Neelam V.Ramana Reddy | Best Orthopedic Doctor in Hyderabad | Best Knee Replacement Surgeon in Hyderabad

How long does a Knee Replacement last?

You’ve tried medicine and physical therapy and injection therapies such as cortisone injections, but the osteoarthritis in your knees or hips is causing you pain and keeping you from doing the things you love. 

If this sounds like you, you might be considering having your achy joint or joints replaced.

Joint replacements generally tend to be very successful, allowing most people who have them to return to active lives free of chronic pain.

But, while artificial joints are designed to last a long time, they won’t last forever. This means that if you’re a young, active person considering a hip or knee replacement, there’s a possibility that you would need to have the same joint replaced more than once. 

Just how long can you realistically expect an artificial knee or hip to last?

Failure can occur in short- or long-term

It’s first important to understand that a joint replacement can fail early on or over a long period.

Early failure isn’t common, but when it does occur it’s usually because an infection develops in the joint after surgery.

One of the best things people can do to set themselves up for a successful procedure is to minimize their risk factors beforehand. Risk factors include things like uncontrolled diabetes, increased weight, or poor nutrition, which increase the chances of an infection.

Unfortunately, no one can be sure that a hip or knee replacement will be the last operation needed on that joint. No operation is 100% successful, and nothing lasts forever. In addition, several factors, including surgical technique and surgeon experience, how many operations a particular hospital or surgeon performs each year, and patient factors (including age, weight, and activity level) can all have powerful effects on how long a replaced joint lasts.

Based on many large studies of different joint implants, it’s generally thought that around 90 percent of modern total knee replacements still function well for 20 years. 

One good example of newer technology is a plastic called highly cross-linked polyethylene, which has very low-wear properties. There is good reason to suspect that implants made from this material will last longer than plastics that were previously used.

Once you’ve got your new knee or hip, there are certain things you can do to help keep it intact, such as:

  1. Keep active but avoid high-impact activities like running, and jogging.
  2. Maintain a healthy weight. The obesity epidemic is creating another pool of younger patients needing total joint replacements. Each additional 20 pounds of weight a person carries puts more than 100 pounds of stress on the knees.
  3. Check-in with your orthopaedic specialist every few years.

The claim that certain implants are going to last 30 years is false and there is no proof of the UK and Australian Registry data to support this.

Also Read : Revive Happiness with Advanced Knee Replacement

Knee Replacement

Revive Happiness with Advanced Knee Replacement

Knee Replacement is one of the most advanced and prevailing techniques to get rid of chronic pain. If the Patient’s general health is good, they can walk and get back home on the same day. Most people who undergo a Knee Replacement are between the ages of 50 and 80. The average age is about 70. Here are the excerpts of an insightful interview with Dr. Neelam V Ramana Reddy, Consultant Joint Replacement Surgeon in Hyderabad, STAR Hospitals.

Why and when Knee Replacement is necessary?

When there is a lot of pain in the knee due to complete loss of joint cartilage, the person affected cannot walk or carry out other activities; we then offer Knee Replacement as a surgical procedure. As part of the procedure, we take out all the worn-out bone and cartilage and then replace it with alloy metal and plastic implants. This has been a standardized method for the last 30 years. A lot more Knee Replacement Surgeries have been performed in the last ten years, mostly because of higher awareness about the treatment, and also because of advancements in surgical techniques as well as implant techniques.

What leads to this intense pain in the knees? Is it related to age?

Just as when you age your hair turns grey or you start experiencing wear and tear in the back or in the neck, the knees also begin to have problems…especially because they bear your weight, and have therefore suffered wear and tear over the years. Such wear and tear cause pain. In an early stage, the pain is mild. In later stages, the pain could be severe, and it gets difficult to get through one’s daily activities. There is pain even while sleeping. When one gets to a stage of arthritis, which is seen as the late stage, one has to undergo Knee Replacement.

The changes begin to manifest after the age of forty. However, overweight or people with a sedentary lifestyle and with multiple medical conditions or steroid intake may contract arthritis at a younger age.

Has it got anything to do with gender?

Generally, it is women who suffer from Knee Arthritis. For every four ladies who have the disease, there is only one male with arthritis. Basically, it affects women more than it affects men.

What are the various methods to treat Knee Arthritis?

