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High Tibial Osteotomy (HTO): A Smart Alternative to Total Knee Replacement

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  Knee pain —especially due to osteoarthritis —is a common issue that affects many middle-aged adults. When the bones in your lower limb are not properly aligned, it puts extra stress on the inner (medial) side of the knee. Over time, this pressure wears away the protective cartilage, leading to pain, stiffness, and difficulty in movement. One effective way to treat this condition, especially for active patients between 40–60 years old, is a surgical procedure called High Tibial Osteotomy (HTO) . What is High Tibial Osteotomy (HTO)? HTO is a surgical procedure where the shinbone (tibia) is carefully cut and reshaped to shift body weight away from the damaged inner side of the knee. By realigning the leg, the load is transferred to the healthier, outer side of the knee. This helps relieve pain and restore function in people with early to moderate knee arthritis. Think of it as giving your knee joint a new alignment to reduce wear and tear—without replacing the entire joint. Wh...

Understanding Revision Knee Replacement: What You Need to Know

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  By Dr (Prof.) Anil Arora – Joint Replacement Specialist Total Knee Replacement (TKR), including partial knee replacements, have helped millions of people around the world regain mobility and live pain-free. In fact, studies show that about 95% of TKRs last up to 15 years or more . However, just like any artificial implant, some knee replacements may eventually need to be revised or replaced due to a variety of reasons. This is where Revision Knee Replacement Surgery comes into play—a specialized procedure performed when a previously implanted knee prosthesis fails or causes problems. Why Do Some Knee Replacements Fail? Although most knee replacements are successful, there are situations where revision surgery becomes necessary. Common reasons include: Aseptic loosening and osteolysis – When the bond between the bone and the prosthesis loosens, causing pain and instability. Wear and tear of the plastic (polyethylene) liner – Over time, the plastic part can wear do...

All You Need to Know About Primary Knee Replacement – A Guide by Dr. (Prof.) Anil Arora Joint Replacement

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 If you've been struggling with knee pain, stiffness, or limited movement that affects your daily life, you’re not alone. Many people face these issues, especially with age, injury, or arthritis. The good news? Modern medicine has come a long way, and Primary Knee Replacement (also known as Total Knee Arthroplasty ) has become one of the most successful procedures to relieve pain and restore mobility. Understanding Your Knee Joint Your knee acts like a hinge – where your thigh bone (femur) meets your shin bone (tibia). In a healthy knee , a smooth layer of cartilage covers the ends of these bones, allowing them to glide over each other easily. This lets you walk, sit, stand, and move around without discomfort. But over time, that smooth cartilage can wear away. The result? Bones start grinding against each other like sandpaper, causing pain, stiffness, swelling, and reduced movement. Why Do Knees Get Damaged? There are several reasons why your knee joint may start to break d...

Computer-Assisted Knee Replacement: A Revolution in Precision Surgery

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 Knee replacement surgery has come a long way with advancements in medical technology. One of the most significant innovations in recent years is Computer-Assisted Knee Replacement , a cutting-edge approach that enhances precision and improves patient outcomes. Why is Alignment Important in Knee Replacement? The success of a knee replacement depends on the proper alignment of the implant and the balance of surrounding soft tissues. Even minor misalignment can lead to early wear and tear, loosening of the implant, and discomfort for the patient. Traditionally, surgeons have relied on manual methods using jigs and rods to position knee implants. While these techniques have been effective, they sometimes result in small errors that may impact the longevity of the knee replacement. How Does Computer-Assisted Knee Replacement Work? With computer-assisted technology, Dr. (Prof.) Anil Arora Joint Replacement and his team use advanced navigation systems to achieve a high degree of precis...

Pinless Computer Navigated A Breakthrough in Precision Surgery

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 Total Knee Replacement (Arthroplasty) has seen remarkable advancements with the advent of Computer-Assisted Surgery (CAS). Numerous studies have shown that CAS enhances accuracy and improves radiological outcomes. However, conventional computer-guided surgery comes with certain drawbacks, such as extended operative time—often up to 20 minutes longer—and rare complications, including fractures and neurovascular injuries due to the use of reference pins. Additionally, any intraoperative array dislocation may lead to the abandonment of CAS. To overcome these challenges while preserving the benefits of CAS, a more refined and efficient technique has emerged— Pinless Computer Navigated Knee Replacement . This innovative procedure eliminates the need for reference pins, streamlining the workflow and reducing potential complications. Leading the Way with Pinless Navigation Technology Dr. (Prof.) Arora is at the forefront of knee replacement surgery, pioneering the use of North India’s ...