Bangkok Hip & Knee Center

 

Total Knee Replacement

Total Knee Replacement Surgery
Minimal Pain ...Faster Recovery
Walking within 24 hours
*

Call: +662 310-3000, or 1719 (Local calls)
or FB@Bangkokhospital

 

* Results may vary from person to person

Pain or discomfort around the hip and knee area, bowed leg, knock knees, elongated distance between knees, clicks and sounds while moving, inability to fully extend, difficulty getting up or sitting down, and difficulty navigating stairs are all symptoms of hip and knee arthritis. This can lead to constant pain and discomfort as well as be major obstacle to a person's daily life. These conditions do not only occur in the elderly, but also in younger working age individuals who are also at risk.

Bangkok & Knee Center offers diagnosis and treatment of patients with hip and knee conditions that include:

  • Hip arthritis, Osteoarthritis
  • Osteoarthritis or joints that were damaged by conditions such as rheumatoid arthritis, Ankylosing Spondylitis, osteoarthritis as a result of an accident, torn ligaments and broken bones, subluxation, joints destroyed by infection
  • Avascular necrosis of femoral head, Osteonecrosis of the knee
  • Irregularities and abnormalities in hip and knee shapes such as bowed leg
  • Herniated Disc
  • Congenital Hip Dislocation
  • Complications that may occur from an initial surgery i.e. loosening of implants and prosthetics, bone that has been damaged from loosened joints, inability to bend knees following insertion of prosthetic, broken bones following an implant procedure, infection following an implant procedure  

 

Free of worry every step of the treatment

        

The key to Direct Anterior Approach Cosmetic Incision Hip Replacement is the expertise of our surgeons and the care we provide both during and after surgery. For maximum safety and satisfactory results, the Bangkok Hip and Knee Center is committed to Customized Service with Advanced Care and Technology, including

  1. Our customized service and individualized treatment are designed to cover pre- and post-surgery treatment programs, in effect until the patient fully recovers. We offer complete patient care provided by a multidisciplinary team, who also teach patients about their own recovery.

                - Before surgery, doctors plan for the joint exchange using computer technology to create patient-specific scenarios (using a digital template or patient-customized instrument) together with nurses, anesthesiologists, nutritionists, and others to provide close supervision in preparing the patient for surgery.

                - After surgery, we provide a specialized ward for patient care. Nurses, physicians, anesthesiologists, and rehabilitation therapists visit the patient and design a rehabilitation plan aiming for a quick return to normal life. We utilize Alter G during rehabilitation, preventing blocked veins by both drug and non-drug treatments. Patient care services such as for osteoporosis are also covered.

  2. Total Joint Care begins during the early stages of the disease using technologies such as non-surgical treatment, muscle rehabilitation, and adjustment of walking balance by Alter G, including injections for osteoarthritis treatment, surgery for the restoration of joint mechanisms, laparoscopic surgery or joint replacement surgery, and treatment for patients who have had surgery changing a joint but for whom problems persist.

  3. Advanced Prosthesis Choose the best implant most appropriate for each patient; for hip replacement patients, the material option available is ceramic, which is harder and glossier than other types of materials with a longer usage time, suitable for patients aged 46 - 60. Use the new stem to reduce the problem of sinking implants.

  4. Navigating HIP Hip replacement utilizing the new computer-aided orthopedic surgery.

  5. Experienced surgeons Care from hip and knee specialists.

         

Futhermore, at the Bangkok Hip and Knee Center we emphasize quality service to our patients. From pain management pre-op through the Multimodal Preemptive Management Program to the use of Digital Template Surgical Planning to plan every aspect of a surgery to suit each individual patient.          

This includes the Pinless Navigating TKR, a joint replacement surgery that utilizes a portable computer to ensure that the prosthetic is placed in the proper position, helping to reduce errors and increase surgical accuracy. We choose the most appropriate, best quality and up-to-date prosthesis for out patients that includes metal and special plastics as well as ceramic to ensure the efficiency and longevity of our implants.

