Best Orthopaedic Doctors in Banjara Hills

 An Orthopaedic Doctor in Hyderabad, Telangana

Human beings are developed in every aspect of the sector which incorporates the raises of health problems. The physical body is a superb structure like no other, which makes it unique and precious. because the bones are one among the organs for the structure and therefore the movement of the body. This blog explains who is that the good and Best Orthopaedic Doctors in Banjara Hills, Hyderabad, India and one among the simplest orthopaedic hospitals in Hyderabad, India.

The relevance of Orthopaedic Doctor in Banjara Hills, Hyderabad, Telangana, & India with its rapid socio-economic changes including urbanization is experiencing a surge in orthopaedic problems. a gentle increase within the ageing population and therefore the lifestyle shifts are resulting in many musculoskeletal conditions.

We all know someone who has been suffering from bone, muscle or joint pain conditions. These conditions are often seen in people of all ages from children to aged people, a occupy a home person to a sportsperson. Today, India has more demand for improved procedures and better trained orthopaedic surgeons in our cities to form treatments safer and simpler.

The great news is that everybody from a toddler with a fractured arm to an individual with traumatic injuries requiring limb surgeries can enjoy the expertise of an orthopaedic surgeon. Treatment and prevention of musculoskeletal problems can help people lead happier and productive lives.

Who are Orthopaedic Doctors?

An orthopaedic doctor is an expert in diseases associated with the system . they need extensive training within the diagnosis of the issues and within the treatment of bone and joint injuries and will be versed in both non-surgical and surgical treatments.

Orthopaedic Doctors should be devoted not only to the diagnosis and treatment of disorders of the bones, joints, ligaments, tendons, and muscles but they ought to even be the go-to doctors for prevention from injuries or disorders associated with the above.

They treat conditions that include sports injuries and joint replacement to fractures and spinal deformity, Knee replacement. Some orthopaedists are generalists, while others concentrate on certain areas of the body, like Hip and knee, foot and ankle, shoulder and elbow, Hand and Spine.

Value of Orthopedics

Orthopaedic problems tend to form people immobile because it affects the movement of the body parts and thus indirectly slows a person’s productivity. the worth of orthopaedic care is when people can revisit to figure, to family, and do the items they love.

A good Orthopaedic Surgeon or Orthopaedic Doctor and therefore the joint doctor actually help the state by helping the productivity of its citizens.

Choose the simplest Orthopaedic/Bone Surgeon/Doctors in Banjara Hills, Hyderabad, Telangana. Orthopaedic Doctors must maintain their certifications with continuous, life-long learning and demonstrate their expertise on a daily basis because the cases of orthopaedic problems are ever-evolving with newer treatment and remedial solutions.

Dr Sanjib Kumar BEHERA may be a highly reputed doctor within the field of orthopaedics, and a sports doctor, who may be a consultant at Care Hospitals, Banjara Hills, Hyderabad, Telangana. His expertise is in Joint Replacement (Knee replacement and Hip Arthritis), Osteotomy, Arthroscopy (All Joints), Trauma (Injury, Accidents, and Major Fractures), Shoulder, Spine, Elbow, and Ankle Surgery. And is one among the simplest and top knee replacement surgeons in Hyderabad and in India.

Dr Behera also specialized in treating sports injuries. He has experience handling quite 900 surgeries and is one among the simplest Orthopaedic Surgeons in Banjara Hills, Hyderabad.

The Best Orthopaedic Doctors are committed not only to treating injuries but preventing them. Dr.Behera believes in being a healer and a mentor to his patients to assist them with lifelong health changes. He takes his outing for everyone among his patients and makes bound to specialise in their rehabilitation after the surgery process.

If you or someone you recognize is considering orthopaedic treatments or surgery, visit https://www.doctorbehera.in/ to find out about the treatment and management of orthopaedic conditions and skim more about the doctor and his patient stories!!

Sports Surgeon in Secunderabad, Telangana

Understanding Sports Medicine

Sports Surgeon treat the orthopedic problems of the shoulder, elbow, hip, knee, and foot and ankle injuries, etc with a special focus so that the impact of the treatment and rehabilitation on the future athletic activities is dealt with.

Sports Medicine is a sub-specialty of orthopedics that involves the prevention, diagnosis, treatment, and rehabilitation of injuries caused due to athletic activity.

Many injuries occurring during sports can be healed using casting or bracing and a few physical therapy sessions. But if the injuries are serious, then surgery is needed to give the athlete a better chance for a full recovery and return to the game or field.

The injury treatment can vary with the complexity of the injury and its severity. A severe injury is usually when the connective tissue is torn or bones are deranged or in cases of compound fractures where the bone pierces the skin.

