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COMPUTER ASSISTED JOINT REPLACEMENT by Dr. KIRTHI PALADUGU


COMPUTER ASSISTED JOINT REPLACEMENT by
Dr. KIRTHI PALADUGU
A PERFECTIONIST TREND(NAVIGATION)

Joint Replacements are the age-old procedures with the highest success rates in the orthopedic world. With the advent of Replacements the “painful, cripling & nonmobile aged world” has changed into a “Young, PAIN-FREE & MOBILE WORLD”

As we all know, in arthritis the articulating Surfaces are eroded with aging/disease & deformed, leading to severe Painful, deformed & difficult walking pattern(style).
In any Joint Replacements, the Eroded/Damaged Joint Surfaces are replaced with new Modern Implants, giving the PAIN-FREE, Most Stable & Mobile joints for the ease of walking and day to day activities.

As the Science Developed & evolved, as the Experience enriched with the ease of modern equipment, the complications have come to a minimum or can even be termed limited or have come to stand still. Added on with the evolution of the preoperative planning, Sterilisation Techniques, operating Theaters, Operating time, Postoperative Anaesthesia & the Early mobilization faster rehabilitation [Fast Track Technique] - Patients Compliance has been amazing.

The initial Experience & the advent of the Modern Science was completely devoted to the implants - “ Leading on to the changes in the materials, designs & to an extent implants lasting for life (30+years)”, the evolution & the modernization continuing.

As the Experience Flourished we “The Surgeons” - Started understanding that the longevity of the Implant is just not dependent on the Material(Implant) used, also has equal importance with the surgical technique & the placement of the Implants.

With the Experience & the thinking process in the Backyard came in the role of computer leading on to the “NAVIGATION ASSISTED JOINT REPLACEMENTS” 
With the advent of the Modern Science & the Persistent concern for the patients, to give them the best has made the Medical Professionals to get in with the Modern Technology – to give the best – whom we care the most.
What exactly done in Navigation:
In joint Replacements, the Trackers/Transmitters will be placed over certain Anatomical landmarks pertaining to the joint.
The Navigation System will be set up to those particulars joint & the Patient data will be enrolled even specifying the side to be operated.
The anatomical landmarks or the reference points of the specific joint “Hip or the Knee” will be registered with the points/tracker as this will be specific for each individual this would be the most Significant step in Navigation. All the Reference Points will be registered by the Infrared Camera of the Navigation System.
Once the Registration is done the determination of the center of the Joint & the Mechanical axis is done in an anatomical way with the help of the Navigation System.
Following this, the Instability of the Joint & the amount & the angulation of the cuts is predetermined.
This helps the Surgeon in determining the amount of the Soft tissue releases be done & also the amount of cuts to be taken ensuring the minimal bone loss. Each & Every Step of the Surgery will be pre-checked by the Navigation System acting as the Idle Security Check at every & Step/Point of Surgery.
As we all know along with the implant, the Positioning of the Implant also plays a Significantly important role in determining the longevity of the Implant & the anatomical placement helps in the case of faster rehab, the Navigation has the advantage of on table / Intra Operative Determination of the Surgical technique & the check of perfect positioning of the Implant.
The Advantages of the Navigation Replacement Surgeries of Hip & Knee:
  • Anatomical, precise positioning, placement of the Implants – Giving the Most Stable.       Least Chances of Dislocation, Faster Rehabilitation.
  • Near Normal Range of Motion
  • Minimal wear & loosening – longevity for life Enables Minimally Invasive Surgery
  • Determining the Mechanical & Anatomical Axis in Significant Deformities
  • Abandoning the Implant Removal in periarticular Fractures & Implants inside in pairs with old surgeries.
Why Don’t Everyone use Navigation:
  • The Initial Long learning curve for Surgical Expertise
  • Extensive & Expensive Investment for the Navigation System
  •  Increases the operating time
Looking into the advantages & the limitations of Navigation – We the SRIKARA Family are happy to give the best to our Patients with the extensive experience in the Navigation Assisted Joint Replacement Surgeries without burdening the expenses on our patients
We are very proud & happy to introduce the Hip Navigation the only group to have the Navigation at both the centers – Shows the advent of the Modernisation at par with the other parts of the world & always being the Patient-Centric Care Unit.
About Dr.Kirthi Paladugu:
Dr. Kirthi Paladugu is an Orthopedist, Joint Replacement Surgeon and Sports Medicine Surgeon in Miyapur, Hyderabad and has a very good experience in these fields. Dr. Kirthi Paladugu practices at Srikara Hospitals in Miyapur, Hyderabad. He completed MBBS from Jagadguru Jayadeva Murugarajendra Medical College (JJMMC) in 2009, MS – Orthopaedics from Raichur Institute of Medical Sciences in 2013 and Fellowship in Joint Replacement from Germany in 2014.
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Dr. KIRTHI PALADUGU
Consultant Orthopedic Surgeon,
Srikara Hospitals,#222 & 223,
Mythri Nagar, Phase-II,
Madinaguda, Miyapur, Hyderabad- 500 049.
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Location: Srikara Hospitals, Mythri Nagar, Phase-II, Madinaguda, Miyapur, Hyderabad, Telangana 500049

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