Gynaecologist | Orthopaedic doctor

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Dr. Himanshu Popli

DR.HIMANSHU POPLI  specialised in diagnosing orthopaedic issues with the best technology available and the most advanced methods of treatments used for reliable and effective results.  Moreover, he is also focused & passionate about sports trauma, replacement and arthroscopic surgeries.

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Hip Replacement

What is Hip Replacement?

Hip replacement involves replacing a damaged hip joint with artificial components. The purpose of the operation is to relieve pain, restore joint function and mobility in patients with advanced arthritic joints or other significant hip pathology (disease), thereby ensuring a better quality of life.

Hip Replacement Treatment Procedure

A hip replacement is a surgical procedure in which the damaged bone and cartilage are removed from your worn-out hip joint, and replaced with a new artificial implant. This involves making an incision over the hip and opening up to access the joint. The hip surgeon replaces the destroyed femoral head and prepares the socket on rainbow bone. This is followed by a metal or ceramic ball which is placed on the femur: and plastic, metal or ceramics socket installed in the pelvic bone. They all work together to imitate how the natural hip joint moves. The main objectives of the surgery are pain relief and rehabilitation: ultimately to allow patients return safely to their normal activities.

When is it Needed?

Patients usually require a hip replacement when they have pain, stiffness and disability of the joint that has resulted in them being unable to walk more than 1 or 2 blocks without significant pain, perform easy activities such as getting up from chairs or putting on shoes and socks with ease. The most common reason for people to have this type of a procedure done is when they are suffering from end-stage arthritis (like osteoarthritis, rheumatoid or after someone who has fractured their hip during a fall). Symptoms are more or less predictable :Chronic hip pain, inflammation and swelling that is not relieved by conservative measures such as medications nor with physical therapy. Hip replacement surgery can also be an option for patients who have been treated with injections and lifestyle changes but are still experiencing persistent symptoms.

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Diagnosis

  • Symptom Assessment
  • Detailed Medical History
  • Physical Examination
  • Imaging Tests (X-rays, CT scans, or MRIs)

Possible Complications and Risks

  • Joint Infection
  • Deep Vein Thrombosis (DVT)
  • Implant Wear or Failure
  • Blood Vessel Injury
  • Heterotopic Ossification (Bone Growth in Soft Tissue)
  • Dislocation of the Prosthetic Joint
  • Allergic reaction to the implant materials
  • Chronic joint pain

While complications are relatively rare, they can affect the overall outcome and may require additional treatment or surgery. Patients should discuss these risks thoroughly with their surgeon before proceeding.

Recovery & Rehabilitation

Following hip replacement, a rehabilitation program is used to help hips recover. Patients are hospitalized for several days after the procedure and start mild exercises to reduce stiffness, also improve blood flow. Physical therapy: Home exercises or rehabilitation in a facility can help improve the range of motion in your hip and strengthen muscles around it. In the initial phases patients may be able to use devices like walkers or crutches. Most people make a complete recovery within three to six months, but maintain follow-up appointments during this period. The biggest determinants for the best outcome and a speedy return to activities are following through your rehab plan.

Knee Replacement

What is Knee Replacement?

Knee replacement surgery involves the replacement of the damaged parts of the knee joint with synthetic materials. This procedure is often used in patients with severe arthritis or major damage of joints in an intention to decrease the intensity of pain, improve movements and increase the quality of life.

Knee Replacement Treatment Procedure

Knee replacement treatment is a process in which a diseased and damaged knee joint is surgically replaced with an artificial one. The operation starts with a cut over the knee area, so that one can get down inside the joint. The damaged cartilage and bone surfaces are then removed, cutting them clean back to where they can form a good bond. After this, metal implants replace the cartilage and bone that was removed, a few hundred times can be placed which lasts for many years; it will wear off after it is done. A plastic spacer between those two metal components ensures smooth movements. This procedure helps to reduce pain, increase joint functioning and improve mobility for those with severe arthritis. Patients recover with physical therapy and rehabilitation over the following months, often regaining substantial mobility.

When is it Needed?

Knee replacement is required when the patient has severe knee pain and stiffness, limiting activities of daily living. Most men and women with arthritis typically advised for this surgery include those in advanced osteoarthritis, rheumatoid arthritis or post-traumatic or following a fracture. Candidates usually have chronic knee swelling and inflammation that does not improve with rest or medicine, as well as knee deformity such as bowing in or out of the leg. The knee is also losing range of motion and the patient has not found help with other treatments, such as physical therapy, injections or canes/walkers.