Below we list a few common sports injuries that require corrective surgeries.

 1. Anterior Cruciate Ligament (ACL) Tear

A very common type of tear in many kinds of sport is that of the knee ligament also called the anterior cruciate ligament(ACL). ACLs are very delicate and can lock easily or tear. ACL tears can be reconstructed by surgery. Commonly a tissue from somewhere else is used to replace and reconstruct the torn ACL on the knee.

2. Meniscal Tears

The meniscus is a piece of cartilage in the knee that acts as a cushion for the joint. It stabilizes the joint by protecting the bones from wear and tear. But in some contact sports such as football that requires jumping and cutting can lead to twisting of the knee joint to tear the meniscus. In some severe cases, a piece of the torn cartilage can lock itself up in the joint causing debilitating pain.
Meniscus repairs are done using arthroscopic methods. Generally, if there are smaller tears a partial meniscectomy is performed to trim off the damaged meniscus tissue or a longer surgery to stitch up parts of the meniscus in repair.

3. Dislocation of shoulder joint

During sudden movements in sports, the arm bone pops out of the groove of the shoulder blade causing shoulder dislocations. Shoulder dislocations are common because the shoulder joint moves in many directions, causing dislocations in forwarding, backward or downward, completely or partially through the shoulder. Sometimes a complication can occur when the fibrous tissue joining the bones of the shoulder can be stretched and torn. Shoulder subluxations occur when the ball falls partially out of the socket of the joint.

Shoulder dislocation or subluxations cause symptoms like swelling, pain, numbness in arms, hands or fingers, and unsteady shoulder. Treatment involves surgery to put the shoulder back in place and hold it in place with a cast or sling for a few days. A follow up can be prescribed for rehabilitation exercises to strengthen muscle and joint mobility.

4. Fractures

A fracture means a break in the bones and the most common fractures during sports activities are located in the wrist, hand, ankle, foot, and collarbone. When too much pressure is placed on the bones or during a bad fall bone can break due to a direct blow. In some contact sports such as football and lacrosse, bones are particularly vulnerable to fractures because of the impact of direct blows. Fractures can be many types:

• A complete fracture involves a complete break leading to separate broken pieces of the bone.
• A partial fracture or incomplete fracture means the bone is broken but still intact as a single piece.
• In a compound fracture or open fracture, the bone is broken and exposed through the skin injury. This fracture has a risk of infection at the site.
• A simple fracture or closed fracture means the bone does not penetrate through the skin and the exact location has to be diagnosed through an x-ray scan.

Mild fractures can be healed by using casts and resting for a few weeks. For more severe ones, a variety of surgical options are available for fixing different fractures. The treatment also depends on what bone is broken and its location and the fracture pattern. Depending on the severity of the fracture a personalized course of treatment has to be prescribed for a successful recovery and speedy bounce back to the sport or athletic activity.

Best Sports Surgeon in Hyderabad, City

The rise of star sports surgeon is increasing with the rise of sports stars. Whether one is competing on a field, court, or track, injuries can happen at any moment. Finding the right specialist quickly can make the difference between a smooth return to playing or a delayed recovery.

Dr. Behera, a reputed Orthopedic Surgeon in Hyderabad specializes in Sports Medicine and Arthroscopy. He practices in the renowned Yashoda super specialty hospital and is an expert in the diagnosis and treatment of all athletic injuries with particular prowess in reconstructive surgery of Knee and Shoulder.

He is skilled in everything from the latest surgical techniques to good, old-fashioned care and is a preferred orthopedic surgeon for his compassion by all ages. With a personal touch to his care and rehabilitation, he has made sure that all of his patients recovered swiftly and got back to their favorite sport with proper fitness and in top performance capability.

If you have any questions about your loved one’s Sports Injury, please ask for Dr.Behera. He is here to help and also give suggestions for the best method of treatment.

Visit https://www.doctorbehera.in/ or Call +91-94401 80980 to set up an appointment.

Best Orthopaedic Trauma Surgeon and Specialist in Hyderabad, Telangana

What Is Orthopaedic Trauma?

Orthopaedic trauma is an injury or traumatic event affecting the musculoskeletal system such as the bones, joints, and surrounding soft tissues. It involves bodily wound or shock that has been produced by sudden physical injury from violence or accidents. Trauma can also be a life-threatening medical emergency needing urgent attention. It usually results in secondary complications such as circulatory shock, respiratory failure, and death. Resuscitation of a trauma patient often involves multiple management procedures needing urgent attention. Orthopaedic Trauma Surgeon need to be able to handle the problem by healing the bones with their best equipment while optimizing the healing of the softer related tissues.

