A. Surgery using Minimally Invasive Technique:  

Mini Invasive Surgery is when the muscles around the joint are NOT CUT. This approach doesn’t incite the inflammation as much as the conventional technique. Hence the surgery is painless, recovery is quick and most patients begin walking within 3 to 6 hours after surgery, start stairs climbing on the next day.

B. Unique techniques: surgery is done WITHOUT use of

• TOURNIQUET
• CAUTERY
• SUCTION
• DRAIN

Benefits:
• Less blood loss.
• Less local tissue trauma to nerves and muscles.
• Less post-operative pain.
• Less risk of complications like deep vein thrombosis, infection or blood clots, etc.
• Easier & early rehabilitation.
• Less post operative stiffness.

Pain after Knee / Hip Replacement Surgery can be a worrisome factor that deters the determination to undergo surgery.Dr.Shailendra Patil Mulund .
With recent advances it is possible to replace a joint via Minimally Invasive Techniques, wherein patients enjoy painless postoperative period. With this technique your new knee will feel as comfortable as you feel at home. Our idea is to comfort patients and help them eliminate the fear of Knee and Hip replacement.

Surgical Advantages of Minimally Invasive Knee Replacement Surgery .

• Fast Recovery
• Walking after 4-5 hrs of surgery and staircase climbing from next day of surgery.
• Short hospital stay 2 to 4 days.
• Minimal blood loss during the surgery
• No blood Transfusion.
• Less Physiotherapy.
• Less Antibiotic.
• Stitch less Surgery.

What is the Golden Knee Replacement?

The golden knee replacement surgery is a blessing for the people who have a metal allergy. These knee implants have enhanced surface coating of Titanium Niobium Nitride (TiNiN). This coating gives the implant a golden coloured look and improves the longevity and performance of knee replacement surgery. This coating also makes the implant allergy-proof.

Why is Golden Knee Replacement Surgery done?

The gold knee is one of the best implants available today and the most successful too. It not only increases the life of the implant but also prevents any allergic reactions in the patient. Regular knee implants made of chromium cobalt alloy tend to release metal ions in the body. In patients who have a metal allergy, these metal ions can cause inflammation in the knee area and eventually cause complications like infection, loosening and persistent knee pain. Golden Knee implants do not induce allergic reaction with human tissue. Its wear and tear are very low. Hence a Golden Knee replacement surgery is generally suggested for such patients. Due to its improved longevity of up to 40 years, this implant is preferred for knee replacements in patients younger than 60 years.

Who should undergo Golden Knee Replacement?

Any patient can undergo Golden knee Replacement surgery. However, it is preferably advisable for patients who have a metal allergy. (Allergy to artificial jewellery, metallic watch strap or metallic spectacle frames, etc). Patients younger than 60 years are advised to undergo Golden Knee Replacement.

What are the benefits of Golden Knee Replacement?

Allergy-proof
Improved longevity of up to 40 years
Improved durability of the implant
Better Biocompatibility
Better surgical results

Joint replacement surgery is a procedure that many people undergo to relieve chronic joint pain and improve joint mobility when other non-surgical treatments have proved unsuccessful. If you are dealing with persistent joint pain and a limited range of motion then joint replacement surgery may be worth considering to restore your overall quality of life and get you back to doing the things you enjoy, pain free.

There are many different joint surgeries available and depending on your symptoms and the joint affected, will determine best type of surgery for you. Your orthopedic surgeon will be able to discuss all the options with you. The most common types of joint replacement surgery include:

Total Joint Replacement Surgery
Total joint replacement (an arthroplasty) is a procedure which involves removing part or all of the damaged joint and replacing it with artificial implants. Joint replacement surgery can improve mobility and provide significant pain relief. It may be required for advanced arthritis or as a result of an injury. Knee, hip and shoulder replacements are common type of joint replacement surgery. Joint replacement surgery can often be done as a minimally invasive procedure, which uses smaller incisions, has shorter hospital stays, and has a shorter recovery time than traditional joint replacement procedures.

Hip Replacement Surgery
Anterior Hip Replacement – An anterior hip replacement is a new way to implant a hip replacement using minimally invasive techniques. This allows for muscle sparing instead of muscle splitting and allows for a faster recovery and fewer restrictions on activity after surgery.

Partial Hip Replacement – A partial hip replacement (a hemiarthroplasty) involves replacing the femoral head (the ball) only and not the acetabulum (socket). This procedure is used more in older patients suffering from a hip fracture and is an option when the socket is healthy.

