What is Tendon Transfer Surgery?

Tendon transfer surgery in Delhi is a type of hand surgery that is performed in order to improve lost hand function. A functioning tendon is shifted from its original attachment to a new one to restore the action that has been lost.

Who needs Tendon Transfer Surgery in Delhi?

Many different conditions can be treated by tendon transfer surgery in Delhi. Tendon transfer surgery is necessary when a certain muscle function is lost because of a nerve injury. If a nerve is injured and cannot be repaired, then the nerve no longer sends signals to certain muscles. Those muscles are paralyzed and their muscle function is lost. Tendon transfer surgery can be used to attempt to replace that function. Common nerve injuries that are treated with tendon transfer surgery are spinal cord, radial nerve, ulnar nerve, or median nerve injury.

Tendon transfer surgery may also be necessary when a muscle has ruptured or been lacerated and cannot be repaired. Common muscle or tendon injuries that are treated with tendon transfer surgery are tendon ruptures due to rheumatoid arthritis or fractures. Also, tendon lacerations that cannot be repaired after injury may be treated with tendon transfer surgery.

Tendon transfer surgery in Delhi may also be needed if a muscle function has been lost due to a disorder of the nervous system. In this situation, the nervous system disease or injury prevents normal nerve signals from being sent to a muscle, and an imbalance in hand function occurs. The muscle imbalance or muscle loss due to nervous system disease may be treated with tendon transfers. Common nervous system disorders treated with tendon transfer surgery are cerebral palsy, stroke, traumatic brain injuries, and spinal muscle atrophy.

Finally, there are some conditions in which babies are born without certain muscle functions. In these situations, the missing muscle functions can sometimes be treated with tendon transfer surgery. Common conditions treated this way include hypoplastic (underdeveloped) thumbs and birth brachial plexopathy (nerve problem with paralysis).

What happens during Tendon Transfer Surgery?

Below the elbow, there are over forty muscles. Each different muscle has a different function. For example, there are 9 muscles that move the thumb. Each muscle has a starting point (origin), and tapers down from its muscle belly into a tendon that then attaches to the bone (insertion) in a specific place; when the muscle fires (contracts), it causes a certain motion (action).

During tendon transfer surgery in Delhi, the origin of the muscle is left in place; the nerve supply and blood supply to the muscle are left in place. The tendon insertion (attachment) onto bone is detached and re-sewn into a different place. It can be sewn into a different bone, or it can be sewn into a different tendon. After its insertion has been moved, when the muscle fires, it will produce a different action, depending on where it has been inserted.

What are the alternatives to Tendon Transfer Surgery?

You can discuss other treatment choices with your orthopaedic surgeon in Delhi. Other options may include repairing the nerve that has been injured or repairing the tendon or muscle that has been injured. In some cases, tendon grafts can be used, in which a portion of the intact tendon is removed, without its muscle, and used to bridge a gap in an injured tendon. In other cases, tendon lengthening or bone fusions may be necessary as part of reconstructing hand function.

What are the risks of Tendon Transfer Surgery?

All surgery has some risks, although those risks may be small. All surgeries produce a surgical scar. Surgical incisions may develop the infection. All surgeries require the use of anaesthesia and will require a complete history and physical examination by your primary care physician to determine if you have medical risks associated with anaesthesia. Evaluation by the anesthesiologist will help outline your risks and options.

When a tendon is transferred and sewn into another position, the tendon transfer will need a period of time to heal, usually about one to two months. A splint or cast may be used, followed by therapy to teach you the new tendon function. Finally, exercises will be needed to strengthen the muscle after your hand surgeon feels the tendon transfer has sufficiently healed. You will need to follow post-operative instructions. Movement too early can lead to rupture of the tendon transfer. Movement too late can lead to excessive scarring of the tendon with resultant stiffness. Discussion of your individual case with your orthopedic in Dwarka will help you further understand the risks and benefits associated with tendon transfer surgery.

What is an example of Tendon Transfer Surgery?