This specialty area typically involves minimally invasive surgeries that can get quality outcomes with very little or no possible side effects.

Trauma injuries:

Trauma injuries can be complete breaks or hairline fractures of the hip, tibia(leg bone), femur, humerus(hand bone), elbow, pelvis, clavicle (collarbone), or forearm. From hairline fractures to complete breaks in the bone, trauma specialists can recommend the treatments that will result in the best possible outcomes.

Trauma Specializations:

• Minimally invasive surgery
• Limb lengthening
• Hip surgery (both on or pelvis and acetabulum)
• Joint Grafts
• Bone grafts
• Reconstruction of soft tissues

Why a Orthopaedic Trauma Surgeon?

Usually just after an accident or when a traumatic bone injury happens a patient is unsure of what type of doctor to see because they cannot analyze the amount of damage to the bones or the soft tissues. When a trauma patient enters the emergency room, physicians can help with the immediate first aid and recommend a trauma specialist to take care of the longer term surgeries and follow-up care. It is a good idea to stick to a single orthopedic trauma specialist who can best handle the number of different injuries as they can understand the complications and optimize the treatment accordingly.

Orthopaedic Trauma Specialists are experts in handling this area as they go through a fellowship program during which they have received specialized training in the treatment of traumatic injuries. Therefore, they are better equipped with the skills and experience needed to maximize the results while minimizing patient distress.

Orthopaedic Trauma Surgeon also work with other specialists like plastic surgeons, neurosurgeons, or experts in vascular surgery to repair the injuries in collaboration. For example, in some extreme traumatic accident cases, the patient might need an orthopedic surgeon to be repairing the broken bones while also attending to the associated soft tissues, vasculature, and surrounding nerves.

A patient who experiences orthopedic trauma may be in recovery for a few months. Recovery times might be as low as a few weeks to a few months or sometimes a year. Orthopaedic Trauma Specialists are also experts in assessing the range of treatments and their recovery times and any complications and issues that can crop long after the recovery.  A trauma specialist needs to create a treatment plan to get the patient with all his complexities back to normal or close to normal lifestyle and quality of life.

Doctor Sanjib Kumar Behera

Dr.BEHERA is one of the few Orthopaedic Trauma Surgeon in Hyderabad city working from the Multispeciality Yashoda Hospitals. He has been a great asset to the orthopedic trauma management team with a combination of diagnostic skills, surgical techniques, and an ability to think rationally under pressure. With a great sense of calm, spatial awareness, and 3D reasoning he has not only helped treat many patients but also has been a long term mentor and guide to many of his patients. He has been helmed as the most sought after Orthopaedic Surgeons, especially for trauma. With an experienced team of medical specialists to ensure the best possible care, Dr.Behera is dedicated to providing the best treatments using both technologically advanced methods and the latest infrastructure while being composed, patient, and the most preferred Orthopaedic Surgeon for this area of specialization.

Do not forget to go through our website https://www.doctorbehera.in for more details on Dr. Behera and feel free to contact and book an appointment to meet the doctor for any queries.

Osteotomy Complete Guide

This Blog contains a Complete guide about Osteotomy in Hyderabad, Telangana by Dr. Behera. Contains Detailed Information from What is an osteotomy? to Procedure & Recovery.

What is an osteotomy?

An osteotomy is a unique surgical procedure to reshape the bones. This type of surgery is needed in cases where there is a deformation in the bone, a damaged joint or sometimes to correct a short or long bone by shortening or lengthening to better align with the joints.

Who needs to undergo osteotomy?

A patient does not need to have severe sickness or painful symptoms to have an osteotomy.

Young and healthy people can have this surgery to prevent themselves from future knee replacement or hip replacement surgeries.

Some congenital bone deformations are also be fixed using an osteotomy so that the person can lead a normal lifestyle.

A doctor can recommend an osteotomy if the patient is suffering from arthritis damage in just one area of the knee.

Some of the regions that need osteotomy:

1. Knee:  either tibia (upper region of the joint bone) or femur (bone to the lower side of the joint) is cut so that there is a less worn out area of the articular cartilage to take the pressure off the weight-bearing part of the damaged knee joint.
2. Hip: Reshaping of the hip socket can be done to properly cover the full ball region of the hip joint.
3. Spine: In patients with a hunchback, a piece of a bone that is in the shape of a wedge is removed from the spine. This procedure can correct the hunched posture and the swayback of the patient. 
4. Chin: Some chins are very broad or squared. Along with help from a plastic surgeon many patients undergo osteotomy to narrow their chin bones to give a different cosmetic look.
5. Jaw: Jaws can be fixed for cosmetic surgery purposes or to line up the jawbones with their teeth structure. Some people have a problem with unaligned lower jaw making it difficult to bite their food. Correction by mandibular osteotomy can move the lower jaw to a perfectly aligned position.
6. Other: Other minor osteotomies can include straightening of the big toe, correction of extra fingers or toes, etc.

