MINIMALLY INVASIVE TOTAL KNEE REPLACEMENT

Dr. Arun Prakash says Total knee replacement (also called knee arthroplasty) is a common orthopaedic procedure that is used to replace the damaged or worn surfaces of the knee. Replacing these surfaces with an implant or "prosthesis" will relieve pain and increase mobility, allowing you to return to your normal, everyday activities.

People who will undergo this surgery were

·        Severe pain with difficulty in walking

·   Failure of non-operative treatments like activity modification, anti- inflammatory    medications and lifestyle modifications

·       Failure of Steroid Injections, Arthroscopy Debridement,

The traditional approach to knee replacement uses a long vertical incision in the center of the knee to view and access the joint. Minimally invasive total knee replacement is a variation of this approach. The surgeon uses a shorter incision and a different, less-invasive technique to expose the joint—with the goal of reducing postoperative pain and speeding recovery.

Total Knee Replacement (TKR) surgery has today become a commonly performed and highly successful surgical procedure. New implant designs provide greater and more normal range of motions. Better understanding of the role of the ligaments in the knee has resulted in improved joint stability.

Benefits of the minimally invasive surgical techniques are:

·         Constantly evolving and speeding up the rehabilitation process.

·         Shorter hospital stays

·         Less time on a walker

·         Quicker return to normal ways of life

·         Lesser post-operative pain and minimal scar (improved cosmesis)

Watch your diet for gouty pain

Gout is a painful and potentially disabling form of arthritis that has been around since ancient times. Gout can affect anyone, and its risk factors vary.

 Gout is caused by uric acid crystals forming within or around joints, making them painful, red and swollen, most often in the feet, especially the big toe. 50% of first episodes occur in the big toe, but any joint can be involved. Fortunately, it is possible to treat gout and reduce its very painful attacks by avoiding food and medication triggers and by taking medicines that can help. However, diagnosing gout can be hard, and treatment plans often must be tailored for each person.

KNOW ABOUT FORMATION OF URIC ACID CRYSTALS:

Uric acid forms when your body breaks down compounds called purines, which are found naturally in our cells and in some high-protein foods. Your bloodstream takes uric acid to the kidneys and it leaves your body in your urine. However, if your uric acid levels are too high, either because your body isn’t excreting it or you have a condition that causes high levels in your blood, uric acid crystals can form within or around your joints. This causes swelling, inflammation and pain  in the joints, as well as in soft tissue like bursa and tendons. The crystals can also build up under your skin and eventually cause hard bumps called tophi.

EAT RIGHT FOR AVOIDING URIC ACID CRYSTALLIZATION

Gout is directly affected by the levels of uric acid in your blood. Foods rich in purines raise your uric acid levels, because purines break down into uric acid. So, avoiding foods high in purines will reduce your risk of another gout.

FOODS TO BE AVOIDED:

Sugary Foods: Sugar, Glucose, Honey, Jaggery, Jam, Cake, Chocolate, Ice- cream and concentrated milk preparations – Kheer, Khoa.

Pulses High in Purine: Soya bean, Black gram, lentil, chick peas.

Vegetables High in Purines: Cauliflower, asparagus, spinach, peas & mushroom.

Organ Meats and meat extracts

 Sea Foods Crab, Fish roes, Herring, Mackerel, Sardines, Shrimps,

Fatty Foods: Butter, Ghee, Vanaspathi, Coconut oil, Palm oil, Deep fried foods, Papads, Vadaam

Salty Foods: Added salt in cooking, Sea fish, Salted meat, Salted dry fish, Salted Butter and Cheese, Salted Nuts, Pickles, Sauce varieties, Canned and Tinned foods, MSG.

Raisins, khas- khas, Alcohol

FOODS HELP TO ELIMINATE URIC ACID

ü Whole Wheat Products

ü Green Tea, Barley water

ü Fruits: Apple, Oranges, Sweet lime, Guava, Kiwi, Pears, Banana, Cherries, Berries especially strawberries, and blueberries, Lime

ü Vegetables: Amla, Capsicum, Tomato and Green Leafy Vegetables, Tomatoes, Broccoli, Cucumbers, Carrot, Beetroot. Raw vegetables like potatoes or corns are effective to reduce uric acid in the body.

ü Consume Omega 3 Fatty acids from flaxseeds, walnuts, fishes like salmon, herring, mackerel, sardines

ü Skimmed milk and Curd - daily.

ü 100 gm/ day of meat, fish and poultry is recommended

ü Drink 3 liters of water

ü Almonds, walnut, figs, dates in limited amount