Image

The OPULENT Bionik Gold surface is for allergy and wear protection of knee implant. Macroscopically, the Bionik Gold surface presents a metallic, light golden yellow appearance whereby the coating forms an extremely strong bond with the implant. In addition to Opulent Gold knee surgery, cobalt–chromium–molybdenum alloy (CoCrMo) is one of the most important materials used in orthopedic applications.

Benefits: OPULENT Bionik Gold

  • Outstanding biocompatibility
  • Allergy preventive
  • Hardness superior to cobalt chromium-based alloys
  • Higher wettability with synovial fluids
  • Low Friction articulation
  • Long-term chemical stability
  • Avoids inflammation and endoprosthetic loosening
  • Extreme adhesive strength

Gold colored Titanium-Nitride/Zirconium nitride coating. Not only does the golden knee implant prevents any allergic reaction with the body, but also, is more durable and has a longer life. After knee replacement most of the patients are able to perform their daily routine within few weeks.

Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking so OPULENT knee technique is best choice for patients.

E - Brochure Click to download

Image

What Is Delta?

The new alumina matrix composite delta meets the increased demands in hip replacement. This high-performance ceramic offers the same advantages as alumina ceramic, i.e. excellent biocompatibility, low wear, high hardness, outstanding chemical and hydrothermal stability, but with higher strength than alumina ceramic.

Science Behind BIOLOX Delta Material

BIOLOX delta is an aluminum oxide matrix composite ceramic consisting of approx. 75% alumina (Al2O3), 24% zirconia (ZrO2) and other trace elements. The pink color is due to the chromium oxide (Cr2O3) that increases the hardness of the composite material.

Alumina provides the material’s hardness and wear resistance, while zirconia, together with other additives, provides improved mechanical properties. The high density of the material and the very small grain size also contribute to the improved properties.

The result is a high-performance ceramic that offers the same advantages as BIOLOX forte: excellent biocompatibility, low wear, high hardness, good mechanical performance, outstanding chemical and hydrothermal stability.

The Microstructure

The first toughening mechanism used in BIOLOX delta material results from the introduction of small, homogeneously distributed yttria-stabilized tetragonal zirconia particles (Y-TZP) in a stable alumina matrix. The spatial separation of these zirconia particles reduces the likelihood of structural transformation and prevents the initiation or propagation of cracks.

Ceramic Hip Replacement in Pimple saudagar, Pune at Helios Orthojoint
Ceramic Hip Replacement in Pimple saudagar, Pune at Helios Orthojoint
Ceramic Hip Replacement in Pimple saudagar, Pune at Helios Orthojoint

E - Brochure Click to download

Image

Wear Performance

As today’s patients seek more active lifestyles than traditional patients, knee and hip implants will be expected to endure more stress without succumbing to wear. However, the functional lifetime demand of younger and active patients is 10-fold greater than the estimated functional lifetime of traditional polyethylene1. VERILAST™ Technology from Smith & Nephew is the only bearing technology with published results of 45 Million Cycles of hip and knee in-vitro wear simulation testing, R3™ Hip System and LEGION™ Primary Knee System, respectively. This means the replacement may be expected to provide improved wear performance. More importantly, if implanted earlier, it may restore patients to their active lifestyles sooner.

Biocompatibility: Metal Sensitivity

Smith & Nephew understands that lower nickel content offers benefits to your metal sensitive patients. Just as metal ions are a well described problem for many hip replacement patients, metal sensitivity to cobalt, chromium and nickel (common materials used in most joint replacement implants) are commonly cited allergens. In many cases, sensitivity to these allergens has resulted in revisions for knee replacement patients4-7.

VERILAST™ Technology incorporates proprietary OXINIUM™ alloy instead of the commonly used cobalt chromium alloy. OXINIUM alloy has <0.0035% nickel content, and <0.02% chromium content compared to up to 0.5% and 30.0% respectively in cobalt chrome. Moreover, oxidized zirconium is a nearly inert material that has not been reported to induce immune reactions.

E - Brochure Click to download

Robotic Knee Replacement


What is True Robotic knee replacement

In Robotic Total Knee Replacement procedure, a robot is used to take required surgical bone cuts and also to define soft tissue tension. Considering the superiority of this technology, one can surely expect the best post- surgical outcomes with robot i.e. CUVIS Joint as against manual way of surgeries.

Standard true robotic knee replacement with CUVIS Joint typically comprises of:
  • In-clinic Diagnosis
  • CT-Scan
  • Pre-surgery Planning (Virtual Simulation) Autonomous Robotic Surgical Procedure
  • Autonomous Robotic Surgical Procedure

  • When compared to conventional surgical procedure, robotic knee replacement has a lot of benefits on offer like:
  • Best post-surgery results.
  • Patient specific i.e. personalized pre-surgery.
  • planning.
  • Maximum surgical accuracy.
  • Minimally invasive nature - lesser blood loss and associated pain.
  • Faster recovery with lesser hospital stay required. Minimal incision is given.
  • Surgical time is kept minimal.
  • Pain control is done with local infiltration of drug at time of surgery.
  • time of surgery. Minimal drugs are used.
  • Patient can walk within few hours of surgery.
  • Blood loss and stress on patient body is reduced.