Procedure for Osteotomy

Osteotomy can be a complex surgery in some cases or minor corrective surgery in some cases but it is a very unique surgery that needs an expert surgeon to perform the procedure. A patient may need to get admitted into the hospital and therefore it is imperative to choose a medical center that is well equipped and has experience doing osteotomy procedures.

Anesthesia can be given and the surgeon can give the anesthesia options to the patient ahead of time. In many cases, patients are given general anesthesia to put them to sleep while the surgery happens. This is required in complex cases where the surgery can take a longer time. A spinal tap or anesthesia which makes you feel numb below the waist can be given If the procedure is to be done on the lower half of the body like the hip. Local anesthesia can also help in minor surgeries like osteotomy of toes etc.

An osteotomy procedure is done by an orthopedic surgeon. During the procedure, a small cut is made in the skin and a section of the bone is taken out using a surgical saw. A special type of guidewires is used to measure the bone and analyze the angles before the removal of the part of the bone. After surgically cutting the part, the open space can be filled up with bone graft or not depending on the procedure. A part of the pelvis bone can be used or sometimes even bone banks can donate a piece of bone for bone grafting purpose. Metal hardware like tiny screws and metal plates are used to hold the bones back in place. These materials are can be of different types so they can be taken out after healing or left permanently to integrate into the bone.

Once the procedure is done a patient might need to spend a night or two in the hospital or can be sent home depending on the type of surgery and the doctor’s advice.

Recovery after Osteotomy

Recovery after an osteotomy can take a while depending on the bone structure that is corrected. The site where the surgery is done might have some pain and be very sore. Doctors can put the patient on pain medicines until the soreness subsides. One may need to use braces or crutches or take extra care and not put any pressure on the bone until it heals.

• In the case of knee or hip osteotomy, the patient cannot walk for several months and has to be supported by crutches. The doctor will also recommend physical therapy sessions to strengthen the leg muscles while recovery.
• Strict diet restrictions can be recommended for jaw osteotomy such as an all-liquid diet for 6 weeks.
• In cases of osteotomy the big toe the patient might not be able to wear shoes at least 2 weeks or sometimes wear open sandals for as long as 6 weeks.
• It is better to avoid smoking as nicotine can prevent bones from fusing as a result of interfering with the healing process.
• It is also a good idea to reduce extra weight before the procedure as being overweight or high BMI(Body Mass Index) can increase the time it takes to recover from the osteotomy.

Osteotomy is a very unique and rare type of surgery that is not performed in many centers. Dr. Sanjib Kumar Behera is a renowned orthopedic surgeon Hyderabad with a prominent team in India who has performed the highest number of Osteotomy, with the best results comparable to internationally acclaimed centers.

If you have any questions or concerns regarding osteotomy, please check out doctorbehera.in and book an appointment to speak with Dr.Behera.

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Hip Fracture treatment in Hyderabad

Hip Fractures are the 4th leading cause of death among the elderly. Hip Fracture is a life-threatening injury that has to be treated early to reduce the complications. Treatment options include fixation, Hemi replacement and Total Replacement followed by physical therapy.

Causes of Hip Fracture

As the bones are weakening with age, the risk of osteoporosis and eventual hip fracture increases in older people. Too many medications, balance and Vision problems make the elderly more likely to trip n fall causing the Hip Fracture.

A high-impact car crash or other accidents also can cause Hip Fractures for all ages.

Women are more prone to osteoporosis and fractures because of faster loss in bone density due to a drop in estrogen levels at menopause. 70% of all Hip Fractures are recorded in women.

One can prevent hip fractures by ensuring a healthy diet to maintain bone density and being cautious and using support while walking to avoid falls in geriatric people.

Symptoms of Hip Fracture:

1. There is severe pain in the hip and or groin region in case of hip fracture.
2. The patient almost always is unable to move immediately after a fall.
3. The patient is unable to put weight on the side of the injured hip and the corresponding leg.
4. There are excessive stiffness and swelling in and around the injured hip.

Diagnosis

A doctor may order for an X-ray or an MRI scan results based on the results to confirm a fracture or the exact location of the fracture. A bone scan can also be used to see if there is a smaller hairline fracture if the X-ray does not show a fracture.

