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Surgery
Wockhardt Hospitals Conducts Bilateral Knee Replacement Surgery on 91- year-old
The Tissue Preserving Total Knee Replacement surgery goes
beyond the general scope of conventional TKR surgeries
Wockhardt Hospitals, Mumbai has successfully performed a bilateral total knee
replacement surgery in a single sitting on a 91-year-old patient from Mumbai.
Dr Kaushal Malhan, Knee & Hip Replacement Surgeon, Wockhardt Hospitals performed
the surgery on Madhukar Nimdeo, who was suffering from end-stage knee arthritis
with minimal blood loss with a combination of advanced muscle sparing surgical
exposure, specialised mix of navigation techniques and better patient-specific
implants.
Nimdeo, a retired central Government employee, was suffering from knee pain
for the last eight years. While on his visit to New Zealand five years back,
he participated in bungee jumping despite his knee condition and recorded as
the oldest member in New Zealand to participate in bungee jumping. But once
he returned to India, his condition worsened. Upon consultation with Dr Malhan,
he decided to go ahead with total knee replacement of both his knees.
"The results of the surgery are extremely encouraging and it proves that
Tissue Preserving Total Knee Replacement Surgery offers good results even for
very aged patients because of minimal tissue damage around the operating site.
We have almost stopped the use of blood transfusions for knee replacement surgeries,
even for patients who have
been operated on both knees in one sitting," said Dr Malhan. Since the
surgery involved minimal damage to the surrounding tissues, post operation,
the patient was able to walk after few hour post surgery.
The Tissue Preserving Total Knee Replacement surgery goes
beyond the general scope of conventional TKR surgeries that involve cutting
through the quadriceps muscle during the surgery. Conventional Total Knee Replacement
surgery causes trauma to the surrounding tissues that result in painful, long,
recuperation periods. The patient would typically need walking aids for three
to six weeks for the tissues to heal. However, in the case of Tissue Preserving
TKR, the procedure involves just flipping across the muscles to reach the bone.
The specialised technique perfected by Dr Kaushal Malhan allows the advantage
of satisfactory surgical exposure in all patients including the very obese with
easy implantation of standard implants with standard instrumentation. Lesser
tissue damage means less pain and earlier recovery.
Tissue Preserving TKR surgery aims to reduce the collateral damage which has
always been part of this operation. It combines a muscle sparing exposure (which
does not damage the quadriceps muscle- the front main thigh muscle) with computer
assisted alignment so as to reduce the need for ligament release and appropriate
implants which sacrifice less normal bone. This technique offers, among others,
the ability to bend the knee almost immediately after the operation, and walk
without aids much faster than conventional TKR procedures. Above all, there
is no danger of any complication because there is no blood loss.
EH News Bureau
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