Why do full knee replacement when partial knee replacement is good enough


Sakra World Hospital introduces Computer Navigated Partial Knee Replacement Surgery


Only 7 Computer Navigated Partial Knee Replacement Surgeries have been performed till date in India and Sakra World Hospital is the first in South India and the only hospital other than AIIMS, Delhi to use this novel technique for treatment

Why do full knee replacement when partial knee replacement is good enough

Why do full knee replacement when partial knee replacement is good enough


Bengaluru, 31st August, 2016: India is currently the second largest hub of osteoarthritis in the world.  The number of patients in India is estimated to touch 60 million people nationally by the year 2025 and to become the world capital of osteoarthritis commonly known as wear and tear disease.  About 20 years ago, the condition was noted to affect only those above the age of 65, but as per various studies today it is diagnosed in patients between the age group of 35-55.  

Osteoarthritis in severe conditions results in complete disability of the knee and can leave the person bed ridden.  Traditionally, the first step of treatment was to administer the patient with strong dose of pain killers to relive the pain temporarily.  If the pain was not relieved even post medication and physiotherapy the only option was to undergo Total Knee Replacement Surgery.  It is estimated that only 10% of Indians undergo TKR procedure due to the fear of late recovery and post recovery pain.  


 Benefits of computer assisted Partial Knee Replacement 
• Minimal or No physiotherapy 
• High accuracy
 • Longer implant life 
• 1-2 days of hospital stay 
• Cost is one fourth less than Total Knee Replacement
 • Minimal bone cuts 
• Squatting and sitting cross legged is possible which is not possible in total knee replacementThe latest procedure which has revolutionized the future of 

Knee replacement surgeries is Partial Knee Replacement also 

Known as UNICONDYLAR (PARTIAL) KNEE REPLACEMENT SURGERY using COMPUTER NAVIGATION. “Partial Knee Replacement Surgery replaces only the diseased part of the joint, and it is performed through a small incision, and involves less bone and soft tissue dissection.  The technique used reduces the blood loss and also the risk of medical complications.  The other benefits of the technique include minimal pain post operation and significant reduction of post-operative rehabilitation” said Dr. Chandrashekar. P, Senior Consultant & HOD – Orthopaedics, Sakra World Hospital. 

Most studies have suggested that the recovery range of motion in patients who have Undergone Partial Knee Replacement is much faster when compared with patients who have undergone Total Knee Replacement.  The technique of computer navigated partial knee replacement is relatively new in India.  The technique was recently launched in India in AIIMS, Delhi and only seven surgeries have taken place, five out of which have been performed in AIIMS and two at Sakra World Hospital which is the first in South India.   

A 52 year old housewife from Dhanbad, Jharkhand suffering from osteoarthritis, who was treated at Sakra World Hospital is the first person in South India to be treated by Computer Navigated Partial Knee Replacement. As a result of her condition she had severe pain her right knee joint, which progressed over time leaving her unable to perform her normal routine. Due to the inefficiency of medication and physiotherapy, surgery remained the only viable option. The doctors at Sakra after assessing her condition suggested Computer Navigated Partial Knee Replacement instead of TKR surgery performed elsewhere.

Computer Navigated Partial Knee Replacement is an attractive option for both the younger generation and the elderly. With more number of youngsters found suffering from ageing ailments, Computer Navigated Partial Knee Replacement becomes a good option. The beauty of the procedure is its adaptability to the Indian cultural requirements of squatting and sitting cross legged.  It also helps in preservation of your natural bone and tissue with more ideal patient specific positioning, thereby giving a natural feel. 

WHEN DISEASE IS ADVANCED AND INVOLVES ALL COMPARTMENTS TOTAL KNEE REPLACEMENT IS THE GOLD STANDARD PROCEDURE 

About Sakra World Hospital, Bangalore: 

Sakra World Hospital, a Joint Venture between Secom Hospitals, Japan and Toyota Tsusho, Japan, is a 350-bed hospital providing healthcare across all specialties such as ENT, Head & Neck Surgery, Neuro Sciences, Cardiac Sciences, Orthopedics, Women and Child Health, Digestive and Hepatobiliary Sciences, Renal Sciences, Emergency and Trauma Care. There are 12 integrated modular operation theatres (OTs) with cutting-edge, state-of-the-art technologies like OR integration solution that features video input recording, saving and displaying from a range of sources like surgical camera, peripheral camera and MIS camera. 

Computer Assisted Navigation Surgery is the latest advancement in Endoscopic Nasal Surgery. Very few centers in South India have this advanced equipment. Navigation System gives a real time 3D orientation during the surgery thus enabling the surgeon to know the extent of disease & dissection, hence ensuring minimal blood loss, trauma to vital structures and thus reducing risks associated with the surgery. 

The OT complex has a dedicated world-class Hybrid OT, featuring an intraoperative CT, advanced bi-plane CathLab and a fixed column OT table with common iso-centre for high-precision surgeries. The procedures using bi-plane cath-lab, enable visualization of smaller body parts like thin vessels of the heart and facilitates intra-operative 3D imaging. The 80 ICU beds are supported by high-end equipment with a central monitoring system. This facilitates quick and easy collection / access and transmission of patient's data to any department in the hospital network. There are dedicated isolation rooms for patients who are highly infection prone.