After a fracture of the wrist, the fragments of bone associated with the fracture may erode the tendon that straightens the tip of the thumb. In this situation, the thumb tip would not be able to move upward (extend). The muscle that extends the tip of the thumb is the extensor pollicus longus (EPL). The EPL tendon typically cannot be directly repaired because it is too frayed. There are two muscles that extend the index finger. Just like the body has two kidneys so that one can be spared if necessary, the body also has two tendons that extend the index finger. One tendon is left intact on the index finger so that it won’t lose extension, and the “extra” tendon can be transferred over to the thumb to replace the lost function. The tendon insertion of the “extra” index finger extensor tendon (Extensor indicus proprius—EIP) is detached. The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL).

After this type of surgery, a splint or cast is used for one month, after which supervised therapy may be started to re-learn how to use the transferred tendon to extend the thumb. Gentle movement with a protective splint may be used for an additional month. If adequate progress is made, the therapy may be advanced one month later to re-learn activities and strengthen the muscle, with the restoration of the ability to extend the thumb. A supervised hand therapy program for retraining the muscles is extremely important to achieve the best possible function.

The spinal deformity program at Neo Orthopaedic Clinic is comprised of certified orthopaedic in Delhi and registered orthopaedic nurse specialists. Together, this team of leading experts effectively diagnose, evaluate, and treat patients with spinal deformities including scoliosis, pediatric scoliosis, and spondylolisthesis.

Scoliosis, a major type of spinal deformity, is a lateral curvature in the normally straight vertical line of the spine. The normal spine curves gently backward (kyphosis) in the upper back and gently inward in the lower back (lordosis). The management of scoliosis is individualized for each adolescent depending on his/her age, amount of curvature, and amount of time remaining for skeletal growth.

The diagnosis of pediatric scoliosis often requires frequent examinations by an orthopaedic physician to monitor the condition as the child grows. Early detection is important. If left untreated, scoliosis can cause problems with heart and lung function. Observation and repeated examinations may be necessary to determine if the spine is continuing to curve. Midwest Orthopaedics at Rush spinal deformity physicians are highly experienced in all treatment options including bracing and spinal surgery.

Spondylolisthesis, another spinal deformity, occurs when one vertebra slips forward in relation to an adjacent vertebra (usually in the lumbar spine). The symptoms that accompany a spondylolisthesis include pain in the low back, thighs, and/or legs, muscle spasms, weakness, and/or tight hamstring muscles. Some people are symptom-free and find the disorder exists when revealed on an X-ray. In advanced cases, the patient may appear swayback with a protruding abdomen and exhibit a shortened torso and waddling gait.

Treatment options for spondylolisthesis include custom-made bracing and, in severe cases, surgery. Surgical intervention is considered when neurologic involvement exists or when conservative treatment has failed to provide relief from long-term back pain and other symptoms associated with spondylolisthesis.

The Bone Lengthening Ilizarov in Delhi is a versatile procedure uses a circular external fixator device that attaches to the bone via transfixion thin wires, commonly used to lengthen the bone. A corticotomy (CUTTING OF BONE) is performed, permitting attachment of the wires. Periodic adjustment of the external fixator produces a distractive lengthening force, which gradually stimulates new bone growth.

Bone-lengthening procedures are considered medically necessary for the correction of congenital or post-traumatic limb length discrepancies and angular deformities of the limb (arm, forearm, thigh, or leg).

INDICATION OF ILIZAROV

•  NON UNION OR MAL-UNION of long bone
• INFECTED NONUNION
• NONUNION / MALUNION WITH SHORTENING / BONE LOSS
• LIMB LENGTHENING
• DEFORMITY CORRECTION
• BONE DEFECTS
• CHRONIC ULCER HEALING

Dr Ashu Consul Best Arthroscopic Surgeon in Delhi

Dr Ashu Consul is a specialist orthopaedic surgeon and arthroscopic surgeon. He has performed more than 3000 arthrocopic surgery till now. Arthroscopic surgery, also known simply as arthroscopy in Delhi, is a minimally invasive orthopaedic procedure used to diagnose and treat joint problems.

Arthroscopy is not a surgery, but a surgical method that can be used in many different procedures to diagnose joint problems or treat acute and chronic joint diseases. Arthroscopy in West Delhi is a minimally invasive procedure that uses a camera to look inside the joint instead of opening it completely.

