Patients Questions

Knee Replacement Operation

Knee replacements are performed almost every day by Dr. Bedi at Fortis Hosptal. With an average stay in hospital of only 5 days, you’ll soon be back at home and enjoying your new mobility without the pain and discomfort you suffered before your knee replacement surgery. Our team of inpatient physiotherapists will also be on hand to advise and help you get back on your feet.

What's involved in knee replacement surgery?

A knee replacement is an operation to replace the damaged or worn parts of the thigh and shin bones which form the knee joint. During a knee replacement operation, the damaged or worn parts are replaced with metal and plastic parts that glide over each other smoothly.

During the operation, a single incision (usually 15 to 30cm long) is made down the front of the knee. The kneecap is moved to one side so the joint can be reached. When the joint has been replaced, the incision is closed with stitches or clips.

A knee replacement usually takes one to two hours and normally requires a hospital stay of up to five nights.

How long does it take to recover from a knee replacement?

While you are in hospital, a physiotherapist will visit you every day to guide you through exercises to help you recover. You will be encouraged to move your new knee from the first day after the operation. You will be discharged once you can walk safely with sticks or crutches - usually after 3-5 days.

How long does an artificial knee joint or knee replacement last?

An artificial joint will usually last for at least ten to fifteen years, after which it may need to be replaced. Your surgeon will explain the benefits and risks of having your knee replaced, and will also discuss the alternatives to the procedure.

Is knee replacement surgery available under health insurance schemes & CGHS?

Knee replacements are normally covered in insurance policies if you have it for at least 2 years prior, but please read your policy papers for clarifications. Fortis Hospital, Vasant Kunj also provides this facility to CGHS/ ECHS/ ESI beneficiaries besides all insured patients and other panels.

Why should I consider having a knee replacement operation at a Fortis hospital with Dr. Bedi?

Whether you have medical insurance or are paying for your treatment yourself, in Fortis Hospital you will be seen quickly by Dr. Bedi at a time that suits you. You will be treated in a premium private hospital with some of the highest standards of cleanliness and infection control. What’s more, you’ll be able to recuperate in your own private room with friends and family able to visit when you wish.

Hip Replacement

In Fortis Hospital Dr. Bedi performs hip replacements almost every week. This commonly performed Orthopedic procedure is tailored to the individual. The hip replacement implant itself is an artificial version of the natural ball and socket joint - there are a range of materials and sizes available and your surgeon will choose the right combination depending upon your age, lifestyle and future plans. He works in a laminar flow theatres to reduce the risk of infection and our after care team will have you up about and ready for home in days.

What is hip replacement surgery?

Hip replacement surgery is an operation to replace a damaged or worn hip joint with an artificial version. It is regarded as a long term solution for joint pain and immobility and is often the most effective treatment.

Why do hips need replacing?

The hip is a “ball and socket” joint which is susceptible to wear and damage. This can be caused by various forms of arthritis (most commonly osteoarthritis), bone diseases, bone abnormalities, and injury.

Why do people choose hip replacement surgery?

Due to the nature of the hip joint, damage and wear will not improve over time but will usually deteriorate. A hip replacement operation to alleviate pain and increase joint movement may therefore be the best treatment option. However, the decision to have the procedure is solely yours.

 

    A hip replacement operation may be worthwhile for you if:
  • You suffer from severe pain
  • The pain and lack of mobility is diminishing your quality of life and leaves you feeling depressed
  • The pain and lack of mobility leave you unable to have a social life, work or complete everyday tasks
  • Medications and treatments that you have tried have failed or cause severe side effects

 

Benefits of hip replacement surgery

 

    The most common benefits that patients report after the operation are:
  • Reduced pain
  • Improved mobility
  • Improved movement of the joint
  • Improvement to their quality of life

 

What happens in a hip replacement operation?

In the hip joint, the ball is formed by the top of the thigh bone (femur), whilst the socket is part of the pelvis. In the operation, your surgeon will remove the top part of the thigh bone, replacing it with a ball on a stem, which is inserted into the centre of the thigh bone. A plastic or metal cup will often be used to replace the socket.

