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.

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.

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!

Pain after Knee / Hip Replacement Surgery can be a worrisome factor that deters the determination to undergo surgery.
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.

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.Dr.Shailendra Patil Mulund

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.

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.

Knee arthritis is a progressive disorder caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts along the margins of the joints.
According to a survey done in India, a huge population, both urban and rural, are facing knee arthritis on a large scale.

Common symptoms are pain, deformity and disability to do daily routine activities, like stair climbing, sitting cross legged or squatting.

Knee arthritis affects women more commonly than men. Chiefly due to hormonal changes after a certain age that affect the joints adversely. Obesity and Genetic predisposition also play a role. Socio-cultural habits like sitting cross legged on floor, squatting, long standing hours of work, frequent use of stairs, also contribute to the knee arthritis in the society.
Malnutrition with calcium & vitamin D deficiency weakens the bones and predispose to arthritis.
“Knee Osteoarthritis leads to disability and loss of mobility, if pain is not relived by basic treatments like physiotherapy & medications, then Knee Replacement Surgery provides magical solution to all knee related problems”, quotes Dr.Shailendra Patil, Consultant Joint Replacement Surgeon.

As per a survey done by NDTV “India May Have 60 Million Osteoarthritis Cases by 2025”
India may hold the highest rank of Arthritis patients by 2020.Dr.Shailendra Patil Reviews

Let’s pledge to fight arthritis together and regain the freedom of movement.
Age Gracefully Live Carefree & Walk Painfree.

Bone and Joint Care Centre

Human Touch Clinic, 2nd Floor, Above Manoranjan Shop Paanch Rasta, Mulund (West), Mumbai.

OTHER LOCATIONS

THANE – Currae Specialty Hospital

THANE (West) – Doctors Planet

NAVI MUMBAI – Sterling Wockhardt Hospital

VIKROLI & BHANDUP : Ruby Hospital

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.

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.