TAVI Cardiac Surgery: How Successful Is It?

Transcatheter Aortic Valve Implantation also known as Percutaneous aortic valve replacement or transcatheter aortic valve replacement is the alternate of the aortic valve of the heart through the blood vessels. Transcatheter aortic valve implantation (TAVI) has become a beneficial treatment for patients with aortic valve stenosis deemed at high or even high-priced risk for open surgery.

TAVI is all set to revolutionize the face of cardiac care in India. Although Tavi Cardiac Surgery Hospital in India is offering it but the operating expenses are high at present and benefits are unsurpassed. TAVI allows many patients with severe aortic valve stenosis who were previously classified as too high risk or inoperable, to be effectively treated, giving them a second chance to be able to lead a healthy life.

TAVI or transcatheter aortic valve implantation is a surgery wherein the surgery is performed without opening the heart to place an artificial valve in the place of the older aortic valve.  In this kind of surgery, there is a system of valve over valve, where the collapsible replacement valve is pressed through a catheter into the aortic valve and allowed to open up. As a result, the stenosed valvular leaflets are pushed aside and the new prosthetic valve gets active for controlling the flow of blood. The cost of TAVI Cardiac Surgery is approximately 15 to 18 lakh in Tavi Cardiac Surgery Hospital in India.

The risk for complications is moderately low; however, in roughly 1% of patients emergency cardiac surgery (ECS) becomes vital during TAVI. Some of the frequent complications are - Aortic injury, embolization of the TAVI prosthesis, and myocardial injury. Transcatheter aortic valve implantation (TAVI) has become a highly successful and advantageous treatment for patients with severe symptomatic aortic valve stenosis.

Benefits / Success of TAVI:

·         TAVI or Transcatheter Aortic Valve Implantation is a procedure wherein a non-natural prosthetic valve is passed through a tube by incision on a large vein of the leg or thigh, such as the femoral artery or a large artery in the chest.

·         Hence, the old valve is compressed and the replacement fits into place and acts as a normal valve. In this method of TAVI, patients undergo quick recovery and short hospital stay.

·         After the surgery, patient can start their day to day functions without much delay.

·         It is also of benefit for debilitated patients, mostly in their old age after 60 years, because they are not suitable to undergo the open heart surgery methods.

·         TAVI is suitable for patients with just aortic stenosis and no other condition can be benefited if the chest hollow space is opened.

·         With this surgery, patients are less prone to any side effects. In the long run also, aortic valve replacement by this process of catheterisation is quite successful and helps people with better recovery potential.

·         These surgeries range from simple relief of obstruction to the replacement of various vessels and valves. Many of the methods have undergone huge changes in the recent times, because of improved skills and better equipments in the hands of the doctors. 

·          The advantage of the procedure is that the patient’s condition returns to normality immediately after the procedure

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Recurrent Shoulder dislocation

Shoulder dislocation happens due to severe injury, or hurt. When the skull of the humerus dislocates, the socket bone and the ligaments in the front of the shoulder are often injured. A severe first dislocation can lead to continued dislocations along with a feeling of volatility. Some of the common indications of chronic shoulder instability include unbearable pain caused by shoulder injury, recurring shoulder dislocations; a constant feeling of the shoulder being loose. The frequency of the humeral head defect has been underestimates in the past, because of the complexity of indicating it, particularly when the defect is small. The initial dislocation, which results in the development of one or both these persistent structural malfunction, may be due to different types of injury, the commonest of them fall on the extended hand.  It is believed that continued instability after this operation is usually due to the presence of a deficiency of the humeral head. If you are deciding for the surgery, you should aim at repairing the effects of both types of lesion. Patient going through recurring shoulder dislocation may consult good sports injury treatment in Delhi. 

Why does the shoulder dislocate?

Shoulder is one of the most movable of all the joints in the body. This makes it the joint which is most vulnerable for dislocations. In a proportion of these patients, the shoulder is likely to dislocate repeatedly after the first dislocation. Patients with an inclination for repeated dislocation are said to have a wobbly shoulder or shoulder instability. Now, sports injury treatment in Delhi is quite accessible. Anyone can visit them to have a consultation and take the decision of surgery options.

 How does the shoulder dislocate?

