Thursday, April 30, 2009

THE FIRST KNEE REPLACEMENT SURGERY USING REVOLUTIONARY MINIMAL INVASIVE SURGERY TECHNIQUE


Technologically advanced Minimal Invasive Surgery not only leads to less muscle cut – but also Makes the rehabilitation of the patient faster



Mrs. Sarojana, 65 yrs old housewife hailing from Hyderabad was suffering from severe knee pain and severe deformity in her knee. She was a very active person but the pain started affecting her daily activities and she was unable to walk. Now after the joint replacement surgery with the help of MIS technique she was able to straighten her leg with a flexibility of 1 - 100°. On the 2nd day of surgery she was able to walk independently without any support. Due to the advanced technique of MIS there was no cut or damage of the muscle which let to her quick recovery.


In the traditional surgery there is extreme loss of blood due to incision made during the surgery which delays the recovery time also. Whereas in the minimal invasive surgery small hole is made for the surgery which leads to very less blood loss thus leading to fast rehabilitation.


The patient was operated by Dr. Sudhir Reddy, Consultant orthopaedic Surgeon, Yashoda Hospital, using the revolutionary Minimal Invasive Surgery technique.


Dr. Reddy was convinced to use this new surgery technique. The surgeon believed that MIS technique has revolutionized knee replacement surgery as well as many fields of medicine.


"I wanted my patients to recover fast that too by not undergoing a painful surgical process which involves more of muscle damaging thus increasing the blood loss and thereby extending the recovery time to more than 6 weeks. So this MIS technique was designed taking into consideration all these and specific features have been incorporated into the technique which addresses these without compromising on other aspects," said. Dr. Sudhir Reddy, Consultant Orthopedic Surgeon, Yashoda Hospital.


"I lost hope of walking & faith of independent living. I was nervous to think about my painful & bedridden future. Dr. Reddy has given me a new lease of life," Mrs. Sarojana.


Minimal Invasive Surgery Technique


Joint Replacement Surgery has evolved tremendously over the last few years. Traditionally it is done through a large incision, muscles are cut, takes a long time to recover and on average patients take about 6 weeks to achieve the primary goals of independent walking and bending the knee up to 90°. With the new technique all these problems have been addressed. As there is very little damage to the tissues, the recovery s extremely quick, pain is much less, muscle strength is much better and bending at the knee is much more as demonstrated in this patient.


Benefits Of Minimal Invasive Surgery :
* Minimally invasive total knee replacement is a technique developed to dramatically improve the successful outcome and reduce the pain & recover time.
* In MIS technique a very small incision of less than 10 cms is made as compared to 25 cms of traditional TKR.
* In MIS technique muscles are not cut/damaged at all whereas in traditional TKR muscle of the leg is divided thereby leading to weakening the knee.
* Minimal Invasive surgery is a very special technique where special instruments are used to perform the surgery.
* Minimally invasive surgery improves the patient's lives after knee replacement. There is very little damage to the tissues, the recovery is extremely quick, pain is much less, muscle strength is much better and bending at the knee is much more.
* In the MIS surgery the operative time is longer, but hospitalization time is shorter.
* This technique causes less pain, less blood loss and thus speedy recovery.
* It drastically reduces the typical time taken to independent walking from 6 weeks to 2-3 days.

Traditional TKR MIS - TKR
Length of incision 25 ms < 10 cms

Time taken to walk with support 2-3 days Few hours

Time taken for Independent walking 4-6 weeks 2 days

Time taken to bend the knee to 90° 7 – 20 days < 1 day

Length of stay in hospital 7 days 2 days

Average flexion achieved 100° 120°

Blood loss 500 – 700 ml Minimal

Dr. Sudhir Reddy,
Consultant orthopaedic Surgeon,
Yashoda Hospital,
Somajiguda, Hyderabad. INDIA.
Cell : 09866939188
ksudhirreddy@gmail.com
ksudhirreddy@hotmail.com

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