The arthroscope is a pencil-sized surgical instrument with a camera projected onto an operating room monitor. The arthroscope is often used with other instruments that are inserted through another incision or incision.

The orthopaedic surgeon in Delhi inserts an arthroscope (a thin instrument with a camera attached) through one of several small incisions. A small incision (about the size of a loop) will be made to insert the arthroscope into the knee joint.

After the operation, the surgeon drains saline from the joint and sutures several small incisions. The surgeon usually injects novocaine into the knee during surgery to relieve pain after surgery. After surgery, patients should rest and elevate the joint and apply ice packs to reduce pain and swelling to speed up recovery time after knee arthroscopy.

With arthroscopy, the surgeon reconstructs the most common knee using surgical techniques such as suturing, inserting pins or rivets, or repositioning the bones. Orthopaedic surgeons use arthroscopy to diagnose, treat, and repair numerous conditions and diseases that can cause joint pain or mobility problems.

Arthroscopy in Dwarka, Delhi may be used along with additional surgical techniques. For example, if the surgeon performs arthroscopy on a knee joint and determines that the ACL  has been torn, an ACL RECONSTRUCTION may be added to the surgery.

One of the benefits of this minimally invasive approach is that this surgery is typically done on a DAYCARE basis, with the patient returning home the same day or the next day. Recovery is usually quicker than with comparable procedures performed “open” with a much larger incision.

Why Is Arthroscopy surgery in Delhi Necessary?

FOR DIAGNOSIS (DIAGNOSTIC) – If a diagnosis can’t be made by conventional methods like history, examination, blood investigations, or even imaging including MRI then arthroscopy help to make a diagnosis n sometimes simultaneously treats it also. we can take BIOPSY / SYNOVIAL FLUID FOR EXAMINATION / PHOTOGRAPH THE DAMAGE  basically actually seeing inside the joint.

FOR TREATMENT (THERAPEUTIC) –  to treat joint disorders, as  arthroscopy is evolving its indication are increasing day by day  with multiple benefits over conventional surgical methods like

DAYCARE  PROCEDURE – Lesser hospital stay.

FASTER REHAB – a small incision and lesser tissue damage causes less pain and early rehabilitation.

BETTER RESULTS – as anatomy is restored easily n without damaging much, results are much better.

NO/LESS BLOOD LOSS

Types of Arthroscopy Surgery in West Delhi

Arthroscopy surgery in Dwarka could potentially be performed on any synovial joint, and as time passes, more and more different joints are being arthroscopically treated. Common types of arthroscopy in Delhi include:

• Knee Arthroscopy
• Shoulder Arthroscopy
• Hip Arthroscopy
• Ankle Arthroscopy
• Elbow Arthroscopy
• Wrist Arthroscopy

KNEE & SHOULDER arthroscopy is by far the most common arthroscopic procedure performed. These joints are large enough to manipulate the instruments around, and they are amenable to arthroscopy in Delhi.

Technically speaking, any synovial joint can be arthroscope. However, the practicality and the instrumentation size available limit our ability to arthroscope every joint for all types of problems.

KNEE ARTHROSCOPY

knee arthroscopy in Delhi is being done for the following indications

• LIGAMENT INJURIES ( ACL / PCL TEARS )
• MENISCUS INJURIES
• CARTILAGE INJURIES
• PATELLOFEMORAL JOINT MALALIGNMENT
• SYNOVITIS OR EFFUSION
• LOOSE BODY REMOVAL
• ANY KIND OF IMPINGEMENT
• INFECTION / SEPTIC ARTHRITIS
• AS AN AIDE TO ARTICULAR FRACTURE FIXATION

SHOULDER ARTHROSCOPY

• ROTATOR CUFF TEAR
• RECURRENT DISLOCATION OF SHOULDER
• BURSITIS / SUBACROMIAL IMPINGEMENT
• FROZEN SHOULDER
• ACROMIOCLAVICULAR  JOINT DISLOCATION
• SLAP TEARS
• DIAGNOSTIC

Length of hospital stay

Arthroscopy in Delhi can be done on an outpatient basis, without the need to stay overnight in the hospital, but it may also require hospitalization. It all depends on the joint that will be operated on, the anaesthesia that will be used, and the procedure that will be performed.

