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

six on the brink of superstar status

Had it up to here with apples? Join the club. But it’s hard to take it off the menu when it’s such a great source of vitamins and minerals.

Still, is a little variety too much to ask? Not anymore, thanks to research that’s shifting the spotlight to a new generation of health-boosting foods—many of which do double or triple duty to help prevent illness. Here are six on the brink of superstar status.

TOMATO This one is yet to get its due as a star, at least in India. There are still communities which don’t eat tomatoes on certain days of the week because of myths associated with it. Forget it. You don’t want to miss out on the benefits that include easing frequent migraine (the riboflavins in them). They also:
Nutritious tomatoes


• Protect your heart: Research conducted at the Harvard School of Public Health shows that women who ate seven to 10 helpings of tomato or tomato-based foods (soups and juices) in a week lower their risk of cardiovascular disease by 32%.

• Reduce risk of prostrate cancer: Analysis of 21 studies published in the journal Cancer Epidemiology Biomarkers and Prevention, confirms that tomatoes, rich in anti-oxidant lycopene, provide protection against prostrate cancer. They cut down the risk of prostrate cancer by nearly 11%.

KIWIFRUIT Don’t judge this fruit by its cover. Under that bristly brown peel you’ll find a bright green star bursting with anti-oxidants and full of fibre. Kiwifruit works to:
Kiwifruit


• Protect against free radical damage: A study from Rutgers University compared the 27 most popular fruits and established that kiwifruit was the most nutritionally dense. In addition, it makes the shortlist of fruits with substantial amounts of Vitamin E, and contains more vision-saving lutein than any other fruit or vegetable, except for corn.

• Lower blood-clot risk: In a 2004 study by the University of Oslo in Norway, participants who ate two or three kiwis for 28 days significantly reduced their risk of forming a blood clot. They also got a bonus benefit: Their triglycerides, a blood fat linked to heart attack, dropped by 15%.

BARLEY We know it does not taste great. And you have known it as a diuretic (a substance that increases the flow of urine from the body). But this hardy grain comes packed with health benefits. When wheat and oat are processed, they lose their fibre content. This is not the case with barley. It is full of soluble beta-glucan fibre which remain intact even when processed. Studies show this fibre helps you:

• Knock down bad cholesterol: A Department of Agriculture, US, research shows that barley can reduce bad cholesterol by as much as 17.4%. A 2004 study found that adults with moderately high cholesterol levels who went on a low-fat diet began to see an improvement when barley was added to the menu.

• Decrease blood sugar and insulin levels: That makes barley a better choice for people with Type 2 diabetes, says a 2005 Agricultural Research Services study at the Diet and Human Performance Laboratory in the US. Make the most of this super grain by including it in your meals whenever possible.

WALNUTS We treat them like any other Diwali gift and pass them on. Next time, don’t. They’re the healthiest nuts you will get. They will help you fire your metabolism and sleep better. Moreover, they:
Walnuts


• Prevent gallstones: Twenty years of dietary data collected from over 80,000 women for the Nurses’ Health Study done in the US, shows that women who eat at least 28 walnuts a week, just four walnuts a day, had 25% lower risk of developing gallstones.

• Benefit your bones: Latest research published in Nutrition Journal Penn State (January, 2007) suggests walnuts, rich in alphalinolenic acid (ALA), the essential omega- 3 fatty acid, are good for the skeletal system. They decrease the breakdown of bones.

BROWN RICE In India, we ignore it as the “poor man’s rice”. But nutritionally, it is far superior to its processed, polished and betterlooking version— the white rice. Known for its multiple benefits, brown rice has to be tried for your good health.
• Keeps ldl under check: A study done at the Louisiana State University and published in the American Journal of Nutrition says that eating brown rice reduces bad cholesterol (LDL) by 7%.

• Strengthens your nerves: Just one cup of brown rice provides you 88% of your daily requirement of manganese. It helps in production of energy from proteins and carbohydrates and is involved in the synthesis of fatty acids that are important for the functioning of a healthy nervous system.

BROCCOLI If there are stir-fried vegetables served at a Chinese meal, do not feel embarrassed picking out broccoli and loading your plate with it. The florets have enough nutrients (Vitamin C, betacarotene, calcium) and fibre packed in them to fight digestive disorders and heart and bone diseases. They also:
Broccoli


• Save skin damage: Plant nutrients and sulforaphane— an anti-cancer compound— in broccoli help repair sun-damaged skin. This was shown in a research conducted at the Johns Hopkins University. Broccoli counteracts skin cells’ carcinogenic response to ultraviolet rays.