Dr. Puneet Girdhar

Dr. Puneet Girdhar

Orthopedics Specialist - Neurosurgeon,Orthopedic Surgeon,Hip Replacement Surgeon,Knee Replacement Surgeon

  BLK Super Speciality Hospital, Delhi, India

  14 Years of experience

BIOGRAPHY

Qualification and Experience

Dr. Puneet Girdhar has completed his MBBS degree in 1998 from Punjab University and in 2003, he completed his MS (Ortho) from Baba Farid University of Health Sciences. Dr. Girdhar has also been awarded MCh. (Ortho). Dr. Girdhar was bestowed with Spine Fellow at University Hospital of Wales, UK and also achieved Fellowship in Articular surface arthroplasty at Puttlingen, Germany. He has also been awarded fellowship in AO trauma from Denver Health Colorado, USA. Dr. Girdhar has also undergone training at Singapore General Hospital.

Contribution to Medical Science

Dr. Puneet Girdhar is presently working as Director of Spine Surgery, Institute for Bone, Joint Replacement, Orthopedics-Spine & Sports Medicine, BL Kapoor Hospital, New Delhi. He is an esteemed member of various organizations such as Indian Orthopedic Association, AO Spine, and Associations of Spine Surgeons of India. Dr. Girdhar is an expert in the management of spinal disorders involving neck and back through minimally invasive techniques. Dr. Girdhar has also gained expertise in Epidural infiltrations. Nerve root blocks, and Facetal injections. He has a special interest in minimally invasive spinal fusions, decompression, and instrumentation and degenerative, neoplastic and traumatic conditions of the spine.

Past Experience

  • Presently working as a Director - Centre for Orthopedics Spine Surgery in Institute for Bone, Joint Replacement, Orthopedics Spine & Sports Medicine at BLK Super Speciality Hospital, New Delhi.
  • Dr. Puneet Girdhar specializes in the surgical and non-surgical management of spinal disorders involving neck and back utilizing turn of the century minimally invasive techniques. He is also well versed with non –surgical pain relieving techniques such as Nerve root blocks, Facetal injections and Epidural infiltration

Qualifications

  • MBBS
  • MS
  • MCh (Ortho.)
CERTIFICATIONS (4)
  • Spine fellow with Mr. Sashin Ahuja, University Hospital of Wales, Cardiff, U.K.
  • Clinical & Bioskills training on MITLIF with Dr. Mun Wai Yue, Singapore General Hospital, Singapore
  • Articular surface arthroplasty fellow with Dr.Thomas Seibel, Knappschafts Krankenhaus, Puttlingen, Germany
  • AO trauma fellowship with Dr. Wade Smith,Denver Health Colorado, USA
MEMBERSHIPS (4)
  • Indian Orthopedic Association (IOA)
  • AO Alumni, Switzerland
  • AO Spine
  • Association of Spine Surgeons of India (ASSI)
Procedures
Ankle Fusion Surgery

What is Ankle Fusion Surgery

Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.

Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.

Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.

Candidates for Ankle Fusion Surgery

Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:

  • Joint wear and tear
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Infection in or around the joint
  • Neuromuscular disease
  • Failure of previous non-surgical treatment

Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:

  • Insufficient quantity and quality of bone
  • Severe deformity in the leg
  • Vascular diseases that prevent proper healing
Anterior Cruciate Ligament (ACL) Reconstruction

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.

 

Damage to the ACL Surgery 

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

  • Collision with a football
  • Slowing down while running
  • Landing incorrectly after a jump
  • Twisting of the knee and the foot in opposite direction

 

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

Carpal Tunnel Release
  • Carpal tunnel decompression, popularly referred to as carpal tunnel release, is a surgical procedure conducted to relieve symptoms of carpal tunnel syndrome.
  • A nerve called median nerve along with many tendons pass through a small tunnel called carpal tunnel from the forearm to the upper hand. This nerve controls the movement of your fingers except for the little finger.
  • Sometimes there is tremendous pressure on the nerve and it presses the nerve against the tunnel. This results in specific symptoms such as numbness, weakness, tingling sensation, or pain in the fingers. This is known as carpal tunnel syndrome.


Is carpal tunnel surgery compulsory?

The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.

