Cementless Knee Replacement Surgery – A Safer And Reliable Alternative - Maitri Hospital

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Knee replacement surgeries have been in execution
since decades, and have also proven to be
successful. However, these were all total knee
replacements with the entire knee being removed
and replaced with metallic or plastic prostheses.
Slowly and gradually, there were advancements
made in the field, which led to partial knee
replacement surgeries, wherein only the
compartment that was damaged within the knee
bone was removed and replaced. Next in line came
the invasive surgery wherein the least possible
incision was made within the knee to avoid excess
blood flow and damage to the surrounding
ligaments and cartilages.
Among all these innovations and improvisations,
one very successful and safe innovation has been
the cementless knee replacement surgery.
Generally, in the traditional type of surgery,
the damaged bone is removed and the prosthesis is
placed in the space, wherein it is attached to
the leg with the help of cement that is let to
dry and make the attachment firm. But, this
latest cementless procedure involves no usage of
cement between the bone and prosthesis. Instead,
the natural bone is allowed to grow until it
holds the prosthesis in place on its own. Now,
you may say that a cemented procedure is more
durable than a cementless one, while a
cementless procedure may be risky. But, in fact,
it is the other way round! Using cement may keep
the prosthesis firmly in place, but it comes with
its own risks.
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• It is possible that tiny granules of the cement
  may enter the bloodstream and cause obstruction
  of blood flow to essential organs.
• The cement is hardened with the release of heat,
  which may, in the long run, affect the raw bony
  surface, which may cause necrosis of the same.
• There is a rare but possible chance of the cement
  loosening with wear and tear of the bones, which
  may require a revision knee replacement surgery.
• On the other hand, the cementless surgery
  involves a different execution. The
• artificial implant used in cementless surgeries
  is porous and hydroxyapetite-coated, which makes
  the metallic surface stimulate the new bone
  formation. Moreover, the porous nature makes the
  new bone grow into the implant surface and
  incorporate the metallic implant with the bone.
  This kind of surgery brings better results as
  compared to the traditional cemented procedure.
• The cementless procedures results in better
  biological fit of the implant.
• The cementless procedure has no granules to enter
  into the bloodstream, and no implant loosening
  possibility thus making it safe and more stable
  too.
• The cementless procedure has a shorter surgical
  time as it doesnt require any kind of element
  (like the cement) to dry.
• Thus, while the cementless procedure may sound
  risky, it is actually a safer surgical option
  when long term results are thought about. No
  doubt, a cementless procedure
• may require much more care in the initial stages,
  until the bone has completely grown and is
  strong, but the life of the knee after that will
  be one that you may not have to
• worry about ever! However, it depends upon your
  condition to decide upon whether a cementless
  option is right for you. Thus, you need to take
  advice from a professional
• to make a decision. One place you can go to for
  this is Maitri Hospital, where you can get
  advice from our expert orthopaedic surgeon in
  Kota, along with the best
• services of a total knee replacement surgery. And
  this is not all! Here, you can get all kinds of
  orthopaedic treatments related to knee and hip
  replacements, crushed injury
• repairs, club foot surgeries, bone grafting,
  tendon lengthening, and major amputation.
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