Wednesday, January 8, 2014

Avascular Necrosis – One of the most common causes of hip replacement

Avascular necrosis is one of the major reasons for total hip replacement surgery based on statistical data also known also as hip osteonecrosis. In America alone,about 20,000 cases are reported every year. 10% of hip surgeries are performed in the country only due to Avascular necrosis. Great Bo Jackson is perhaps the most famous person affected with this disease who subsequently achieved success after the hip replacement surgery.

Avascular necrosis is caused when blood flow to the hip bone decreases which leads to the death of the bone tissue particularly due to starvation. While this abnormalty may be available in other parts of the body, the hips are usually the most affected parts. Young and middle-aged adults are the mostly affected group with this disorder.

There are various factors which causes this condition. A survey held in Japan showed that 34.7% was due to the use of corticosteroid, 21.8% to alcohol abuse, and 37.1 percent due to other reasons which may include hip fracture or dislocation, blockage in blood vessels from sickle cell anemia or fat deposition, inflammation of the arteries, blood clots and other disorders which restrict the blood flow to the bones.

Patient shows no symptoms in the early stages. As the condition worsens, it becomes painful particularly when pressure is put on the affected area. As the disease progresses, the hip pain may become more severe and constant. If the condition grows more worse then it may further result in the collapse of the bones and the surrounding joints which may then cause severe and chronic pains and may widely affect movement of the affected joints. The time when the first symptom appears to the collapse of the bones and joints may vary from a number of months to more than a year.

The treatment for avascular necrosis includes improvement of the function of affected joint, stop the rate of the bone damage, and reduction of pain. Various factors taken into account while treating this condition are the age of the patient, severity of the condition, affected area and the root cause.

For instance, if the disease is due to blood clots, the doctor may give medicines for dissolving the clots. If the disease is due to the inflammation of the arteries, anti-inflammatory medicines may be prescribed. Other types of treatment are conservative measures such as weight reduction, physiotherapy and behavioral changes. Patients may also be advised to walk with the help of support such as canes and crutche.

Though these procedures may slow the progress of the disease or reduc the pain, records reveal that majority of the patients may have to undergo the surgery. There are a number of surgical options available such as osteotomy, bone graft, total hip replacement and core decompression. decompression, and total surgery.

About Fortis Healthcare

Fortis Healthcare offers state-of-art infrastructure and qualified orthopedic surgeons for hip replacement surgery. Fortis healthcare is a leading group of hospitals in India offering world class medical facilities backed by experienced doctors and cutting edge technology. Fortis offers centers of excellence for cardiac sciences, bone and joint, neuro sciences, renal sciences, gastro sciences, organ transplants and critical care.

Tuesday, January 7, 2014

Guide to recovery after arthroscopic surgery

Knee is the most often harmed parts of the body, and more often meniscal tears lead to knee injuries. Some of the meniscus include rubbery, tough cartilage that soaks up the jolt between thigh bone tissue and also tibia bone and redirects the load over knee joint. Usually meniscus tear could occur as a result of twisting injuries in the sports activities, such as rugby or football, or even several simple turning can put the plates apart.

Arthroscopic surgery is a surgery, which is done to improve the overall movement of leg joints as well as structures. Earlier in order to take care of a torn meniscus 3 to 4 inch incisions were made and also 1 or 2 days hospital stay was required. With this procedure, damage to meniscus can be repaired by making only 2 small incisions and moreover the surgery can be performed in an hour. During this surgery, the surgeon could be able to see the leg joint with the help of a microscopic digital camera. This particularly shows the actual problem of leg which helps surgeon to adopt additional treatment method. This surgery can be performed by giving normal anesthesia. Recovery after arthroscopic surgery

It is significant to remember that every orthopedic doctor may usually prescribe many restrictions during the recovery period. Small injuries may require many days to recover. However arthroscopic surgery will require few weeks to recover. After the patient undergoes arthroscopic surgical treatment, he/she can get sleep if common anesthesia has been given. If local anesthesia was given, patient will not feel any pain after the arthroscopic surgery. In case spinal or local anesthesia was given, patient can feel numbness and weakness.
After undergoing the arthroscopic surgery, it is crucial to stick to the recovery guidelines provided by the orthopedic surgeon. The most usual side-effect post surgery is swelling near the incision area. Your surgeon may advice you ice-cubes therapy; this is to be repeated every 20 to 30 minutes. Icing is very important in the early 48 hours. Patients are advised to take a number of precautions such as the cut area should be dressed regularly and kept clean and dry. Patients may however take shower keeping the operated area protected from water. Do not take tub baths unless the wound gets completely cured. These days stitches are generally absorbable and therefore they do not need to be removed. Patients need to give several visits to the orthopedic surgeon after the surgery in order to review the improvement and also to start the physio therapy.

Physiotherapy program is necessary to achieve successful results. Patient would need to commence a workout program rigorously to improve the nearby muscles and tender tissues. Majority of these can be performed in the home alone, however they may require a physiotherapist occasionally. Patients should avoid drinking alcohol and smoking. They can take a standard diet and also increase their intake of liquids.
Surgeon may advice use of crutches or even walkers for many days to help subside the pain and discomfort. The surgeons can also give antibiotics and also pain killers. Patients should strictly follow the guidelines given by the surgeon.

About Fortis Healthcare

Fortis Healthcare offers state-of-art infrastructure and qualified orthopedic surgeons for arthroscopic surgery. Fortis healthcare is a leading group of hospitals in India offering world class medical facilities backed by experienced doctors and cutting edge technology. Fortis offers centers of excellence for cardiac sciences, bone and joint, neuro sciences, renal sciences, gastro sciences, organ transplants and critical care.