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Enquiry about knee replacement surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
Doctor :   Hi
Doctor :   Good evening.
Doctor :   How can I help you?
User :   hi good evening doc
User :   is this like i can ask about only myself
User :   ??
Doctor :   No.
User :   i want to know something for my father
Doctor :   You can discuss about your family medical problems too.
User :   my father is diabetic and needs a knee replacement operation
Doctor :   Proceed with your query, I shall help you.
Doctor :   Ok
User :   i want to know where should i go for that, i mean to say best surgeon,best hospital
Doctor :   May I know your location?
User :   what are complications in that?
User :   yeah i am in delhi
User :   but my father lives in rajasthan
Doctor :   And who recommended the surgery?
User :   my cousin is ortho surgeon in jaipur
Doctor :   Ok
User :   but he is not having enought experience in this type of surgery
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Knee replacement is one of the major surgery. It has its benefits and disadvantages.
Doctor :   The benefit is to give a pain free life, however
Doctor :   on once replacement is done, knee motility on the replaced limb is reduced.
User :   mobility?
Doctor :   Hence a doctor after a physical examination and evaluation will weigh both the benefits as well as the disadvantage.
Doctor :   Yes, I mean mobility.
User :   ok
Doctor :   The complications that can follow knee replacement surgeries are
Doctor :   1. Infections
Doctor :   2. Bleeding
Doctor :   3. Anesthesia complications
Doctor :   4. Peripheral Nerve injuries
Doctor :   5. Venous thrombosis
Doctor :   6. Occasionally there can be failure of the prosthesis leading to failure of the surgery.
Doctor :   The last complication is very rare.
Doctor :   These complications are minimised
User :   ok
Doctor :   if the surgery is performed by an expert/experienced surgeon.
User :   ok
Doctor :   When performed by an experienced surgeon, the chances of such complications can be reduced to less than 1%.
Doctor :   I am a General Physician, practising at Bangalore.
User :   what is meant by bleeding?
User :   internal bleeding?
Doctor :   My knowledge with surgeons is limited,
Doctor :   However we have one Dr. AAAAAAA Goyal
Doctor :   who practises at Ahmedabad
Doctor :   who has been performing knee replacement since a long time.
User :   ok
Doctor :   The link above gives the details
User :   ok
Doctor :   and his expertise.
User :   what is the impact of diabeties on this surgery
Doctor :   If interested, we shall send your father's history to him and take it from there.
Doctor :   Diabetes has effects on any surgery.
User :   what will i have to do that
Doctor :   Long standing diabetes especially if not controlled can have effects on kidney and heart.
User :   to provide history?
Doctor :   If no such heart or kidney effects are found and if blood sugars are well undercontrol, then
Doctor :   the diabetic state has no major effects on surgery.
User :   ok
Doctor :   Having said this, increased chances of infections and small chances that blood sugar worsening can occur following surgery.
Doctor :   This however will be taken care of with appropriate medications.
Doctor :   Have you followed what I have suggested?
Doctor :   If you are interested in obtaining an opinion from Dr. AAAAAAA Goyal as well as getting the surgery,
User :   ok yeah i have that link opened
Doctor :   you can request for a specialist opinion through WWW.WWWW.WW User :   ok
Doctor :   Send your father's complete history as well as his reports to us
Doctor :   And if you also wish to get the surgery done under him, we/customer support team will guide you in getting it done.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
Doctor :   Are you there?
User :   yeah
Doctor :   Do you have any other query?
User :   i am writing a query on that
Doctor :   Ok
User :   no thanks a lot dr
Doctor :   Thanks for consulting me.
User :   thanks for your time
Doctor :   Bye for now.
User :   bye
User :   thanks again
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