Experts expect rise in knee surgeries

Experts expect rise in knee surgeries

Addressing the 5th annual meeting of the Indian Society of Hip and Knee Surgeons (ISHKS) here on Friday, Society president, Dr P Suryanarayan, said that with the increase in the joint replacement surgeries in the last decade, the Association had set up the National Joint Registry in 2007. 

Since sharing cases with the registry is on a voluntary basis, only 33,000 cases have been registered. Registries helped healthcare policy makers to know the pattern, he said.

Registries facilitated learning of the quality of implant and early failure of implants, said Dr Wolfgang Klauser of Germany. Dr Adolf Lombardi Jr from Ohio, USA, felt that the number of arthroscopy in India was very low compared to the US, since people waited for long before consulting a doctor.

Interestingly, while the cost of implant was still high, the penetration of indigenous implants was a mere 15-20 per cent (more being in knee surgery). Also, 20 per cent of joint replacement surgeries were revisional in nature, he added.

Different surgical techniques had to be carried out for the Indian and Asian knees due to the poor quality of bones (influenced by osteoporosis) and subtle handling of tissues, said Dr Klauser. Pointing out to some of the issues specific to India, Dr Suryanarayan said poor bone quality, patients coming much later with more deformity, and squatting were some of the challenges the surgeons had to deal with.

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