Dr. Lalit Kumar

Dr. Lalit Kumar

Orthopedics Specialist - Orthopedic Surgeon

  Dharamshila Narayana Superspeciality Hospital, Delhi, India

  16 Years of experience

BIOGRAPHY

Dr. Lalit Kumar is one of the finest Orthopedics Specialist in India. He is an experienced Orthopedic Surgeon in the India. The Medical practitioner has been associated with various reputed hospitals in the India. The physician is currently working as a Senior Consultant, Dharamshila Narayana Superspeciality Hospital, India. The doctor is a well-reputed and sought after medical expert and is

  • MD
  • DM
  • FAMS
  • FASc

qualified. Dr. Lalit Kumar has been associated with many hospitals over the course of his illustrious and experienced career.

Dr. Lalit Kumar has more than 16 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Knee Arthroscopy
  • Shoulder Arthroscopy
  • Shoulder Replacement
  • Shoulder Tendon Repair-Rotator Cuff
  • Total Hip Replacement B/L
  • Total Hip Replacement U/L
  • Total Knee Replacement B/L
  • Total Knee Replacement Surgery U/L
  • Orthopedics
Procedures
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
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.

 

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. Lalit Kumar have?
Dr. Lalit Kumar is specialized in India and of the most sought after doctors in Orthopedics Specialist.
Does Dr. Lalit Kumar offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Lalit Kumar have?
Dr. Lalit Kumar is one of the most sought after specialists in India and has over 16 Years years of experience.
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