A carpal tunnel treatment surgery is recommended in case:

  • You experience loss of function in fingers or hand because of nerve damage confirmed in a median nerve test.
  • Your symptoms do not subside. Wait for two to seven weeks after starting non-surgical treatment.
  • You have difficulty in performing daily activities ranging from reduced strength in the thumb, loss of feeling, and loss of coordination.
  • You are not able to get sleep properly because of the pain.
  • The main cause of this situation is rheumatoid arthritis.

The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.

Disc Replacement ( Cervical /Lumber)

The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.

Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.

Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm.  Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.

 

Conditions that indicate the need for a disc replacement surgery:

  • Discitis (Inflammation of the intervertebral disc)
  • Scoliosis (abnormal spinal curve laterally)
  • Herniated disc in back (slipping of the cartilaginous disc into surrounding tissue)
  • Disc degeneration and disc rupture (infection of the intervertebral disc causing its degeneration.
Hip Resurfacing Surgery

Birmingham hip resurfacing surgery is an alternative to the total hip replacement surgery, which is indicated in patients with advanced arthritis of the hip. The latter could be performed as an anterior hip replacement or posterior hip replacement.

Both hip resurfacing and total hip replacement procedures are, in a way, a form of hip replacement. In Birmingham hip resurfacing surgery, the femoral head of the bone is not removed.

Instead, it is trimmed and capped with a metal covering and the damaged bone is replaced with a metal cup. In total hip replacement surgery (anterior hip replacement and posterior hip replacement), the femoral head and neck of the bone are removed and replaced with a metal ball and a metal stem.

Conditions that are treated with hip resurfacing

  • Arthritis
  • Fracture
  • Increased stress to the bones because of obesity (overuse of the bones)
  • Congenital abnormalities
  • Necrosis (loss of blood supply)

Best Candidates For Birmingham Hip Resurfacing Surgery

Patients with advanced arthritis of the hip are recommended to undergo hip resurfacing surgery. Hip resurfacing is not suitable for all patients. Patients below 60 years who have strong healthy bones are allowed to undergo hip resurfacing surgery. Patients with femoral neck cysts, severe bone loss, and osteoporosis are not suitable for this procedure.

Knee Arthroscopy

Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.

Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.

When is knee arthroscopy required?

Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:

  • Inflammation of the knee
  • Injuries such as :

    • Fractures
    • Ligament tear
    • Tendon damage
    • Torn meniscus
    • Misalignment of kneecap
    • Bakers cyst
    • Meniscus tear
    • Loose fragments of bone or cartilage
Meniscectomy

Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient.

This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.

There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.

Meniscus Repair

The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.

 A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.

 Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.

 Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.

Different Approaches to Meniscus Repair Surgery

 Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.

Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:

  • Meniscectomy: It can be partial meniscectomy or complete, that is, the torn meniscus can be partially removed or completely. It can be done as an open surgery or arthroscopic surgery.
  • Meniscal Repair: It can be performed open or arthroscopically and the preservation of the meniscus involved three aspects:
    • Repair of the torn meniscus
    • Non-surgical treatment of asymptomatic meniscal pathologies
    • Partial meniscectomy and resection

  • Meniscal Regeneration: Meniscal transplantation (MAT) can be performed to restore the meniscus. In this case, a graft is usually taken from the hamstring muscle to reproduce the meniscus.

Microdiscectomy

Microdiscectomy is also known as microdecompression or cervical microdiscectomy. It is one of the most commonly performed spine surgery procedures.

Microdiscectomy or cervical microdiscectomy is preferred for patients with a lumbar herniated disc. The main goal of a discectomy is to relieve the pressure on a spinal nerve root by removing the material causing the pain. Traditionally, this purpose was solved by an open technique called lumbar discectomy surgery, which involves making a large incision to cut some of the back muscles, leading to a slow and painful recovery. Nowadays, an advanced form of surgery called microdiscectomy can achieve the same goal that too with the help of a small incision and fewer injury to back muscles. As a result, the recovery takes less time and is less painful.  A special microscope is used in microdiscectomy to view the disc and nerves. The larger view allows the surgeon to make a smaller incision, causing less damage to the surrounding tissues.

 

When is microdiscectomy needed?

