Joint Replacement

Overview

At the renowned Tulasi Hospital Joint for Life programme, our experienced surgeons use the latest techniques and materials to find the perfect implant for every patient – one that suits their age, anatomy and lifestyle, and fits comfortably, enabling them to return to an active life.


Restoring Mobility

Genetics, nutrition, activity and lifestyle are the cause for changes, over time, in our bones and joints.

You could need a joint replacement surgery for a number of reasons: injury, bone disease, reduced blood supply, the wearing out of the joint due to wear and tear associated with age, etc. A joint replacement is a permanent solution to relieve pain and restore movement in the affected joint.

Today, medical advancements have made it possible to replace our natural joints with artificial ones that are made from metal, polymers, ceramic or plastic. In the Tulasi Hospital Joint for Life Programme, our expert surgeons perform replacement surgery of the knee, hip and shoulder. Backed by over 35 years of experience and more than 37,000 replacement surgeries – and counting – they use current technologies and treatments to find that right implant to give you a joint that will last a lifetime.

A joint replacement surgery is considered a success when the implant bonds completely with the patient’s natural bone, resulting in stability and ease of movement.

The key to any successful joint replacement surgery is to find the perfect implant to replace your worn-out joint. Accurate placement of the implant and an infection-free environment are the other critical factors.

Getting the right bond is completely dependent on the experience and expertise of the surgeon and involves four crucial steps. They are:

  • A detailed and accurate assessment of the bones and joints
  • Finding and customising the implant so that it suits your age, physical activity and lifestyle
  • Deciding on the surgical approach which will yield the best results
  • Devising the right post-surgical physiotherapy regime

The timing of the surgery is another factor that affects its outcome. Once recommended, it is advisable to have the replacement done at the earliest rather than wait until your condition worsens and you are all but completely immobile. As you postpone surgery, the continuous pain and discomfort reduces your mobility, which in turn weakens the muscles around the joint and affects quality of bone.

When choosing a center for your replacement surgery, picking a high-volume medical center with a good track record is a wise decision. You can then rest assured that it will have experienced specialists, advanced infrastructure, infection-free environments, trained nursing staff and experienced physiotherapists, who will ensure the best results.

When the bond used for the joint replacement is not right, you could have pain, discomfort, dislocations, infections, internal fractures, and limited movement, necessitating a second surgery (revision surgery). This is more difficult, more expensive and takes longer to recover from.

Revision surgery is replacement surgery that needs to be redone; the old orthopaedic implants are removed and are replaced with new components. To do this, surgeons have to use the bone beyond the area that was used for the previous implant or find an implant that will grip an existing bone differently. An implant will not ‘take’ on dead bone. If the bone is not viable, surgeons may have to reconstruct it using a graft from another part of the body.

Revision surgery requires specialised equipment and skills to extract the damaged implants and deal with fragile bones. Tulasi Hospital is one of only a few centers that perform this procedure in India. We first plan how to remove the existing implants without damaging the patient’s bone further. We also assess the viability of the bone to determine if reconstruction is required. The implants that we use for revision surgery are different from those used for replacement surgery, and are chosen carefully to match your age, lifestyle, activity and the condition of your bones.