Belagavi: A 40-year-old patient suffering from immobility for the past two years successfully underwent Computer Navigation Assisted Total Knee Replacement (TKR) surgery at Fortis Hospitals, Bannerghatta Road, Bangalore. The team of doctors was led by Dr Narayana Hulse, Additional Director, Orthopedics; Fortis Hospitals, Bangalore. For the last seven years, the patient was suffering from multiple joint rheumatoid arthritis, due to which she experienced severe joint pain. Her condition worsened in the last two years as she was unable to bend her knees, making her completely bedridden.
A total knee replacement surgery is generally performed on the patient above the age of 60 years, however, in this case, the patient was too to undergo surgery. Dr Narayana Hulse, Additional Director, Orthopedics; Fortis Hospitals, Bangalore, said, “We recommended the patient to undergo knee replacement surgery last year, however, due to the fear and misconception associated with surgery she did not go ahead with the surgery then. As a result, her knee developed severe bends that made her immobile. The patient had developed flection deformity in both the knees, which made her completely bedridden. We used Computer Navigated Knee Replacement technique for this case, as it helped us place the knee in the most accurate position. It was difficult to perform surgery on this patient as her bones had become soft due to immobility and there were chances that it would break during the surgery.
Considering this situation, we decided to perform staged operation on the patient. The surgery was conducted on the right knee followed by another surgery on the left knee in the interval of five days. We mobilized her knee condition gradually and progressively, then after 10 days post-surgery she was discharged. At present, the patient is able to walk independently without any support. We have recommended the patient to undergo physiotherapy and light exercises to increase the mobility her knees. “There is a lot of misunderstanding about Knee replacement surgery. We need to educate patient during their timely consultation with the doctor and plan an early surgery to avoid further complications and pain, “he added.