Sudha Orthopaedic and Gynecology hospital
Dr Manish Agrawal
MBBS | MS(Ortho)
Orthopaedician, Joint Replacement
Surgeon And Ortho Rheumatologist
Dr Manasi Agrawal
MBBS | DGO
Obstetrician And Gynecologist
And Infertility Specialist
Call Now:
+91 9875055030
Email Now:
[email protected]
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12 23 34 45 51 61

About Doctors Services

Sudha Orthopaedic and Gynecology hospital, situated in the heart of the city, is a small but advanced
one stop solution of all orthopaedic and gynecology problems. It was founded by our medical director
Mr. M.L. Agrawal in year 2015. It is a world class infrastructure with experienced team of doctors

Our team
  • Dr.M.L.Agrawal - Medical director

  • Dr.Manish Agrawal - Orthopaedician, joint replacement surgeon and ortho rheumatologist

  • Dr.Manasi Agrawal - Obstetrician and Gynecologist and infertility specialist

Arthritis and joint replacement department OVERVIEW

Joint pain, swelling, and stiffness can be caused by many conditions that impact the health of a joint. At Sudha
Hospital, we are dedicated to providing the latest strategies for joint preservation through both surgical and
non-surgical therapies

Services offered
  • Total knee replacement - primary

  • Unicondylar knee replacement

  • Bi-Cruciate retaining knee replacement

  • Revision knee replacements

  • Total hip replacements

  • Bipolar hip replacements

  • Dual mobility hip replacements

  • Revision hip replacements

  • Computer assisted joint replacements

  • Patient specific knee replacements

  • Shoulder hemiarthroplasty

  • Total shoulder replacement

  • Reverse shoulder arthroplasty

  • Total elbow replacement

  • Tumour prosthesis - limb salvage surgeries

Total knee replacement

The knee is one of the largest working joints of the body. When something goes wrong with your knee, the
problem can seriously impact your entire body and your ability to perform normal activities. When the joint is
severely damaged due to arthritis or other problems, knee replacement surgery may be recommended. Annually,
more than 250,000 Indians undergo joint replacement surgery for a new knee. This procedure can greatly improve
your quality of life by relieving pain associated with a knee problem, allowing you to live a fuller, more active life

The Orthopedic Arthroplasty Service at Sudha Hospital includes a team of orthopedic surgeons, led by Dr. Manish
Agrawal, with expertise in joint replacement of the hip, knee and shoulder called arthroplasty. In addition, there are
physician's assistants, nurses and physical therapists who are specially trained in the care of patients with joint
replacements. We all work together to provide comprehensive management of arthritis in these joints, including
total joint replacement

Dr. Manish Agrawal is pioneer of joint replacement surgeries in Udaipur region, and has been providing
arthroplasty services since year 2008. Over the years, the technology has continued to evolve and we currently
offer the latest advancements in joint replacement therapy - many of which aren't available at other medical
centers.In addition, Sudha Hospital is providing all this in world class infrastructure at a very affordable cost

FAQs

Joint Replacement

Q. What is Joint Replacement?
Arthritic or damaged bones surfaces are removed and resurfaced with an artificial joint know as prosthesis. Knee and
hip replacements are most common, but joint replacement can be performed on other joint such as the shoulder
elbow, etc

Q. Why Joint Replacement is necessary?
When complete joint is damaged with degenerated cartilage all over then it becomes difficult for the patient to
continue day to day activities of life. So total joint replacement to be considered if other options like medication
physiotherapy etc will not relieve pain and disability in such condition. The goal is to relieve the pain in the joint
caused by the damage done to the cartilage. Total joint replacement which is also called as Arthroplasty is one of
the most successful and innovative surgery of 19th Century

Q. How is Total Joint Replacement performed?
Under the effect of spinal or epidural or general anesthesia the damaged ends of the bones and cartilage are
replaced with an artificial joint made of metal and plastic surfaces. They are shaped to restore joint movements
and function.

