The Bone Clinic

Hello,

I am Dr. S. Mahanta, Orthopedist. Aaj hum arthroscopy ke baarein mein baat karenge. Ismein joint ko durbin se dekhte hain aur problem ko thik kia jata hai. Iska indication hai like kisi ko jodon mein dard hai jaise koi meniscal injury hai, knee joint mein jo cartilage hota hai use meniscus bolte hain ya fir ligaments mein koi injury hai toh hum arthroscopy se thik karte hain. Ye ek important part hai sports injury ka. Jaise athletes ko ye injuries hoti hain toh vo most of the time arthroscopy se thik kia jata hai. Ismein ek camera hota hai, durbin hota hai jo joint ke andar dalte hain and humein sari chiz dikh jaati hai. Ismein bahut chote cuts hote hain jinhein stitchless surgery kehte hain. Ismein kabhi kabhi tankein lagane ki jarurat bhi nahi padti hai.

Ek hum portal banate hain jahan se hum joint ko dekhte hain and dusre portal se hum sara kam karte hain. Humein agar koi ligament banana hai toh hum bana sakte hain. Ismein 1-2 stitch lagta hai jismein recovery jaldi hoti hai and bleeding kam hoti hai. Ismein infections ke chances bhi kam hote hain. Knee arthroscopy is basically done for diagnostic purpose. Jaise agar kisi ko bahut dino se knees mein pain ho raha hai aur thik nahi ho raha hai toh hum durbin se check kar lete hain ki issues kya hai. 2nd, hum ye use karte hain meniscal injury mein. Agar cartilage mein kuch damage hai toh hum use repair kar sakte hain. Tisra hai ligament reconstruction like ACL reconstruction mein iska bahut acha role hai. Like kisi ka accident mein ligament tut jata hai toh hum durbin ka through use repair kar sakte hain. Ye day care surgery hair but agar jarurat hoti hai toh hum patient ko ek din ya fir 2 din tak hospital mein rakhte hain. Thodi bahut physiotherapy ki jarurat padti hai. And stitches 1 week mein nikal dia jaate hain. Aur patient ko recover kar jaate hain. Agar aap ko koi query hai toh lybrate ke through aap mujhse consult kar sakte hain.

Thank You.

Hello,

Main Dr. S. Mahanta hoon. Main specialist hoon orthopedic ka and mainly joint replacement and arthroscopy. Maine apna specialisation karne ke baad I joined Apollo Hospital jahan maine joint replacement aur arthroscopy ka experience liya hai aur uske baad main kafi jagahon pe fellowships aur training kiya hai India mein aur uske bahar bhi, abhi main last 15 years se main orthopedics ka practice kar raha hoon. Aaj main baat karunga basically arthritis knee and joint replacement ke bare mein. Knee arthritis is the most common arthritis sabse common hota hai aur generally ladies mein jyada hota hai ye aur Indians mein jyada common hai kyunki hamare ghutne andar ki taraf bend hai to isliye jyada stress andar ki taraf padta hai aur usse hame arthritis jaldi hota hai. Arthritis ka treatment generally initial stage mein jaise exercise hota hai, Calcium aur Vitamin D supplements, jameen per alti-palti maar kar nahin baithna aur weight ko control karna ye sab initial treatments hai. Beech-beech mein physiotherapy ki bhi jarurat padti hai aur kabhi-kabhi jaise SOS painkiller medications lene ki bhi jarurat bhi padti hai.

Jise arthritis severe ho jismein aapko bohot jyada dard ho, aapka ghutna tedha ho jaaye ya fir chalne-firne mein bohot dikkat ho to is tarah ki agar condition ho to aapko knee replacement bhi karana padh sakta hai. Generally knee replacement hota hai around 60 year ke age ke baad hota hai aur ye hota hai jab dono haddi upar aur niche ki haddi dono aapas mein touch ho jaate hain aur aapko bohot jyada pain hota hai, aapka deformity hota hai andar ki taraf tedha rehta hai, bohot jyada aapko painkillers lena padta hai tabhi knee replacement karna padta hai. Ismein knee replacement mein kya karte hain? upar ki haddi aur niche ki haddi halka-halka kaat ke usmein ek implant laga dete hain ek femoral aur ek tibial implant, iske beech mein ek plastic ka insert rehta hai jisse aapka pura joint ban jata hai aur uske baad jaise knee replacement hone ke baad aap ko pain mein kaafi hadd tak relief mil jata hai aur aap aaram se chal-firh sakte hain.

Success rate bole to iska kareeb 98% success rate hai, surgery ke baad aapko agar ek ghutna badalte hain to 5 din ke liye bharti rehna padta hai aur agar dono ghutna badalte hain to 7 din ke liye hospital mein admission rehna padta hai. Kareeb se kareeb ek se dedh mahine physiotherapy ki jarurat padati hai, shuruaat mein aapko walker ke sahare chalna padta hai kareeb do-teen hafte ke liye, uske baad apko stick per ajate hai, stick ke sahare aur ultimately around 4 to 6 weeks aap bina sahare ke aaram se chalne lag jaate hain. Knee placement is successful in around 98% of cases aur ye kaafi acchi surgery hai aur kafi sare patient ko ismein rahat milta hai.

Thank you.