Sciatica is a condition caused by compression of the spinal nerve, which generally results in chronic pain in the legs of the patients. This compression of the spinal nerve is frequently the result of a herniated lumbar disc.  As a herniagrows, the damaged tissue extends into the spinal column and pushes on the nerves. This condition causes the nerves to send pain signals to the brain and the brain interprets the pain source to be coming from the legs.

Most commonly, sciatica heals naturally or with the help of medication in a few weeks. But, if sciatica lasts more than 12 weeks after taking oral medicines, patients may benefit from discectomy. Discectomy is also used for the treatment of spondylosis and lumbar spinal stenosis. While spondylosis occurs due to degenerative osteoarthritis of the vertebrae, lumbar spinal stenosis occurs due to narrowing of the spinal canal leading to nerve compression. The latter may also warrant the need for a spinal stenosis surgery.

Scoliosis Surgery

Scoliosis is a medical condition, characterized by an abnormal curve of the spine. There are different types of scoliosis, depending on the exact location of the abnormal curve and the age of the patient. The abnormal curvature of the spin is the most common symptom of scoliosis.

The spinal curve looks straight when looking from the front. The normal curved of the spine visualized from the sides are known as kyphosis and lordosis. People with scoliosis develop an additional curve in their spine to five it a C-shaped or an S-shaped appearance.

Scoliosis can affect adults as well as children. However, it is most common in patients aged above 10. Additionally, this condition is more common in girls than boys. A sideways curvature of the lumbar vertebrae is also known as lumbar scoliosis.

The most common test used to diagnosed scoliosis is Adam’s Forward Bend Test. During this test, the doctor asks the suspected patient to bend at the waist with palms touching the floor and knees straight. In this position, any abnormality in the curvature of the spine is clearly visible.

Symptoms of Scoliosis

There are no specific symptoms of scoliosis. The appearance of the abnormal curvature of the spine is most often the first sign of scoliosis. The diagnosis of this condition most commonly takes place during an examination at school and college.

In severe cases of scoliosis, breathing difficulty, chest pain, and shortness of breath may appear. Scoliosis is not usually painful. But it can cause neck pain, back pain, abdominal pain, rib pain, and muscle spasms.

Shoulder Arthroscopy

A shoulder arthroscopy is a minimally invasive procedure conducted to inspect, diagnose, and rectify the problems involving the shoulder joint. During a shoulder arthroscopy, a small device attached to a camera is inserted into the shoulder to diagnose the reason for pain in the shoulder, among other problems.

Miniature surgical instruments are also inserted into the shoulder to rectify the identified problem. Such a surgery is known as arthroscopic shoulder surgery. When shoulder replacement is conducted with the help of arthroscopy, the procedure is known as arthroscopic shoulder replacement.

At each stage of the arthroscopic shoulder surgery, the surgeon is guided by an image displayed on the television screen. This is a minimally invasive procedure that ensures a quick recovery.

The shoulder has three bones, namely:

  • the clavicle (the collarbone),
  • scapula (the shoulder blade),
  • and humerus (the upper arm bone). 

 A rotator cuff tear, articular cartilage, labrum and surrounding soft tissues can be the cause of pain in the shoulder joint. These areas can get damaged or distorted as a result of some accident. The actual cause of pain can be diagnosed with the help of a shoulder arthroscopy. Sometimes, age-related wear and tear can is also responsible for shoulder joint-related pain and problems.

Symptoms of a shoulder injury include excessive pain in the shoulder joint and stiffness in the shoulder joint that may hinder easy movement of the arm around the shoulder joint. The patient may experience trouble while sleeping with the affected shoulder on one side. Slight swelling can also be observed physically in the joint region. 

 A physician may recommend a shoulder arthroscopy if your shoulder does not respond well to other alternative treatments such as exercising and physiotherapy. Common rotator cuff surgery can be used to conduct rotator cuff repair, removal or repair of the labrum, repair of ligaments and recurrent shoulder dislocation, and bone spur removal. Some of the less common procedures may include fracture repair, cyst excision, and nerve release.

Shoulder Replacement

Shoulder replacement is emerging as one of the most successful ways of curing degenerated shoulder joint, which may be due to prolonged joint disease, or any accidental damage. The procedure has been implemented by millions of people till date, and approximately 53000 candidates annually in the United States of America. The present record is however the witness of 5.6 times increase in shoulder replacement surgeries performed in the past two decades and the numbers are increasing every passing day.