There are at least 3 types of fractures concerning the hip region:

1. A femoral neck fracture is associated with the upper portion of the femur bone which is the bone that sits above the ball-and-socket joint of the pelvic region.
2. A femoral fracture can be located farther away from the joint known as the intertrochanteric fracture. This region of upper femur juts outward and is a little away from the hip.
3. An atypical hip fracture can also occur in patients who are on bone density medication for a long period of time.

Treatment for Hip Fracture

Various options of treatment include mostly surgical followed by physical therapy depending on the type, severity and location of the fracture, patients’ age and other medical conditions. Some of the recommended surgery includes:

1. Fixation using screws: Metal screws or metal plates are inserted and attached to the injured bone and left to heal the fracture over time.
2. Partial or Hemi replacement: When only the ends of the bone are damaged, a surgeon can install a partial replacement such as just the head and neck region of the femur. Usually recommended for older patients who have other health conditions.
3. Total hip replacement: A doctor may recommend total replacement if the blood supply to the ball part of the hip joint is damaged. A prosthetic hip replaces the damaged upper femur and the socket of the pelvic bone in total hip replacement. Total hip replacement is more cost-effective as it has better outcomes in the long term and reduces further hip fracture situations in healthier adults.

Recovery and Rehabilitation after Hip Replacement Surgery

Recovery from hip replacement surgery can be one day to a week depending on the patient’s age and severity. Once out of bed, physical therapy sessions are recommended to assist in the movement and strengthening of the hip joint. An occupational therapist with the help of the doctor and physical therapist will determine if a walker or wheelchair may be needed for mobility for some time.

Studies show that 10% of adults above the age of 65 have another hip fracture within two years of the first one. So some medications to improve with bone density and reduce osteoporosis will be recommended by the physician. These medicines can also be taken as preventive care after consulting a good orthopedic surgeon.

Dr.Behera is a very experienced Orthopedic Surgeon with the largest clientele and is most experienced in hip Fracture Surgeries in Hyderabad. His staff is skilled in dozens of specialties and they all work together to ensure quality care and successful recovery of every patient that has been treated not just technically but also in a friendly and compassionate environment.

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Total Knee Replacement Surgery in Hyderabad

Total Knee Replacement Surgery in Hyderabad by Dr. Sanjib Kumar Behera

This blog answers a few important questions about Total knee replacement surgery in Hyderabad.

What is Total Knee Replacement Surgery?

A surgical procedure where an ailing knee joint is replaced with an artificial one so the joint enjoys the same motion of the knee. The artificial knee composes of metal and plastic materials and is shaped in the same way as a knee to allow free continued motion. Sometimes called Knee joint replacement surgery these are preferred for minimally invasive methods with less pain and no bleeding.

Who needs Total Knee Replacement Surgery?

Total knee replacement surgery is considered for patients with either progressive arthritis, trauma, rheumatoid arthritis, and psoriatic arthritis, or other rare destructive diseases of the joint.

These conditions result in progressively increasing pain and stiffness and decreasing daily function. However, not everyone is a candidate for total knee replacement. Doctors can diagnose and recommend surgery for patients with few or more of the following symptoms.

Diagnosis:

• Patients experiencing difficulty in walking especially going up the stairs or while sitting in and standing out of chairs.

• Patients experiencing severe Knee pain that interferes with daily activities and have tried out but not responded to nonsurgical treatments. Non-surgical treatments may include exercises, weight loss, physical therapy sessions, medications, steroid injections, and bracing.

• Some patients experience moderate to severe pain even while resting, affecting their sleep patterns.

• If patients have moderate to severe arthritis in the knee then they can be recommended to go for knee replacement by their doctors after a medical imaging diagnosis.

• In the case of Knee deformities, doctors can recommend knee replacement surgery. Some of these deformities may include and not limited to bow-legs or knock-knees resulting from knee joint degeneration.

• Patients with Knee swelling and inflammation that is not controlled with medication or rest and hindering the daily living of the patient.

Types of Knee Surgery:

1. Meniscectomy

2. Meniscus Repair

3. Meniscus Transplant

4. Plica Removal

5. Lateral Release

6. Microfracture

7. ACL Reconstruction

8. Tendon Repair

9. Knee Replacements

Out of the above Partial Knee replacement and Total Knee replacement surgeries are preferred as patients who have been suffering from knee pains most of their lives get pain relief with a renewed knee cap that can be sustained long term.

The Total Knee Replacement Procedure

Total knee replacement surgery includes 5-6 inches incision over the knee with 3-5 days of hospitalization.

Anesthesia is administered to the patients before the surgery. Anesthesia can be general or a spine nerve block.