Knee Replacement Surgery
Partial Knee Replacement -The knee joint is divided into three compartments (the lateral, medial and patellofemoral compartments). If damage only affects one or two compartments of the knee, a partial knee replacement may be recommended. A partial knee replacement procedure involves removing damaged tissue, resurfacing existing areas, and implanting artificial parts into the affected compartment(s) of the knee.

Robotic Knee Surgery 

a state-of-the-art surgical procedure which uses the NAVIO system for partial or total knee replacement surgery. Surgery is customized to your personal anatomy by creating a 3D representation of your knee’s unique shape and profile, and it doesn’t require a CT scan. Customized 3D-representation of your knee combined with robotic assistance during surgery, allows for a more accurate fit and better long-term outcome. Surgery is carried out with robotic assistance to replace part or all of the knee joint with prosthetic implants. The robotic instruments bend and rotate better than the human hand for enhanced precision, vision, and control during this minimally invasive procedure and healthy structures surrounding the area remain unharmed.

Shoulder Replacement Surgery

Reverse Shoulder Replacement – Where the position of the ball and socket in the joint are switched over and replaced with artificial parts. A prosthetic “ball” is surgically attached at the shoulder blade, and an artificial “socket” is then constructed at the top of the upper arm bone. By reversing the location of the ball and socket, it allows the shoulder to bypass the damaged muscles and tendons and use the muscles at the top of the arm and shoulder instead. This stabilizes the shoulder joint and restores pain-free motion and function.

Joint Preservation

Joint preservation helps to restore normal and pain-free function to the knee, hip, and shoulder joint. It is achieved through the use of different treatment methods including activity modifications, medications, physical therapy, injections, and sometimes surgery. Joint preservation strategies are personalized for each patient, taking into account their age, activity level, expectations, and degree of joint dysfunction.

Joint Replacement Surgery In Macomb County

At Movement Orthopedics we use state-of-the-art techniques for all your orthopedic needs including joint replacement surgery. We treat patients of any age experiencing musculoskeletal and joint dysfunction or injuries, and specialize in knee and hip conditions. We also offer hip or knee joint replacement on an outpatient basis, allowing you to recover in your own home immediately following surgery.

The largest joint in the body and vital for movement, the knee endures a great deal of stress from sporting activities like running, jumping, and cycling, as well as from everyday activities like kneeling, climbing, and walking. The knee is a complex hinge joint that allows the leg to flex and extend while also providing a small degree of rotation. This rotating ability, along with the pressure, weight, and impact endured by the knee on a regular basis makes it particularly vulnerable to pain and injury. It’s no wonder, then, that knee pain is the number one reason people visit orthopedic specialists.

Knee Anatomy

The bones that make up the knee provide weight-bearing support and are comprised of the shin bone (tibia) and the thigh bone (femur). The calf bone (fibula) provides additional support and the kneecap (patella) covers and protects the knee joint. Other components of the knee include muscles, which control movement, ligaments and tendons that provide stability, and special fibrocartilage and synovial fluid which allows for smooth, pain-free movement.

With the knee being such a complicated joint, there are a number of issues, injuries, and conditions that can affect any of the components that make up the knee and cause pain. Every day, millions of people of all ages are afflicted with knee pain. Whether due to a sports-related injury, diseases such as osteoarthritis and inflammation, or just regular wear and tear, chronic knee pain can have a detrimental effect on your overall quality of life.

Common Causes of Knee Pain

There are a number of diseases or injuries which could cause knee pain, but some of the more common ones are:

Osteoarthritis
Fractures
Torn ligaments or cartilage
Gout
Dislocation
Wear and tear
Tendonitis or Tendon Tears
Bursitis
Knee pain is classified as either acute (immediate), typically caused by injury or infection, or chronic (long-term) often caused by inflammation or injuries.

Symptoms of knee pain are dependent on the underlying cause but could result in:

limited mobility
swelling or stiffness
reduced strength and stability
restricted movement of the knee joint
Inability to reach full extension of knee
Interesting Knee Pain Statistics


The leading cause of knee pain in adults 50 years or older is osteoarthritis
Obesity can also lead to knee pain
More women than men report knee pain
Common factors contributing to knee pain include excess weight, improper techniques when exercising, sport activities, poor muscle strength and flexibility, overuse, and previous injuries.

Prevention

There are some measures you can take to prevent or reduce your chances of experiencing knee pain. For example, excess weight puts an enormous amount of strain and pressure on your knee joints which can increase your risk of injury, so be sure to maintain a healthy weight. When exercising or playing a sport, be diligent about using proper form and technique so as to not cause undo stress on your joints. Finally, keep your muscles strong and flexible as they play a critical role in supporting your knee and maintaining proper range of motion.

