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Joint Reconstruction

Expert surgical and medical interventions delivered with compassionate, patient-first care to help you regain your health and quality of life.

Overview

Some orthopedic conditions are too complex for a standard joint replacement. When a joint is severely deformed due to massive trauma, neglected congenital defects, advanced inflammatory arthritis, or bone tumors, it requires highly specialized surgical expertise to rebuild the anatomy from the ground up.

**Complex Joint Reconstruction** involves a range of advanced surgical techniques designed to salvage, reshape, and stabilize a severely damaged joint.

At Prakash Hospital, our senior reconstructive surgeons combine structural bone grafting, custom implants, osteotomies (cutting and realigning bone), and ligament balancing to restore function to limbs that many might have considered beyond repair.

Why is it Done?

Joint reconstruction is considered when the basic structure of the bone and soft tissue is heavily compromised. Indications include:
  • Post-Traumatic Arthritis: Severe joint destruction occurring years after a major fracture didn't heal correctly.
  • Severe Deformities: Such as extreme bow-legs or knock-knees that are rapidly destroying the joint from uneven weight distribution.
  • Bone Tumors: Requiring the removal of a large section of bone around the joint, which then must be reconstructed with massive custom prosthetics.
  • Joint Fusions (Arthrodesis): For joints where replacement isn't viable (like certain ankle or wrist conditions), permanently fusing the bones together stops the pain entirely.

What to Expect

Before the Surgery: Reconstructive surgery requires immense planning. We utilize advanced 3D CT scans, and sometimes 3D-printed models of your bones, to plan the exact cuts, bone grafts, and custom hardware needed before you even enter the operating room.

During the Procedure: These are often long, complex surgeries. The surgeon may perform an **Osteotomy** (strategically cutting the bone to realign the limb axis), utilize **Bone Grafts** (using bone from your pelvis or a bone bank to fill large defects), and install specialized stabilizing hardware to hold the reconstruction together while it heals.

After the Surgery: You will be closely monitored in the hospital for several days. Pain management is a top priority, utilizing epidurals or nerve blocks to keep you comfortable.

Risks & Benefits

The Benefits:

Reconstructive surgery can prevent amputation in severe trauma cases, halt the rapid progression of arthritis by correcting limb alignment, and drastically improve the functional capability of a severely deformed limb.

Understanding the Risks:

Given the complexity, risks are higher than standard joint replacement. They include non-union (bones failing to heal), infection, nerve or blood vessel damage, and the potential need for further surgeries.

Recovery Profile

Recovery is highly variable depending on the exact reconstruction performed, but it is generally a long, committed process.

Because bone cuts (osteotomies) and bone grafts take months to biologically heal, you will likely face a prolonged period of restricted weight-bearing, often requiring crutches or a wheelchair for 6 to 12 weeks.

Intensive physical therapy is absolutely essential to prevent severe joint stiffness and to rebuild the muscles that were weakened by the original deformity and the surgery. Total recovery often takes a full year.

Frequently Asked Questions

What is an osteotomy?

An osteotomy is a surgical procedure where a bone is intentionally cut to shorten, lengthen, or change its alignment. It is often done to shift body weight away from a damaged area of a joint onto a healthier area.
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Prakash Hospital Pvt. Ltd. is a 100 bedded NABH NABL accredited multispecialty hospital along with a center of trauma and orthopedics. We are in the service of society since 2001.

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