A shoulder may dislocate after a major injury like a fall on a stretched out hand or direct blow to the shoulder or it may also displace without a significant injury that have an inborn sloppiness of joints. Athletes involved in throwing sports are more prone to the recurring action due to forceful fling. This may causes the anterior capsule to stretch out and can lead to a Shoulder dislocation.

What are the types of shoulder dislocations?

Shoulder dislocation is classified on the basis of the direction in which the ball dislocates from the socket. It is names unidirectional, if it dislodges in one direction only, or multidirectional if it dislocates in more than one direction.

Why is the shoulder joint prone to recurrent dislocation?

 

The shoulder is a mostly unstable joint due the head of the humerus having a wider boundary than the socket which is also shallow. As a result, the stability of the shoulder is therefore reliant on the neighboring soft tissues like the labrum, capsule and the ligaments.

When the shoulder puts out of place in the front owing to an injury, the ball is forced out of the joint. This causes disruption in the ligaments of the shoulder. A painful injury that causes shoulder dislocation adds to the risk for ongoing shoulder dislocation which can make you vulnerable to more dislocations in future. It is a kind of vicious cycle. Generally, people go through shoulder instability if the cartilage is damaged or they stretch the shoulder ligaments beyond power making them looser. Injuries that do any of the above things can deteriorate shoulder stability in the long term if not properly addressed by a medical professional.

Sports injury treatment in Delhi deals with all bone and joint related problems, arthritis and Joint replacement surgeries. These surgeries are performed by practiced and qualified doctor through latest and cutting edge equipments / technologies.

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How to perform the procedure of joint replacement

Joint is considered as the connection between two different parts of the body. They are present in different parts and important for the movement of the body. The angles in which we are able to move the body is looked after by them only. All the physical activities are done with the help of joint only. It comes under musculoskeletal system. Any disease or condition related to the joints can cause problems in the movement. The branch of medicine which deals with conditions related to our musculoskeletal system is known as orthopedics. Some of the common joints which are affected are - knee, hip, shoulder etc. 

There are different less invasive treatments given but if none of them works, then you should go ahead with surgery. Replacement of knee is one of the options. For the well being, it is important to consult the best knee replacement specialist in India.

If you see the statistics of past few years, then it can be easily seen that medical tourism for knee replacement has been on the rise. The quality provided here is excellent. Another important reason is cost. In India, you will get knee replacement at low prices. It is a surgical procedure in which the doctor removes the diseases joint and replaces it with the help of an artificial joint. The procedure involves removing the damaged part away and adding material made of metal alloys or high grade plastic, polymer etc.

Knee replacement surgery in India is required because of the following reasons –

·         Pain is the most common reason. Even in any small condition, joint pain is the main reason why any treatment is needed. Surgery is recommended when even simplest of the daily functions are difficult to do.

·         Osteoarthritis – this type of arthritis is related to age. There is wear and tear of the joints. It is usually seen in older people as there is tearing of the cartilage that cushions the bones of the knees.

·          Rheumatoid arthritis is a type of arthritis in which the synovial membrane which surrounds the joint becomes inflamed and thickens. It is also known as inflammatory arthritis and leads to cartilage loss, pain and stiffness.

·      

   Knee replacement hospitals in India get patients who are there because of a serious knee injury. It can also be there because of fractures of bones that surround the knee.

Knee replacement doctors and surgeons prepare you weeks before the surgery. Certain medications may be stopped and you will be told not to eat the night before the surgery. In this procedure, general anesthesia is administered. You will not feel any pain and discomfort. To prevent post surgical infection, antibiotics will be given before. During the procedure, your knees will be bent so that all the surfaces of the joint are viewed. An incision of about 6 to 10 inches is made and the damaged surfaces are removed from the body. The surgeon then puts the artificial joint and closes the incisions.