The knee is bent to 90 degrees for the surgeon to access the joint.

The surgeon can go for incisions of 8 to 10 inches long cutting through deeper tissue to flip the kneecap and access the femur and tibia. Sometimes surgeons can also choose to perform minimally invasive knee replacement with smaller incisions of 5-6 inches using minimally invasive surgical techniques.

A bone saw is used to remove the damaged areas at the bottom of the femur and the top of the tibia and reshaped to fit with the new prosthesis perfectly. A surgeon then resurfaces the back of the kneecap also known as the patella to attach the implant with help of a polyethylene component which acts as a glider for the movement of the patella against the new joint. Fast-drying bone cement or sometimes cementless components can be used to attach the femur, tibia, and patella. Over a period of time bone tissue can grow normally over these components.

A flexible cushion component is attached on top of the new tibia surfaces to act as a shock absorber between the two new prosthetic surfaces.

The doctor examines the fit of the components and the range of motion of the knee. He then straightens the patients’ knees to allow the components to bind.

Any deep tissue cuts will be repaired and incisions are stitched back to finish the total knee replacement surgery procedure.

A patient can be discharged the same day after the anesthesia wears off and is checked by a physical therapist. In a few cases, the doctors can ask the patient to stay in observation for 1 to 2 days before deeming safe for discharge. Recovery depends on the severity of the problem and an individual’s physical therapy routines.

Continuous Passive Motion machines can help speed recovery of the replaced knee. This CPM device can be set to a range of degrees and it constantly moves the knee through that degree of motion. So while the patient is relaxing the device is on its job helping in the movement of the knee.

Recovery

Patients are recommended to begin ambulation with the help of a walking aid on the same day as their surgery. Some patients may need total rest for a day or two before ambulation as recommended by physicians and physical therapists.

After the surgery, physical therapy is prescribed to begin within a week after discharge. Physical therapy may start with assistive walking using walkers etc and go on to include knee strengthening exercises, exercises to increase range of motion, etc.

With proper physical therapy and proper care, most patients are able to resume normal daily activities within 6 weeks. They can start driving within 3 to 6 weeks. But for best recovery results patients need to check with their doctor and physical therapist from time to time. It may take 4 to 6 months or in some cases a year to fully recover and get back to the original self from knee replacement surgery.

Exercises After Knee Replacement

Exercises after the knee replacement can be prescribed by the physical therapist even after the consultation period. It is always better to keep doing Knee strengthening exercises and make exercise a daily goal to improve the movement of the replaced knee. Some of the exercises can include:

1. Knee bending stretch (sitting knee flexion)

2. Thigh squeezes (quadriceps sets)

3. Heel slides (hip and knee flexion)

4. Leg slides (abduction/adduction)

5. Lying kicks (short arc quadriceps)

6. Straight leg raises.

Please make sure to consult your physician or physical therapist before doing anything rigorously for the first time.

Total Knee Replacement Complications

Relatively fewer complications happen for these replacement surgeries mostly seen in older adults.

Complications might be due to anesthesia, blood clots, infections due to allergy to metal components, implant problems, knee stiffness, wounding, and bleeding complications in certain individuals.

Guidelines for selecting an orthopedic surgeon

The most important part of the total knee replacement process is choosing a good specialized orthopedic surgeon.

A surgeon with experience of a high volume of knee replacement surgeries each year and a hospital that has dedicated resources to perform such technically efficient knee replacements need to be chosen.

A good surgeon increases the success of total knee replacement surgery using the latest technology while decreasing complications for the patients and having a well-developed plan for post-operative rehabilitation, which may include a supervised physical therapy program.

Dr. Sanjib Kumar Behera is the most trusted orthopedic surgeon in Hyderabad who has handled more than 900 surgeries in orthopedics with expertise in knee and joint replacements. He is a Clinical Director and HOD, Department of Orthopedic and Joint Replacement Surgery at Care Hospitals, Banjara Hills in Hyderabad, and performs orthopedic surgeries using the latest technological procedures in the country. Apart from being a surgeon, his patients consider him a great human being who takes time out for each of them to mentor and help them with lifelong health changes.

Please visit www.doctorbehera.in for details or give a call on +91-94401 80980 for appointments.

For a complete guide about Arthroscopy Surgery Click Here.

Arthroscopy Surgery In Hyderabad

Arthroscopy Surgery In Hyderabad By Dr.Sanjib Kumar Behera

Arthroscopy Surgery in Hyderabad By Dr.Sanjib Kumar Behera, In Arthroscopy Surgery, Arthroscopy means “to look within the joint”. The word derives its meaning from the Greek words, “Arthro” meaning a joint and “scope in” means to “observe or examine”.

