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3D male medical figure running with knee bone highlighted
3D male medical figure running with knee bone highlighted

March 5, 2025 Blog0

Knee pain is one of the most common musculoskeletal complaints affecting people of all ages. Whether it’s due to arthritis, ligament injuries, meniscus tears, or cartilage damage, knee problems can severely impact mobility and quality of life. Fortunately, medical advancements offer both non-surgical treatments and surgical options to help patients recover and regain function.

Common Causes of Knee Pain

  1. Osteoarthritis & Rheumatoid Arthritis – Degenerative and inflammatory conditions that cause stiffness, swelling, and pain.
  2. ACL & Meniscus Injuries – Common in athletes and active individuals, these injuries can lead to instability and discomfort.
  3. Patellar Tendinitis – Also called “jumper’s knee,” caused by repetitive stress on the knee tendon.
  4. Cartilage Damage & Knee Bursitis – Affect cushioning in the knee, leading to pain and stiffness.

Prevention of Knee Pain

  • Maintain a Healthy Weight – Reduces stress on knee joints.
  • Regular Exercise & Strength Training – Strengthens muscles around the knee for better support.
  • Proper Footwear & Posture – Helps distribute weight evenly and reduces strain.
  • Avoid Overuse & High-Impact Activities – Prevents excessive wear and tear on knee joints.

Non-Surgical Treatment Options

  • Physiotherapy & Strengthening Exercises – Improve mobility and stabilize the knee joint.
  • Knee Braces & Supportive Devices – Help reduce strain and enhance knee alignment.
  • Pain Management: PRP Therapy & Cortisone Injections – Reduce inflammation and aid healing.
  • Weight Management & Lifestyle Modifications – Minimize stress on knee joints.

Surgical Treatment Options: How a Skilled Orthopaedic Surgeon Makes All the Difference

When non-surgical treatments fail to provide relief, surgery becomes the best option to restore mobility and relieve chronic pain. The expertise of a skilled orthopaedic surgeon is crucial in making knee surgery simpler, reducing complications, and ensuring a quicker recovery.

  1. Arthroscopic Knee Surgery (Keyhole Surgery)

A minimally invasive technique where a tiny camera (arthroscope) is inserted into the knee to repair meniscus tears, cartilage damage, and ligament injuries.
✅ How a skilled surgeon helps:

  • Uses advanced imaging to precisely locate damage.
  • Minimizes tissue trauma, leading to faster recovery and less pain.
  • Shortens hospital stay with quicker post-op rehabilitation.
  1. Knee Ligament Reconstruction (ACL, PCL, MCL Surgery)

When knee ligaments like the ACL (anterior cruciate ligament) are torn, reconstruction is needed to restore knee stability.
✅ How a skilled surgeon helps:

  • Chooses the best graft (tendon from patient or donor) to ensure a strong, long-lasting repair.
  • Uses minimally invasive techniques for reduced post-op discomfort.
  • Customizes rehab plans for a quicker return to sports and activities.
  1. Partial Knee Replacement (Unicompartmental Knee Replacement)

For patients with arthritis limited to one part of the knee, a partial knee replacement can be performed instead of a total replacement.
✅ How a skilled surgeon helps:

  • Preserves as much natural knee structure as possible.
  • Ensures precise implant placement for better mobility and flexibility.
  • Faster healing compared to total knee replacement.
  1. Total Knee Replacement (TKR)

In severe osteoarthritis cases, the damaged knee joint is replaced with an artificial joint made of high-quality materials.
✅ How a skilled surgeon helps:

  • Uses advanced robotic or computer-assisted techniques for precise implant positioning.
  • Ensures minimal blood loss and faster recovery.
  • Provides a well-planned rehabilitation program to maximize mobility.

If you’re experiencing chronic knee pain, stiffness, or mobility issues, consult a highly experienced orthopedic surgeon for a personalized treatment plan. A skilled doctor can make knee surgery less invasive, reduce complications, and ensure a smooth recovery. Early intervention can prevent further damage and improve overall knee health.


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February 28, 2025 Blog0

Arthritis is a broad term for conditions that cause joint pain, stiffness, and inflammation, but not all arthritis types are the same. The two most common forms—Osteoarthritis (OA) and Rheumatoid Arthritis (RA)—affect the joints differently. Understanding their key differences can help in choosing the best treatment options for long-term relief and joint health.

What is Osteoarthritis?

