Joint Replacement Surgery | Get Free Cost Estimate

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Best Orthopaedic doctor in Gurgaon

• Dr. Hemant Sharma has over 22 years of experience
  (10 years in India and 12 years in England) in
  the field of orthopaedic and is a certified
  Fellow by Royal College of Surgeons of England.
  Dr. Sharma qualified from the PGIMS Rohtak in
  1994 and his higher orthopaedic and trauma
  training was from India and England and
  specialist training has been an accumulation of
  fellowships in the UK.  This education continues
  with regular attendance both as a delegate and
  faculty member at national and international
  meetings.

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Joint Replacement Surgery

• Joint replacement surgery is commonly performed
  these days. When they seek medical advice, they
  have damage to both knee joints. The patients
  request both knee replacement surgery at the same
  time.
• Joint Replacement Surgeon in Gurgaon have certain
  criteria to decide if the patient is fit to have
  both sides joint replacement at the same time or
  not.
• I would like to share when bilateral knee
  replacements should not be considered.

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• Age more than 75 years.
• Haemoglobin of less than 11.
• Those who are insulin-dependent and with blood
  glucose levels is more than 180mg/dl
• Previous history of clots in the legs and the
  lungs.
• Renal insufficiency, with a serum creatinine of
  1.6 mg/dl.
• Cerebral vascular disease(stroke).
• Chronic liver disease.
• When the patient is on aggressive anticoagulation
  therapy.
• When the patient who has oxygen-dependent
  pulmonary (lung) disease.
• Poor ejection fraction.
• Those patients who have a body-mass index of more
  than forty should have only one knee replacement
  at the time.
• History of congestive heart failure.
• Obstructive sleep apnoea, proven in sleep studies
• Pulmonary artery hypertension.

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Two sides Knee Replacement
The bilateral procedures had a significantly
higher rate of complications than unilateral
procedures, almost entirely because of
thromboembolic problems. The studies have shown
Bilateral TKA had an increased risk for all
complication when compared with unilateral TKA
regardless of health status. A greater than
fourfold increase for the second and third
quartiles, and a greater than threefold increase
for the fourth quartile (least healthy patients.
Therefore, we recommend simultaneous bilateral
knee arthroplasty only for patients in ASA
classes 1 and 2.
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Cerebral Palsy
The cerebral palsy is a condition marked by
impaired muscle coordination and disabilities,
typically caused by damage to the brain before or
at birth. We cannot correct the damage that has
happened, but we can make the mobility better by
orthopaedic procedure like oft tissue release,
tendon transfers and bony procedure. Our patient
is young 18 years old boy who was walking with
significant in toeing gait. The patient had
de-rotation osteotomy where we change the
rotation at the level of deformed bone. The pre-
and post-operative video demonstrates the result.
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Visit us
Call (91) 8826543001
Email hemant818_at_yahoo.com
Address Dr. Hemant Sharma - Best Joint
Replacement Surgeon H1, H Block, Orchid Island
Rd, Sector 57, Gurugram, Haryana 122003
Website www.drhemantortho.com
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