In an arthroscopic examination, an orthopedic surgeon makes a small incision in the patient’s skin and examines the structures inside by inserting an instrument called Arthroscope.

The arthroscope has a small lens and a fiber optic transmitted light to magnify and illuminate the joint structures. The surgeon can observe the interior of the joint through a miniature television camera attached to the arthroscope on the other end. This procedure not only helps in the examination but also in the treatment of the damaged interior of the joint.

Arthroscopic procedures are a significant advancement in joint care as they do not make big incisions and recovery times are very low as compared to other surgeries. Arthroscopic procedures have made it very easy in the evaluation and treatment of many orthopedic conditions such as torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage. Although arthroscopy is most commonly used in knee surgery, shoulder surgery, and ankles surgery, it can also be used for spine surgery, hip surgery, wrist surgery, and ankle surgery.

Arthroscopy Surgery in Hyderabad is one of the cities in India famous for orthopedic and Arthroscopy surgeries with highly educated and talented doctors.

Arthroscopy assisted ACL(Anterior Cruciate Ligament) Reconstruction Surgery

What is an ACL (Anterior Cruciate Ligament)?

ACL or Anterior Cruciate Ligament is the most important ligament that runs through the knee joint from the thigh bone (femur) to the shin bone(tibia). It runs right through the center of the knee giving it stability and preventing the knee from giving out or otherwise called buckling.

What is an ACL tear or ligament tear?

ACL tear is a very commonly heard complaint from patients who are very mobile and mostly during fast movements and direction changes such as in sports. A sudden direction change or a deceleration force crossing the knee can tear the ACL. The patient feels it immediately sometimes also hearing a popping sensation. ACL tear is followed by rapid onset of swelling, and a buckling sensation in the knee while attempting to change direction.

Immediate First Aid for ACL Tear:

If you find yourself or a near one going through an acute ACL injury, an initial treatment with ice or anti-inflammatory medication can be of help until you reach a doctor close by. A physical therapist can also help with restoring the range of motion of the injured knee as an immediate

Full Diagnosis for ACL Tear:

The full diagnosis of an ACL injury involves the following

1. Determine the cause and mechanism of injury
2. Examining the knee
3. Determine if there is a presence of blood within the joint
4. Perform diagnostic tests including X-rays, MRI scans and stress tests of the ligament

What is ACL reconstruction?

An ACL reconstruction is replacing the torn ligament utilizing a different tissue and holding in place until it recovers. The procedure can be typically performed on an outpatient basis.

A number of different types of tissue can be used to reconstruct the ACL. The central third of the patellar tendon is the most common type of tissue used in ACL reconstruction. After a series of diagnostic arthroscopic examination of the knee, the central third of the patellar tendon is harvested with a bone block at each end of the tendon graft.

The rest of the tendon is then repaired. Using drill guides, holes are placed into the tibia bone (located below the knee) and femur bone (located above the knee). The harvested tissue graft is pulled through the drill holes and into the knee joint. The drill holes are placed right at the attachment sites of the original ligament so that the graft will be placed in the same position as the original ACL.

Bioabsorbable screws or metallic screws are used to hold the graft in place after pulling it through the drill holes and the joint to replace the torn ACL. The fastened graft in this way is left for healing. Over a period of time, new blood vessels grow into the transferred graft and naturally heals the joint and ligament.

Postoperative care for ACL Reconstruction:

Since ACL reconstruction is an outpatient procedure, patients can be discharged the same day post-surgery. Mostly crutches are recommended for the first 7-10 days after surgery so that the patient bears only partial weight on the surgically treated leg.

Patients can stop using crutches whenever they feel comfortable to do so. A supervised physical therapy session can help and can be started by the second or third day after surgery. The recovery time differs from patient to patient but most of them can walk independently after the first month.

Recovery for Arthroscopy assisted ACL Reconstruction Surgery:

The reconstructed ligament heals in approximately 3-4 months. Although the patient can walk comfortably, any sport or activity that requires rapid direction changes must be avoided until thoroughly examined and recommended by the physician.

Some of the sports that might need a go-ahead from the physician before starting include contact sports, racquet sports, skiing, tennis, martial arts, etc.

Shoulder Arthroscopy Surgery

What is a Shoulder Rotator Cuff Tear?

Rotator cuff tear or injury-related tear to shoulder is a painful shoulder with restricted mobility. Shoulder stiffness is not always a frozen shoulder. Aging is the main cause of the tear. As one age, the rotator cuff also ages, weakening the tendons and increasing chances of the tendon to tear.