How is the recovery of the patient

After arthroscopy in West Delhi, bruising may occur on the skin around the incision. This is temporary and should disappear within two weeks. The doctor should know about swelling and possible bleeding.

Joint rest may be necessary for a few days. The stitches will be removed between seven and 14 days. Ice, the elevation of the affected organ, and a compression bandage can be used to reduce any swelling. In addition, pain relievers will be prescribed to relieve any pain or discomfort. Physiotherapy and exercise will be recommended depending on the procedure that was performed. The orthopaedic surgeon in Delhi must inform you when to resume normal activity.

The Neo Orthopaedic Clinic

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

Arthritis affects the musculoskeletal system, specifically the joints. It is the main cause of disability among people over fifty-five years of age in Industrialised countries. However early arthritis treatment in Dwarka, West Delhi can relieve the symptom and makes people live a pain-free life.

Arthritis is not a single disease – it is a term that covers over 100 medical conditions. Osteoarthritis (OA) is the most common form of arthritis and generally affects elderly patients. Some forms of arthritis can affect people at a very early age.

The goals of arthritis treatment in Delhi is to control pain and other symptoms, minimize joint damage and deformity, slow the progression of arthritis, and maintain physical function. Arthritis treatment focuses on controlling pain, minimizing joint damage, and improving or maintaining function and quality of life. The goal of treating osteoarthritis is to reduce pain and improve the function of the affected joints.

Joint pain and other symptoms caused by osteoarthritis can be treated without surgery, especially when the disease is diagnosed early. While joint surgery can relieve pain and improve joint function, recovery can be lengthy, requiring pain medication and weeks or months of physical therapy. Medical professionals usually only recommend surgery for some severe cases of arthritis. Surgery is used when the joint is severely damaged or when medication does not relieve pain and there is severe loss of function.

What causes arthritis?

In order to better understand what is going on when a person suffers from some form of arthritis, let us look at how a joint works.

Basically, a joint is where one bone moves on another bone. Ligaments hold the two bones together. The ligaments are like elastic bands, while they keep the bones in place your muscles relax or contract to make the joint move.

Cartilage covers the bone surface to stop the two bones from rubbing directly against each other. The covering of cartilage allows the joint to work smoothly and painlessly.

A capsule surrounds the joint. The space within the joint – the joint cavity – has synovial fluid. Synovial fluid nourishes the joint and the cartilage. The synovial fluid is produced by the synovium (synovial membrane) which lines the joint cavity.

If you have arthritis something goes wrong with the joint(s). What goes wrong depends on what type of arthritis you have. It could be that the cartilage is wearing away, a lack of fluid, autoimmunity (your body attacking itself), infection, or a combination of many factors. It is advisable to not avoid joint pain and meet the doctor for arthritis treatment in Delhi.

Does cracking knuckles cause arthritis?

Cracking the knuckles, also known as “popping”, is a kind of joint manipulation that produces a cracking sound. Cracking one’s knuckles is a deliberate action.

In fact, humans are able to crack several joints, including the ankles, shoulders, feet, jaws, toes, neck and back vertebrae, elbows, wrists, and hips.

Types of arthritis

There are over 100 types of arthritis. Here is a description of some common ones, together with the causes:

• Osteoarthritis – cartilage loses its elasticity. If the cartilage is stiff it becomes damaged more easily. The cartilage, which acts as a shock absorber, will gradually wear away in some areas. As the cartilage becomes damaged tendons and ligaments become stretched, causing pain. Eventually, the bones may rub against each other causing very severe pain.
• Rheumatoid arthritis – is an inflammatory form of arthritis. The synovial membrane (synovium) is attacked, resulting in swelling and pain. If left untreated arthritis can lead to deformity. Rheumatoid arthritis is significantly more common in women than men and generally strikes when the patient is aged between 30 and 60. However, children and much older people may also be affected.
• Gout – is a type of arthritis in which uric acid crystals deposit in joint and causes arthritis, most commonly affects males of 30 – 60 yrs and involves typically joints of the foot commonly the great toe.
• Ankylosing spondylitis – is arthritis involving the spine with or without major joints like the hip and knee. Commonly affecting young males of age 15-30 yrs.
• Post-traumatic arthritis –  mostly after injury or fracture joint losses its alignment or damage to the cartilage which causes secondary osteoarthritis.
• Infectious arthritis (septic arthritis) – is an infection in the synovial fluid and tissues of a joint. It is usually caused by bacteria, but could also be caused by fungi or viruses. Bacteria, fungi, or viruses may spread through the bloodstream from infected tissue nearby and infect a joint. Most susceptible people are those who already have some form of arthritis and develop an infection that travels in the bloodstream.
• Juvenile rheumatoid arthritis (JRA) – means arthritis that affects a person aged 16 or less. JRA can be various forms of arthritis; it basically means that a child has it. There are three main types:

1. Pauciarticular JRA, is the most common and mildest. The child experiences pain in up to 4 joints.
2. Polyarticular JRA affects more joints and is more severe. As time goes by it tends to get worse.
3. Systemic JRA is the least common. Pain is experienced in many joints. It can spread to organs. This can be the most serious JRA.

What are the signs and symptoms of arthritis?

Many patients who suffer from arthritis visit us for arthritis treatment in West Delhi with various symptoms. The symptoms of arthritis depend on the type of arthritis, for example:

• Osteoarthritis – The symptoms develop slowly and get worse as time goes by. There is pain in a joint, either during or after use, or after a period of inactivity. There will be tenderness when pressure is applied to the joint. Initially, pain may be only on stair climbing or standing from a sitting position. The joint will be stiff, especially first thing in the morning. The patient may find it harder to use the joint – it loses its flexibility. Some patients experience a grating sensation when they use the joint. Hard lumps or bone spurs may appear around the joint. In some cases, the joint might swell. The most commonly affected joints are in the hips, knee,  hand, and spine ( in the spine it is known as spondylosis).
• Rheumatoid arthritis – The patient often finds the same joints in each side of the body are painfully swollen, inflamed, and stiff. The fingers( small joint of hands n feet), elbow, knee, and wrists are most commonly affected. Symptoms are usually worst on waking up in the morning and the stiffness can last for 30 minutes at this time. The joint is tender when touched. deformity also is seen which is diagnostic of it. Hands may be red and puffy.  Many patients with rheumatoid arthritis feel tired most of the time. Weight loss is common.
• Gout – common symptoms are painful red swollen foot joints, especially the great toe. serum uric acid is generally high.
• Ankylosing spondylitis – common symptoms are stiffness in the back and neck with stooping posture associated with pain. most of the patients have HLA B27 positivity.
• Infectious arthritis – The patient has a fever, joint inflammation, and swelling. He will feel tenderness and/or sharp pain. Often these symptoms are linked to an injury or another illness. The most commonly affected areas are the knee, shoulder, elbow, wrist, and finger. In the majority of cases, just one joint is affected.
• Juvenile rheumatoid arthritis – The patient is a child. He will experience intermittent fevers which tend to peak in the evening and then suddenly disappear. His appetite will be poor and he will lose weight. There may be blotchy rashes on his arms and legs. Anaemia is also common. The child may limp or have a sore wrist, finger, or knee. A joint may suddenly swell and stay larger than it usually is. The child may experience a stiff neck, hips, or some other joint.

How will arthritis affect me?

Arthritis affects people in many different ways. How long the patient is affected and how severely it depends on the type of arthritis. Arthritis sufferers will find there are good and bad days. Most patients with arthritis will suffer from discomfort, pain, stiffness, and/or fatigue. Most important they gradually find difficulty in doing daily activities of living.
You may also feel frustrated that you are no longer able to grip things so well or get around like you used to. It is important to remember that if you suffer from arthritis this does not mean you have to give up having an active lifestyle. With proper arthritis treatment in Dwarka, West Delhi, and some changes to your way of life, there is no reason why you cannot continue being active.