The treatment depends on the stage of the Arthritis. During the early stage, when the disease is mild, medicines, physiotherapy, exercises, and lifestyle changes help. If a patient is overweight, it is necessary that he or she loses weight. For every 5 to 10 percent of weight loss, the pain comes down by 50 percent. In later stages, extensive physiotherapy and knee joint injections have been proven beneficial. If the pain still persists or does not reduce, then we suggest surgical options. There are various kinds of surgeries like Knee Arthroscopy, osteotomies, Partial Knee Replacement or Total Knee Replacement. 

Which is the latest of them all? What is Fast track knee replacement?

Partial and Total Knee Replacement is the latest with the best track record. In performing these surgeries, we now make use of minimal invasion. Earlier the surgeries had larger incisions and cutting more muscles. But for the last 3 to 4 years, we follow minimal invasive fast track surgeries. This helps the patients to get back to their normal lives quickly. Earlier, patients would be made to stay in the hospital for 10 to 15 days post-surgery and walk after 5-10 days after the surgery. But now, with minimal invasive FastTrack TKR, we make them walk on the same day and discharge from the hospital in 48 hours without the need for ICU stay further reducing chances of infection and other complications. They can start driving in four to six weeks. Basically, the recovery is much faster, thanks to improved surgical techniques, multimodal pain management involving anesthesia, and better instrumentation leading to improved accuracy and recovery.

Can both knees be replaced at the same time?

Yes. The most recent research proved better function of both knees when surgery is done in one go on medically fit patients.

For Appointments, Please Call: 040-447 777 77


Making the right choice to treat Osteoarthritis

What’s life without the ability to move freely and without pain? Indeed, movement is what enables our bodies to operate in all their delicate, wondrous complexity. But what if our ability to move freely is obstructed due to the wear and tear of bones and cartilages in our bodies? We will end up feeling caged and miserable.

Unfortunately, as we age, we develop problems in the hips and knees that can limit our ability to perform our daily activities with ease. These problems can happen due to degenerative changes within different parts of our joint viz., cartilages, bones, and/or supporting tissues, also known as Arthritis, a common term used for conditions that affect the joints. 

While there are more than 100 types, the most common form of Arthritis in India is Osteoarthritis(OA). It is the second most common rheumatologic problem. It is the most frequent joint disease with a prevalence of 22 to 39 percent in India. Osteoarthritis is more common in women than in men. Nearly 45 percent of women over the age of 65 have symptoms, while 70 percent of those over 65 years show radiological evidence of Osteoarthritis. Osteoarthritis may lead to pain, stiffness, and, ultimately loss of movement in the joint.

How does OA affect the body?

In a healthy joint, a coating of tough but smooth and slippery tissue, called cartilage, covers the bones’ surface and helps the bones move freely against each other. When a joint develops OA, part of the cartilage thins and the surface becomes rougher. This means the joint doesn’t move as smoothly as it should. There are three stages of OA. In the mild stage, walking is tolerable but can be associated with discomfort. Luckily, this can be treated with pain-relieving medications. 

In the moderate stage, one may experience joint stiffness after sitting for a long time or waking up in the morning. Swelling in joints may be present after an extended period of motion, as well. At this stage, doctors recommend changes in lifestyle, medication, and physiotherapy. 

In the advanced stage, mobility is severely affected; pain may not be manageable through non-invasive means, and surgical options such as joint replacement surgery may be recommended by doctors.

Benefits of joint replacement for advances stage OA

Joint replacement procedures are a result of more than 40 years of research. It is one of the safest and most effective treatment options offering long-term benefits and ensuring patients with a normal physical lifestyle. It improves mobility for patients, reduces pain to a greater extent, and assures better treatment response and a higher satisfaction rate. Today, innovations in the field of medical technologies have truly transformed joint replacement procedures. As these innovations get better, and we see a rise in the country’s aging population, the demand for joint replacement surgeries will surge. Having said that, it is important to note that the longevity of knee replacements depends on several factors, such as the age of the patient, activities, and weight. It is always better to take advice from your doctor. Remember, OA could mean restricted mobility for you. Making the right choice is significant to your wellbeing. Consult your Orthopedic Surgeon today!

Also Read: A new technique in joint surgery has improved benefits

Exercise and Bone Health


Most people are familiar with many of the benefits of exercise, such as improving muscle strength and endurance, reducing the risk of heart disease and stroke, and preventing obesity. Perhaps not as well understood is the importance of regular physical activity in building and maintaining healthy bones. Inactivity causes loss of bone!