Adults over the age of 40 are more prone to rotator cuff tears due to aging and repeated use of the hands in the overhead position. Rotator cuff tear is also very common in diabetic and hypothyroid patients who frequently develop tendonitis. Tendonitis is an accelerated weakening of tendons which may eventually progress to a complete tear in one of the tendons. Tendonitis is also frequently observed in individuals who perform common overhead activities.

Tears are also very common in certain athletes like baseball pitchers, swimmers, and tennis players who use repetitive overhead motions. Sometimes, a tear can be sustained from a direct blow like a fall from a bicycle or some common household work.

Symptoms of Shoulder Rotator Cuff Tear:

1. With a shoulder rotator cuff tear, one usually experiences pain primarily on top and in the front of the shoulder. In some cases, pain may also occur at the side of the shoulder, and the pain increases or feels worse with activities that force to reach above the level of the shoulder. 
2. There could be weakness and stiffness in the shoulder making it difficult to perform simple overhead activities like lifting mobile phones to the ear or placing dishes in the cupboard. Some people with tears also complained of not able to lift their arms to comb their hair. Stiffness may result from the inability to move the shoulder, and this stiffness may become progressive over a period of time.
3. There may also be difficulty sleeping on the shoulder at night.
4. Bursitis is a common symptom that occurs with a rotator cuff tear. Bursitis is the inflammation of the bursa, a small sack of fluid that surrounds the joint. Bursitis may cause a mild popping or clicking sensation in the shoulder. The tear itself may cause this sensation.

Arthroscopy Shoulder Surgery:

1. When a shoulder rotator cuff tear begins to interfere with normal activities, arthroscopic (minimally invasive) shoulder surgery may be necessary to restore your shoulders full functional abilities.
2. Some athletes need to get it done to get back to the activities they love to do, or simply to enjoy a good night’s rest that has been hampered by the shoulder pain.
3. Shoulder Arthroscopic Surgery can treat acute or recurrent shoulder dislocation.
4. Shoulder Injuries during sports or normal household blows etc. also can be treated with arthroscopy with special arthroscopic Instrument.

Small Joints (Wrist or Elbow or Ankles) Arthroscopic Surgery

There are many smaller joints in the body such as the wrist or elbow which can also be treated using arthroscopic corrections without cutting and not leaving scars behind at the regions. Immediate return to work is possible with this method of treatment.

The tear in small joints mainly occurs in

• Wrist
• elbow
• Ankle
• Knee

Some Examples for Small Joints (Wrist or Elbow or Ankles):

1. Ankle disorder of loose bodies can be treated with arthroscopy.
2. Elbow stiffness can be fixed with arthroscopic surgery.
3. Carpal Tunnel syndrome or (Nerve Compression) at the wrist which is more common in females, can be released with Arthroscopy.

Care after the Arthroscopy surgery

Arthroscopy involves only small incisions in the skin and only a simple operative dressing is needed where adhesive strips can be applied to cover the healing incisions which are usually removed the morning after surgery. The small puncture wounds take 5 – 7 days to heal.

After arthroscopic surgery, it takes several weeks for the joint to maximally recover although the puncture wounds are small and pain in the joint is minimal. A special physiotherapy session or recommended exercise activity or a rehabilitation program can be suggested based on the level of the injury to speed up the recovery and protect any future joint functions.

Most patients resume daily activities and go back to work or school within a few days. Athletes and others who are in good physical condition may return to athletic activities within a few weeks but only after a careful examination by the physician. As each patient’s diagnoses and pre-existing conditions are different their arthroscopic surgeries and recovery times are also unique to the individual.

Arthroscopy Surgery In Hyderabad

Dr. Sanjib Kumar Behera is one of the top leading surgeons in India. Famous for arthroscopy surgeries in Hyderabad, Telangana and working in most of the parts of India in Kolkata in West Bengal, Orissa, Bhubaneswar, etc.

“OPERATIVE ARTHROSCOPY IS A VERY HIGH SKILLED JOB. IT IS PERFORMED BY A VERY FEW SURGEONS ACROSS INDIA. WE ARE A TEAM OF VERY COMMITTED MEMBERS WHO DEAL WITH ARTHROSCOPIC PROCEDURES WITH GREAT ATTENTION, DETAIL AND CARE TOWARDS THE CONDITION AND THE PATIENT”.

For any arthroscopy surgery in Hyderabad, please feel free to consult Dr. Sanjib Kumar Behera, Yashoda Hospital, Secunderabad.

Please check out our other blogs Best Orthopedic Surgeon in Hyderabad and Arthroscopy Surgery In Hyderabad.