Osteoarthritis is a degenerative joint disease that occurs due to the gradual breakdown of cartilage—the cushioning tissue that protects bones in the joints. It is commonly known as “wear-and-tear” arthritis and mostly affects older adults.

Symptoms of Osteoarthritis:

  • Gradual onset of joint pain and stiffness(worsens over time)
  • Morning stiffness(lasts less than 30 minutes)
  • Cracking or grinding soundswhen moving the joint
  • Pain increases with activity and improves with rest
  • Swelling and reduced flexibilityin affected joints (knees, hips, hands, spine)

Causes & Risk Factors:

  • Aging(most common in people over 50)
  • Obesity(excess weight increases joint strain)
  • Joint injuries or repetitive stress(athletes, laborers)
  • Genetics(family history of OA)
  • Bone deformitiesor metabolic diseases

What is Rheumatoid Arthritis?

Rheumatoid arthritis is an autoimmune disease where the immune system mistakenly attacks the synovium (the lining of the joints), causing inflammation, swelling, and pain. Unlike OA, RA is not caused by wear and tear and can affect multiple joints simultaneously.

Symptoms of Rheumatoid Arthritis:

  • Persistent joint pain, swelling, and stiffness(worse in the morning)
  • Morning stiffness lasting more than 1 hour
  • Symmetrical joint involvement(both wrists, knees, hands, etc.)
  • Fatigue, fever, and weight loss(systemic symptoms)
  • In later stages, joint deformitiesand reduced function

Causes & Risk Factors:

  • Autoimmune dysfunction(immune system mistakenly attacks healthy joint tissue)
  • Genetics(family history increases risk)
  • Environmental triggers(smoking, infections, hormonal factors)
  • More common in womenthan men

Key Differences: Osteoarthritis vs. Rheumatoid Arthritis

Feature Osteoarthritis (OA) Rheumatoid Arthritis (RA)
Cause Wear-and-tear, cartilage breakdown Autoimmune attack on joints
Onset Gradual (over years) Sudden or gradual
Pain Pattern Worsens with activity, better with rest Worse in the morning, improves with movement
Morning Stiffness <30 minutes >1 hour
Joint Involvement Asymmetrical (one joint at a time) Symmetrical (same joints on both sides)
Swelling & Warmth Mild or absent Significant inflammation, swelling, warmth
Systemic Symptoms No fever, fatigue, or weight loss Common (fever, fatigue, weight loss)
Commonly Affected Joints Knees, hips, spine, hands Hands, wrists, knees, ankles

Best Treatment Options for Osteoarthritis & Rheumatoid Arthritis

While both conditions require different treatment approaches, the goal remains the same—reduce pain, manage inflammation, and improve joint function.

Treatment for Osteoarthritis (OA):

  1. Lifestyle & Non-Medical Approaches:
  • Weight managementto reduce joint stress
  • Low-impact exercise(swimming, walking, stretching)
  • Physical therapyto improve flexibility and strength

2. Medications:

  • Pain relievers(Acetaminophen, NSAIDs like ibuprofen)
  • Hyaluronic acid injectionsto lubricate joints
  • PRP therapy (Platelet-Rich Plasma)for cartilage regeneration

3.Surgical Options:

  • Arthroscopic surgeryto clean joint debris
  • Joint replacement (knee, hip, shoulder)in severe cases

Treatment for Rheumatoid Arthritis (RA):

  1. Medications to Control Inflammation & Autoimmune Response:
  • NSAIDs & Corticosteroidsfor pain relief
  • DMARDs (Disease-Modifying Anti-Rheumatic Drugs)to slow disease progression (Methotrexate, Hydroxychloroquine)
  • Biologic Therapies(TNF inhibitors, IL-6 inhibitors) for advanced cases

2. Lifestyle Changes:

  • Anti-inflammatory diet(omega-3-rich foods, turmeric, green leafy vegetables)
  • Regular exercise & joint protection techniques
  • Stress management(yoga, meditation)

3. Surgical Interventions (for severe RA cases):

  • Synovectomy(removal of inflamed joint lining)
  • Joint replacement(for irreversible joint damage)

Role of an Orthopaedician in Arthritis Management

A skilled orthopaedician plays a crucial role in diagnosing, treating, and managing both osteoarthritis and rheumatoid arthritis. They provide:

  • Accurate diagnosisusing clinical assessment and imaging techniques
  • Personalized treatment plansbased on the severity of joint damage
  • Guidance on lifestyle modificationsto delay disease progression
  • Non-surgical and surgical interventionsto improve mobility and reduce pain
  • Post-surgical rehabilitationto ensure smooth recovery and long-term joint function

By working closely with an orthopaedician, patients can receive targeted treatments that significantly improve their quality of life and joint health.