Aging, along with certain diseases and medications, can cause bones to become very weak and fragile over a period of time — a condition called osteoporosis. It often occurs in women after menopause and in men of older age. This bone-thinning disease puts people at a greater risk for broken bones, which can seriously limit mobility and independence. We also tend to lose muscle as we age — a condition called sarcopenia. People who develop osteoporosis or sarcopenia are considered frail: more likely to fall and more likely to break a bone.

Exercise works on bones much like it works on muscles — it makes them stronger. Exercise is important for building strong bones when we are younger, and it is essential for maintaining bone strength when we are older. Because bone is living tissue, it changes over time in response to the forces placed upon it. When you exercise regularly, your bone adapts by building more bone and becoming denser. This improvement in bone requires good nutrition, including adequate calcium and Vitamin D. 

Another benefit of exercise is that it improves balance and coordination. This becomes especially important as we get older because it helps to prevent falls and the broken bones that may result.

There are many different types of exercise and they all offer health benefits. The two
types that are most effective for building strong bones are weight-bearing exercise and
strength-training exercise. 

Weight-Bearing Exercise

Weight-bearing describes any activity you do on your feet that works your bones and muscles against gravity. When your feet and legs carry your body weight, more stress is placed on your bones, making your bones work harder. Weight-bearing exercise after young adulthood can help prevent further bone loss and strengthen the bone.

Examples of weight-bearing exercise include:
· Brisk walking and hiking
· Jogging/running
· Dancing
· Jumping rope
· Tennis, badminton, ping pong,
· Team sports, such as basketball, football, and volleyball
· Stair climbing

Strength-Training Exercise

During strength-training activities, resistance is added to movement in order to make muscles work harder and, over time, become stronger. Although resistance exercises focus on increasing muscle mass, they also put stress on bones and have the bone-building capacity.

Common types of strength training include weight machines, free weights, and exercises (such as push-ups) that use your own body weight. Elastic bands can also be used to add resistance to exercises.

A general guideline for strength training is to exercise each major muscle group at least twice a week. Be sure to rest for a full day between strength sessions.

Adolescents and Young Adults

Building strong bones begins in childhood. The best time to build bone density is during years of rapid growth. We essentially develop the skeleton that must last our lifetime when we are between the ages of 10 and 18 years old. Our peak bone mass in maximum strength and density is achieved in our late twenties.

Weight-bearing exercise during the teen years is essential to reach maximum bone strength. A teen’s physical activity should include 20 to 30 minutes of weight-bearing exercise at least 3 to 4 days each week.

Also Read: Taking Care of Knee Pain

joint surgery

A new technique in joint surgery has improved benefits

Osteoarthritis (OA) is one of the oldest and most common forms of arthritis. It causes the cartilage normally found in joints to break down. The breakdown removes the buffer between bones and the resulting bone-against-bone friction causing pain and eventual loss of movement.

Total Knee Replacement (TKR), is a safe and effective treatment for severe osteoarthritis (OA) of the knee. Owing to its irreversible nature, the surgery is recommended only in patients for whom other treatment modalities have failed. The procedure has a higher risk of failure in young patients aged 50 years and below. Besides, complications of total joint replacement surgery include prosthetic loosening, wearing of the polyethylene insert, infection, and fractures. Hence for patients who are younger i.e. below 50 years, a less-invasive surgical alternative should be thoroughly weighed against those of total knee arthroplasty. Dr. Neelam Ramana Reddy, Chief Joint replacement surgeon and Director at Star Hospital, Hyderabad says that “removing the whole package is, on a technical level, an easier maneuver than splicing away at one small section of the knee.”

Unicompartmental knee replacement: A revolution in knee joint surgery for young patients

This surgery is indicated in cases where OA involves only one of the three compartments of the knees. This surgery allows the patient to retain more than 70% of their original joint surface and ligaments and hence, the patient gets a very “natural knee“ like feeling while allowing them unrestricted movements and activities. This provides them with an experience that is far more satisfactory than that after a TKR.

Since this procedure involves implanting smaller implants, the surgery is performed using minimally invasive techniques.  Other benefits include

•          Earlier mobilization
•          Less pain
•          Reduced length of hospital stay (One day)
•          Less blood loss

Since all the ligaments are retained hence a more normal feeling post-surgery.

