As far as orthopaedic fracture surgeries are concerned, I do have a pretty good track record. To keep risks of post-surgical complications as low as possible, I make provisions for all probable problems that a person might face – following a joint replacement surgery. I have here jotted down some of the common joint revision risks that I am mostly concerned about:
- Errors in test reports – Any best Orthopedic Surgeon in India would emphasize patients to get scans and radiology tests done from a reliable, known pathological lab. The test reports and images indicate the exact nature, type and scale of joint replacements required for different patients. Unless the problems can be properly diagnosed from the test reports, the treatment would hardly have any chance to be effective.
- Substandard quality of implants – I have often come across patients, who, in a bid to keep the surgical expenses low, request for cheap, locally made prosthetics. I keep telling them that, for any type of replacement surgery in India, it is of essence to insert sophisticated and durable artificial joints, which would provide lasting relief – even if their prices are slightly higher.
- Improper prosthetic insertion – I do not boast of being the best orthopedic surgeon in India or anything – but at least I make sure that all the implant(s) are inserted in the limbs of patients with unerring accuracy. Six hours prior to a shoulder, hip or knee joint replacement surgery, I mark the site through which the insertion has to be done. Prosthetics are never inserted until the pain levels of patients have been brought down somewhat.
- Infections and blood clots – While performing a pelvic or acetabular fracture surgery in India, I am very careful about possible infections that might occur – after the completion of the surgery. I keep provisions for surgical removal of bone tumors (if present), and generally prescribe a short course of antibiotics – to be had during the couple of weeks following the operation. In case any blood clot is found at the time of joint replacements, they are operated out immediately.
- Removal of scar tissues – This is a prime consideration of mine, particularly at the time of a complete knee replacement. Scar tissues and scabs develop at and near the site of operation, for almost all patients. If left untreated, these can severely hamper leg movements, and make the joint(s) painfully stiff. I generally delegate the task of destroying these scar tissues to my anesthetic expert. The condition of the soft tissues surrounding the joint is also closely monitored by me.
- Longevity of the prosthetics – I need to prescribe mobile-bearing joints (which are generally made of polyethylene), for knee or hip replacements of patients who have a generally active lifestyle. In such cases, I remain a tad worried about whether the operation would remain beneficial even in the long-run. According to the findings of noted orthopaedic specialists, these polyethylene implants can get worn out in a few years, forcing patients to go for further corrective surgeries.
- Excessive pains – During the first few days after a knee or shoulder joint replacement surgery, a person would be likely to experience some discomforts. However, if there are any associated damages in the ligaments or tendons, the pains to persist – and even increase in intensity over the next few days. That’s precisely why I take out some time for looking for such bruised/damaged ligaments. If present, I treat these problems first, before proceeding with the surgery.
- Will the legs be of equal length after the surgery? – At the time of my medical studies, I had studied several cases, where the patients’ legs became unequal in length – after a complete or partial knee replacement operation. From that point in time, I remain on the alert to make sure that the chosen implant is of the right length, so that the lower limbs do not get disfigured in any way.
- Prosthetics becoming loose over time – For people who have already been diagnosed to have mineral and cement deficiency in bones, this is a distinct possibility. During the follow-up sessions after a joint replacement, I regularly test whether the implant inserted in their limbs are still securely attached inside the muscles and tissues. After a hip replacement surgery, bending down frequently is not advisable, since that can also jerk the prosthetic from its proper spot. So far, I have had three patients for whom I had to replace the initially inserted joints.
- Rehabilitation – No matter how expertly I perform a hip, knee or shoulder joint replacement surgery, if the patients do not follow proper rehabilitation guidelines – all my efforts are likely to go in vain. To ensure lasting relief for people (as well as to preserve my goodwill!), I prepare detailed recuperation guidelines, including diet and exercising tips, so that patients can resume their regular activities quickly enough.
Since I always use high-quality artificial prosthetics, chances of cracks developing in them is practically zero. Depending on the type of operation and the general health condition of the patients, I determine the type of anesthetic to be used. In medical science, chances of unforeseen complications cannot be completely ruled out, but I try to handle all the probable risks in the best possible manner.