When to See an Orthopedic Specialist

If treated in a timely manner, some cases of knee pain can be completely alleviated. Knee pain left untreated for too long, though, could result in chronic knee pain, joint damage, and disability. Many people suffer through the pain or just live with it, but they could be making their condition worse. Don’t compromise your quality of life. Be sure to visit an Orthopedic Specialist right away if you experience any of the following:

Noticeable swelling of the knee area
Pain and discomfort when any pressure is put on the knee
Feeling like your knee might give out if you put any weight on it
Redness, pain, and tenderness of the knee
Soreness and stiffness of the knee after being sedentary for long periods of time
Inability to fully extend or flex your knee
Decreased range of motion
Dull or sharp knee pain that won’t go away
Orthopedic specialists are experts in conditions that affect the musculoskeletal system. They specialize in diagnosing and treating issues affecting joints, bones, muscles, tendons, ligaments, and nerves. Orthopedic doctors can devise a plan of treatment, surgical or non-surgical, to help you get back your range of motion and lessen or eliminate your knee pain. The most important thing is to not wait too long to see an orthopedic specialist when you start experiencing knee pain. Early treatment and diagnosis can go a long way in preventing further damage.

Step One: Understand Your Procedure
The first step toward a smooth recovery is to gain a better understanding of what you will be recovering from. With a clear idea of the procedure, its goals, and its potential outcomes, you can better prepare for the necessary follow up. When your doctor recommends that you receive a bilateral total knee replacement, take the time to get to know what is involved.

Your doctor may recommend this procedure if you have experienced injury or degeneration of the cartilage in your knees. During the procedure, the arthritic ends of the bones which make up your knee joint are removed and replaced with a new, metal and plastic prosthesis. This artificial joint can emulate the normal function of the knee. Typically, its goals are to relieve pain and restore mobility to the joints.

Step Two: Understand the Timeline of Recovery From Bilateral Total Knee Replacement
To best prepare for recovery from bilateral total knee replacement, it is important to begin with a general idea of how the recovery process will unfold and when you can begin to return to your normal activities. Often, your recovery timeline will look like the following:
Immediately After Surgery you will be encouraged to begin moving as soon as possible. You will be instructed to follow certain exercises and then get out of bed to start taking supported steps.
In The First Few Days you will likely be able to leave the hospital to continue stretching and strengthening exercises on your own.
For the First Several Weeks you will probably be advised to use assistance for walking, such as walker or a cane. You will also need to follow your surgeon's instructions to care for the incisions site.
About Six Weeks After Surgery you will likely have a follow up visit with your physician, at which point she or he may give you permission to resume most general activities, including driving. You will also discuss a timeline for when you can return to more demanding activities like jogging.

Step Three: Schedule the Help You’ll Need
Based on the anticipated timeline of your recovery from bilateral total knee replacement, you should also make plans for the assistance you’ll need, prior to your procedure. You will need to arrange for a ride home from the hospital after your procedure, as well as help getting settled. You will also need to have continued arrangements for assistance driving, until your doctor gives you the approval to return to this activity, which typically happens 4 weeks after the procedure.

In addition to calling on friends and family members to help you along the way, you can also take a few other preparatory steps. For instance, you can install a safety bar and seat to your shower to add necessary support during recovery. Additionally, make sure you have a footstool or ottoman available to elevate your leg while resting.

Step Four: Follow Post-Operative Instructions
In addition to letting you know when you can resume your normal activities, your surgeon will also give you a series of instructions to follow after your procedure, including wound-care, physical therapy, and a graduated walking schedule. Dr.Shailendra Patil Thane It is imperative that you follow your surgeon's instructions to help promote a swift and effective recovery. Common instructions may include:
Arranging for necessary at-home care
Caring for the incision site
Taking the recommended medication
Maintaining the appropriate activity level
Following the recommended physical therapy regimen
Attending important follow up appointments
For a full list of instructions specific to your situation, talk with your surgeon prior to your procedure. It may also be helpful to share these instructions with a family member who will be present during your recovery period, as they can help you follow through.

Step Five: Enjoy Pain-Free Use of Your Knees
Bilateral total knee replacement procedures offer most patients excellent results in terms of relieving pain and increasing mobility. Patients can typically expect a greater than 95% chance of success at 15 years out from the procedure. So, after you have followed all of the recovery instructions, enjoy your new knees and the pain-free mobility they have to offer!

It is difficult to read a sports page in any major newspaper these days and not see a report dealing with an athlete sidelined by a knee injury. Knee injuries are occurring with alarming frequency at all levels of athletic participation – from “Peewee” to adult, from recreational to professional.