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5 questions you must ask your Orthopaedic before Knee Replacement Surgery

Knee surgery is a big decision and it is better to be prepared before going ahead with the knee surgery process with your doctor. Ideally before surgery you should prepare a list of questions to be asked from your surgeons, which can include:

1-      The best knee surgery option for me? Before proceeding with the surgery options, you should check all the options in coordination with your Orthopaedic surgeon to mutually decide which one is best suited for your condition. There are several surgical options for arthritis based on your age and physical condition including complete knee replacement, partial knee replacement, Knee osteotomy surgery, knee arthroscopy and cartilage repair and restoration. Which surgery will have what kind of effect, this need to be understood well. Generally these sorts of surgeries are safe and the outcomes are satisfactory. According to a survey, 90% of total knee Arthroplasty in Delhi is successful.

2-      What is the risk of infection? It is essential to have a view from your surgeon that what are the potential chances of infection or complication involved in the surgery? Though all surgeries come with certain level risk. It is also the duty of doctor to update you about the advantage and disadvantage of the surgery. You should also learn about the procedural failure, heart related problems, injury and other allied implant related issues. In order to make the right decision it is important to be aware of the risks and complications.

3-      How much time it will take to recover?

This depends on your present health and activity level. It is important to discuss keeping in mind your own expectations and needs with the clinical actuality of this surgery. Usually, patients after total knee Arthroplasty in Delhi will return home after 1-2 days after the surgery. Knee replacement specialist in India might strongly encourage patients for an ongoing physical therapy program for faster and healthy recover. It is also imperative to know whether the patient is glad about the fact that he is getting operated and soon he will lead a normal life as others.

4-      What are the benefits and risks of this surgery?

Just as important as knowing the procedure, the benefits and risks are important to consider. It’s important to ask your surgeon about the usual complications, how they are likely to occur and when could they occur. To accurately ponder over your options, you should also know the benefits of the procedure in terms of pain relieving and mobility of the leg. Before going for the surgery, do comprehensive research to find out the complication and success rates. One thing to keep in mind is the experience level of the surgeon. The more experience your surgeon has with that specific procedure, the better the outcomes will be.

5-      What is needed before the surgery?

This part is very important. It is sometimes observed that right before surgery doctors need to do final tests and evaluations to confirm that you are at your healthiest state physically. Doctors will suggest you when you need to do the pre-tests basis which they will take the step ahead for the surgery. Besides tests, doctors may also check whether your blood pressure and sugar levels in the body are normal or not.

Total Knee replacement is a major surgery in anyone’s life. Patient along with his / her family may have several questions, doubts and concerns about the overall process, pre and post surgery precautions, recovery time, etc. In order to be informed about all these queries and concerns, it is suggested to visit best Knee replacement specialist in India

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Yoga: How Simple Yoga Exercise Can Prevent Many Surgeries

Practicing Yoga has commenced with the initiation of civilization. The science of yoga has its beginning thousands of years back. This is a based on scientific method mainly for uniting the mind, body and soul. Yoga has its both physical as well as mental benefits. It is said that simple yoga can keep you away from many health problems. There are several forms of yoga, each emphasizing on a particular theory or mindset and each is comprised of many postures and focus area.

For many people, yoga has proved to be a safe yet useful way of getting relief from back pain, neck pain and help prevent other health related problems. Yoga can provide several healing benefits for people suffering from back pain. For instance, yoga can help by healing injured back muscles, making the recovery faster, preventing recurring injury and helping maintain a standard level of activity.

Now the question comes whether Yoga single-handedly can prevent the condition of surgery or not. According to some knowledgeable people who are life-long followers of yoga, there are many surgeries related to shoulder, back, knee can be cured with practicing yoga under proper supervision. Though it cannot be said that this practice could cure the problems from its root, still yoga is helpful to a great extent.

Joint replacement surgeries are handy but they are always not the answer as per even some of the Orthopaedic & joint replacement surgeons. Resorting to replacement surgeries without giving a trial of the non-surgical treatment may not give you the desired results. However, if the condition is getting worse and you do not seem to get any relief even after exploring several other treatment options, there are a number of good orthopaedics Hospitals in Delhi that you can visit.

Yoga is very helpful in back stretching, back strengthening and correcting the posture. Yoga helps in relieving lower back pain by smoothly stretching and fortifying the muscles of the lower back and legs and increasing blood circulation, which in turn heals the injured tissues. Having said that, it is also suggested if anyone is going through severe or ongoing back pain it should surely be checked and evaluated by a health professional for a correct analysis and treatment program before starting yoga regime.