While both osteoarthritis and rheumatoid arthritis cause joint pain and inflammation, they require different treatment approaches. Early diagnosis and proper medical intervention can prevent further joint damage and improve quality of life. If you’re experiencing persistent joint pain, stiffness, or swelling, consult a rheumatologist or orthopedic specialist to create a personalized treatment plan that suits your needs.

By understanding the key differences between OA and RA, patients can take the right steps toward managing pain, preserving mobility, and leading a healthier, more active life. If you’re unsure about your symptoms, schedule an early consultation for proper diagnosis and care!


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January 29, 2025 Blog0

In the past few weeks, Pune, Maharashtra, has witnessed an unusual surge in cases of Guillain-Barré Syndrome (GBS). This alarming trend has brought attention to a rare yet serious condition that can affect anyone. In this blog, we aim to raise awareness about GBS, its symptoms, causes, and preventive measures to help people stay informed and safe.

What is Guillain-Barré Syndrome (GBS)?

GBS is a rare neurological disorder in which the body’s immune system mistakenly attacks the peripheral nerves. This can lead to weakness, tingling sensations, and in severe cases, paralysis. Although the exact cause of GBS remains unknown, it is often preceded by an infection, such as a respiratory or gastrointestinal illness.

What Causes GBS?

While the exact triggers of GBS are not fully understood, it is often linked to:

  • Infections: Viral or bacterial infections, such as Campylobacter jejuni (a common cause of food poisoning), influenza, or Epstein-Barr virus.
  • Vaccinations: Though rare, GBS has been reported following vaccinations, particularly for influenza.
  • Other Triggers: Surgery, trauma, or even certain chronic diseases.

Why the Surge in Pune?

While the exact reasons for the recent spike in GBS cases in Pune are still being investigated, experts suspect that seasonal infections or environmental factors might play a role. Additionally, post-viral immune responses following outbreaks of illnesses like influenza or dengue could be contributing factors.

Symptoms to Watch For

GBS often begins with mild symptoms that can quickly escalate. Early recognition is crucial. Common symptoms include:

  • Tingling or prickling sensations in the hands or feet.
  • Weakness in the legs that spreads to the upper body.
  • Difficulty walking or climbing stairs.
  • Unsteady balance or coordination issues.
  • Severe cases may involve breathing difficulties or paralysis.

When to Seek Medical Help

If you or someone you know experiences any of the above symptoms, especially following a recent infection, seek medical attention immediately. Early diagnosis and treatment can significantly improve outcomes and prevent complications.

Steps to Stay Safe

While GBS cannot always be prevented, you can take the following precautions to reduce your risk:

  1. Maintain Good Hygiene: Regular handwashing can help prevent infections that may trigger GBS.
  2. Stay Updated on Vaccinations: Follow vaccination schedules, but consult your doctor if you have concerns.
  3. Boost Immunity: Eat a balanced diet, stay hydrated, and get adequate sleep.
  4. Avoid Contaminated Food and Water: Prevent foodborne infections by consuming properly cooked meals and clean drinking water.
  5. Seek Early Treatment: Promptly address any signs of infection or illness to reduce the risk of immune-related complications.

Conclusion

Guillain-Barré Syndrome is a rare condition, but its effects can be life-altering. The recent surge in Pune highlights the importance of awareness and early intervention. By understanding the symptoms and taking preventive measures, we can work towards minimizing the impact of this condition. Stay vigilant, prioritize your health, and consult a healthcare professional if you notice any concerning symptoms.

#GuillainBarreSyndrome #GBSAwareness #GBSWarrior #GBSRecovery #GBSStrong #GBSFighter #GBSSupport #GBSCommunity #AutoimmuneAwareness #NeurologicalDisorder #AutoimmuneDisease #RareDisease #ChronicIllness #DisabilityAwareness #HealingJourney
#StayStrong #YouAreNotAlone #HopeForGBS #OneDayAtATime


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November 23, 2024 Blog0

Vaccination stands as one of the most effective ways to protect individuals and communities from life-threatening diseases. By introducing killed or modified germs into the body—through injections, oral routes, or nasal sprays—vaccines train the immune system to recognize and combat specific infections. This simple yet powerful process shields both individuals and communities from the devastating effects of infectious diseases, saving millions of lives annually.


