end of the bones.

Do I need to replace both my knee at the same time or not?

If both knees have advanced arthritis going for the replacement of both knees at the same time reduces the cost, rehabilitation and recovery time.

How much pain will I experience after surgery?

At our centre pain management is one of the top priorities. Our dedicated pain management team uses sophisticated methods such as spinal epidural catheters and patient-controlled anaesthesia transdermal patches to keep you virtually pain-free in the postoperative period. After you have recovered from surgery, you should experience significantly less pain in your knee.

Will I require a blood transfusion for surgery?

Generally not as we do without muscle cutting technique which further reduces blood loss. However one may require if a person is already having less reserve.

What is the recovery time?

Each patient heals from surgery at a different Pace. We make the patients walk usually after 48 hrs of operation with walker support. In most cases, you will be restricted to the use of a walker for approximately 2-3 weeks. You will be able to climb up and down stairs with a stick at 3 weeks. And will be walking without any support in 6 weeks’ time.

What special advantageous technique do you use for surgery?

At our centre, we perform minimally invasive (smaller incision) total knee replacement surgery in Delhi, no muscle cut technique which further reduces infection chances and hastens recovery (less blood loss) and usually we do not use a tourniquet for a long period so thigh pain is less.

Reasons for Total Knee Replacement Surgery in Delhi (Indications)

A patient suffering from Pain, difficulty in walking, bowing of legs or instability, may benefit from a Total Knee Replacement. The above symptoms may be due to underlying conditions like Osteoarthritis, Rheumatoid Arthritis, Previous injury, and various other conditions. Surgery is indicated if the above symptoms continue to affect your lifestyle, in spite of adequate non-operative treatment.

Benefits of Total Knee Replacement

• BETTER ALIGNMENT SO NO DEFORMITY
• FRICTION-FREE SURFACE SO NO PAIN
• STABLE IMPLANT SO NO INSTABILITY

Painless walking is the goal of total knee replacement

Consultation before Knee Replacement Surgery (Pre-OP)

It is important to discuss with your surgeon, your diagnosis, other options of treatment, the procedure, the postoperative course, and possible complications. Please take your medicines with you and you may be advised to stop some of them, before surgery.

You may also be required to see other specialists like the Anaesthetist ( The doctor, who may put you to sleep or otherwise), Other medical specialists like the Cardiologist, if required, the Physiotherapist and the Occupational therapists.

Anaesthesia for Knee Replacement

The Anaesthetist, in consultation with you, usually decides on the type of Anaesthesia. The options are usually General Anaesthesia, Spinal Anaesthesia, Epidural Anaesthesia, and Nerve blocks. Sometimes, a combination may also be employed to provide adequate Anaesthesia during the procedure and adequate analgesia (pain relief) after the procedure.

The Operative Procedure for Total Knee Replacement

It involves a skin incision (surgical cut) on the midline of the knee. By careful dissection, the joint is approached and inspected. The worn-out cartilage and bone surfaces are shaved off. The bone ends are prepared meticulously and systematically to accept the selected prosthesis (artificial knee implant). These are usually fixed with a special cement (poly-methyl-methacrylate), but may not be in some implants (uncemented). Apart from the long bone ends (femur and Tibia), the patella may also be re-surfaced, in some instances.

The tissues are carefully repaired back with sutures and clips. Dressings are applied around the knee, at the end of the procedure. Antibiotics are usually administered at the start of the procedure, to minimize the risk of infection. The precautions taken include maintaining a sterile field, using antibiotic-loaded cement and performing the procedure in laminar flow Theatres.

After the procedure, the patient is usually moved to the recovery room for a few hours and subsequently back to the ward.

Post-operative Care after Total Knee Replacement Surgery in Delhi

Pain relief after the procedure is adequately provided by various options like epidurals, patient-controlled anaesthesia, Nerve blocks, Injections, patches, tablets etc. The Anaesthetist, who may be a part of the pain team, will be responsible for this.

Whilst in the ward, you may be provided with stockings, fitted with compressive stockings and may be given injections or tablets, to minimize the risk of developing clots in the body.

You may have to visit the Radiology department, to get some X-rays of your operated knee, showing the implants. You may have a couple of dressing changes, while you are in the hospital.

Post-operative rehabilitation after Total Knee Replacement

The physiotherapist will visit you in the ward and encourage you to start getting up and walking. The sooner a patient is able to do this the earlier the progress in rehabilitation and the earlier the discharge. Initially, you may be provided with a walker or a frame and subsequently progressed to crutches or sticks. If you have steps to negotiate at home, they will help you with them, before discharge.

After Discharge from Knee Replacement Surgery

You will be advised to wear your anti-embolic stocking for at least 6 weeks. You will be advised on physiotherapy and appropriate exercises. It is important to diligently perform these to get good extension and flexion in the joint.

You will be advised to see the orthopaedic doctor in Delhi in 2 weeks’ time, when the clips or sutures on the skin may be removed. Here you will be advised on the progress of your physiotherapy and subsequent review. Success

Total Knee Replacement is an extremely successful operation throughout the whole world. It is very good for relieving pain inappropriately indicated patients. The success rate is reported at 95%.

TOTAL JOINT (KNEE) REPLACEMENT

If your symptoms continue to be bad and you have had no relief from the above-mentioned options, your doctor may offer you a Total Knee Replacement. This is a surgical procedure, where the joint surfaces that are worn out are replaced with metal implants and an intervening polyethylene insert. You would need General or Regional Anaesthesia for this procedure.

In the appropriately selected patient, Total Knee Replacement in West Delhi offers excellent pain relief and great improvement in their quality of life. It is one of the most successful operations, performed throughout the world. Most people are extremely happy with the outcome.

Total shoulder prosthesis

Reasons for Shoulder Replacement Surgery in Delhi (Indications)

The common reason is a pain in the shoulder, which may be due to Rheumatoid arthritis, Osteoarthritis and other problems in the joint. The replacement may be partial (Hemiarthroplasty) or Total (including the Glenoid) shoulder replacement.

Preparation before Shoulder Replacement Surgery

Please keep in mind that your arm that is going to be operated on is going to be in a sling for at least 6 weeks. So, you may wish to make arrangements for home help during the period or make adjustments accordingly to your home. Doing a mock immobilisation of your arm in a sling around the house may give you an idea of the limitations that you are likely to face at your home, in the postoperative period.

The Procedure of Shoulder Replacement

A skin incision is made in the groove between the Deltoid (shoulder) and Pectoral (chest) muscles. Through the careful dissection of skin, fat, fascia, muscle and capsule, the shoulder joint is approached. The joint surfaces are carefully prepared and the prostheses (artificial joints) are implanted. They may be cemented or un-cemented.

After implantation, the tissues are carefully repaired back and dressings are applied. The arm is immobilised in a sling.

In general, the intervention lasts about two hours. A longitudinal incision of about ten to fifteen centimetres is made along the front of the shoulder joint. Surgery is most commonly done under general anaesthesia.

Post-operative rehabilitation after Shoulder Replacement Surgery

You may have to wear your arm in a sling out of the operating room. Continue to wear it as long as your orthopaedic doctor in Delhi or physiotherapist prescribes it. The length of your hospital stay depends on many factors. Your surgeon is best placed to advise you.

Once you are comfortably mobilising, with your arm in a sling, you will be discharged home. Your shoulder will be immobilised, giving the tissues a chance to heal and gradually over weeks and months, you will be advised to increase your activity.