Most younger athletes injure their knees by direct trauma or by a twisting type injury. Individuals can injure their ligaments, articular cartilage or menisci. A traumatic meniscal tear occurs with little or no trauma. These degenerative tears are seen more in the older population. As part of the aging process, the water content of the menisci decreases and a gradual weakening occurs. This leads to a decrease in the force necessary to tear a meniscus.

Your meniscus is crescent-shaped cartilage, cupped to help hold bones in place. You have one on each side of your joint – on the outside, the lateral meniscus, and on the side closest to your other knee, the medial meniscus. When healthy, the meniscus absorbs shock by cushioning and distributing forces across your joint. It also helps stabilize your knee by controlling its rotation. The outer edge of the meniscus is supplied by nutrient-rich blood.Dr.Shailendra Patil Kalyan .

Meniscal tears can cause locking to the knee, buckling of the knee, or just pain and swelling. Treatment consists of rest, ice, and elevation. In instances of locking, arthroscopy is necessary to repair the injury. Depending on the age of the individual and the symptoms that occur, one’s treatment is tailored to each individual. Treatment may be conservative with physical therapy or may require surgical intervention.

The knee is one of the largest joints in the body. It provides us the flexibility to do daily activities like sitting, standing, walking, running with ease. Age related knee problems are common, however, due to changing lifestyle, younger people are also experiencing knee pains. This may be due to….

Knee injury
Nutritional deficiency
Heavy intake of sodium
Smoking or drinking
Here are some of the changes that may help to strengthen the knees:

Do A Proper Knee Exercise:  There are some exercise which are targeted on the knees especially. This exercise helps in strengthening the weak muscles around knee joints it also helps in strengthening knee bones. These exercise includes sit-ups, step-ups, lunges, squats, thigh contraction, knee bends, knee strengthening stretches, swiss ball, straight leg raises.  Doing this exercises 30-40 minutes per day will help to strengthen the knee. Stop doing the exercise if knee pain increase and consult the doctor. Get a proper guidance on the exercises which are suitable for the patient.

Massage: Massage therapy is best method known to get relief of knee pain. Rubbing warm oil (coconut oil, mustard oil, olive oil) on patient’s knees will help in improving proper blood circulation in the veins around the knees. Always massage 3-4 times a week for 10 to 15 minutes to get the better result. If the patient is suffering from extreme knee pain then consult a doctor and get help of an experienced massage therapist.

Intake of Vitamin D: Vitamin D is known to be extremely beneficial for bones and joints health. Patient suffering from knee pain can get vitamin D from the sunlight. Hence exposing their knees in morning sunlight before 11 a.m. for 15-20 minutes daily is very much useful to decrease the further risk of trauma. Also, they can get the source of vitamin D from dietary source such as fish, cod liver oil, eggs yolks, dairy products and cereals.

Calcium: Calcium is essential for bone health. Thus, to increase knee strength eat lots of leafy green vegetable, dairy products, cereals, almonds, oranges.Dr.Shailendra Patil Thane

Swimming: Swimming allows exercising of knees with low pressure on joints. It can reduce stiffness and pain from the knees and helps to strengthen the bones. Swimming for half an hour to one hour alternate days a week can help to reduce knee problem. If the pain continues and if the patient feels increase in knee problem then consult a doctor and take a proper guidance for the treatment

Total Knee Replacement Surgery is very common and high successful surgery in India now a days.  But patients are always waiting for doctors second opinion and its also recommended by doctors  to have second opinion before knee replacement surgery. Each doctors examine the patients in different ways , some surgeons embrace with new technique or new machines or new Implants,  this new techniques or machines help different patients in different ways. There must be three reason where patients should go for Second Opinion before Joint Replacement Surgery.Dr.Shailendra Patil Thane .

1.Conventional Techniques V/S new techniques .

   Patients has the option to choose the technique, a senior doctors with good hand but still using a old open surgery techniques where patients need to stay in hospital for 7-8 days , unbearable pain, heavy loss of blood, high antibiotics , patients find it very difficult to bear all this things at the age of 50 plus., patients has a option to choose different new techniques  and enjoy Painless surgery.

2.Partially or Fully Knee Replacement Recommended

Some time  doctors recommended Total Knee Replacement but if the knee partially damage then a experienced doctor may advice patients only for Partially Knee Replacement surgery.  Here By getting a second opinion, patients will discover whether another doctor thinks a Total Knee Surgery is necessary.

3.Implant Choices and cost

   The Knee or Hip Replacement Surgery cost is depend on the Implant used during the surgery , there are various range of local and foreign implants are available in the market, so after taking different opinion patients get different options to reduce the cost, doctors give different hospitals options where patients can reduce the cost. Through the advance Knee Replacement technique patients can also reduce the cost.