Dr Aashish Arbat, Orthopedic Surgeon

Patient walks within 1 hours of knee replacement surgery

~ Dr Aashish Arbat, Orthopedic Surgeon adopts unique surgical and pain management approach to ensure Rapid Recovery After Surgery (RRAS) ~

Fortis Hospital has successfully performed total knee replacement surgery on 71 year old man from Kalyan. Dr Aashish Arbat, Knee & Hip Replacement Surgeon, Fortis Hospitals Kalyan performed the surgery on 71 year old Mr. Baburav Chaudhari who was suffering from end-stage knee osteoarthritis. Surgery was performed with minimal blood loss - a combination of advanced muscle sparing surgical exposure,  specialized mix of navigation techniques and patient-specific implants. Patient walks within 1 hour of knee replacement surgery without taking any support.

Mr. Baburav Chaudhary who works as a car driver since 1961 had a sudden pain in his right leg. His pain lasted for more than two month & was unbearable that he was not able to walk or go for work.

After going through his x-ray report Dr Arbat confirmed him end-stage knee osteoarthritis and suggested Knee replacement need in future. Family was aware of benefits of knee replacement surgery and decided to undergo surgery to get pain free life.

“Patient was very confident about his fast recovery; it does happen very few time when patient show confidence with doctor before doing knee or hip surgery“Says Dr Arbat.  This helped Dr Ashish Arbat, Joint Replacement Surgeon who has conducted several knee replacement surgeries that have enabled patients to walk within a few hours of the operation and recover with minimal pain after at Fortis Hospital in Kalyan.

Knee replacement surgery or knee arthroplasty involves replacing a damaged, worn or diseased knee with an artificial joint.

The most common reason for this surgery is severe osteoarthritis. Osteoarthritis is the leading cause of disability in India and affects over 15 million Indians every year. In addition to a rapidly ageing population, this most prevalent form of arthritis is becoming increasingly common among people in the age group of 35-55 years.

In usual knee replacement surgeries, post-operative pain is the biggest impediment to early discharge and recovery. Pain is also the most important reason why a large number of patients choose to endure the immobility rendered by severe osteoarthritis instead of getting their damaged joint replaced.

Dr Ashish Arbat, Knee & Hip Replacement Surgeon, at Fortis Hospital Kalyan, however, has crafted a unique approach to ensure Rapid Recovery after Surgery (RRAS). He combines:

·         Skin glue – All surgeries are stitch-free.

·         No drains – The bleeding is controlled before closing the wound instead of draining it after.

·         Catheter - It provides a low dose anesthetic directly to the area.

·         Common, non-drowsy pain medication – Crocin and Voveron

·         Extensive counseling – allowing patients to feel the implants, showing pictures of the surgery, familiarization with physiotherapy, free interaction with patients already admitted at the hospital, confidence-building

Minimally Invasive TKR using subvastus muscle sparing approach with rotating platform design PS 150 knee implant was used. In 20 min of post surgery Mr. Chaudhari was made to move his operated Rt.  Limb & about 1hr he was able to walk without anyone support. Normally it takes minimum 48 hrs to give such a type of physio activity &  3 weeks to make patient walk with full weight bearing. These kinds of patient with high level of motivation are fit to technique called “Rapid Recovery After Surgery (RRAS)”.  We counsel each and every patient before & after surgery and facilitate the entire rehabilitation program for the patient Says Dr Arbat