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Dr Saraf says, we need to understand the advancement of technology in medical field as they really make remarkable difference in outcome of the patients recovery and pain undergone while recovering post surggery. Moreover robotic knee replacement is not only precise but is also cost effective.
It is a matter of sheer happiness and proud that the Paper on Comparative study of early functional outcome between the cruciate retaining knee and 3D knee: Who is more satisfied? written by Dr. Hrushikesh Saraf and his colleague Dr. Munot has got published in the prestigious International Journal of Research In Orthopaedics.
To know more visit this link: https://www.ijoro.org/index.php/ijoro/article/view/1006
More precision -better results for the patient. Soon we are starting robotic surgery at Shashwat Hospital Kothrud.
You all are cordially invited for Grand opening of Robotic Assisted Joint Replacement Center in Pune.
The Chief Guest for inauguration is Shri Prakashji Jawadekar (central HRD minister India)the opening Ceremony. Enjoy musical program by Dr. Saleel Kulkarni.
See you all on
Tuesday 2 october 2018,
New Kalmadi High School - Auditorium , Near CDSS
Timing 10 am to 1pm.
Dr Hrushikesh Saraf
Advantages of New technology Robotics in Surgery:
- Ligament preservation
- Early recovery
- Early mobilization
Certain researches have revealed that there are significant differences between male and female anatomy . This knowledge challenges the use of similar implants for both men and women.Implants used for men would not provide optimal fit in terms of size and shape for female patients, increasing chances of pain and decreased mobility even after surgery . It may be one of the reasons for slower post-operative recovery for female patients. With the advent of newer knee implants, the surgeon has found it very easy to find the right matchfit for their patient. “One total knee implant does not satisfy need for all patients. Perfect fit of implant is essential for the success of a knee replacement surgery . Surgeons worldwide have felt that female and certain cultural populations require different knee implant as per their anatomic proportions. The gender specific knee implant has provided a revolutionary technology originally designed for females, whereby patients can get more natural movements and early recovery because of the implant's proportionate anatomy . In my experience, such knee implants have been giving consistently excellent results owing to a better fit, minimally invasive technique and early recovery using the same surgical technique,“ said Dr Hrushikesh Saraf, Consultant Orthopaedics & Joint Replacement surgeon, Karve Road, Pune.
Source: Dr.Hrushikesh Saraf "The Right Knee Implant Makes All The Difference", Times of India (Pune) 12th August, 2017 Lifestyle 10.
Role of teriparatide in fracture healing: A prospective study
Author(s): Dr. Hrushikesh R Saraf and Dr. Shreepal Munot
Abstract: Background: The biology of bone repair and healing is interesting and a huge number of studies have been done in this aspect with the potential technologies for enhancing fracture-healing. Teriparatide an anabolic agent a recombinant parathyroid hormone preparation that activates osteoblastic bone formation has been used in the treatment of postmenopausal osteoporosis. It has also been reported to be effective in accelerating the rate of fracture healing. The conclusion that PTH as an effective anabolic therapy for the enhancement of bone repair after fracture has been studied in animals and very few case studies. This prospective study was conducted to determine and establish the role of recombinant teriparatide in fracture healing in delayed union fractures, osteoporotic fractures, periprosthetic fractures.
Materials and Methods: The study was done on 20 patients with fractures selected on the basis of inclusion and exclusion criteria at Shashwat hospital, Pune during the period of September 2011 to September 2015. All patients were administered 20ug of teriparatide injections daily. The injections were given for 2 - 4 months depending on type of fracture and the time required for radiological evidence of union. Radiographs were taken every 4 weeks to see for callus and fracture union. The primary endpoint of fracture healing was taken as the time of cortical bridging in three of four cortices Results: The fractures treated with 20ug of teriparatide exhibited early signs of union with abundant callus formation significant decrease in radiological union time and early rehabilitation of patients in all three groups.
Conclusions: This study shows that the daily systemic administration of recombinant teriparatide enhances fracture-healing by increasing bone mineral content, density and strength. It also produces a sustained anabolic effect throughout the remodeling phase of fracture-healing. It also emphasizes that teriparatide is a relatively safe drug. Economical compared to other options of fracture healing like bone grafting, second surgery and is less invasive and has better patient compliance.
Citation IJOS 2017;3(3):445-452.