Best Doctors in India for Elbow Replacement
- Orthopedic Surgeon, Chennai, India
- Over 12 years’ experience
Profile Highlights:
- Dr. Kunal Patel consults on Orthopedics related problems at the Apollo hospitals of Chennai.
- He was part of the team which set Limca’s World record of Highest Joint Replacement Surgeries in March 2015.
- Dr. Kunal Patel is well-trained in Asia’s first and only Brainlab Arthroplasty Computer Navigation Orthopedic suite and has completed several fellowships related to his field.
- Orthopedic Surgeon and Spine Surgeon, Chennai, India
- Over 12 years’ experience
Profile Highlights:
- Dr. Madhu Kiran Yarlagadda is an orthopedics – consultant specializing in Joint and spine surgery and works at the Apollo hospitals of Chennai.
- Dr. Madhu Kiran Yarlagadda’s team carried out Robotic Spine Surgery for the first time in South-East Asia and performed Endoscopic Transforaminal Spine Surgery in Chennai.
- He treats spine diseases and has the facilities and expertise to perform robotic spine surgery. Along with that, he treats patients with joint and other orthopedic issues.
- Orthopedic Surgeon, Chennai, India
- Over 16 years’ experience
Profile Highlights:
- Dr. Arun Kannan is a well-known joint replacement surgeon at the Apollo Hospitals, Chennai.
- In his 16 years of experience doing joint surgeries and treating orthopedic issues, Dr. Arun Kannan has worked in the US as well as India and has gained enough trust and recognition from his patients.
- He has been excellent in his academics as well as practice because of which he received prizes and appreciation in both.
- Orthopedic Surgeon, Chennai, India
- Over 40 years’ experience
Profile Highlights:
- An Orthopedic doctor by profile, Dr. Gopala Krishnan has around 40 years of experience in his field.
- After his initial studies in medicine in Chennai, Dr. Gopala Krishnan moved to the US to pursue M.Ch in Orthopedics in 1984.
- His experience and dedication have helped him gain recognition in the field and build trust among patients.
- Orthopedic Surgeon, Chennai, India
- Over 24 years’ experience
Profile Highlights:
- Dr. Rajasekar P is an experienced orthopedist with 24+ years of experience.
- He treats and consults patients with problems with Joints, fractures, osteoporosis, Spine injuries, etc.
- He is an MBBS and DNB qualified doctor and practices at Apollo hospitals of Chennai.
- Orthopedic Surgeon, Chennai, India
- Over 50 years’ experience
Profile Highlights:
- Dr. Uma Chandran S specializes in orthopedics and is a veteran surgeon at Apollo Hospitals of Chennai.
- He has spent more than 50 years in the field of orthopedics and is believed to be one of the best orthopedists in Chennai.
- He is also known for his expertise in bone replacement surgery, spine movement, fracture treatment, etc.
- Spine Surgeon and Orthopaedic Surgeon, Chennai, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Muralidharan Venkatesan is a consultant in spine surgery from Chennai.
- He provides comprehensive cervical (neck), thoracic (upper back), and lumbosacral (lower back) conditions treatment.
- Dr. Venkatesan pursued MBBS, MRCS, and a fellowship FRCS and shifted his specialization to spinal surgery.
- Dr. Venkatesan has his papers published in several journals.
- Orthopedic Surgeon and Spine Surgeon, Chennai, India
- Over 23 years’ experience
Profile Highlights:
- Dr. Ravi Venkatesan is a spine surgery specialist from Chennai, Tamil Nadu.
- His experience in spine surgery, orthopedics, and spine deformity surgery date back nearly 23 years.
- Dr. Venkatesan has performed several surgeries and has been an active member of various orthopedics groups.
- Many organizations have recognized his service and have awarded him for his dedication.
- Orthopedic Surgeon, Gurugram, India
- Over 10 years’ experience
Profile Highlights:
- Irfan Banday is a brilliant young orthopedic surgeon with over 10 years of experience handling trauma surgeries and ortho problems.
- Irfan received Fellowship in Knee Arthroscopy and Arthroplasty and Shoulder and Upper Limb Arthroscopy, Arthroplasty & Reconstructive Surgery.
- He manages simple & complex fractures, Reconstructive Surgeries of the Knee, Shoulder, Upper limb, and complex tendon transfers.
- Orthopedic Surgeon, Gurugram, India
- Over 18 years’ experience
Profile Highlights:
- Sandeep Chauhan is one of the best orthopedic surgeons and an expert in managing complex fractures, even in children, soft tissue injuries, septic arthritis, and osteomyelitis.
- He performs fracture reconstructions; and arthroplasty procedures like surface replacements, cemented and un-cemented THR, Total Knee Replacement, musculoskeletal infections, UKA knee, hip, shoulder, & elbow replacements.
Best Hospitals in India for Elbow Replacement
Elbow Replacement
Elbow Replacement is a surgical procedure where the damaged bone area or cartilage in the elbow region is replaced with an artificial joint or prosthetic, as it’s commonly called, to reduce pain and stiffness caused by the damaged elbow. The elbow contains multiple moving joints which makes this a complex procedure only to be opted for if the doctor recommends it.
The elbow joint connects three major bones, namely, the humerus in the upper arm and the radius and ulna bone in the lower arm. When the artificial joint is put in, the 2-3 quality grade prosthetic or metal stems work together to create flexibility and easy movability of the elbow joint.
