Monday, 14 November 2016

Dr. Akhil Dadi Interviews about Joint Replacements


http://www.srikarahospitals.com/arthritis-treatment.htm

Services

  1. Computer assisted Joint Replacement – Primary and Revision surgery for Hip, Knee, Shoulder & Elbow
  2. Arthroscopic Surgery of hip, knee, shoulder and elbow, ankle and wrist joint.
  3. Sports Medicine
  4. Spine Surgery – Disc Surgery, Corrective surgery for degenerative Spine problem, Scoliosis surgery & Infection of spine
  5. Paediatric Orthopedics
  6. Platelet Rich Plasma / Autologous Platelet Concentrate Therapy
  7. Trauma Centre with 24hrs Emergency Casualty Services
  8. Regenerative Biological Orthopedic Medicine – Cartilages & Bone Implantation

Joint Replacement

Orthopaedics - Joint Replacements

Surgery is the last line of treatment when all other modalities failed. jointreplacement surgery ensures correcting a deformity and restoring mobility. Joint replacement surgery is performed to treat advanced arthritis.
Candidates for joint replacement surgery often have severe joint pain, stiffness, limping, limitation of mobility and pain interfering with day to day activities like cycling, putting socks., nature calls etc.,
The most common causes of arthritis are Osteo Arthritis and Rheumatoid Arthritis. Some of these factors include
In Joint replacement surgery the damaged cartilage and any associated loss of bone structure is a resurfaced and removing the damaged joint, and preserving the muscles and ligaments for support and function. The replaced joint is made of titanium, cobalt chrome, stainless steel, ceramic material,OXINIUM and polyethylene (plastic). It can be affixed to the bone with bone cement or it can be press-fit, which allows bone to grow into the implant. Once the joint replacement is in place, its motion and function are restored through physical therapy. The most common joint replacement surgeries are hip & knee.
Hip Replacement
Total hip replacement is a surgical procedure for replacing the hip socket (acetabulum) and the "ball" or head of the thigh bone (femur). The surgeon resurfaces the socket and ball where cartilage and bone have been lost. An artificial ball and socket are then implanted into healthy bone.
Most candidates for total hip replacements have advanced changes in the hip joint caused by arthritis. A hip replacement is recommended if the joint pain has become unbearable and when the loss of function prevents a person from being able to perform activities of daily living.
Knee Replacement
Knee replacement surgery is performed to treat end-stage arthritis. When arthritis in the knee joint have progressed to the point where medical management fails and deformity has become severe, knee replacement surgery may be recommended.
Joint surgery in the knee is a result of damage to the coating or gliding surface called the articular cartilage. Depending on the amount of damage, ordinary activities such as walking and climbing stairs may become difficult. Damage to the knee joint cartilage and underlying bone may also result in deformity. Knock-knee or bow-legged deformities and unusual knee sounds (crepitus) may become more obvious as the degeneration worsens. Knee replacement surgery is designed to replace this damaged cartilage or gliding surface as well as any associated loss of bone structure or ligament support.
Shoulder Replacement
Total shoulder joint replacement is usually required for those who have severe forms of osteoarthritis or rheumatoid arthritis and rarely for neglected trauma.
Similar to the hip joint, the shoulder is a large ball-and-socket joint. The primary indication for a total shoulder replacement is pain that is not being relieved through therapy or other treatment methods. Pain may be the result of abnormalities and changes in the joint surfaces as a result of arthritis or fractures. The primary goal of total shoulder replacement surgery is to alleviate pain with secondary goals of improving motion, strength, and function.
Elbow Replacement
Total elbow replacement usually required commonly in Rhuematoidarthritis , post traumatic arthritis of elbow. In this the lower part of arm bone (humerus) is replaced and it is articulated with one of the forearm bones(ulna) forming the elbow joint. goal of the elbow replacement is to restore the mobility mainly.

Dr.Akhil Dadi Chief Joint Replacement Surgeon CMD Srikara Hospitals

MD's Messege

Greetings:
Dr. Akhil Dadi is Known to you all today. It’s all coz of the faith you had in me & the unparalleled support I had from you all.
I owe you all today that “I DO ALL MY CASES PERSONALLY" & post op care will be taken care by me along with the post op follow up @ the SRIKARA OUT REACH CLINICS with my team.
Dr.Akhil Dadi
Chief Joint Replacement Surgeon
CMD Srikara Hospitals

Srikara Hospitals - Cardiac Health Packeges

Department of Cardiology

Cardiology is the study and treatment of disorders of the heart; it is a medical specialty which is involved in the care of all things associated with the heart and the arteries. A cardiologist is not the same as a cardiac surgeon - the cardiac surgeon opens the chest and performs heart surgery, a cardiologist, on the other hand, carries out tests and procedures, such as angioplasty.
Heart disease differs from cardiovascular disease, in that the latter refers to disorders and illnesses of the heart and blood vessels, while the former is only concerned with the heart.
In the 'Interventional Cardiology' department of SRIKARA, the facilities like Angiography, Angioplasty and Pacemaker Implantations are carried out on regular basis at the CATH LAB. The department is spearheaded by Dr. R. Sreekanth Reddy, Interventional Cardiologist, ably supported by Dr. Johann Christopher and Dr. Monica Dillikar.

