Bangalore: A total Knee Replacement gives a person a new start of life by replacing a painful, dysfunctional joint with one that works smoothly with little or no pain. However, surgery is just the starting point in returning to an active lifestyle. Most joint replacements are performed to replace arthritic joints that have been getting progressively worse over a period of months, or most likely, years. The gradual progression of arthritic joint dysfunction creates changes in the way a person walks, runs and moves. Knee replacement surgery is the only solution to get back a person to normal walking lifestyle. Following is one such example of a knee replacement surgery that was performed by a doctor on a 37 year woman in Bangalore.
A team of experts led by Dr. Alwin Almeida, Consultant, Orthopedic and Joint Replacement Surgeon, Fortis Hospitals Nagarbhavi, Bangalore performed a complex Total Knee Replacement Surgery on a 37year old Yashodhamma from Sharavanabelagola who was suffering from Rheumatoid arthritis for the past 18 years with no significant measures to control the disease. Rheumatoid arthritis had severely crippled her Right Knee and Right Elbow joints. She suffered severe pain and had not walked for the last 4 years. She tried various therapies and medicines, but couldn’t get rid of her problem. She was confined to her bed and had lost hope in life.
Learning about the benefits of total knee replacement described by Dr. Alwin in a local television channel, Yashodhamma’s family decided to visit Fortis Hospitals in Nagarbhavi. Yashodamma came with the hope of getting rid of the pain and getting back to her feet. Post Examination Dr. Alwin found out that the reason for her crippled leg and severe pain was due to a badly deformed Right Knee with 45 degrees of Knee bending, 30 degree inward bowing of the leg and extensive bone loss. She was planned for a total knee replacement surgery on the Right Knee.
Commenting on the Surgery Dr. Alwin Almeida said, ‘’the surgery was technically demanding and needed meticulous planning. The deformity in multiple planes had to be corrected and the loss of bone had to be addressed. The surgery required an extensive release of contracted muscles and soft tissue and clearing up of hardened and deformed bones. The deformities were fully corrected by meticulous surgical correction. The plan was to use a wedge metal implant or bone graft to overcome the bone defect as there was a large bone loss on the inner part of the leg bone. However during the surgery we were able to manage the bone defect using bone cement and primary implant alone with extension stem. This helped us in preserving much of the patient’s original bone.’’
Yashodhamma was made to walk the very next day of the surgery. First time in 4 years she kept her right foot on the floor which made her feel like God has given her a rebirth, ending her years of crippling pain and trauma. Presently Yashodhamma is comfortable with knee in straight alignment, no deformities and has good range of movements (0 to 120 degrees). Most importantly she has walked for the first time in 4 years. She is now able to perform all household activities and is active in her social life.
Harish Manian, Facility Director, Fortis Hospitals, Nagarbhavi said, “We at Fortis Hospitals are committed to create a world class health-care delivery system with the best clinical outcome. The Hospital over the last couple of years have become a center of excellence for all kinds of Orthopaedic work like, Joint Replacement, Arthroscopy, Trauma management etc. Our Orthopaedic team in Fortis Hospitals, Nagarbhavi headed by Dr. Alwin has delivered world class clinical outcomes in Joint replacement surgery and Trauma management, which has resulted in patients coming not only from Bangalore & other districts of Karnataka, but also from Tamilnadu and Andhra Pradesh.’’
‘’ I am thankful to Dr. Alwin and Fortis Hospitals for giving me a second life. When I came to the hospital I was brought in a stretcher and I went back walking when I got discharged. My 18 years of pain and trauma has come to an end and now I am doing all those things like attending weddings, going to temple and all other activities which I couldn’t do all these years’’ said an elated Yashodhamma.