Knee replacement surgery is inevitable when the knee pain and stiffness does not respond to any other treatment and even the simplest of activities becomes very difficult especially for people above 50 years with severe osteoarthritis.
A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee replacement surgery in Bangalore has become the most common form of joint replacement surgery.
The surgery is performed under general or spinal anaesthesia. The damaged part of the joint is removed and the bone surface is shaped to hold a metal or plastic artificial joint. The artificial joint is attached to the thigh bone, shin and knee cap, the attached artificial parts forms the new knee joint. The artificial components of a total knee replacement are referred to as the prosthesis.
Wipe off the disability forever.
Vikram Hospital is among the best multispecialty hospitals that offer total knee replacement surgery in Bangalore. The surgery requires about 1 ½ to 3 hours of operative time and at least 3-5 days of hospital stay. The improvement is phenomenal after a month of surgery. The pain of the damaged joint gradually disappears and the body gets used to the newly constructed joint. Walking devices such as parallel bars, crutches, walker, or cane is recommended to start walking, after six weeks walking would require minimal assistance. Physical therapy is recommended to restore muscle strength. The duration of the therapy may last according to the progress. After knee replacement surgery, precaution should be taken as to avoid twisting the involved leg for at least six weeks and keep the involved knee as straight as possible. Kneeling and squatting also should be avoided soon after the surgery. Vikram Hospital has the best ortho care facility that offers knee replacement surgery in Bangalore along with complete rehabilitation services. Treating osteoarthritis (OA) of the knee may require medication and rehabilitation, but the right choice of shoes can also go a long way. According to a review published in Current Opinion in Rheumatology, the right shoes or insoles can help decrease the pressure put on the knees and help with pain caused by OA of the knee.
The Advances of Knee Replacement Surgery in Bangalore
Vikram hospital is among the best multispecialty hospitals that are well equipped with advanced equipments to facilitate the best outcomes for the knee replacement surgery in Bangalore. The joint implants used are of best quality and will last about 20 years or more. Improvements in surgical techniques and artificial joint materials has made these artificial joints last even longer.
The minimally invasive surgery that Vikram Hospital offers has revolutionized the knee replacement surgery in Bangalore. Its key characteristic is that it uses specialized techniques and instruments to enable the surgeon to perform major surgery without a large incision.
The healing would take time and sheer will power but as you walk towards a pain free life you will feel that the journey was worth it!
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USGI Medical out of San Clemente, CA has come up with Endolumental Bariatric Surgery Technique. With the catheter, surgeons can fold stomach tissue and place anchors across the folds, reducing the stomach volume.
Researchers at Imperial College London led by Dr Tony Goldstone, a Consultant Endocrinologist at Imperial College of London, UK, found that two gene variants – FTO and DRD2 – influenced activity in the brain reward system when looking at pictures of high-calorie foods. The research suggests that part of the reason people with the FTO variant are more likely to have obesity may be because dopamine signals in their brain cause them to feel more reward and craving when presented with high-calorie foods.
Deep brain stimulation (DBS) is widely accepted as an effective treatment for neurological conditions such as Parkinson’s disease, now researchers from the Ohio State University and University of Southern California, claim that the treatment could be used to treat obesity.
According to a review article in the journal Neurosurgery, Dr Alexander Taghva and colleagues claim recent understandings of the dysregulated reward circuitry of the brain may lead to developing in tackling obesity.
Drug treatments for obesity have targeted the homeostatic (self-regulating) mechanism regulating appetite and body weight. The homeostatic mechanism is thought to involve the feeding centre in the hypothalamus, which produces hormones (such as leptin and insulin) that affect feeding behaviour.
Initial experiments exploring DBS as a treatment for obesity have targeted the hypothalamus. However, as with drug options focusing on the homeostatic mechanisms, success has been limited
More recent studies have explored a different mechanism. Specifically, the dysregulated reward circuitry, of the brain. Research has suggested that obesity is associated with a relative imbalance of the reward circuitry and shows that obese subjects are more impulsive and less able to delay gratification. The reward circuitry is intimately interconnected with the homeostatic mechanisms.
The researchers have suggested that DBS could be used to deliver a mild electrical current to stimulate that area of the brain, with the goal of interrupting the feeding behaviour in obese patients.
They outline evidence implicating several different brain areas involved in the brain’s reward circuitry, particularly the frontostriatal circuitry, which could be useful targets for DBS.
Previous reports in individual patients have suggested that DBS performed for other reasons, particularly severe obsessive-compulsive disorder, have unexpectedly had unpredicted beneficial effects on addictive behaviours like smoking and overeating.
Taghva and colleagues hope their review will open the way to further exploration of DBS, perhaps in combination with therapies targeting the homeostatic mechanism.