 

“Minimal Pain ...Faster Recovery ...Move Life Forward”

For further information contact: 

Bangkok Hip & Knee Center 
1st Floor (Piano Hall Zone) BGH Building
Opening hours:  Mon-Fri 8 am. - 8 pm. |  Sat-Sun 8 am. - 5 pm.
Call +662 310 3731, +662 310 3732 or 1719 (Local calls)

“When it comes to total knee replacements, the quality and expertise of the medical team is paramount. Equally important is effective pain management before, during, and after surgery. These will result in minimal pain, a faster recovery, and less muscle trauma, reduced chance of infection, lower risk of thrombosis, and the ability to be walking again within 24 hours*”

 * Results may vary from person to person

Symptoms that may indicate need for Total Knee Replacement Surgery

  • Pain whilst walking, sitting, getting up, and navigating stairs (hinders daily activities)
  • Knee pain while sleeping
  • Chronic inflammation, pain, swelling, and warmth around the knee,
  • Knee deformities, i.e. change in shape
  • Difficulties moving, straightening, or bending the knee
  • Treatments such as changes in behavior, medication, and injections become ineffective

       ***Suitability for surgery will be made on a case by case basis dependent on symptoms and severity of conditions

 

Where can I get a Total Knee Replacement Surgery?

Before deciding where to get a Total Knee Replacement Surgery it is important to consider several factors such as the institution’s ability to provide hands-on quality care through every step of the process. This includes pre-op services, post-op services, and follow-ups through to complete recovery.

 

6 Factors to consider before deciding where to receive Total Knee Replacement Surgery includes:
 

  1. Digital Template A computer program which helps to plan and personalize each surgery to the individual. This includes customizing the size and position of the prosthesis to optimally suit the patient. This technology helps to reduce risk of fracture and reduces the chance of the prostheses becoming incompatible helping to ensure durability.

  2. Biplane Imaging (EOS) This technology provides a 3D imaging of the joint and assists in pre-operative planning. This is especially useful for performing surgery on individuals with knee deformities and increases accuracy during diagnosis. It helps to reduce the chances of complications during surgery which may result from knock knees and other bone deformities. Importantly this technique requires minimal amount of time to perform making it ideal for patients who are unable to balance or are unable to place weight on their knee/s for prolonged periods of time.

  3. Total Knee Pathway A Total Knee Pathway helps to ensure safety standards before, during, and after surgery under the care of specialist nurses and doctors. This includes evaluating the body’s readiness for surgery, diagnosis and knee deformities, analyzing muscular and tissue conditions around the bone, optimizing the prosthesis which is most suitable to the patient, as well as medication throughout the treatment process.

  4. Pain Management Pain management (pre-post surgery) involves blocking pain receptors via injection in the upper thigh safely and effectively. This involves an ultrasound into the area to avoid key blood vessels and muscles. Conducted effectively, this can help to reduce surgical wound pain, reduce pain medication and other side effects which may occur.

  5. Reduce Risk of Thrombosis Reduce risk of thrombosis with the Intermittent Pneumatic Compression Device (IPC) combined with blood thinners to prevent blood clots. This is pivotal as during surgery a clot may move into the heart or lungs, causing cardiovascular or respiratory failure.

  6. Faster Recovery… Walk again within 24 hours Rehabilitation and recovery is facilitated by the Anti-Gravity Treadmill or Alter G which helps to restore muscle function post-surgery. The Alter G provides an environment which helps to reduce pain by reducing weight (pressure) on the knee during exercise. The Continuous Passive Motion is a machine that allows the patient to bend the knee up to a 90 degree angle, effectively reducing the chances of scar tissue.

 

Although the chances of complications from injection during surgery are less than 1% it is recommended to use the Laminar Air Flow system during surgery to ensure free ventilation and prevent dust”.

 

Total Replacement for a Better life…

Over 90% of patients who receive Total Knee Replacement: 

> Less pain

> Are able to return to daily activities

           

Move Life Forward
For further information contact:

Bangkok Hip & Knee Center
1st Floor (Piano Hall Zone) BGH Building
Opening hours: Mon-Fri 08.00 - 20.00  |  Sat-Sun 08.00 - 17.00

Call +662 310-3731, +662 310-3732 or 1719 (Local calls)

Direct Anterior Approach Total Hip Replacement
with Cosmetic Bikini Incision

 

Chronic hip pain affects everyday life, from walking down the stairs to exercising and even sleeping. If various treatments don't eliminate the pain, hip replacement surgery is a solution that can restore your quality of life. The Direct Anterior Approach Total Hip Replacement is such a method of surgery that has been popularized in recent years. In addition to ensuring safety during surgery, there is a new incision technique, called Direct Anterior Approach Cosmetic Incision Hip Replacement, which helps the patient be comfortable with the incision mark after surgery.