The shoulder joint may get distorted due to several reasons. Often due to degenerative diseases or auto-immune disorders like arthritis, the bone disintegrates gradually which causes increased friction and thus, enhanced pain. Pain in the shoulder joint is extremely difficult to cope up with, especially in the progressed stages. It not only interferes with the daily activities but also restricts movement sometimes completely. Hence, in such cases where conventional methods seem to yield fruitful results, shoulder replacement surgery is highly recommended. In this procedure, the candidate’s glenohumeral joint or the shoulder joint is surgically removed and replaced with artificial joint or prosthetics. These prosthetics are not prone to degeneration and has years of longevity in the record. Hence, it not only helps in getting rid of the pain but also ensures comfortable movement of the arms without any discomfort in the long run.

Shoulder Tendon Repair-Rotator Cuff

The group of muscles and tendons form a cuff over the shoulder joint which is called as a rotator cuff. The rotator cuff holds the arm in the joint that aids in the movement. When one or more tendon muscle becomes damaged, stiffness, rotator cuff pain and soreness is developed along with decrease in the mobility. Rotator cuff repair is procedure that is used to repair the torn tendon and muscles in the shoulder which can be torn due to injury or overuse. The main goal of the rotator cuff repair is to restore the flexibility and movement of the joint and to decrease the pain.

Reasons for rotator cuff repair

Injuries – Athletics and construction workers are mostly involved in the rotator cuff injury. Repetitive movement and overuse may cause tendon tear.

  • Tear of rotator cuff
  • Inflammation of the tendon
  • Inflammation of the bursa

Advantages

  • Causes less rotator cuff pain
  • Requires less hospital stay
  • Causes less complications
  • Facilitates fast recovery

Treatment options

Partial rotator cuff injury tears can be treated non-surgically by taking rest, non-steroidal anti-inflammatory drugs, steroidal injections, and exercises. Severe rotator cuff injury tears require surgical treatment. The surgical techniques that are used to treat severe tears of rotator cuff include:

  • Arthroscopy
  • Open repair surgery
  • Mini open repair surgery

Arthroscopic surgery

Arthroscopy involves a small incision through which a narrow tube with a fiber-optic video camera is inserted that is connected to a television monitor. The arthroscope is inserted allowing the surgeon to visualize the internal structure of the joint. Small additional incisions are made to insert the surgical tools those are used to repair the joint.

Open repair surgery

This surgery is done for complex tears. During open repair surgery, a large muscle called deltoid muscle is slowly moved away to perform the surgery.

Mini – open repair surgery

The mini-open repair surgery is done by using an arthroscope. The damaged tissue or bone spurs are removed through arthroscopy. Mini-open repair surgery is a combination of both arthroscopy and open repair surgery.

Failure of the non-surgical treatment may cause the need for surgery.

 

Spinal Fusion

Spinal fusion surgery is a type of a spinal procedure used to join two or more bones permanently in the spine and to prevent movement between them. The bones that are joined are called as vertebrae. Spinal fusion surgery is performed along with other surgical procedures such as foraminotomy or laminectomy and after diskectomy in the neck. It is required if the patient has an injury or a fracture of the vertebrae. The spine will become weak due to an infection or tumors. Spinal fusion is also performed in abnormal curvatures that result from scoliosis or kyphosis.

Total Hip Replacement B/L

Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:

  • A stem, which fits into the thigh bone
  • A ball that fits into the stem
  • A cup which is inserted into the socket of the hip joint

The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.

The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.

There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.

 

BEST CANDIDATES FOR BILATERAL HIP JOINT SURGERY

Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:

  • Pain in both the sides of the hip, which restricts daily activities such as walking or bending
  • Pain in both the sides of the hip that persists even when in resting state
  • Stiffness in hip preventing the movement or lifting of the leg
  • No relief from the use of anti-inflammatory drugs, physical therapy, or walking support
Total Hip Replacement U/L

Unilateral hip replacement surgery is conducted in patients who suffer from osteoarthritis of just one hip joint or those who have damaged or infected joint on one side of the hips.

