M ch Orth (UK) MS Orth
Dr. S.S.Soni is a most renowned orthopedic surgeon in jaipur, who specializes in joint replacement and arthroscopy.
EVER THOUGHT YOUR KNEE PAIN COULD BE CHONDROMALACIA PATELLAE..?
"You see things and say 'Why?'; but I dream things that never were and I say 'Why not?'" - George Bernard Shaw
Positive treatments at Joint Care -
The abnormal softening of the cartilage that resides right under the kneecap or patella is called chondromalacia patellae. It is deemed as the predominant cause of anterior knee pain and chronic knee pain. Misalignment of the knee cap occurs as it slides over the lower end of the thigh bone leading to cartilage degeneration, which means the patellar tracking is noticed towards the outside of the femur. Very popularly, the condition is also known as “runner’s knee” due to its common manifestation among athletes and athletic individuals. This patellofemoral syndrome is aggravated due to prolonged bent knees and sitting down. There are several causes to the chondromalacia patellae such as:
Overuse of the knees – mostly attributed to playing sports
Misalignment of the knee – due to muscle imbalance around the knee
Trauma and repeated injury to the knees - can cause slack in ligaments a condition called hypermobile joints
The common symptoms noticed are pain located especially in front of the knee, grinding or grating noise during crepitus, and some effusion (rarely) of the knee joint.
Joint-Care, Jaipur is headed by Dr. Shyam Sunder Soni who is a pioneer in orthopaedic surgery. Dr. Soni specializes in performing mosaicplasty also known as autologous osteochondral transfer – the intricate process of transferring cartilage from the healthy part of a joint to the damaged area. A unique tool is used to extract a plug of the cartilage (< 1 cm in diameter) and subchondral bone from the portion of the bone that does not bear much weight. The technique has several advantages. Complaints due to osteochondral lesions are drastically reduced and the surgery does not invite any immunological reactions since patients’ own bone and cartilage is used for the purpose.
To know more about mosaicplasty and how it can help you call Dr. Shyam Sunder Soni today.
An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Lenses inside the arthroscope transmit an image that is projected onto a television screen. The image can be magnified as much as 30 times, giving the orthopedic surgeon an exceptionally clear view of the inside of a joint. From this view, the surgeon can then operate inside the joint using small instruments inserted through separate tiny incisions.
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.
Description:- The rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.
Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
First, your surgeon will examine your shoulder with the arthroscope. Your surgeon will:
Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.
Inspect all the tissues of your shoulder joint and the area above the joint -- the cartilage, bones, tendons, and ligaments.
Repair any damaged tissues. To do this, your surgeon will make 1 - 3 more small incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.
Your surgeon may do one or more of these procedures during your surgery:
Rotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.
Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion. The spur can be a cause of inflammation and pain in your shoulder.
Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.
At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.
Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues. Open surgery is a more complicated surgery.
Why the Procedure is Performed
Arthroscopy may be recommended for these shoulder problems:
1. A torn or damaged cartilage ring (labrum) or ligaments
2. Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
3. A torn or damaged biceps tendon
4. A torn rotator cuff
5. A bone spur or inflammation around the rotator cuff
6. Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.
7. Arthritis of the end of the clavicle (collarbone)
8. Loose tissue need to be removed
9. Shoulder impingement syndrome, to make more room for the shoulder to move around
Arthroscopy is a procedure which is performed in derangement in the joints due to injuries or any other joint conditions, with the minimal invasive technique, where arthroscope is used to inspect the joint with a tiny hole, & with a second tiny hole, instruments are introduced in the joint to perform the procedure. Most commonly arthroscopy is done in Knee (Menisectomy, ACL /PCL reconstruction etc.) & Shoulder (Labral & Rotator cuff repair).After these procedures patient recovers very fast. Dr SS Soni is is very experienced & talented arthroscopy surgeon with more than 1000 procedures under his belt. He is using all the latest technique to give the maximum results. He had his formal arthroscopy training in UK & USA.
In sport persons injuries are very common & an average orthopedic surgeon may not detect the specific condition & later in life that problem may lead to decrease the performance of the sport person, so it is mandatory to consult the doctor who is aware of all kind of sport injuries. Dr SS Soni had his sports injury course in Mumbai. And with a team of physiotherapist he is treating all the sports injuries, to get the best results. Most of the injuries can be treated conservatively with the help of physiotherapy; still a few require surgical treatment. Dr SS Soni prefers to treat those conditions with arthroscopic procedures so that patient can recover faster.