The materials used in a total joint replacement are designed to enable the joint to move just like your normal joint and
hence resemble the normal joint closely. The prosthesis is generally composed of two parts: a metal piece that fits
closely into a matching sturdy plastic piece. Alloys of cobalt, chrome and titanium are main metal used. The plastic
used is ultra-high-molecular-weight-polyethylene. Using these advanced bio-materials and well executed surgical
technique one can expect excellent results of long term durability

Total Hip Replacement Surgery

This surgery is the most successful innovation of 19th Century. This remains gold standard procedure. In this
operation socket and ball (head) of the femur bone is removed. Depending up on the bone quality new socket and
stem-head made of different materials is used in. This articular surface material could be combination of plastic (ultra
high molecular weight polyethylene) on Metal (cobalt chrome molibdinum), plastic on ceramic ball and ceramic on
ceramic ball. Again depending up on the age and quality of bone these joints have been put in with bone cement or
without bone cement. Results of this conventional hip replacement surgery are excellent only difference from hip
resurfacing is that original ball is not conserved and patients are not allowed to squat

Total Knee Replacement

When whole knee joint (all compartments) is affected then only solution to relieve pain and get back to normal routine
activities is total knee replacement surgery. In this procedure thigh bone side of joint(femur) is replaced with metal
prosthesis,leg side(tibia)is replaced with metal and plastic and knee cap(patella) is replaced with plastic prosthesis
Results and durability of this surgery is excellent

There is a breakthrough technology with high flexion -Knee designs where patient can get complete knee bending
and can sit cross legged after surgery. This has been done regularly in GBH American hospital. Knee
replacement surgery in our hospital regularly done using computer navigation system

Unicondylar Knee Replacement
When one compartment of knee joint is arthritic then replacing this part with metal and plastic joint through a small
incision(skin cut) provides excellent quick recovery.Benefit of this operation is that patient can bend the knee fully
and can perform most of the activities. Hospitalization for this surgery is just two days

Q. How post-operative pain management is done?
A very special technique patient control analgesia (PCA) is used where a catheter is kept in epidural space and
through PCA pump pain relieving medicines are delivered in controlled fashion to relieve pain. If patient need more
dose of medication as per pain, (extra medicine) a bolus can be adjusted by patient himself/herself through hand
press button given to them in post-operative period for 2 to 3 days. There is no post-operative pain; hence this is
painless joint replacement surgery

Q. How long is hospital stay?
In case of knee, hip, shoulder and elbow replacements patients have to be in the hospital for about 3 to 5 days. After
unicompartmental knee replacement patient goes back home in 2 days time

Q. What about physiotherapy?
In general physiotherapy program is neither strenuous nor painful. Few simple actions of exercises are taught to the
patients by physiotherapist. They have been also taught proper gait training with the use of walker and crutches or
canes

Q. Whether both knee replacements can be done together?
Yes. Both knee/bilateral knee replacement can be done same day & same time. Safety of the patient is the most
important criteria for this surgery. Medically fit patient having pain in both knees and willing to undergo surgery on
both sides is the indication for bilateral total knee replacement
Advantages of joint replacement surgery
  • Complete relieve from pain

  • Correction of deformities

  • Increase range of movements of the joint & stability

  • Improvement in walking ability

  • Better quality of life

Q. What are the complications?
Infection: This is avoided by performing surgery in special joint replacement operation theatre having laminar air
flow, use of body exhaust gown and appropriate antibiotics
Loosening and Dislocation: This is avoided by proper instruction to patients, proper surgical technique and use of
appropriate designs of implants

Risk of clot formation: This clot formation in leg blood vessels can be avoided by proper precautions in high risk
patients


  • Orthopaedics and fracture care

  • Rheumatology

  • Joint replacements

  • Arthroscopy and sports injuries

  • Spine surgeries

  • Pediatric Orthopaedics

  • Orthopaedic oncology

  • Deformity correction surgeries

  • Physiotherapy and rehabilitation

  • Obstetrics & Gynecology

  • Infertility treatment



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