How Vaccines Work

Vaccines mimic disease-causing germs without causing illness. They stimulate the body’s natural defenses, prompting the immune system to produce antibodies and memory cells that recognize and fight off the real germs if encountered later. Essentially, vaccines equip the body with a defense mechanism that significantly reduces the risk of severe illness, complications, and even death.


The Importance of Vaccination

Vaccines have transformed global public health. Diseases like smallpox have been eradicated, while polio is now restricted to just two countries. Immunization has dramatically reduced cases of measles, rubella, diphtheria, and pertussis. However, complete eradication is rare, and most diseases require continued vaccination efforts to remain controlled.

Globally, vaccines prevent 3.5–5 million deaths each year from diseases such as diphtheria, tetanus, influenza, and measles. The COVID-19 pandemic highlighted the crucial role of vaccines in restoring lives and economies, reinforcing their status as one of the best investments in individual and public health.


India’s Immunization Efforts

India operates the world’s largest immunization program, targeting over 27 million newborns annually. The National Immunization Program (NIP) offers free vaccines against 12 critical diseases. Additionally, the Indian Academy of Pediatrics (IAP) recommends vaccines for illnesses like mumps, chickenpox, typhoid, and influenza. These efforts improve quality of life by reducing absenteeism, caregiver burdens, and rare complications.


Vaccine Schedules: A Roadmap to Protection

Vaccine schedules guide when and how vaccines should be administered. In India, two primary schedules are followed:

  • NIP Schedule: Provides free vaccines targeting high-mortality diseases.
  • IAP Schedule: Includes additional vaccines to enhance individual well-being.

Timely vaccination is crucial, but delays don’t mean starting over. Remaining doses can be administered based on recommended intervals.


Beyond Childhood: Vaccines for All Ages

Vaccination isn’t just for children. Adolescents and adults need immunization to maintain immunity or gain protection against diseases like the flu, pneumococcus, and newer threats. Periodic booster shots are essential since vaccine-induced immunity can wane over time. For older adults, vaccines reduce the risk of serious illness and help prevent disease spread, promoting healthier aging.


Why Vaccines Are Essential

Vaccines act as shields, safeguarding individuals and communities from infectious diseases. They are the cornerstone of global health efforts, enabling longer, healthier lives. By preventing life-threatening illnesses, vaccines ensure that people of all ages enjoy better quality of life and fewer disruptions from preventable diseases.

Vaccines are truly a gift of health—a simple yet extraordinary tool that protects generations to come.

#VaccinationSavesLives #ImmunizationMatters #HealthyIndia #VaccinesWork #PublicHealth #GlobalImmunization #PreventDiseases #HealthForAll #NationalImmunizationProgram #ChildHealth #AdultVaccination #ProtectCommunities #VaccineAwareness #LifeSavingVaccines #EndPreventableDeaths #COVID19Vaccine #SafeAndEffective #FightInfectiousDiseases #IndianHealthcare #BetterQualityOfLife


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November 7, 2024 Blog1

Aphasia and Recovery: The Psychological Impact and Role of Rehabilitation

Recovering from brain surgery can be an overwhelming journey, especially for individuals who develop aphasia, a condition that impairs language abilities such as speaking, understanding, reading, and writing. Aphasia affects not only the individual’s communication but also their sense of self and relationships with family and friends. This journey also often includes motor impairments that affect movement, balance, and independence. This article explores the profound psychological impact aphasia has on both patients and families, and highlights the roles of speech-language therapists (SLTs) and physiotherapists in helping them regain function, rebuild connections, and restore quality of life.

The Psychological Impact on Aphasic Patients and their Family members
For patients who could once communicate effortlessly, aphasia creates a sudden barrier between themselves and the world. The loss of communication abilities can lead to feelings of isolation, frustration, and depression, as they struggle to convey basic thoughts and needs. The emotional toll can be significant, affecting their sense of identity and self-worth. When physical limitations are also present, patients may face additional challenges, feeling frustrated by their inability to perform once-simple tasks or move with the independence they had before.