When is Elbow Replacement recommended?
Initially, the elbow replacement was a common treatment method for patients suffering from rheumatoid arthritis (RA), but with passing years, new treatment methods involving medicine and physical therapy has been introduced to treat RA. However, certain serious RA conditions are still treated by elbow replacement. Other common causes of damaged elbow joint can be due to:
- Osteoarthritis
- Torn or damaged elbow tissue
- Broken or fractured elbow joint
- Tumour in elbow
- Stiffness in elbow
- Unsuccessful elbow replacement surgery in the past
Based on the symptoms you show and the intensity of the condition, your medical team will decide whether your condition requires an elbow replacement or not.
Diagnostic Tests needed
Based on the symptoms which can range from excessive pain and difficulty in movement to stiffness or visible physical growth in the elbow joint, the doctors may undergo some diagnostic tests such as a physical exam or X-Rays. The medical team may prescribe some additional tests to accurately determine the underlying condition, but generally, an X-Ray of the elbow area is enough to make the decision.
Elbow Replacement Procedure
Preparation
While preparing for elbow replacement surgery, patients are requested to share the full details of their medical history with the concerned medical team. This includes ongoing or past treatment and medications including herbal supplements, vitamins etc. This is the general preparation method for this surgery.
Two weeks before the day of the surgery, patients are requested to stop alcohol or tobacco consumption along with medicines that are blood-thinners in nature. Patients suffering from heart conditions or diabetes should get themselves checked for any complications. Patients are also requested to contact the medical team regarding any special dietary regulations before the surgery.
Replacement Procedure
The elbow replacement surgery is conducted under regional or general anaesthesia so the patient will feel no pain or discomfort during the procedure.
- An incision or cut is made the elbow to reveal the elbow joint
- The doctor then removes the damaged tissue, cartilage or elbow part.
- Following this, two holes are drilled in the centre of the arm bones to be connected
- The artificial joints are inserted and cemented in place. Based on the type of prosthetic used, the artificial stems cane be hinged together.
- The tissues around the new joint is restored and the incision is sewed shut.
The elbow replacement procedure can be performed using two different prosthetic types. If only a portion of the joint is damaged or broken, the surgical method can replace only that particular portion with an artificial joint. On the other hand, if the entire joint needs a replacement, both the bone ends in the elbow joint is replaced with slender artificial joints.
Bones are usually hard on the outside with a soft centre in the middle. The prosthetics are inserted in the soft centre of the bone.
The two prosthetic types used in this procedure are-
- Linked Implant &
- Un-linked Implant
Linked Implant:
Pros of Linked Implant
This type of prosthetics usually have good joint stability
Cons of Linked Implant
Movement stress sometimes can result in the implants loosening.
Un-linked Implant:
Pros of Unlinked Implant
With proper physical therapy, the ligaments and the muscles can strengthen and create joint stability
Cons of Unlinked Implant
Without the tissues and ligaments working together, this implant can be prone to dislocation
Risk Factors of Elbow Replacement
Certain anaesthesia complication during this routine may lead to shortness of breath, blood clot, medication reactions, or infection at the worst.
Apart from that, usual complications of this medical procedure maybe:
- Damage to blood vessels or nerves during the surgical procedure
- Loosening of the artificial joint
- Anti-bodies in the patient’s body reacting to the foreign implants
- Dislocation of the artificial joint
- Infection of the wound site
- Bone break during the surgery
Elbow Replacement Post-Surgery Care
For the initial days of the surgery, your doctor might add a splint to your elbow to keep the joints from moving. Doctors may also recommend hospital stay based on your condition to monitor the progress or success of the treatment. Certain medications will be prescribed to deal with any sort of post-operation pain or discomfort.
Home Care & Precaution
The real care and precaution start once the patient leaves the hospital. Based on your recovery, a soft or hard splint might be introduced to your arm. The usual recovery rate varies from person to person but ideally, patients can start using their arms within 12 weeks of the surgery. However, for the initial days, they might need constant round-the-clock help for their general day-to-day activities such as showering, eating etc. As for the wound or stitches, the dressing needs to be changed every day to keep the wound clean and dry, but do not put water on the wound without the doctor’s approval.
FAQs
How long is the hospital stay for elbow replacement surgery?
3-5 days hospital stay.
How long will the recovery process take?
The elbow replacement procedure takes about 2-3 hours. Recovery process is mapped after the surgery is completed and might range from 6-12 weeks. From 12 weeks patients can start using the elbow joint but full recovery may take up to 1 year.
Why do I feel pain even after my elbow surgery?
Pain is normal for patients undergoing elbow surgery and it should get better over time. Pain medications can be prescribed by doctors based on the intensity of the pain.
Can I resume normal movement of my elbow?
For the first one or two weeks of the surgery, doctors recommended no or minimal usage of the hand. Within 6 weeks, physical therapy or routine chores can be started slowly and steadily, but this should be done only after doctor approval. Within 12 weeks of the surgery patients can start lifting small weights but excessive physical weight should be avoided at all costs.
My elbow is sore after physical therapy. What should I do?
This can be normal for patients trying physical therapy for the first couple of times. Usually, doctors recommend ice application to the joint for some time to reduce soreness.
How long will my elbow replacement last?
Usually, elbow replacement varies from patient to patient based on the physical activities they undertake. However, general elbow surgery can easily last you for approx. 10 years.