ORTHOPAEDIC SERVICE – MEWAR ORTHOPAEDIC HOSPITAL
The Mewar Hospital is the largest chain of Orthopaedic Hospitals in India and have gained recognition by providing the latest orthopaedic treatments and surgical techniques. The centers perform surgical procedures which include the most current arthroscopic and reconstructive techniques including major joint replacements. Mewar hospital as a group has been successful in achieving a remarkable figure in Total Knee Replacements. We have specialized surgeons for replacements, hip resurfacing, shoulder surgeries, arthroscopies, pediatric orthopaedics, and much more. The hospitals all over the group are equipped with advanced medical equipments and the teams of highly experienced surgeons are backed up by computer navigation and imaging equipment with robotically assisted technology.
Total hip replacement
Total knee replacement
Total shoulder replacement
Total elbow replacement
Hand joint (small) replacement surgery
Ankle joint replacement
Minimally Invasive Kneee Replacement Surgery [MIKRS]
Key hole surgery for disorders of the knee, shoulder, elbow and ankle
Trauma and Fracture surgery
High quality Swiss ‘AO’ systems help stabilize fractures
Image intensifier, confirms perfect fracture fixations
Ilizarov and External Fixation Device
Management of open fractures
Infected non-union of long bones
Correction of deformities
Fusion of joints
Micro surgery for disc
Fixation systems for fractures
Surgery for correction of spinal deformities
Surgery for spinal tuberculosis
Endoscopic spine surgery
Congenital limb and spinal deformities corrections
Bone and joint infections management
Juvenile arthritis managemen
Hand and Foot surgeries:
Mewar Group of Hospitals offers advanced treatment for conditions of the knee joint such as arthritis that can severely affect the knee and hamper routine activities.
What is Arthritis?
Arthritis is inflammation of the joints. A gradual wearing away of the tissue on the ends of bones results in reduction of joint space and friction at the exposed bone surfaces, changing regular bone movement and causing severe pain. Knee Replacement Surgery is the best solution to treat the condition and allow resumption of normal activities in the knee.
The types of arthritis are:
This occurs after the age of 50 in individuals with a family history of arthritis. The tissue that cushions the bones of the knee softens and wears away. The bones then rub against one another, causing knee pain and stiffness.
This is a disease in which the inner membrane of joints is thickened and inflamed. This results in excessive production of the fluid that lubricates these joints. This chronic inflammation can damage the tissue covering the ends of the bones and eventually result in loss of the tissue, pain and stiffness.
It can result from a serious knee injury. A knee fracture or severe tears of the knees connective tissue may damage the tissue covering the ends of the bones over time, causing knee pain and limiting knee function.
Symptoms of arthritis:
Severe pain in the joint that restricts everyday activities such as walking, climbing stairs and getting up from chairs.
Severe pain while resting.
Inflammation and swelling of the joint that does not improve with medication and rest.
Deformity in the joint.
Joint stiffness or inability to move the joint in a normal manner.
Some of the knee surgeries and treatments performed at Mewar are:
For patients suffering from severe arthritis that can cause acute pain and make even routine activities difficult, Total Knee Replacement is the best solution. The procedure involves removing all diseased portions of bone and tissue on their ends, and replacing them with metal and high density plastic components shaped to create a structure that allows normal movement of the joint. Other knee deformities will also be corrected during the Surgery.
Partial Knee Replacement
This minimally invasive procedure is an option for arthritis patients in whom only one part of the knee has been affected.
In a Partial Knee Replacement the diseased portion is removed and replaced with a metal implant.
High Tibial Osteotomy
An osteotomy is Surgery that involves shaping and realigning of bones at a joint. It is usually used to treat arthritis in young patients, and is particularly recommended for those with very shallow joint sockets.
In High Tibial Osteotomy the upper part of the tibia – one of the limbs forming the lower leg – is resurrected, mostly by removing a small part of bone in the area.
Minimally Invasive Knee Replacement (Resurface) Surgery (MIKRS) using OrthoGlide Medial Knee system.
OrthoGlide, a metallic, wedge-shaped device is a novel implant that replaces worn cartilage inside the knee. It offers patients a less invasive alternative to total knee replacement. This device is inserted into the knee through a 5 to 7 cm incision, which relieves pressure, restores proper joint alignment, redistributes the load more evenly and increases stability.This surgery promises a less expensive and easy path of regaining normal lifestyle functions, and it definitely offers a new ray of hope to active and young patients who are worried about major surgery and prolonged post op rehabilitation to deal with Knee Arthritis.
The Major advantages of this surgery over standard Total Knee Replacement includes its affordable cost and early rehabilitation which helps patients to return to their normal routine and life style expeditiously. It allows the patient to squat and seat cross legged, an important part of our daily lives in India and which is not possible with the conventional knee replacement surgery. Above all OrthoGlide allows delay of total knee replacement until patients are older and less likely to require a second knee replacement.
As against a Total Knee Replacement, Minimally Invasive Knee Replacement (Resurface) Surgery involves a 2 inches incision, no cutting of the natural bone, the joint is left intact, no cutting of the muscle therefore no bleeding, less painful, low infection, less complications, fast recovery, can walk the same day, the surgery can be performed as a day care surgery and therefore doesnt require hospitalization.
Mewar Group of hospitals offers advanced treatment for various hip disorders, including arthritis.
Birmingham Hip Resurfacing
BHR is primarily intended for use in people who are in need of a hip replacement at a younger age and therefore are likely to be more active. In Birmingham Hip Resurfacing a very small part of bone on the top of the thighbone is resurfaced. A metal head is fixed on the thighbone. It fits into a metal socket placed in the joint.