A successful Uni-Knee replacement may delay, and in some cases, prevent a more extensive knee replacement surgery. Dr. Neelam Ramana Reddy adds that there are time tested partial knee implants available in India today.

Also Read: Taking Care of Knee Pain with RICE Method Treatment

Knee pain

Taking Care of Knee Pain

Knee pain is the most common musculoskeletal complaint that brings people to their doctor. With today’s increasingly active society, the number of knee problems is increasing. Knee pain has a wide variety of specific causes and treatments.

Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation. This regimen is summarized by the memory device PRICE.

PROTECT the knee from further trauma

  • This can be done with knee padding or splinting.
  • A pad over the kneecap, for example, helps to control the symptoms of some knee injuries (an example is a form of bursitis sometimes called housemaid’s knee) by preventing further repetitive injury to the prepatellar bursae.

REST the knee

  • Rest reduces the repetitive strain placed on the knee by activity.
  • Rest both gives the knee time to heal and helps to prevent further injury.

ICE the knee

  • Icing the knee reduces swelling and can be used for both acute and chronic knee injuries.
  • Most authorities recommend icing the knee 2 to 3 times a day for 20-30 minutes each time.
  • Use an ice bag or a bag of frozen vegetables placed on the knee.

COMPRESS the knee with a knee brace or wrap

  • Compression reduces swelling.
  • In some knee injuries, compression can be used to keep the patella aligned and to keep joint mechanics intact.

ELEVATE the knee

  • Elevation also helps reduce swelling.
  • Elevation works with gravity to help fluid that would otherwise accumulate in the knee flow back to the central circulation.
  • Prop your leg up when you are sitting, or use a recliner, which naturally elevates the legs. Elevation works best when the knee — or any other injured body part — is higher than the level of the heart.

If you feel the pain is still aggravating, then contact the best orthopedic doctor in Hyderabad Dr. Neelam Venkata Ramana Reddy at Star Hospitals

Also Read: FTKR a New Alternative to Total Knee Replacement

Fast track knee replacement

FTKR a New Alternative to Total Knee Replacement

In an attempt to reduce the post-operative trauma in a knee replacement surgery, a team of doctors headed by Neelam Ramana Reddy, joint replacement surgeon at star hospitals, has performed a fast track knee replacement (FTKR) surgery, a comprehensive and convenient alternative to the conventional procedure.

According to Dr Reddy, FTKR is an evidence-based procedure with maximum outcome for patients suffering from severe degeneration of the knee joint who require total knee replacement. “it is a minimally invasive surgery that requires 8 to 12 inches leading to significant disruption of the muscles and tendons,” he said, further adding, “it is a giant leap forward in total knee replacement.

Read More

Travel to India for Your Joint Replacement Surgery

In India a number of orthopedic procedures are available such as hip and knee joint replacement, the Illizarov technique, limb lengthening, Birmingham Hip resurfacing technique (which scores over conventional hip joint replacement surgery and is still unavailable even in the US) etc. 
Many hospitals in India specialize in latest techniques and treatments such as minimal invasive surgery, cartilage and bone transplantation, spine surgery and limb sparing surgery. All kinds of muscular- skeletal problems ranging from Arthritis to sports injuries, to complex broken bones, bone tumors and childhood conditions like scoliosis are treated most effectively in India at costs much lower than in USA and UK.

Read More
Life with pain or life

Life with pain or life – The choice is yours.

A long time ago man used to succumb to all the natural suffering that he was exposed to, if he burnt in fever he had no other choice, if his joints gave away a bit early, he would be bedridden. But now the medical field has advanced in leaps and bounds and relief for almost all kinds of suffering is now available to us. It is now our choice.

Read More

New Developments in Joint Replacements

New, Exciting Techniques Delay Aging

As people live longer, there will inevitably be an increased need for joint replacements One of the major problems encountered by doctors is the fact that, although they have been able to replace joints for a number of years,they have been unable to replace worn-out or damaged cartilage. In fact, if this problem were solved it would enable surgeons to delay joint replacement for a number of years.

According to the BBC, the University College London has been growing cartilage stem cells. In this technique cells are harvested from the patient, grown in a lab and then transplanted back into the patient after joint replacement or to avoid this surgery for as long as possible. Using the patient’s own cells circumvents the need for patients to take immune-suppressant drugs for the rest of their lives. Cells grown from the patient’s own cells also contained higher levels of collagen, the protein constituent of cartilage.

Read More
1 2