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 Knee Implant |Dr. Saraf's Joints Clinic|Karve Road ,Pune
The Right Knee Implant Makes All The Difference
Women juggle between many roles at home and in the work place, with an incessant spirit of optimism and confidence. But as is of optimism and confidence. But as is the case with any human being, as age approaches, ailments slow us down.Arthritis is one such disease that has affected many women. It is a form of joint disorder which causes pain and inflammation in the knee joint, that restricts physical movement and in some cases, may cause complete immobility .Arthritis is degenerative disorders which affect almost all the joints starting from knees, hip to shoulder and elbow. The most troublesome jointcommonly affected joint among these is the knee joint. To address this ailment, a technological innovation of knee replacement has brought new hope for a pain free normal life and many orthopaedic implants are available in the market.
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.
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Role of teriparatide in fracture healing
Happy to share my publication in International Journal of Orthopaedics 

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.
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Pre and Post operation X-rays|Dr. Saraf's Joints Clinic|Karve Road ,Pune
Outstanding outcomes of Bilateral Knee Replacement Surgery
65 year male patient with severe varus and flexion deformity in both knee,Knee society score -0 was severely disabled. Underwent a bilateral knee replacement surgery. Post operative outcome was outstanding in terms Correction of deformity. Patient was able to walk from next day of surgery . This also increase height due to straightening of legs and correction of deformity. He is walking comfortably with drastically reduced pain just in 15 days with walker.
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Pune Hip Course 2017|Dr. Saraf's Joints Clinic|Karve Road ,Pune
PUNE HIP COURSE PHC 2017
Greetings from the office of Pune Orthopaedic Society,  
It gives us immense pleasure & pride to co-ordially invite you to the second "Pune Hip Course"  to be organised at Shashwat Hospital, Aundh & Hotel Sheraton on 7th & 8th October 2017.
We humbly offer you highest quality of Scientific information, live surgeries, video demonstrations, interactive case based dissussions and sawbone workshops on hipsurgeries from "womb to tomb".
We have designed this course along with national and international faculties and included everything in hip surgery from Paediatric,Trauma,Arthroscopy to Joint replacement.
We look forward to welcoming you to this unique meeting in October 2017.
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