Available Cardiology Facilities @ Srikara

  1. 9 am to 8 pm Cardiology Consultations
  2. Preventive Heart Check ups (Multiple Options)
  3. Second Opinion Clinic (With Appointment)
  4. Metabolic Syndrome Assessment
  5. ECG
  6. 2 D Echo
  7. Dobutamine Stress Echo
  8. Coronary Angiogram
  9. Peripheral Angiogram
  10. Interventional RadiologyCoronary
  11. Balloon Angiopasty
  12. Coronary Angioplasty (PTCA) Stenting (Mutliple Options)
  13. ASD / VSD Closure
  14. BMV
  15. MVR
  16. CABG (Bypass Surgery)






Monday, 4 July 2016

Health Benefits of Cashew Nuts



In India we commonly know cashew as Kaju, the healthy dry fruit for all ages of human. We use them mostly in sweets and everyone like to eat them as they are. Cashews have full health benefits of anti-oxidants, vitamins and minerals. Cashews are an excellent source of copper, and a good source of phosphorus, magnesium, manganese, and zinc which are required for the healthy functioning of the body.
Nutrition Values of Cashew Nuts
100 grams of Cashew Nuts contain Energy- 553 Kcal, Carbohydrates- 30.19 g, Protein- 18.22 g, Total Fat- 43.85 g, Dietary Fiber- 3.3 g, Sodium- 12 mg, Potassium- 660 mg, Calcium- 37 mg, Copper- 2.195 mg, Iron- 6.68 mg, Magnesium- 292 mg, Manganese- 1.655 mg, Phosphorus- 593 mg, Zinc- 5.78 mg, Vitamin E- 5.31 mg and Vitamin C- 0.5 mg.
This kidney shaped nuts have many health benefits, some of them are described below.
Health Benefits of Cashew Nuts
01) Improve Bone Health: – Everyone knows that calcium is necessary for strong bones, but magnesium is also vital for healthy bones. Magnesium along with calcium helps support muscle and bone structure.
02) Weight Loss: – Even though cashew nuts are considered as fats, it contains good cholesterol. Approximately 75% of the fats contained in cashew nuts are unsaturated fats which is a good for health. Cashew nuts also contain a high amount of fiber which helps in reducing body weight. Cashew nut also helps facilitate the body’s metabolism.
03) Healthy Heart: – Cashew nuts are rich in good fats and have zero cholesterol which helps lower LDL. Triglycerides are a form, in which fats are carried in the blood, and high triglyceride levels are associated with an increased risk for heart disease, oleic acid in cashews helps in reduction of triglyceride level. Cashews are cholesterol free and the antioxidants present keeps you away from heart diseases. Cashew is also a source of omega-3 fatty acid which is known for combating heart related problems and prevents cardiac arrhythmia. To lower your risk of cardiovascular and coronary heart disease, enjoy a handful of cashews or other nuts, or a tablespoon of nut butter, at least 4 times a week.
04) Dental Health: – Chemicals in cashew nuts kill gram positive bacteria, a pervasive mouth affliction that causes tooth decay. Eating cashew nuts at moderate levels can eliminate abscessed teeth.
05) Prevent Cancer: – Cashews can reduce your colon cancer risk. Cashews are ripe with proanthocyanidins, a class of flavones that actually starve tumors and stop cancer cells from dividing. Their high copper content protects us from cancer.
Some Other Health Benefits of Cashew Nuts
  1. It lowers the high blood pressure
  2. Improves hair and skin structure
  3. Prevent Gallstone
  4. Improves nerves functions
  5. Cashews help in sound sleep
  6. Cashew nuts also contain high fiber so good for digestion
  7. Cashews help increase oxygen to the brain which plays an important role in enhancing memory.
  8. Cashew is helpful in combating diabetes
Though cashews are absolutely delicious and difficult to stop eating after just a few, remember control is the key to good health. Eating between 5-10 pieces is enough for a day; excess consumption can lead to weight gain so eat within limits.

Saturday, 11 June 2016

DR. KIRTHI PALADUGU ARTICLE IN TIMES OF INDIA - SRIKARA HOSPITALS



DR. KIRTHI PALADUGU ARTICLE IN TIMES OF INDIA  SRIKARA HOSPITALS

Hip Joint is the largest and the most stable joint in the human body. It is the largest ball socket joint. Socket - cup formed by the Acetabulum, which is the part of pelvic bone and the ball is formed by the upper end of the thigh bone (Femur). The ligaments and the hip provide stability, acting in coordination during each and every degree of mobility in our day to day activities.

