Arthrodesis Surgery in Max Hospital

Arthrodesis is a surgical procedure that involves joining two bones forming a joint, commonly known as fusion surgery. It is employed in cases of severe arthritis, fractures, and persistent joint pain affecting various body parts, providing relief by making the joint solid.

Procedure

Arthrodesis aims to reduce pain, improve stability, and eliminate joint movement. Typically considered a last resort when other treatments fail, it involves fusing two intact bones. A bone graft may be utilized for fusion, obtained from the patient’s body (autograft), a cadaver, or a synthetic source. The surgery is commonly performed on the spine, thumb, finger, wrist, and knees, with classifications such as double or triple arthrodesis based on the number of joints fused.

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Indications for Arthrodesis:

Arthrodesis is suitable for candidates experiencing:

• Damaged joints or articulations
• Chronic and severe joint or bone pain
• Limited mobility
• Joint degeneration with arthritis
• Inflammation of joints
• Deformities in hands, thumbs, knees, and other areas
• Conditions resulting from old age, trauma, congenital factors, or underlying issues.
• Specific spine conditions like herniated discs, scoliosis, and spine fractures

Best Candidates for Arthrodesis:

Considered when other treatments prove ineffective, arthrodesis focuses on relieving pain and correcting bone anomalies. Indications include:

• Valgus foot deformities
• Advanced tibialis posterior tendon dysfunction
• Rheumatoid arthritis (RA)
• Post-traumatic arthritis
• Chronic pain, joint instability, and neuromuscular diseases
• Used as a last resort in cases of chronic severe Tuberculosis of joints and Mueller-Weiss disease.

Contraindications:

Arthrodesis may not be suitable for conditions treatable with external bracing, soft-tissue procedures, tendon balancing, or lesser fusions. Chronic smoking is a relative contraindication due to its association with nonunion of bones.

Diagnosis for Arthrodesis:

Preoperative tests and preparations are crucial for surgical success, including:

• Physical examination
• Blood tests
• Imaging studies (X-rays) to visualize the affected joint
• Smoking cessation for improved healing
• Discontinuation of blood thinners to prevent excessive bleeding

Preparation for Arthrodesis:

Prior to surgery, thorough communication with the doctor is essential. A comprehensive medical evaluation, disclosure of ongoing medications, and a complete body scan help assess undiagnosed conditions and plan the treatment.

Arthrodesis Procedure:

While non-surgical methods are initially explored, arthrodesis becomes necessary for unrelenting pain. The procedure involves removing cartilage, fixing the joint with metal wires, screws, external pins, or rods, promoting fusion, and rendering the joint immovable. It is often preferred in areas requiring minimal range of motion.

Possible Complications:

While generally safe, complications may include:

• Malunion
• Nerve damage
• Unhealing tissues and wound issues
• Pseudo-arthritis in smokers, potentially requiring a second surgery
• Breakage of metal implants
• Fusion site failure
• Painful scar tissue
• Arthritis in nearby joints
• Bleeding, blood clots, and infection
• Continuing pain at the fusion site after surgery

Post-Surgery Care:

• Hospital discharge usually within 1-2 days
• Pain management with prescribed medications (opioids, NSAIDs)
• Weight-bearing with crutches/walkers, possible use of knee brace or cast
• Regular follow-ups to assess bone healing
• Rehabilitation exercises guided by a physical therapist to restore strength and movement
• Resumption of normal activities typically 3-6 months post-surgery
• Over time, the joint ends grow and unite to form a single, stable unit.

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Dr. Ramneek Mahajan

SPECIALITY:   Orthopaedic and Joint Replacement Surgeon
Experience:     20+ years of experience
Hospital:           Max Hospital Saket     

About Doctor:

• Dr. Ramneek Mahajan has over 20 years experience handling Orthopedics & Joint Replacement cases.
• Dr. Ramneek Mahajan has presented various important papers related to his field.
• Dr. Ramneek Mahajan has been a part of numerous faculty presentations in India and abroad.

Dr. Gyan Sagar Tucker

Speciality:     Orthopaedic and Joint Replacement Surgeon
Experience:  28 years of experience
Hospital:      Max Hospital Saket

ABOUT DOCTOR:

• Presently working as the Head of Orthopaedics and Joint replacement department of Max Super Smart Specialty Saket City Hospital, New Delhi.
• Prior to joining Max Super Smart Specialty Saket City Hospital, Dr. Tucker worked as a Senior Consultant at the Batra Hospital and Research Centre, New Delhi.
• Dr. Tucker takes special interest in Difficult Fracture Management, use of the Illizarov Technique, Hip and Knee Joint Replacements, Special Surgeries of the Slipped Disc, and Spinal Trauma.

Dr. S.K.S. Marya

Speciality:     Orthopaedics & Joint Replacement
Experience:  30 Years of Experience
Hospital:        Max Hospital Saket

About Doctor:

• Dr. Sanjiv KS. Marya has been in the field of Medicine and Orthopaedic Surgery for almost 30+ years. 
• Performed more than 15,000 joint replacements of Knees, Hips, Shoulders, Toes and Finger joints
• Dr. Marya’s areas of specialisation include Joint Replacement Surgery for the joints of upper and lower limbs (Primary and Revision) and Trauma Management based on AO Principles. 

Dr. Munish Chaudhry

Specialist:     Orthopaedic and Joint Replacement Surgeon
Experience:  25+ years of experience
Hospital:       Max Hospital Saket      

About Doctor:

• Dr. Munish Chaudhry is an eminent Orthopaedist, practicing successfully for more than 25 years.
• Dr. Munish Chaudhry is adept in Orthopaedic Trauma Care and General Orthopaedics.
• Moreover, Dr. Munish Chaudhry also performs Arthroplasty of Hip and Knee Joint.

Dr. Rajesh Bawari

Specialist:     Orthopaedic and Joint Replacement Surgeon
Experience:  10+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr Rajesh Bawari is a well-known orthopedician in Delhi.
• Dr Rajesh Bawari has completed his MBBS & MS.Following which he did his diploma in Anesthesia from Delhi University.
• Dr Rajesh Bawari has received training in advanced trauma and arthroscopic surgeries.

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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing free local sim card
• Arranging video consultation with specialist doctor if case requires

Max Hospital Saket Delhi

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.