Some patients choose to receive a general anesthetic before the operation, so that they are asleep for the duration of the procedure. A hip replacement can also sometimes be performed under regional anesthetic. The operation usually lasts one to two hours. Hip replacement aftercare

After surgery, you will be required to stay in hospital for four to five nights. Your hip is likely to be sore for several weeks; however this should ease as the area heals. Hip replacement surgery is considered a generally safe surgical procedure, which, for most, has benefits that outweigh the risks. Your surgeon will explain any risks of a hip replacement and how they apply to you.

Is knee replacement surgery available under health insurance schemes & CGHS?

Knee replacements are normally covered in insurance policies if you have it for at least 2 years prior, but please read your policy papers for clarifications. Fortis Hospital, Vasant Kunj also provides this facility to CGHS/ ECHS/ ESI beneficiaries besides all insured patients and other panels.

Why should I consider having a knee replacement operation at a Fortis hospital with Dr. Bedi?

Whether you have medical insurance or are paying for your treatment yourself, in Fortis Hospital you will be seen quickly by Dr. Bedi at a time that suits you. You will be treated in a premium private hospital with some of the highest standards of cleanliness and infection control. What’s more, you’ll be able to recuperate in your own private room with friends and family able to visit when you wish.

 

Knee arthroscopy surgery

Dr. Bedi has been doing knee arthroscopy for over 12 years and has extensive experience in this key hole surgery.

What is a knee arthroscopy?

Arthroscopy is a “keyhole” operation that is used to look inside and treat joints, especially the knee joint. It is performed through very small cuts in the skin, using a narrow, tube-like telescope called an arthroscope.

Arthroscopy is useful for finding out what is causing symptoms, to deliver treatment for conditions such as arthritis and inflammation, to take small samples of tissue, or to repair damage to tissues and cartilage. The procedure is usually done as a day-case.

Arthroscopy knee surgery is usually done under general anesthesia, which means that you will be asleep during the procedure, or for some patients, epidural or spinal anesthesia is preferable. This will completely block the feeling in your legs but you stay awake. Your surgeon and anesthetist will discuss with you which type of anesthesia is most suitable in your case.

Your surgeon will also explain the benefits and risks of having a knee arthroscopy, and will discuss the alternatives to the procedure.

About the knee arthroscopy operation

Your surgeon will make two small cuts (about 5mm long) in the skin around the knee joint. The first cut is used to pump sterile fluid into the joint to help produce a clearer picture. The second cut is used to insert the arthroscope.

Your surgeon will view the joint, by looking directly through the arthroscope, or at pictures it sends to a video screen. If necessary, other instruments can be inserted to repair any damage or remove material that interferes with movement or causes pain in the knee.

Afterwards, the fluid is drained out and the cuts are closed with stitches or adhesive strips. Then a dressing and a bandage is wrapped around the knee. An arthroscopy can take from 30 minutes to over an hour, depending on how much work your surgeon needs to do inside the joint.

Before you go home, a physiotherapist will also visit you to guide you through exercises to get your joint moving.

Following your operation, you are likely to have some pain, stiffness and swelling around the joint, which may last a few weeks. Gentle knee exercises will help reduce stiffness and discomfort.

Arthroscopy is a commonly performed and generally safe surgical procedure. For most people, the benefits in terms of improved symptoms, or from having a clear diagnosis of a joint problem, are greater than the disadvantages. However, all surgery carries an element of risk.

Specific complications of arthroscopy could include accidental damage to the inside of the joint or a loss of feeling in the skin over the knee. Uncommonly, it’s also possible to develop a blood clot in the veins of one of your legs (deep vein thrombosis, DVT).

The chance of complications depends on the exact type of operation you are having and other factors such as your general health. Ask your surgeon to explain in more detail how any risks apply to you.

Is Arthroscopy surgery available under health insurance schemes & CGHS?

Knee replacements are normally covered in insurance policies, but please read your policy papers for clarifications. Fortis Hospital, Vasant Kunj also provides this facility to CGHS/ ECHS/ ESI beneficiaries besides all insured patients and other panels enlisted with our hospital.

Why should I consider having a knee replacement operation at a Fortis hospital with Dr. Bedi?

Whether you have medical insurance or are paying for your treatment yourself, you will be seen quickly by Dr. Bedi at a time that suits you. You will be treated in a premium private hospital with some of the highest standards of cleanliness and infection control. What’s more, you’ll be able to recuperate in your own private room with friends and family able to visit when you wish.

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