Robotic Bilateral Knee Replacement for Osteoarthritis
Doctor’s Name: Dr. Sandeep Singh
Clinic/Hospital Name: CARE Super Specialty Hospital, Bhubaneswar
Patient’s Name: Mrs. Sunita Mohanty
Patient’s Age: 65
Gender: Female
Symptoms Shown by the Patient:
- Severe pain in both knees
- Inability to walk or stand for long periods
- Stiffness and limited range of motion
- Difficulty performing daily activities independently
An Overview of the Case:
Mrs. Sunita Mohanty, a 65-year-old retired teacher, had suffered from increasing knee pain over the past five years. Initially, the discomfort was mild, but it progressively worsened to constant pain, severely limiting her mobility. She struggled with activities such as climbing stairs, walking for extended periods, and even performing basic household chores. Non-surgical interventions, including pain relief medication, lifestyle changes, and physiotherapy, provided only temporary relief. The persistent pain affected her overall quality of life, leading her family to seek advanced orthopedic care from Dr. Sandeep Singh, a leading orthopedic in Bhubaneswar.
Diagnostic Method:
- A detailed review of her medical history and a physical examination
- X-rays of both knees to determine the extent of joint damage
The X-rays revealed advanced bilateral knee osteoarthritis, characterized by significant loss of cartilage and narrowing of the joint space. The condition was more pronounced in the medial compartments, indicating severe wear and tear of the joint surfaces.
Disease Diagnosed:
Bilateral osteoarthritis of the knees
Medical Tests Performed:
- X-rays to assess the severity of osteoarthritis and evaluate the joint condition
- Blood tests to rule out any other underlying conditions and ensure she was fit for surgery
Treatment Provided to the Patient:
Dr. Sandeep Singh recommended robotic bilateral knee replacement as the optimal solution for Mrs. Mohanty’s condition. He explained the procedure’s benefits, risks, and potential outcomes in detail to the patient and her family, ensuring they were well-informed. Robotic-assisted knee replacement was chosen to provide enhanced precision in removing damaged tissue and accurately positioning the new knee implants.
During the procedure, Dr. Singh made small incisions to access the knee joints. The robotic system was used to guide the removal of deteriorated cartilage and bone, ensuring exact alignment and balance of the joint. High-quality artificial knee components were then implanted to restore the joint’s function. The use of robotic technology allowed for fine adjustments during the procedure, significantly enhancing the fit and stability of the implants.
Guidelines Provided After Treatment:
- Mohanty was encouraged to start walking with assistance the day after surgery to promote circulation and prevent complications.
- A personalized rehabilitation program focused on strengthening the muscles around the knee, improving flexibility, and enhancing joint stability.
- Low-impact activities such as walking and gentle stretching were recommended, while high-impact sports and activities were to be avoided for six months.
- Mohanty was advised to wear compression stockings to help reduce swelling and prevent blood clots.
- Regular follow-up visits were scheduled to assess her recovery progress and make any necessary adjustments to the rehabilitation plan.
Post-Operative Assessment:
Two weeks after surgery, Mrs. Mohanty showed significant improvement, with reduced pain and increased mobility. By the three-month follow-up, she could perform daily activities independently and had returned to light exercise routines. At the six-month mark, Mrs. Mohanty demonstrated a full range of motion in both knees, and her quality of life had greatly improved. She reported no significant pain and could once again participate in activities she had previously enjoyed, such as gardening and walking with friends.
Outcome:
The robotic bilateral knee replacement was a complete success. Mrs. Mohanty regained her ability to walk, climb stairs, and carry out daily tasks without discomfort. The advanced surgical technique ensured optimal joint function and long-term pain relief.
Long-term Expectation:
Mrs. Mohanty is expected to enjoy pain-free mobility for the foreseeable future. The precision of the robotic surgery supports the durability of the implants, providing her with long-term joint stability and a high quality of life.
Feedback from the Patient:
Mrs. Sunita Mohanty expressed her heartfelt gratitude, stating, “Dr. Sandeep Singh, the best orthopedic doctor in Bhubaneswar, truly gave me a new chance at life. I had almost lost hope due to the constant pain, but thanks to his expertise and compassionate care, I am now living pain-free and enjoying my everyday activities once again.”
Relevant Questions:
- How soon can I walk after a robotic knee replacement?
Patients are typically encouraged to start walking the day after surgery under the supervision of a physical therapist. Early mobilization helps improve recovery and reduce complications. - Are there specific precautions to follow after knee replacement surgery?
Yes, patients should follow their rehabilitation plan closely, avoid high-impact activities, use compression stockings to prevent swelling and attend all scheduled follow-up appointments. - How long does the recovery process take after a robotic knee replacement?
The recovery process usually takes around three to six months. Most patients regain full range of motion and return to normal activities within this time frame, depending on their adherence to rehabilitation. - What are the potential risks associated with knee replacement surgery?
Though generally safe, risks may include infection, blood clots, implant loosening, or nerve damage. Robotic-assisted surgery reduces some risks due to its precision. - Will I need physiotherapy after knee replacement surgery?
Yes, physiotherapy is crucial for regaining strength, flexibility, and joint function. It plays an essential role in a successful recovery. - Can I resume all my daily activities after the surgery?
Most daily activities can be resumed gradually within a few weeks, but high-impact activities or sports should be avoided for at least six months. - How long do the knee implants last after robotic knee replacement?
Knee implants generally last 15-20 years or longer. The robotic procedure’s precision may increase the lifespan of the implants by providing better alignment. - What should I do if I experience pain or swelling after surgery?
Mild pain and swelling are common initially, but if symptoms worsen or persist, you should consult your surgeon to rule out complications. - Are there any activities I should avoid permanently after knee replacement?
High-impact sports like running or heavy lifting are best avoided to prolong the life of the implants. Low-impact activities like walking or swimming are safer options.
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