If someone is determined to practice yoga, they can go for a mix and match which can be further tailored by the instructor to maximize the benefits. If yoga is done without supervision, it can aggravate the problem and make it worse. A yoga instructor will generally ask about the physical health or any past injuries before starting the session and may also require some test reports to accurately customize the program as per your physical condition, need and the kind of injury or pain you are dealing with.

Awareness of the body through yoga increases with practice. Some specific positioning trains people to understand the limitations of their body. An increased awareness acts as a preventative measure, in that the individual will know what types of movements should and should not be avoided.

Simple holding positions in yoga are not meant to be painful. However, it necessitates attentiveness and concentration with precise use of muscles throughout the body. Slowly and gradually muscle strength improves by staying in such yoga positions with various other movements. Some postures in yoga lightly toughen the muscles in the back and the abdominal muscles. Back and abdominal muscles are essential components of the spine, aiding the body maintain a proper vertical posture. When these muscles are well conditioned, back pain can be significantly reduced.

Yoga is a practice that involves physical and mental activities that are used to train the mind and the body effectively. Surgery involves some minor or major physical wound in order to access the internal organs of the body or affected part which need to be treated either to remove some of the abnormal cells or to repair the damage. 

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Slip Disc: How my friend coped up with surgery at 25

A slipped disc causes unexpected and severe lower back pain. The disc usually presses on a nerve root which can cause pain in a leg. In most cases, the symptom is shown slowly and gradually over the period of time. Painkillers and physiotherapy might help initially. Surgery could be the last option if the symptom is still prevailing.

In normal terms, slip, a part of the inner softer part of the disc swells through a weak spot in the outer part of the disc. This situation is also called a herniated disc. Some inflammation also develops around part of the disc. Inflammation may irritate a nerve and also causes swelling, which may put pressure on a nerve.

Reason for a slipped disc? Though there is no specific reason for having a slip disc, it turns out that people who are suffering from slip disc are having some kind of weakness in the outer part of the affected disc. There are several other causes that may trigger the bulge in spine. People, whose job involves lot of lifting heavy material, sitting for longer duration, weight bearing sports activity, overweight body are more prone to slip disc.

Case Study: One of my friends has gone through a trauma of severe slip disc at the age of 25, which further compelled him to have a surgery at such young age. Initially, he felt little pain in his lower back and considered it to be quite normal. Slowly and gradually the pain became excruciating and unbearable.

He tried to subside the pain with painkillers and anti-inflammatory drugs. It rendered him relief for a short time, but tends to increase with time. He even tried to lie down flat for 24 hours, but it did not seem to relieve him. In the forthcoming week, my friend saw an osteopath in one of the Best Spine Surgery hospital in Delhi. He was in absolute agony and feared the worst when the doctor suggested several tests and MRI. To his disappointment, an MRI scan showed two of the discs in his spine had disintegrated.

The best of doctors made him understand the process. The spine is basically made up of several bones called vertebrae. Each bone is roughly the shape of a flattened tube and between each vertebra is a disc. The discs are made of strong flexible things which help the spine to remain elastic. After several initial therapies, physiotherapy and other treatments, my friend was recommended for a surgery as nothing was helping him much.

With the counselling of the Best Spine Surgery hospital in his city, my friend decided to go ahead with the surgery. The best spine surgeons gave him the confidence and he successfully coped up with the surgery and now he is completely recovered from it. After some time of the surgery, he was able to lift small dumbbells and stretch mildly in bed. His doctors helped him with an exercise plan that was right for you. The basic aim of the surgery was to cut out the prolapsed part of the disc and liberate the undue pressure on the nerves. 

Slip disc can happen to anyone. If a person is suffering from sudden, severe back pain, predominantly in the lower back area, it could be a warning sign and a symptom of slipped disc. Temporarily, the pain can be somewhat ease by lying flat but can also get worse if the back is shifted in its place with some sudden motion. According to some of the Best Spine Surgery hospital, mild exercise can be done after surgery as prescribed by the physician.

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Arthroscopy Surgery: How successful is it?

Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint with a small cut on the skin and tissues. During the knee arthroscopy, the surgeon places a small camera, called an arthroscope into patient’s knee joint to have a clear view of it. Arthroscopic knee surgery is the most common orthopedic operations.

