Apollo Hospitals, Chennai recently performed a fast track total knee replacement surgery on a 66-year-old lady who was diagnosed with severe grade 4 osteoarthritis of knee joint with associated deformity.
The patient who resided in Mumbai had severe pain in her knees and difficulty in walking over a few years. Due to the COVID-19 pandemic, she was hesitant to visit any hospital and take immediate medical advice for her condition until the pain worsened interrupting her day-to-day activities.
Due to age and excessive exertion, the cartilage in the knee joints of the patient was found to have completely worn out and had become rough, reducing the protective space between the bones. Prolonged negligence resulted in friction between the joint bones, producing painful bone spurs which added further complication to her knee hampering her mobility.
After a thorough risk assessment Dr Madhan Thiruvengada, Senior Consultant Orthopaedic Surgeon, Apollo Hospitals and his team suggested and planned the fast track total knee replacement procedure for the patient.
The team took a multimodal approach, using a unique surgical technique, evidence based treatment and optimized logistics which allowed the patient to walk within 3 hours post the surgery with crutches and climb steps within 16 hours post-surgery.
Patient was successfully discharged within 24hrs with all the post-operative precautionary protocols under the direct supervision of Dr.Madhan Thiruvengada, according to the release. Normally for a major surgery like Total Knee Replacement, patients stays in the hospitals for 4-5 days for continuous monitoring and rehabilitation.
“Total Knee Replacement or TKR is the only available solution for end stage severe arthritis of the knees, people don’t have enough awareness and they keep postponing the surgery or treatment. A much needed surgery if done at the appropriate stage of the disease will have a better outcome. All through the procedure the focus was on minimizing the blood loss and the surgical stress, enhancing the post-operative recovery and early mobilisation” said Dr.Madhan Thiruvengada, Senior Consultant Orthopaedic Surgeon, Apollo Hospitals.