Osteoarthritis is a slow,
progressive, degenerative joint disorder characterised by thinning and loss of
cartilage, cartilage damage and eventual loss of collagenous matrix to expose
underlying bone. It is a chronic condition leading to restricted activity and
poor quality of life for patients.
55 YEAR OLD patient Geetanjali
Pradhan (name changed) was suffering from above condition in her right knee for
2 years. THE disease was progressively increasing; it used to turn severe while
climbing stairs. Her condition had not improved with physiotherapy, rest or
NSAIDs (Anti-inflammatory drugs. She was advised total knee replacement surgery
from her local orthopaedic surgeon. She was worried that such a surgery might
limit her range of motion and flexibility.
She decided to take another
opinion at Wockhardt Hospital, Mumbai central. Dr Mudit Khanna an experienced
orthopaedic surgeon advised an XRAY. After a detailed examination of her knee
X-ray it revealed that the arthritis had affected only the medial compartment
while the other two knee compartments were preserved. Dr Khanna finally advised
her to undergo a partial knee resurfacing (PKR) through a Minimal Invasive
Surgery approach.
Partial Knee Replacement/Resurfacing (PKR) are an alternative to total knee replacement (TKR) in
patients with arthritis on only one side of the knee. Partial knee replacement
is a surgical procedure involves resurfacing and replacement of only the
diseased surface of the joint instead of the entire joint.
Main advantages of the procedure
include:
Ø
Faster rehabilitation and quicker recovery
Ø
Minimal
blood loss
Ø
Minimal morbidity
Ø
Preservation of normal kinematics
Ø
Small incision
Ø
Shorter hospital stay
Ø
Preserves bone (minimal bone stock loss) and
natural ligaments are long term benefits.
During the procedure Dr Mudit
Khanna ensured that only the worn out or damaged Medial compartment of the
patient knee was resurfaced, with minimal involvement to the other parts of the
knee joint. Thus the bone, cartilage, and ligaments in the healthy parts of the
knee were preserved.
Mrs Pradhan made an uneventful surgery
and quick recovery and was allowed to walk within a few hours after the surgery
with the help of walking aids. She was discharged on third day of surgery and
regained her full potential of movement in the joint within a few days at home
and even started her gym classes.
To know more about Partial kneereplacement and treatment on arthritis, please visit our orthopaedic department
at Wockhardt Hospital centres.
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