  • Image

    AFTER SURGERY:

    You will be assisted to sit up about an hour after surgery. You will be encouraged to walk 3-4 hours after surgery. You will be assisted to stand and start walking with walker on same day of surgery. This is all possible with use of true balance technique and local infiltration of anaesthetic agent at time of surgery.

    Day 2:

    On day two you will be demonstrated exercises which includes knee cap tightening and loosening, ankle and toe movements. Knee range of movements will be started. You must do these exercises 15-20 times every hour. This will help to mobilise your knee.

    Day 3 & 4:

    Knee bending exercises will be increased. During the dey you will be walking 3-4 times with walker. Once our gain your confidence you will be demonstrated how to walk up a staircase. You will be allowed to do the exercise by yourself. You will be allowed to sit on chair.

    Image
    Important advice

    You must not keep pillow or towel under the operated knee, this is to prevent flexion deformity of knee. To prevent knee deformity put one or two pillows under the lower 1/3rd of leg so that knee hangs in mid air and there is no pressure over heel area.

    Is robotic surgery really better than conventional manual knee replacement surgery?

    When compared to conventional manual Knee replacement surgery, robotic knee replacement has got lot of advantages in terms of better implant positioning, precise surgical bone cuts, no human error, faster recovery and less hospital stay. Considering it's minimally invasive nature, it causes lesser tissue trauma and thus less blood loss and faster recovery.

    Is there any risk associated with robotic knee replacement surgery?

    Advanced robot like CUVIS Joint have best in class safety features and do not cause any additional risk to patients undergoing knee replacement surgeries. With advanced features like Bone Movement Monitoring and Haptic Feedback mechanism, it monitors everything in real time. Thus, it delivers best surgical outcome with maximum safety to the patients.

    Are all the robots for knee replacement same?

    Even though robotic technology for knee replacement is the most advanced therapy option in today's scenario, there are different types of robots available in market. Amongst all, CUVIS Joint is the only robot which is autonomous in complete sense. Other options of robot just act as a guiding system for surgeon and thus posses the risk of intra-operative human errors. These systems are called as passive or semi-active, whereas CUVIS Joint is of active nature.

    How many days do I spend in the hospital?

    Three to four days For a single TKR.

    Is this operation painful?

    Any operative procedure will lead to post-operative pain. With use drugs infiltrated at surgical site during surgical procedure we aim to make post-operative pain minimal. Your pain will be kept under control by team of pain management consultants.

    When can i resume my day to day activities?

    Your progress after going home will be roughly as follows: After going home on the 4th day after surgery you will be advised to walk in the house for 4-5 times a day. The stitches on the operative wound will be removed 14-16 days after surgery. Other activities like swimming, driving a car or a two wheeler and kitchen work are permitted after 4-6 weeks.

    When can I travel?

    You can take short flight, 4 days post surgery, long Flight can be taken 15 days after surgery.

    Which precautions should I take to protect my new artificial joint?

    You should avoid sitting on floor. You may sit cross legged, but on a bed or on a higher level surface.

    Dr. Saurabh Giri

    Specialist in Joint Replacement and Knee Arthroscopy Surgery ( MS Orthopaedic )

    Dr. Saurabh Giri is One of the Experienced & Leading Joint Replacement Surgeon and Arthroscopy Surgeon Practicing in Pune and PCMC.

    He is presently working as head of Department Robotic Joint Replacement at Deccan Hardikar Hospital.

    Dr Saurabh Giri has 14 years of experience. He has worked as a consultant Orthopaedic surgeon at some of India’s big hospitals for Orthopaedic surgeries like Mewar Hospital, Shalby Hospital(Ahmedabad) and at Deenanath Mangeshkar Hospital (Pune). He has completed MS Orthopaedic from a Central Institute (RIMS), he was University topper and has received Gold Medal for MS Orthopaedic. He has also worked at various international center’s and has received extensive training in field of Joint Replacement.

    He has received prestigious SICOT fellowship in Hip and Knee Arthroplasty (Joint Replacement), at Rome – Italy. During this fellowship he has mastered the art of performing Hip arthroplasty using direct anterior approach and using short stem for Hip arthroplasty which are highly advanced techniques.

    He has also received fellowship in Revision surgery in Hip and knee arthroplasty from Helios Endo Klinik, Hamburg, Germany. Helios Endo Klinik is one of the largest center of Europe for Joint Replacement.

    Image

    He has completed fellowship in Joint Replacement and Reconstruction from Deenanath Mangeshkar Hospital Pune.

    He has given many national and international presentations on topics related to Knee Joint Replacement, Knee Arthroscopy and Orthopaedics.

    Till now he has performed around 5600 surgeries which includes Joint Replacement, knee arthroscopy, ILIZAROV Ring fixator, complex trauma surgeries.

    Specialist In Total Hip & Knee Replacement And Arthroscopic Knee Surgery.

    Image

    Monday - Saturday

    10:00AM - 11:00AM

    04:00PM - 05:30PM

    Sunday

    Closed

    Contact :

    9766601146

    Contact / Enquiry