Common Causes Of Hip Pain  

OSTEOARTHRITIS : Age related wear and tear seen in people of 50 years and beyond where bones rub against each other causing pain and stiffness.

Rheumatoid ARTHRITIS : An autoimmune disease in which the synoviuim in  the joint destroys the cartilage. It is also termed as Inflammatory Arthritis.

AVASUCLAR  NECROSIS  (AVN) Any  injury to the hip, previous dislocation, childhood disease, long term use of steroids smoking and alcoholism may result in lack of blood supply, leading to the collapse, deformation and arthritis of the Hip.
Past traumatic arthritis :  Any major  injury to the hip followed  by surgery  and its failure can lead to arthritis causing pain and deformity.


In Total Hip Replacement surgery, the damaged bone and cartilage is removed and replaced with prosthetic components.
The damaged femoral head is removed and replaced with a metallic stem that is placed in to the hollow center of the femur, can be either Cemented or Press fit.
A metal or ceramic ball is placed on the upper part of the stem.
The damaged cartilage surface of the socket (Acetabulum) is removed and replaced with metal socket and a Plastic or Ceramic liner is inserted between the new ball and the Socket, to allow for a smooth gliding surface.

The decision to undergo hip replacement is made by you, your family and the treating Joint Replacement surgeon.
Candidates for surgery
There is no age or weight restrictions for Hip replacement and is based on patient pain & Disability.

  • Hip pain that limits everyday activities like walking stairs, bending etc.
  • Pain at rest – day or night
  • Stiffness
  • Inadequate relief from medication, physiotherapy and walking aids.
Surgeon Evaluation
Medical history of the patient is first checked. Physical examination includes hip mobility, pain score strength alignment. X-rays show degeneration/deformation while MRI is helpful in soft tissues condition and early stages of AVN.

Realistic Expectations
Most patients who undergo Hip replacements experience dramatic pain relief and improvement in the ability to perform daily activities. With aging, the prosthesis, material between the head & the socket (liner) begins to wear. Patients can do unlimited Walking, swimming, driving, biking, stairs & low impact sports. With appropriate activity and lifestyle modification, hip replacements can last for years.

Surgical Protocol
Once the need for surgery has been decided, the patient will undergo a set of surgical profile, medical /cardiology clearance and pre anesthetic evaluation. The implant to be used will be chosen according to the patient requirements and is based on the quality and strength of the bone.
Patient will be staying in the hospital for 2-3 days initially for pain management. Wound heals after approximately 2 weeks of surgery.

Post Operative Care
There has to be a graduated walking program followed by normal activities such as sitting, standing and climbing stairs in 3-4 weeks, can be back to work, driving and all in 4-6 weeks.

Possible Complications of Surgery
The rate of complications in hip replacements in as low as 2% world wide. These include infections, blood cots, limb length inequality, dislocation etc, all mentioned do have treatment protocols and with the advent of Dual Mobility cups  the chances of dislocation has been rare.
Hip replacement in a boon for the patients with severe hip pains impacting the day to day activity. The success of the surgery is based on the selection of the patient, education of the patient before and after surgery, necessary evaluation and right expert intervention.
We believe in

MOBILITY IS/FOR LIFE.


Monday, 4 April 2016

Srikara Hospitals


New techniques have been introduced in the Anesthesia for the better medical services to patients. Watch here an exclusive discussion with the group of Doctors belong to Srikara hospitals about new techniques in Anesthesia.

Friday, 1 April 2016

Hip Replacement Surgery

What causes hip arthritis ?
Conditions which cause Hip arthritis [wearing away of the hip joint] are
  1. A vascular necrosis/ perthes disease, which shut down the blood supply of the hip.
  2. Ankylosing spondylitis.
  3. Rheumatoid arthritis.
  4. Other conditions such as dislocated hips and previous fractures.
  5. Long term steroid use, alcoholism, etc.
Treatment options:
Management of hip arthritis include exercises and medication in the initial Stages, In a few cases corrective bone surgery [osteotomy] and in some severe cases hip replacement is done.
Timing of Total Hip Replacement (THR):
A hip replacement should be performed after conservative methods have failed and if a patient's quality of life and ability to perform activities ofdaily living is significantly affected. Many different non-operative modalities should be tried first. These include anti-inflammatory medications, physical therapy, weight loss and walking assistance devices.
Results:
In recent years, cement less hip replacements have become standard all over the world with 90% success rate at an average follow-up of five years.
Hip replacement Types:
  1. Conventional cemented hip replacement.
  2. Cement less total hip replacement.
  3. Highly cross-linked polyethylene.
  4. Hip Resurfacing System.(latest).
  5. Surface hip replacement
  6. Metal on metal total hip prosthesis.(latest)