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HEALTH CARE
A GUIDE TO OSTEOARTHRITIS OF KNEE JOINT Patient, Safety, Quality & Care by Aga Khan Hospital, Dar es Salaam
Dr. Rajeev Kumar Consultant Orthopaedics and Joint Replacement Surgeon M.B.B.S, M.S (Orthopaedics), Arthroscopy & Arthroplasty Fellow ( ISKSAA ), Life member of IAS, IAA, ISKSAA & IOA.
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Dr. Rajeev brings on board surgical expertise in x Joint Replacement Surgeries x Arthroscopy & Sports injuries x ĚƵůƚĂŶĚWĂĞĚŝĂƚƌŝĐdƌĂƵŵĂ surgeries
For more information on aAdenoid Hypertrophy, visit The Aga Khan Hospital or call us at +255 22 2344625.
WŚĞŶ ƚŚŝƐ ĐŽŶĚŝƟŽŶ ƌĞĂĐŚĞƐ severe levels and all ĐŽŶƐĞƌǀĂƟǀĞ ŵĂŶĂŐĞŵĞŶƚ have failed such as analgesic ŵĞĚŝĐĂƟŽŶƐ͕ƌƵďďŝŶŐŽĨĂŶĂůŐĞƐŝĐ ĂŶĚ ĂŶƟͲŝŶŇĂŵŵĂƚŽƌLJ ŐĞů͕ /ŶƚƌĂĂƌƟĐƵůĂƌƐƚĞƌŽŝĚŝŶũĞĐƟŽŶƐŝŶ ŬŶĞĞũŽŝŶƚ͕ƵŶůŽĂĚŝŶŐŬŶĞĞďƌĂĐĞƐ ĂŶĚƉŚLJƐŝŽƚŚĞƌĂƉLJ͕ ƚŚĞŶ ƚŚĞŽŶůLJ treatment which can help the ƉĂƟĞŶƚĂƚƚŚŝƐƐƚĂŐĞŝƐĂdŽƚĂů<ŶĞĞ Replacement.
&Žƌ ĞdžĂŵƉůĞ͕ ǁŚĞŶ Ă ƉĂƟĞŶƚ ŚĂƐ ŽƐƚĞŽĂƌƚŚƌŝƟƐ ŝŶ ũƵƐƚ ŽŶĞ ĐŽŵƉĂƌƚŵĞŶƚ͕ ƚŚĞŶ ƚŚĞ orthopedic surgeon could choose ƚŽ ƌĞƉůĂĐĞ ƚŚĞ ĞŶƟƌĞ ŬŶĞĞ ũŽŝŶƚ Žƌ ƚŽ ƌĞƐƵƌĨĂĐĞ ũƵƐƚ ƚŚĞ ĂīĞĐƚĞĚ compartment which is known ĂƐ hŶŝͲĐŽŵƉĂƌƚŵĞŶƚ <ŶĞĞ Replacement.
Recent studies show good long-term survival of Uni Compartmental knee replacement in comparison to ,ŝŐŚƟďŝĂŽƐƚĞŽƚŽŵLJ ;KŶĞŽĨ ƚŚĞ ŽƉƟŽŶ ƚŽ ŵĂŶĂŐĞ K ŬŶĞĞ ŝŶ LJŽƵŶŐƉĂƟĞŶƚƐ>ĞƐƐƚŚĂŶϱϱzĞĂƌƐ similar to Unicompartmental knee ƌĞƉůĂĐĞŵĞŶƚͿ͘
Uni-compartmental knee ƌĞƉůĂĐĞŵĞŶƚ ͬƌĞƐƵƌĨĂĐŝŶŐ ;h<ZͿ or bi-unicompartmental knee ƌĞƐƵƌĨĂĐŝŶŐ͕ 'ĞŶĚĞƌ ŬŶĞĞ͕ EĂǀŝŐĂƟŽŶ ĂƐƐŝƐƚĞĚ d<Z͕ ZŽďŽƟĐ assisted knee replacement are some of the new trends ŝŶ ŽƉĞƌĂƟǀĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ŽƐƚĞŽĂƌƚŚƌŝƟƐŬŶĞĞũŽŝŶƚ͘
These procedures aim to restore Ă ƉĂŝŶͲĨƌĞĞ͕ ĨƵůůLJ ĨƵŶĐƟŽŶĂů and durable knee joint withfast ƌĞĐŽǀĞƌLJ͕ ƐŚŽƌƚĞƌ ŚŽƐƉŝƚĂů ƐƚĂLJ͕ ƐŵĂůůĞƌ ŝŶĐŝƐŝŽŶƐ͕ ůĞƐƐ ďůŽŽĚ ůŽƐƐ͕ ĨĂƐƚĞƌ ĂŶĚ ůĞƐƐ ƉĂŝŶĨƵů ƌĞŚĂďŝůŝƚĂƟŽŶ͕ ůŽǁĞƌ ƌŝƐŬ ŽĨ ŝŶĨĞĐƟŽŶ͕ ůĞƐƐ ĐŚĂŶĐĞƐ ŽĨ ũŽŝŶƚ ƐƟīŶĞƐƐ͕ ůĞƐƐ ƌŝƐŬ ŽĨ ǀĞŶŽƵƐ thromboembolism and easier ƌĞǀŝƐŝŽŶƐƵƌŐĞƌLJŝĨƌĞƋƵŝƌĞĚůĂƚĞƌ͘
ĂƌůLJ ĨƵŶĐƟŽŶĂů ŽƵƚĐŽŵĞ ŝƐ good with these procedures ƉĂƌƟĐƵůĂƌůLJ ǁŝƚŚ ^ ĂŶĚ ZŽďŽƟĐƐďƵƚůŽŶŐͲƚĞƌŵƐƵƌǀŝǀĂůŝŶ ĐŽŵƉĂƌŝƐŽŶ ƚŽ ĐŽŶǀĞŶƟŽŶĂů ƚŽƚĂů knee replacement is yet to be established.
Total knee replacement has a ĮŶŝƚĞ ƐƵƌǀŝǀĂů ƌĂƚĞ͕ ĚĞƉĞŶĚĞŶƚ mainly upon the implant ĂůŝŐŶŵĞŶƚ͕ƉŽƐŝƟŽŶŝŶŐŽĨŝŵƉůĂŶƚ͕ balancing of knee joint and postŽƉĞƌĂƟǀĞ ĂĐƟǀŝƚLJ ůĞǀĞů ŽĨ ƚŚĞ recipient.