Goals of Arthritis Treatment in Delhi

The goal of treatment is often to limit pain and inflammation and help maintain joint function. The goal of these strategies is to reduce joint stress and inflammation to relieve pain and slow the progression of arthritis. While many other treatments for osteoarthritis can reduce symptoms, they cannot effectively reduce joint stress and arthritis progression. Doctors may prescribe medications to relieve arthritis pain, but they also often recommend natural treatments.

While medications are only one option for arthritis treatment, they can relieve pain (and slow joint damage in many cases of inflammatory arthritis). These drugs are still used in the treatment of inflammatory arthritis, but on their own may not be enough to adequately control symptoms and limit the damage that inflammatory arthritis can cause. Anti-inflammatory and pain medications can relieve the symptoms of arthritis. These medications can help relieve pain and reduce inflammation in the joints at the same time, although they do not prevent rheumatoid arthritis from progressing over time.

Options for arthritis treatment in Dwarka include medication, lifestyle changes, joint injections, surgery, and more. While there is no cure for rheumatoid arthritis, early treatment and support (including medications, lifestyle changes, supportive care, and surgery) can reduce the risk of joint damage and limit the effects of rheumatoid arthritis. The goal of rheumatoid arthritis treatment in Delhi is currently to reduce the level of arthritis activity and remission as much as possible while minimizing joint damage and improving physical function and quality of life.

Heat and Cold Therapy

Heat and cold therapy can help reduce the pain and inflammation of arthritis. Using heat, such as applying heating pads to sore joints, taking hot baths or showers, or soaking warm paraffin in sore joints, can temporarily relieve pain. Pain can be relieved by applying moist heat (a hot bath or shower) or dry heat (a heating pad) to the joint. Thermal treatments may include long showers or hot baths in the morning to relieve stiffness, and use of an electric blanket or wet heating pad to relieve discomfort at night.

Using a cold compress, such as an ice pack on a sore muscle, can relieve pain and inflammation after strenuous exercise. Arthritis in certain joints, such as the knee, can be improved with a type of treatment called viscous supplements.

Physical therapy

Physical therapy is often recommended by doctors to help people with arthritis overcome some problems and reduce movement restrictions. Dr Ashu Consul may recommend physical therapy to help manage some of the symptoms of arthritis.

Diet

There is no specific diet for arthritis, but certain foods can help reduce inflammation. Doctors have found that treating depression with antidepressants and other therapies can reduce not only depressive symptoms but arthritis pain as well.

DMARDs are slow-acting antirheumatic drugs that help stop disease progression and joint damage in some forms of arthritis. Disease-modifying antirheumatic drugs (DMARDs) and biological therapies can slow or stop arthritis, which causes swelling in the body.

Short-term pain and inflammation relief may include pain relievers such as acetaminophen, aspirin, ibuprofen, or other NSAIDs. Oral pain relievers such as acetaminophen were the first common treatment. Over-the-counter pain relievers such as acetaminophen (Tylenol, etc.), ibuprofen (Advil, Motrin IB, etc.), or naproxen sodium (Aleve) may help relieve occasional pain caused by activities that do not use muscles and joints pain. – It’s like gardening indoors in winter.

How to avoid arthritis?

As most common arthritis is osteoarthritis which is mostly due to an inactive lifestyle. So by doing the following, we can save our joints

• Walking- daily walking nourishes our joint cartilage (ends of our bones) so maintains its elasticity.
• Daily exercise  – daily exercise helps in maintaining our muscle strength around the joint so less stress goes to the joint and also adds to your bone mass (stronger bones).
• Avoid prolonged sitting  – as sitting is a new disease in itself so avoid sitting more than 45 minutes at a time, get up and take a walk, sitting causes twice the stress on the joints of the spine and knee than standing.
• Healthy diet  – as calcium-rich food gives minerals required by bones and joints.
• Maintain a healthy weight –  as obesity increases the load on joints and causes degeneration (wear and tear).
• Early consultation – if u feel any joint/s is painful then seeing an orthopaedic doctor in Delhi will save u from later complications.

The Neo Orthopaedic Clinic

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