Families often find themselves facing an unexpected reality. Overnight, they may need to take on roles as caregivers, advocates, and companions, bridging the communication gap for their loved one while adjusting to physical caregiving. Emotional strain can build up as families witness their loved one’s struggle, facing stress, sadness, and even guilt over the changes. Social isolation may also affect family members, who might limit their activities to provide the necessary support or struggle to maintain previous relationships. Professional support can be a lifeline during this period, offering guidance and encouragement.

The Role of Rehabilitation Team

Speech Language Therapist
SLTs provide tailored rehabilitation that empowers patients to regain language function and offers critical tools to families for enhancing communication. Here’s how SLTs contribute to the recovery journey:

  • Individualized Therapy: Each aphasic patient’s experience is unique, and SLTs design therapy plans that focus on the specific needs and abilities of the individual. This may include exercises for naming objects, building sentences, or improving comprehension.
  • Family Training and Education: Family involvement is vital, and SLTs encourage family members to participate in sessions, teaching them communication strategies that improve interactions at home.
  • Augmentative and Alternative Communication (AAC): For individuals with severe language impairment, SLTs may introduce AAC methods such as picture boards, communication apps, or gesture-based systems to help facilitate basic communication.
  • Emotional Support: Beyond language training, SLTs often provide a safe space for both patients and families to express their frustrations, concerns, and achievements, offering guidance and motivation as they progress.

Physiotherapist
Physiotherapists play a crucial role in helping aphasic patients regain physical independence. Surgery-related aphasia often accompanies motor impairments that make movement difficult, and physiotherapists are instrumental in addressing these challenges.

  • Motor Skills and Mobility Training: Physiotherapists work with patients to improve muscle strength, coordination, and mobility, focusing on specific exercises that enhance the ability to walk, balance, and perform daily activities.
  • Rebuilding Independence: Physiotherapy helps patients regain a sense of autonomy. As their physical capabilities improve, patients can resume self-care tasks and move more freely, which contributes to their overall sense of well-being.
  • Family Education and Support: Physiotherapists also train family members in safe techniques for assisting their loved ones with mobility. This guidance is essential for preventing injury and encouraging the patient’s progress.
  • Boosting Confidence and Emotional Health: Overcoming physical obstacles boosts morale and confidence. Physiotherapists provide encouragement, helping patients feel empowered in their recovery journey.

The Collaborative Path to Recovery
Recovery from aphasia and post-surgical impairments requires a coordinated, patient-centered approach. Speech-language therapists and physiotherapists work closely together to support each patient’s unique needs, addressing both language and physical capabilities. They guide patients through every step of recovery, celebrating achievements and providing tools that empower patients and families to thrive despite the challenges.

The journey with aphasia and physical limitations is a testament to the resilience and adaptability of patients and families. Through the combined support of speech-language and physical therapy, individuals can rebuild their skills, confidence, and independence. It’s a path marked by courage and growth, where families and therapists join forces to help patients find new ways to connect, communicate, and move forward.

#AphasiaRecovery #SpeechTherapy #Physiotherapy #BrainSurgeryRecovery #RehabilitationJourney #PatientCenteredCare #FamilySupport #VivaanSpecialtyClinic #EmpowerThroughHealing


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October 29, 2024 Blog0

Understanding Stroke and Acting Quickly: BE FAST on Stroke Day

As we observe Stroke Day on October 29th, it’s essential to raise awareness about recognizing and responding to stroke symptoms early. But first, what exactly is a stroke?

In simple terms, a stroke happens when blood flow to a part of the brain is interrupted, either by a blockage or bleeding. Without a steady supply of oxygen-rich blood, brain cells in the affected area begin to die, which can lead to lasting brain damage, affecting movement, speech, or memory. Because the brain controls so many functions, each second counts in getting the right help.

To make recognizing the warning signs easier, we use the acronym BE FAST:

  • B – Balance: Sudden dizziness, loss of coordination, or difficulty standing without support can indicate a stroke.
  • E – Eyes: Blurred or double vision, or a sudden loss of vision in one or both eyes, is a warning sign that needs immediate attention.
  • F – Face: A noticeable droop or asymmetry in the face, such as one side sagging or weakness in facial muscles, is a potential symptom.
  • A – Arms: If one arm suddenly feels weak or numb, especially if it can’t be raised, it might be a sign of stroke.
  • S – Speech: Slurred or garbled speech, or an inability to speak or understand language, could indicate a stroke.
  • T – Time: Time is critical. If any of these signs are present, it’s essential to seek medical help immediately.