 

There is less pain, as no muscles are cut

Many people worry about hip replacement surgery. However, today's medical science has led to a new technique: Direct Anterior Approach Total Hip Replacement. During surgery, the patient will lie on his or her back, and a special tool will be placed between the Tensor Fascia Lata and the Sartorius muscle. In the course of this procedure, no muscles are cut. The procedure results in less pain and a quick recovery after surgery, and the patient can walk without limping, unlike with traditional surgery, which uses the lateral approach and cuts the gluteus medius muscle (hip abductor) at the hip which leads to some pain for the patient and prolongs recovery. The direct anterior approach technique reduces the risk of hip dislocation after surgery because the back muscles are not cut. Because of its anterior approach, the technique improves the accuracy of leg length control, as the doctor utilizes Digital Template Surgical Planning to plan and select the proper implant size before surgery together with a C-arm x-ray to precisely position the implant in the correct spot during the operation.

The traditional approach leads to some pain for the patient and prolongs recovery. Moreover, the direct anterior approach leads to an easier recovery; there is no need to fear hip dislocation after surgery as with the posterior approach, which requires surgeons to cut muscles and other soft tissue at the back of the hip to access the hip joint. Traditional techniques are more painful because they require an incision 6-8 inches in length. The recovery period after surgery is prolonged, with a risk of implant malposition and unequal leg length.

 

No worries about the incision

Direct Anterior Approach Total Hip Replacement hides the incision, known as a Bikini Incision; significantly, the doctor performs surgery along the direction of collagen fibers of the outer layer, called the dermis, in the same direction as the deep muscle line. The incision follows the natural direction of the Langer's line. Plastic surgeons also use this same technique to hide incision marks and retain the body's original appearance. The technique also facilitates the healing of incisions. The surgeon will hide the small surgical incision, about 3 to 4 inches in length, around the groin on the patient's bikini line to reduce the postoperative scar; earlier conventional surgical techniques often produced Keloid scars.

 

There are also other advantages, such as the following:   

  • Digital Template Surgical Planning improves the accuracy of hip size selection and positioning by using a computerized system.
  • The problem of unequal leg length after surgery is eliminated because the surgery is by front access and the patient lies flat, enabling the leg length to be confirmed and the hip position measured properly during surgery.

  • The technique reduces the rate of hip dislocation after surgery as no muscles are cut; also, by using the new version of STEM, problems with stem subsidence will not arise.

  • Minimally invasive surgery (MIS) Bikini Incision reduces the chance of developing a scar.

  • Bilateral Simultaneous Total Hip Replacements

  • The patient will have a fast recovery period. He or she will be able to walk without a cane earlier than normally expected after a hip replacement and return to normal life faster, because no muscles are cut during surgery.

  • Get back to your normal life with the option of a ceramic implant, which is harder and glossier than other types of materials with a longer usage time, suitable for patients aged 30 and up.

  • Experienced Surgeon Care is provided by hip and knee specialists who are internationally trained in Canada and USA regarding to Direct Anterior Approach Hip Replacement and with a long experience in this type of surgery. They have been invited to lecture about this new hip implant technique at medical schools and faculties nationwide and elsewhere in the Asia Pacific region.

        

Hip Replacement Surgeries Comparison Chart


Direct Anterior Approach Cosmetic Incision Hip Replacement
VS
 
Conventional Hip Replacement

 

Adventages

Potential Advantages Include

Direct Anterior Approach Cosmetic Incision Hip replacement Bikini incision

Conventional
Hip Replacement
 

 Average Hospital Stay

2-4 days*

3-10 days*

 Smaller Incision

3-4 inches*

10-12 inches*

 Risk of Dislocation

0-0.5%*

0.5-2%*

 Faster Recovery

2-8 weeks*

8-16 weeks*

 Reduced Pain

x

 Reduced Blood Loss

x

 Less Muscle Trauma

x

 Reduce Risk of Hip Dislocation

x

 More accurate control of the length of both legs

x

 Bilateral Simultaneous Total Hip Replacements

 

x

 More Rapid Return to Normal Activities

 

x

 * Results may vary from person to person


 

"During the past 4-5 years, whenever I moved or sat up, I had a hip pain down along my right leg. The more I walked or did any activities, the more painful it was. It was a hard and painful time in my life."


Patient’s Experience
who have undergone Direct Anterior Approach Cosmetic Incision Hip Replacement

 


 

Bangkok Hip and Knee Center

Bangkok Hospital Tel. 1719

 

Minimal pain, fast recovery and back walking again within 24 hours

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