Knee replacement surgery or arthroscopy has shown remarkable results for many patients who were suffering from excruciating knee pain from a long time. The success of a knee replacement surgery depends on two factors; first the precision with which a surgeon conducts the surgery and second the rehabilitation period which is from 4-6 weeks. A new joint need time to get adapted, also the patient will have to follow the proper guidelines to learn to balance with the new implants.

Arthroscopic surgery basically is a keyhole surgery in simple terms. It is a minimally invasive surgery that is becoming hugely popular in recent years. As concluded by a research, knee arthroscopy is certainly the most common orthopedic surgery performed in the present days and most of these are for painful middle aged patient suffering immensely from arthritis. People are going for the surgery because most of the patients have no or very less idea that these surgeries have little therapeutic value.

In several cases, Arthroscopic surgery becomes essential and very beneficial for the wellbeing of the knee. Best Arthroscopy Hospitals in India can mend an excruciating worn out cartilage or a torn meniscus, bone spurs. This surgery is also being performed for cleaning out a knee that has floating pieces of cartilage or bone. Sometimes these floating pieces of redundant tissues create huge problem in knee and becomes the prime cause of undue irritation and pain in later life. According to the best orthopedic surgeon in delhi and Arthroscopic surgery was offered only in selective cases of osteoarthritis where the pain was immobilizing and patient was not willing to opt for a joint replacement.

Arthroscopic surgery is generally recommended by Surgeons in case of torn anterior or posterior cruciate ligaments, torn meniscus, out of position patella, pieces of torn cartilage hanging around the joint or fractures in the knee bones. Depending on the condition of your damage, arthroscopy is beneficial especially if something in your knee is broken down or ragged. Nevertheless, in some cases, this surgery can and should be avoided. Even if it is a less invasive process, a surgery is always a surgery. Your body needs to go through the pain of surgery. The typical recovery time for an arthroscopy is somewhere between four to six weeks if the surgery was successful. It is important to evaluate your options in order to conclude if arthroscopic surgery is the right choice for your injury. According to the some of the surgeons, the only use of arthroscopy is for people with a completely locked knee which cannot straighten by any means.

According to some of the research and practical implementation of Arthroscopic surgery, it is comparatively a safe procedure. However, there are prospective associated risks associated with it. The decision of going ahead with the surgery should completely be based on an assessment of the balance of potential advantage vs. the potential risks. In general, a patient should be able to resume desk work and light movement and activity within a week’s time. There are some best Arthroscopy Hospitals in in delhi that offer some of the most sophisticated equipment in diagnostic and therapeutic imaging.

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What are different types of eye cataracts?

A cataract is a thick, cloudy part that outlines the lens of the eye. A cataract takes shape when proteins in the eye start to gather which further stops the lens from transferring clear images to the retina. The retina converts the light into signal which comes through the lens.

This grows slowly and ultimately affects your vision. One can have cataracts in either eyes, or just one eye. Cataracts are commonly seen in elderly people. Basic symptom of cataract is blurry vision, problem seeing at night, colours may appear pale, sensitivity towards glare and sunlight or double vision.

Though there are no specific reasons behind cataract, still there are multiple potential causes which include overproduction of oxidants, smoking, ultraviolet radiation, long term use of steroids, some chronic diseases, diabetes and radiation therapy.

Types of Cataracts

According to the advanced cataract surgery hospital, there are different types which can further be classified into below categories:

Anterior Subcapsular Cataracts: This sort of cataracts forms inside the front of lens capsule. An injury or swelling in your eye can lead to one.

Congenital Cataracts: These sorts of cataracts are inborn and occur since childhood. Some are linked to the genes of child and others are due to an illness that the mother carries along with pregnancy.

Nuclear cataracts: This type of cataract develops in the middle of the lens and causes the nucleus which is the centre of the eye to become yellow or brown. An advanced cataract surgery hospital will assure the patient and let the patient know about the cause, effect and post surgery care for eye completely.

Traumatic Cataracts: Several injuries can lead to cataract. The cataract could come on soon after the injury or not show up until years later.

Secondary Cataracts: When a medical treatment leads to a cataract, doctors label it as secondary Cataracts.