Knee ReplacementHip ReplcementArthroscopySpine
Dr S. S. Soni is most efficient, experienced and dedicated joint replacement & arthroscopy surgeon in Jaipur. He is performing all kind of complex joint replacement & arthroscopic surgeries. He started the trend of minimally invasive surgery in jaipur. Uni-condylar knee replacement was performed in jaipur first time ever by Dr SS Soni, so as the custom-made knee replacement. also the Patient Specific Instrumentation (PSI) Knee Replacement (Tailor-Made) was performed by him first time in the state.
Dr S S Soni is serving Narayana Hrudayalaya Hospitals Jaipur Rajasthan. He is performing all kind of Joint surgeries in Narayana Hrudayalaya Hospitals with best nursing care available in hospital.
He is among the few orthosurgeons in India, who had training under Dr Chitranjan Ranawat (who operated on our former prime minister Sh Atal Bihari Vajpayee), the inventor of Knee Replacement in the world, at Hospital for Special Surgery (World’s largest centre for Joint Replacement), New York, USA. He did his Super-speciality course (M.Ch Orth) from Ninewells hospital & Medical College, University of Dundee, United kingdom with specialized work in the field of Joint-Replacement and Arthroscopy. He finished his MBBS in 1996 from India’s one of the most prestigious institute JIPMER (Jawaharlal Institute of Post-graduate Medical Education & Research), Pondicherry. He completed his post-graduation (M S ORTHO) from Govt. Medical College, Amritsar in 2001. Since last 11 years he is performing Joint replacement & arthroscopy exclusively. With his Innovative ideas & proper implementations he is getting best results in all his patients consistently
Through a small incision arthroscope can be inserted in the joint, which help to visualize inside the joint on the monitor via camera attached to the arthroscope.
Due to injury, when Anterior or posterior cruciate ligament is torn, knee becomes unstable. Arthroscopically these ligaments can be reconstructed.
Arthroscopy is a common surgical procedure in which a joint (arthro-) is viewed (-scopy) using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee. This helps them diagnose and treat knee problems.
Technical advances have led to high definition monitors and high resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to the American Orthopaedic Society for Sports Medicine, more than 4 million knee arthroscopies are performed worldwide each year.
Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon inserts the arthroscope (a small camera instrument about the size of a pencil) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the structures of the knee in great detail.
Your surgeon can use arthroscopy to feel, repair or remove damaged tissue. To do this, small surgical instruments are inserted through other incisions around your knee
Knee replacement is required when knee become painful and stiff due to degeneration of articular cartilage and altered biomechanics of the knee. One such condition is Osteoarthritis in which joint space is narrowed and obliterated; and knee has a deformity with crackling sound on movements. By this procedure damaged articular surface is replaced with artificial joint along with correction of the deformity. Unicondylar knee replacement is performed in the patients with early osteoarthritis where only one compartment of the knee is involved & there is no fixed deformity of the knee. Only damaged condyle is replaced. Revision knee replacement is performed when the previous knee replacement is causing trouble due to implant loosening, plastic wear, and infection or due to any other reason. Previous artificial knee is replaced with new one with extra features.
Knee replacement is a procedure where damaged knee (due to Osteo-arthritis or any other disease /injuries of knee leading to gross deformity & pain) is replaced by artificial knee. Dr SS Soni had his training under World’s renowned joint Replacement Surgeon, Dr Chitranjan Ranawat at Hospital for Special Surgery, New York, USA. Moreover, Dr Soni also holds super specialty degree in the field of Joint Surgery. He is well versed with all the latest techniques in the field of knee replacement & producing excellent results consistently. Knee Replacement is one of the most successful procedures; especially when soft tissue balancing is done perfectly. Dr Soni adopts the most successful technique for this procedure in the world i.e. Gap Balancing Technique. After this procedure patient can return to their routine activity within 30-40 days.
Hip replacement is most successful procedure of the century if performed by experienced surgeon. This procedure is commonly performed when the hip joint is damaged due to osteonecrosis, osteoarthritis, injuries or any other joint condition. Dr SS Soni, is one of the most experience hip replacement surgeon in Jaipur, who had training in USA & UK. He is performing hip replacement with latest technique & have 100 percent success rate till date. After hip replacement patient can return to his daily activities within 30 days. Regular exercise is mandatory to increase the longevity of the artificial hip. Hip is the most common joint replaced all over world
Evidence based practice focused on Satisfaction
As per clinical practice done in USA, Dr SS Soni also believe in Evidence based practice, which means the treatment offered to the patients has a beneficial proof in the medical literature. Appropriate time is given to the patient for counseling so that highest level of satisfaction can be achieved. Patient is also informed about all pros and cons of the available treatment modalities, so that patient can choose the treatment, according to his/her mental & financial status.