A unilateral hip replacement surgery is less time intensive and serious than a bilateral hip replacement surgery, which involves removal and replacement of joints on both the sides of the hips.

During the unilateral hip replacement surgery, which is also known as hip arthroplasty, the affected side of the hip is cut open to expose the diseased hip joint. It is cut and removed before transplanting artificial prosthesis.

Some hip replacement surgeons may choose to use the cemented prosthesis, while others may choose uncemented prosthesis. Opening up the hip area to perform the surgery is not necessary if a minimally invasive technique is used to achieve the same objective.

Unilateral hip replacement surgery is the last treatment options for a patient who have not experienced any relief from constant hip pain through other alternative treatments such as physical therapy, exercising, and the use of painkillers.

Best Candidates For Unilateral Hip Joint Surgery

Patients who experience the following symptoms are recommended to undergo unilateral hip replacement surgery:

  • Constant pain on one of the  side that makes it difficult to walk, stand, or sit properly
  • Stiffness on one side of the hip
  • Pain on one side of the hip even when resting
Total Knee Replacement B/L
  • The knee plays an important role in mobility. However, this joint may get damaged or diseased over a period of time because of an injury or conditions such as osteoarthritis, rheumatoid arthritis and so on.
  • The damage to the knee joint may lead to terrible pain and immobility. A knee replacement surgery is advised when the pain and mobility are not improved despite continuous use of medications and physical exercises.
  • A bilateral knee replacement surgery is performed when both the knees are damaged to diseased. If only one knee is affected, then the knee replacement surgeon recommends the patient to undergo replacement of just one knee, a procedure known as unilateral knee replacement surgery.
  • Osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, knee deformity, vascular necrosis, and swelling and inflammation of the cartilage surrounding the knee are some of the indications for unilateral and bilateral knee replacement surgery.
  • A knee replacement surgeon may decide to conduct a total knee replacement surgery or a partial knee replacement surgery, depending on the extent of damage. A minimally invasive surgery can also be conducted with the help of an arthroscope. This type of surgery allows for minimal healing time, quick knee replacement recovery time, and fewer complications.
Total Knee Replacement Surgery U/L

Knee Replacement Surgery cost varies all across the world, where countries like the US, Australia and Canada provide the treatment at high prices. In countries like Taiwan,India, and Mexico Total Knee Replacement Surgery is far more affordable and is now offered at premium quality heathcare services.The knee joint is the largest joint in the body that aids in the mobility. During a knee replacement surgery, the diseased or damaged knee joint is replaced with an artificial joint made of metal or plastic. Your doctor would recommend a knee replacement surgery to you if you have a progressive pain even during sitting and lying down that leads to decreased or painful mobility.

Conditions that require a Knee Replacement Surgery

The joint ailments that may trigger a need for knee replacement surgery include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Knee deformities
  • Osteonecrosis or avascular necrosis
  • Swelling or inflammation that does not decrease

Depending on whether just one or both the knees are affected, a surgeon may conduct unilateral or bilateral knee replacement surgery. A unilateral knee replacement surgery refers to the removal of the diseased or damaged joint of a single knee and its replacement with prosthesis.

A unilateral knee replacement surgery can be recommended to an individual from any age group, depending on the extent of pain and immobility. The surgery helps provide relief from pain and immobility.

Types of Knee Replacement Surgeries

Total knee replacement surgery:

In total knee replacement surgery, the whole knee joint is removed and replaced with the artificial knee joint.

Partial knee replacement surgery:

The partial knee replacement or unicompartmental surgery involves the replacement of only the damaged part of the knee joint.

Minimally invasive surgery:

The total knee replacement surgery and partial knee replacement surgery can be performed by a minimally invasive procedure. This is an advanced surgical procedure that involves three to five-inch incision or smaller, which causes less pain and fast recovery whereas the usual traditional procedure involves 8 to 12-inch incision.

Frequently Asked Questions
What area of specialization does Dr. Puneet Girdhar have?
Dr. Puneet Girdhar is specialized in India and of the most sought after doctors in Orthopedics Specialist.
Does Dr. Puneet Girdhar offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Puneet Girdhar have?
Dr. Puneet Girdhar is one of the most sought after specialists in India and has over 14 Years years of experience.
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