Radiation Cataracts: Ultra violet rays not only affect your skin from sun’s ultraviolet radiation, but it can also harm your eyes. If a person spends too much time in the sun without any eye protection, can get affected with cataract in later stage of life.

Lamellar or Zonular Cataracts: This type of cataract is normally seen in younger children. The genes that cause them are passed on from parent to child. In this type of cataract there could be seen small dots in the lens or the entire lens could turn white.

Cortical cataract: This is a white, wedge-like cloudiness that start in the edge of the lens and reach the center. This type of cataract occurs in the lens cortex, which is the part of the lens that surrounds the central nucleus.

According to some of the advanced cataract surgery hospital in India, surgical treatments are the best for treating cataract. Cataract prevents one from doing daily activities including reading, driving, watching television to name a few. The way it is important to exercise in order to keep our body hale and hearty, it is also essential to our eyes to be in a healthy state. A healthy lifestyle may help in preventing cataract. In the early stage, cataracts are managed by spectacles. But with the progress of the disease it starts deteriorating. advanced cataract surgery hospital facilitate simple yet effective Cataract surgery that entails sucking out the natural lens and replacing it by an artificial one.

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Knee replacement surgery complications

Usually knee joint operations are trouble-free but around 1 in every 20 person might have to face some or the other complications during or post surgery. The risk of complications depends on various factors including age and general health of the patient. In most cases, a younger patient with no other medical problems is comparatively at a lower risk of developing any complications after total knee replacement surgery. Some of the risk factors and Knee replacement surgery complications might be:

 

Blood clots or lump: During or post surgery, often blood clots or lump takes place in the leg deep in veins which can further cause swelling or pain. This normally happens due to the changes in the blood flow. 

Some Drugs: After surgery, your physician might prescribe you some medication and drugs. Some of them might be blood thinning drugs which carry the risk of bleeding.

Pulmonary embolism: Though this is not observed in a large number, but few patients do face this post surgery which happens by forming small blood clots which reach the lungs and further lead to breathlessness and chest pain. In it extremity, Pulmonary embolism can be life risking.

Infection: This is common problems with all the surgeries which occur with 1 person in 50 cases. To prevent the wound from infection, proper medication and drugs prescribed by the doctor should be taken in timely manner.

Damage in the Nerve or tissue: In a very smaller number of cases, the arteries, ligaments or nerves can be damaged during the surgery. According to the data, about 1 in 1,000 patients endure damage to arteries that more often than not needs further surgery to repair.

Bone rupture: During a surgery, sometimes the bone around the replacement joint can sometimes break. This is an exceptional case but when it comes about, further surgery is usually required to repair the fracture or replace the joint.

Bone displacement: When a knee replacement surgery takes place, there is a small risk of dislocation of the knee, and this would call for further surgery.

Bleeding: This happens when blood collects in a wound. It is normal to have a small amount of blood loss during and after any surgery. Normally, it stops within a couple of days. But sometimes, blood may accumulate under the skin leading to pain and swelling.

Pain: In all the surgeries, patient will generally feel pain which slowly and gradually subsides with time. This complication is known as complex regional pain syndrome. There are some pain clinics that can help with this in case of a total knee arthroplasty in Delhi.

Stiffness in joints: Some people experience increasing rigidity after surgery. Usually patients get relief with mild exercise. Pain may prevent the patient from doing physiotherapy workout. Occasionally knee stiffness may be treated by a manipulation of the joint under anaesthetic, followed by intensive physiotherapy.

Breathing problems: Surgery involving general anaesthesia can lead to breathing troubles with some patients. Some people have trouble breathing right after surgery, especially if they had general anaesthesia or chloroform to numb the area.

Aside from the above risks associated with surgery, there are other potential complications:

•                    In a Total knee replacement surgery, a component can become loose or dislocate from its place or may get misaligned.

•                    The size of both the legs may be somewhat different after surgery. Most people who have gone through total knee replacement surgery can face this.

•                    One can feel some stiffness with the new knee. There could be difficult in bending the knee.

•                    An allergic reaction to the bone can arise.

•                    Like any major surgery involving general anaesthesia, there is a low risk of strokes, heart attacks, pneumonia or blood clots.

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