Diagnosis

  • Medical History
  • Physical Examination
  • Imaging Tests (X-rays, MRIs)
  • Impact of Symptoms on Daily Life

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Risks and Complications

  • Infection
  • Blood Clots
  • Implant Loosening or Failure
  • Nerve Damage
  • Persistent Pain or Stiffness
  • Adverse Reactions to Anesthesia
  • Scar Tissue Formation
  • Limiting Movement
  • Risk of Fractures During Surgery

While infrequent, complications can impact on the final result and necessitate further intervention or surgery. These risks should be discussed as much in detail as possible prior to the surgery from patients by their surgeon.

Rehabilitation and Recovery

Recovery and rehabilitation for knee replacement are focused on a specific regimen that is designed to help the individual restore mobility, stability, strength. Patients are normally kept in the hospital for only a few days and physical therapy is started to avoid stiffness, increase blood flow around the joint etc. Physical therapy progresses in your home or at a rehab center, concentrating on raising the knee’s variety of movement along with reinforcing surrounding muscles. During the early stages of this disease, patients often require assistive devices such as walkers or crutches. It may take 3-6 months to fully recover with regular follow-up visits for monitoring progress. Compliance with the rehabilitation program is critical to maximize results and resume usual activities.

Shoulder Replacement

What is Shoulder Replacement?

The Shoulder Replacement refers to process where a healthcare practitioner  replace parts of the shoulder joint using the appropriate limb prosthesis.Total shoulder replacement Surgery also known as total shoulder arthroplasty (TSA), is an efficient one for rehumanizing the end stages of different forms of arthritis or degenerative joint disease of the shoulder joint.

Shoulder Replacement Treatment procedure

In shoulder replacement surgeon remove the ends of the harmed or damaged upper arm bone, (known as humerus), and put a metal ball for it; and put a new smooth plastic surface on the glenoid, (known as socket). It is possible that some of the components of the shoulder joint may be cemented, while others are created using the materials that make new bone to grow onto the joint component.

A Shoulder Replacement Surgeon usually resurfaces the top of the upper arm bone with a long shaped metal piece, it has a rounded head that is inserted into the upper arm bone. If the cup-shaped surface of your shoulder bone does get damaged or injured in some way.

When is it needed?

Total shoulder replacement surgery commonly known as shoulder replacement surgery or joint replacement surgery is advised to patients in which shoulder pain and dysfunction becomes unbearable and conservative medicines and other therapies are of no avail.

There are several conditions under which Shoulder to Replacement treatment is not advised to the patient person having the following issues should not go for the treatment of shoulder replacement

  • Patient having an infection or a higher chance of having an infection.
  • Patients with underlying health issues who may not be fit for anaesthesia and the surgery that may follow.
  • Patient having severe Osteoporosis
  • Suffering from or have been diagnosed as having a major impairment of or traumatic injury to the muscles in the shoulder area.

Diagnosis

Sometimes, doctors can perform a sequence of diagnostic processes to determine your actual situation. The diagnosis may include:

  • X-rays
  • CT scan
  • MRI (Magnetic Resonance Imaging)
  • EMG test

Possible complication and risk

Life-threatening complications are very rare in this procedure and the probability of complication can be avoided by selecting a skilled and experienced medical practitioner and hospital. Some complications include

There are a number of risks of shoulder replacement surgery, which may include as follows:-

  • Infection which may be in the wound or in the joint that has been operated on.
  • Problem with wound healing
  • Nerve injury
  • Fracture of the upper arm bone or following dislocation of the same

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Recovery Rehabilitation

Later on, the statement from the Shoulder Replacement Surgeon in Delhi after any sort of surgery it takes time for the patient to get back to his / her normal phase. Therefore to achieve the maximum out of the TSA the recovery and the rehabilitation process have to be followed as prescribed by the doctor.

In conclusion, the patient should follow a physical therapy program developed by qualified therapists. The use of the hand and wrist by the patient is encouraged during light activities shortly after the operation. Rehabilitation and recovery is a slow process. You have to be patient and do what the doctor tells you to do.