Recognizing these symptoms and acting fast is crucial because every minute without oxygenated blood increases the risk of irreversible brain damage. If someone exhibits even one of these symptoms, they should be taken to a medical facility right away—each minute counts.

The Rising Incidence of Stroke in Younger Adults

Though stroke is often thought of as an issue affecting older adults, we are seeing a concerning rise in cases among individuals aged 25-40. Modern lifestyle factors contribute significantly to this trend. Unhealthy diets high in fats and sugars, insufficient physical activity, excessive stress, smoking, and alcohol use can all increase stroke risk in younger people.

Preventative Health Measures

The good news is that lifestyle changes can help mitigate these risks. Here are some essential recommendations:

  • Adopt a balanced, heart-healthy diet: Aim for a low-fat, high-protein diet, rich in whole grains, vegetables, and lean protein sources. Limit processed foods that contribute to high cholesterol.
  • Stay physically active: Regular exercise, even a simple routine of daily walks, helps maintain cardiovascular health.
  • Prioritize sleep: Seven hours of quality sleep each night is essential for brain and body recovery.
  • Avoid smoking and limit alcohol: Smoking and excessive drinking are two significant risk factors for stroke and heart disease.
  • Regular health checks: It’s advisable to get a lipid profile test and monitor blood pressure every six months. These tests help catch early warning signs of conditions that increase stroke risk, such as hypertension and high cholesterol.

Preventive care, lifestyle improvements, and awareness of symptoms make a powerful combination in reducing stroke risks. On this Stroke Day, let’s all commit to being proactive for our health and supporting those at risk.

#worldstrokeday #StrokeAwareness #ActFAST #PreventStroke #StayHealthy #HealthFirst #StrokePrevention #VivaanSpecialtyClinic


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September 20, 2024 Blog0

Patient Overview

A 66-year-old woman had been dealing with knee pain for the past 10 years, which worsened significantly over the last two years. Despite trying various treatments, including painkillers, Ayurvedic remedies, joint injections, and exercise, she only experienced temporary relief. After a thorough examination and discussion with her and her family, the decision was made to perform a total knee replacement.

Surgical Details

  • Surgical Approach: The surgery was done using the Minimally Invasive Sub-Vastus Approach, which avoids cutting through major muscles, resulting in a quicker recovery, less pain, and minimal scarring.
  • Duration: The procedure was completed in 1 hour.
  • Post-Surgery: The patient started walking with a walker on the same day of surgery and was discharged on Day 3. She experienced no complications, and ICU care was not required.

Recovery Process

  • At-Home Physiotherapy: Physiotherapy continued at home, and by Day 5, the patient was walking independently without support, demonstrating excellent confidence in her recovery.
  • Suture Removal: Sutures were removed on Day 14.
  • Full Recovery: Within two weeks, the patient returned to her normal life without any assistance, pain-free.

Conclusion

This case shows how a minimally invasive total knee replacement can offer significant improvements in quality of life, with fast recovery and lasting relief from chronic knee pain.

Hashtags

#KneeReplacement #MinimallyInvasiveSurgery #Orthopedics #FastRecovery #PainRelief


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September 20, 2024 Blog0

Case Overview

A 40-year-old male patient sustained a significant injury after falling from a height of 12 feet. Fortunately, there were no signs of head, chest, abdomen, or spinal injuries. However, the patient was diagnosed with a floating knee, a severe injury involving fractures in both the femur and tibia.

The Injury Breakdown

1. Fracture 1: Left Segmental Femur Fracture

  • Subtrochanteric fracture with a butterfly fragment: This is a fracture in the upper part of the femur near the hip. A butterfly fragment refers to a wedge-shaped fragment that often complicates the healing process.
  • Extra-articular distal femur fracture: A break near the knee joint, but without affecting the joint surface.

2. Fracture 2: Left Segmental Tibia Fracture

  • Proximal third tibia fracture: This is a fracture in the upper third of the tibia, the major bone in the lower leg.
  • Midshaft tibia fracture: A break in the middle portion of the tibia.

Surgical Approach: Goals and Challenges

Goals:

The surgical team had three main goals for this procedure:

  1. Anatomical Reduction: Ensuring the bones are perfectly aligned to heal properly.
  2. Appropriate Stability: Achieving sufficient stability for the bones to heal while maintaining movement and weight-bearing functions.
  3. Respect Fracture Biology: Protecting the natural healing capacity of the bone and soft tissue by minimizing excessive handling or disruption of the blood supply.

