Page 73 - MASALA Magazine Vol.15 Issue 6 | August - September 2024
P. 73

CONDUCTING SURGERY
                  TO REPLACE ONLY
              THE WORN-OUT SURFACE
                    OF THE KNEE.

           This time, we are providing readers
           with additional clarification from
           “Assoc. Prof. Dr. Vajara Wilairat”, a
            surgeon specialising in knee and hip
           joint surgery and a consulting physician
           at the Orthopaedic Center, Sukumvit
           Hospital. He has been treating the elderly
            patient, “Khun Praman”, who suffers
            from degenerative knees, bowed legs,
           and severe pain, preventing him from
           leading a normal life. “Assoc. Prof. Dr.
           Vajara” explained the situation with the
            following x-ray results:

           “...After conducting a physical examination
           and x-rays, we diagnosed the patient with           After the surgery, the elderly patient was able to move his legs, bend
           end-stage osteoarthritis, evident from the          his knees, and walk within a day. He had the opportunity to return
           bowed appearance of the legs and the                 to his normal movement abilities in about three to four weeks, and
           inward twisting of the leg tips due to bone-on-bone contact. The   with diligent knee exercises as recommended by the doctor, for an
           cartilage surface was completely worn away, primarily due to   even speedier recovery.
           age-related deterioration and extensive knee usage without proper
           care. While medication can alleviate knee pain, the patient had
           already exhausted medicinal options without achieving relief.   DOCTOR ADVISES THE FOLLOWING KEY
           Consequently, we recommended knee replacement surgery to   PRINCIPLES TO EXTEND THE LIFESPAN OF
           address the condition. Knee replacement surgery can be performed    YOUR KNEE JOINTS.
           using various techniques and technologies. In this case, the entire    “Assoc. Prof. Dr. Vajara” shared valuable advice on “principles for
            knee joint, including the cartilage on the articular surface, was   prolonging knee joint life and preventing osteoarthritis,” stating:
           replaced. The patient was informed that Sukumvit Hospital employs
           advanced surgical technology utilising a computer system. This   “Assoc. Prof. Dr. Vajara” emphasised that knee osteoarthritis can result
           method reduces blood loss and enhances accuracy, minimising   from various factors, including genetics, high body weight, and past
           wound injury and promoting faster recovery. Unlike traditional   accidents. He advises individuals with high body weight to manage
            surgeries that require wide incisions and insertion of a metal rod   their health and engage in knee-strengthening exercises. Painkillers
           into the bone cavity, which often led to significant blood loss and   or muscle relaxants can also help, as prevention can delay the
            slow recovery due to swelling, the computerised knee replacement   deterioration process. While some degeneration is inevitable, taking
            surgery involves a more precise and less invasive approach.   preventive measures can enhance quality of life. When surgery
                                                               becomes necessary, there’s no need to fear it due to advancements
                                                               in medical technology. For example, the use of titanium mixed with
                                                               high-friction plastic for artificial knee joints now offers a lifespan
                                                               of 20-30 years, resulting in less pain and smaller wounds, allowing
                                                                patients to return to a happy, active life.”



                                                                                             SUKUMVIT HOSPITAL

                                                                                               1411 Sukhumvit Road
                                                                                                 (Ekkamai BTS)
                                                                                             Prakanong Nua, Wattana,
                                                                                              Bangkok, Thailand 10110
           Before the procedure, a thorough physical and general health                          Tel: 02 391 0011
           examination is conducted, including checks of the heart and vascular                     Email:
            systems. Patients are also instructed on pre-surgery and post-surgery           info@sukumvithospital.com
            practices to ensure a smooth recovery. This modern technique does                www.sukumvithospital.com
           not compromise the long-term efficiency of the artificial knee joint,
           offering patients improved outcomes and faster rehabilitation.”
           Concluding, “Khun Praman’’ underwent knee replacement surgery
           at the Orthopaedic and Joint Disease Center in Sukumvit Hospital.
           With “Assoc. Prof. Dr. Vajara” utilising modern surgical technology
           and supported by a skilled medical team, the surgery took just over
           an hour.
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