For people needing a replacement under the age of 55, regular consideration is given for this procedure. People aged between 55 and 65 who are very active and otherwise fit may also be suitable and this will be determined by their bone quality and activity level.
The BHR advantage
Traditional Total Hip Replacements (THR) invariably have a metal on plastic bearing. These are reasonably successful in elderly relatively inactive patients, but offer unacceptably poor long term outcomes for young, active patients often with unavoidable multiple revision surgeries and associated complications. It is to avoid this unfortunate sequence of events that Birmingham Hip Resurfacing (BHR) was developed.
Who Needs Hip Resurfacing?
Conventional Hip Replacement
Birmingham Hip Resurfacing
Suitable for Elderly Patients
Suitable for Younger Patients
Head of femur (thigh bone) removed
Bone not removed
Articulation is metal with plastic
Articulation is metal with metal
Wears out rapidly in young and active patients
Everlasting – based on 35 year history in
Birmingham of Metal on Metal Articulation
Activity restriction required after Surgery for fear of dislocation
Activity restriction not required after Surgery as there is hardly any risk of dislocation (can sit on floor ,squat, use Indian toilet ,etc)
Sport not advised as the usage is inversely proportional the life of the hip replacement
Sport and High demand activities encouraged as usage is not related to life of resurfacing implant
Revision Surgery invariably necessary in younger patients
Revision Surgery not required for younger patients
Total Hip Replacement
The end portion of the thighbone affected by arthritis is replaced with a metal head that can be cemented with special glue to the stem of the thighbone (or) can be uncemented (in younger patients). The socket is replaced with a metallic cup and high density plastic is used as an insert into it. The socket is usually left uncemented (screws are used to connect to the thighbone). The Total Hip Replacement procedure enables restoration of the natural gliding motion of the joint.
Proxima Hip Replacement
The Proxima Hip Replacement is also ideal for young patients. In this minimally-invasive procedure, the part of thighbone at the point where it begins is shaped and replaced by a metal head. This sits in a metal cup that is fitted into the socket.
Bilateral and Revision Hip Replacements are also done at Mewar Hospitals. Some hip surgeries can also be performed using minimally-invasive techniques.
Some of the shoulder surgeries undertaken at Mewar Group Of Hospitals are:
Total / Partial Shoulder Replacement
Total Shoulder Replacement needs to be done if both sides of the shoulder joints are severely affected by arthritis. In Total Shoulder Replacement, the damaged end of the upper arm bone is replaced by a stem with a metal head. The diseased part of the socket is replaced by a plastic shell in which the metal head sits. In case only one part is affected, partial shoulder replacement can be done.
In Shoulder Resurfacing, the surface of the bony end is made smooth and the diseased part is removed in the process. After this, a metal cap shaped to fit into the socket is fixed on the end of the bone.
Bilateral and Revision Shoulder Replacements are also done at Mewar. Some shoulder surgeries can also be performed using minimally-invasive techniques.
The Orthopedic surgeons at the Mewar Group Of Hospitals can diagnose and treat many types of bone and joint problems using minimally invasive techniques. Most minimally invasive orthopedic surgeries are done with the use of an arthroscope, a special thin tool designed for viewing and treating problems inside a joint. The arthroscope is so slim that it can be inserted into the joint through one or more tiny “keyhole” cuts through the skin, rather than longer incisions. The arthroscope is fitted with a state-of-the-art miniature camera and a specialized lighting system that enables the structures inside the joint to be viewed on a monitor. The surgeon can attach special tools to the end of the arthroscope to shave, cut, or remove tissue or bone that are causing problems. Arthroscopic or keyhole surgeries of the joints are routinely performed. The most common arthroscopic procedures include repairing cartilage and meniscus problems in the knee, and removing inflammation and repairing rotator cuff tears in the shoulder.
Mewar Hospital offers specific options for management of bone tumors.
Tumors of the bone can be either benign or malignant, the malignant variety being more of a challenge to treat. Further more malignant tumors could be either primary tumor of the bone or secondary deposits from tumors elsewhere in the body. The most common bone tumors encountered are osteosarcomas, Ewings sarcoma, etc. The most common sites of occurrence are around the knee joint – either distal femur or proximal tibia. The dramatic change of events from amputation to limb salvage surgeries has heralded a new hope to these patients who have this form of cancer.
When a person has cancer of the bone, Surgery forms a part of the treatment. Formerly if the malignant tumor was in the limbs, Surgery meant amputation of the limb. The entire limb or part of it would be removed. This led to marked disability and disfigurement. The person also had to suffer social stigma. In order to overcome the functional, psychological and social problems associated with amputation, the concept of limb salvage was evolved. Here, despite the Surgery and removal of the tumor, the limb is spared.
The aim of limb salvage Surgery in bone tumor management is to eradicate the disease, retain the integrity of the skeletal system and preserve a limb with useful function.
Successful limb sparing procedures consists of three phases namely
Bone resection: After making an accurate assessment of the stage and spread of the tumor the surgeon removes the affected part of the bone.
Reconstruction: The second phase of the procedure involves replacing the missing part of the patients body. Prosthesis or implants are made of steel or titanium.
Plastic Surgery: This is performed to cover the area with muscle and soft tissues.
Then customized mega prostheses are tailor made for each patient. They conform to each and every patient and fit him or her perfectly. The prosthesis is fitted only when the surgeon feels that the disease can be controlled by removing only one portion of the bone and not the whole limb and using an implant will give the person more comfort than removing the hand or leg and fitting with an artificial limb. A patient may or may not be able to get the full use of the limb. But surely a certain amount of functionality can be restored. The main advantage will be that the cancer would be treated without major disability.
Mewar Orthopaedic Hospital is the best orthopaedic service provider in Rajasthan India.