Sequence of Fixation:

  1. Long Proximal Femoral Nail (PFN): The patient was positioned laterally to insert a long PFN, a type of intramedullary nail used for stabilizing femur fractures.
  2. Supine Position for DFLP and Tibial Plate: After stabilizing the femur, the patient was turned into a supine position to work on the distal femur and tibia. The Distal Femur Locking Plate (DFLP) was inserted using a lateral approach, with careful attention to anatomical reduction of the distal femur segment.
  3. Tibial Fixation with MIPPO Hockey Plate: The initial plan was to insert a nail into the tibia. However, the proximal tibia fragment was misaligning into recurvatum (backward bending) and varus (inward angulation). To counter this, the team opted for a Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) Hockey Plate, which is ideal for stabilizing fractures while minimizing soft tissue disruption.

Duration:

This complex surgery lasted for approximately 4 hours, involving meticulous planning and execution to ensure the best possible outcome.

Conclusion

This case illustrates the intricacies involved in treating a floating knee injury. Achieving anatomical reduction, proper stabilization, and preserving the natural biology of the fracture site are all critical factors in a successful outcome. The decision to use a combination of PFN, DFLP, and MIPPO plates demonstrates the complexity of trauma surgeries and the expertise required to handle such cases.

Key Hashtags

#ComplexTrauma #FloatingKnee #FemurFracture #TibiaFracture #OrthopedicSurgery


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September 20, 2024 Blog0

Patient Background

A 76-year-old female had been suffering from severe bilateral knee pain for the past 12 years. The chronic pain was impacting her mobility and quality of life, making daily activities increasingly difficult. After a thorough examination and detailed counseling with the patient and her family, the medical team recommended a total knee replacement for both knees in a single procedure.

Decision for Surgery

Given the patient’s long-standing knee pain and limited mobility, total knee replacement was deemed the best course of action. This procedure would not only alleviate the pain but also restore her ability to walk and perform routine activities comfortably. The patient and her family were well-informed about the process, risks, and recovery expectations before moving forward.

Preoperative Care

The patient was admitted one day prior to the surgery for preoperative evaluations and preparation. After ensuring she was in optimal condition, the surgical team proceeded with the scheduled bilateral total knee replacement the following day.

Surgical Procedure: Minimally Invasive Sub-Vastus Approach

The surgical team used a Minimally Invasive Sub-Vastus Approach, which is particularly advantageous for knee replacement surgeries. This technique avoids cutting through major muscles, leading to:

  • Faster Recovery: Muscle-sparing techniques allow patients to regain mobility quicker.
  • Reduced Postoperative Pain: Less trauma to muscles means less pain after surgery.
  • Minimized Scarring: The incision is smaller, resulting in a shorter and less noticeable scar.

The surgery took a total of 2.5 hours, during which both knees were successfully replaced.

Immediate Postoperative Recovery

The patient’s recovery was smooth and complication-free. She was:

  • Shifted directly to her room, without requiring admission to the ICU, reflecting the minimally invasive nature and low risk of complications with the chosen surgical approach.
  • Walking on the same day of surgery: With the aid of a walker, she was able to stand and take steps just hours after the procedure.

Postoperative Care and Discharge

The patient was discharged on Day 3, after demonstrating stable progress. She continued to receive physiotherapy at home, which focused on regaining strength and movement in the knees. Impressively, by the third day after surgery, she was walking independently without any support and showing remarkable confidence in her movements.

Follow-Up and Full Recovery

  • Sutures were removed on Day 14, marking another significant milestone in her recovery.
  • Within two weeks, the patient returned to her normal life without the need for any assistance, enjoying pain-free movement for the first time in over a decade.

Conclusion

This case highlights the life-changing benefits of bilateral total knee replacement using a minimally invasive, muscle-sparing approach. The patient’s swift recovery, early mobility, and return to normal life demonstrate how modern surgical techniques can significantly improve the outcomes for elderly patients.

If you’re suffering from chronic knee pain and wondering if knee replacement is right for you, consult our orthopedic specialists to explore your options.

Key Hashtags

#KneeReplacement #MinimallyInvasiveSurgery #OrthopedicSurgery #BilateralKneeReplacement #SeniorHealth



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