Dr.A.K.Venkatachalam's Friends

  • Jorge Osorno
  • David Monteiro
  • R.K. SHARMA
  • Joseph A Badolato
  • Nikhil Lamba
  • Shyam Alva
  • Christopher Hobbs
  • Cathy Evans
  • Kiki Bright
  • Cherie Bright
  • Parshav
  • Dion Park
  • MediPassion Inc
  • Harish Kakkad
  • krishnachowdari

Podcasts

Loading…

Dr.A.K.Venkatachalam's Discussions

Metal on Metal Hip replacements - Warning sounded

Started Mar 7, 2010 0 Replies

A recent editorial from the Journal of Arthroplasty warned about the complications of metal on metal Hip replacements and hip resurfacing.The parts of these metal on metal devices are made from…Continue

Tags: resurfacing, arthroplasty, Hip, replacement, on

Dr.A.K.Venkatachalam's Videos

  • Add Videos
  • View All

RSS

Loading… Loading feed

 

Dr.A.K.Venkatachalam's Page

Latest Activity

Profile Icon

Medical travel excellence award

Blog post by Dr.A.K.Venkatachalam Nov 1, 2011
Profile Icon

Health travel India

Thumbnail
Eliuth Cromwell joined a group Oct 18, 2011
Profile Icon

Health travel India

Thumbnail
Vijay Nainiwal joined a group Jul 20, 2011
Profile Icon
Profile Icon

Health travel India

Thumbnail
DR MUHBEEN SHAIKH joined a group Jun 1, 2011
Profile Icon
Profile Icon

Total knee replacement for American in India | Dr.Venkatachalam

Mr. James Swanson, an American feels relieved of pain and has regained mobility by a knee replacement. He sought an Oxinium knee replacement from Dr. Venkata...
Video posted by Dr.A.K.Venkatachalam May 10, 2011
Profile Icon

Destination India

Thumbnail
Millions come every year to get treated then enjoy their recuperative holidays across India.People from different walks of life cut across the entire span of the globe come to India to have their treatments done with peace of mind.See More
Dr.A.K.Venkatachalam joined a group Apr 17, 2011
Profile Icon
Videos posted by Dr.A.K.Venkatachalam Apr 17, 2011
Profile IconProfile Icon
Dr.A.K.Venkatachalam and Jorge Osorno are now friends Dec 21, 2010
Profile Icon
Videos posted by Dr.A.K.Venkatachalam Dec 21, 2010
Profile Icon
Videos posted by Dr.A.K.Venkatachalam Nov 15, 2010
Profile Icon
Dr.A.K.Venkatachalam added the App Welcome Tunes Oct 25, 2010
Profile Icon

 play inthenews_2010oct23 (1)

Song posted by Dr.A.K.Venkatachalam Oct 25, 2010
Profile IconProfile Icon
Dr.A.K.Venkatachalam and David Monteiro are now friends Oct 9, 2010
Profile Icon

WORLDWIDE TRAVEL BOOKING

Thumbnail
Gain the latest technology for your customer travel arrangements.
Dr.A.K.Venkatachalam joined a group Sep 19, 2010

Comment Wall (10 comments)

You need to be a member of Medical Tourism City to add comments!

Join Medical Tourism City

At 12:44am on September 13, 2010, R.K. SHARMA gave Dr.A.K.Venkatachalam a giftR.K. SHARMA
At 1:23am on May 26, 2010, AnvitaAnvita said…
Hi,

Greetings from Anvita Tours..

We are a medical tourism facilitator from Kerala, India. We arrange all kinds of medical treatments here. We are having contacts with most of the popular hospitals and clinics to provide better services to the patients from abroad. The treatments include Ayurvedic, Dental treatments, Cosmetic surgeries, Health check ups etc..
Along with medical treatments we can arrange tour packages to exotic destinations in God's Own Country Kerala.
please refer our website www.tours2health.com
At 8:41am on February 26, 2010, Santosh JhaSantosh Jha said…
Derar Dr.A.K.Venkatachalam,

I am santosh and I handle International Market and my company Asian Medical Tourism is a professional medical facilitation organization in corporate for providing wellness and critical care. It is a premier medical tourism company facilitating patients seeking all forms of medical travel programs.

We arrange a variety of medical tourism services from basic consultations to full service treatments. We help take care of all medical tourism details from arranging the surgery to visas, travel, accommodation and tourism.
The head quarter of AMT is in Dubai (GCC) and we are physically present at Africa, UK, USA & India.
At 2:13am on November 4, 2009, Harish KakkadHarish Kakkad said…
Hello Dr.

I'm a US citizen of Indian origin. Recently, i have started concentrating on medical tourism and would be interested in doing business directly with Doctor's & hospitals.

If you have more info./website of your company please let me know & we can exchange info. to explore if we can workout something in future.
On my side i'm in the process of organizing some patients for overseas treatment.
My personal email is hkakkad@yahoo.com
At 3:54am on October 22, 2009, Cherie BrightCherie Bright said…
Thanks for responding. I'll send you my cell number so you can call if things go well and you think about coming. If you can't make it well just have to talk another time. I'd love to learn more about your work.

CherieDelete Comment
At 6:27am on October 21, 2009, Cherie BrightCherie Bright said…
We hope you will be able to attend our pre conference gathering.
WHERE: The Lobby Court and Patio at the Hyatt Regency. WHEN: Between 9-11pm on Sunday Oct 25th, 2009. Let us know if you will attend.

Cherie & Kiki
At 12:24am on September 28, 2009, Cherie BrightCherie Bright said…
Yes. I will be at the conference. My partner Kiki Bright will be there as well. I'd love to meet you.

Cherie
At 7:08am on August 29, 2009, Dheeraj DagliyaDheeraj Dagliya said…
Really!! I'll have Rahul call you to help you.
At 5:46am on August 29, 2009, Dheeraj DagliyaDheeraj Dagliya said…
Thanks Dr. Venkat. You can now create a profile of yours from this link http://www.kosansh.com/add/doctor-profile. Having done this your profile would get listed on Kosansh on this link http://www.kosansh.com/doctors.

Profile Information

First Name
Alampallam
Last Name
Venkatachalam
Company Name
Madras Joint Replacement center
Type of Organization/Company
Provider of medical tourism in India as Orthopedic surgeon
What country are you from?
India
What is your interest in medical tourism?
We provide Orthopedic surgery services in a 600 bedded super specialty hospital in India. We offer Joint replacements & Key hole surgery. We specialize in hip resurfacing, Proxima hip replacements, flexible knee replacements, shoulder resurfacing, autologous cartilage cell implantation and key hole surgery of shoulder & knee.
Our mission is to keep abreast of cutting edge technology in our field and offer this high value to our esteemed and knowledgeable customers round the world.
Are you coming to the 5th Annual World Medical Tourism & Global Health Congress, October 24-26th, 2012, which will have up to 2,000 in attendees, up to 10,000 networking meetings,over 120 sponsors and exhibitors and up to 160 speakers in Ft. Lauderdale/ Miami, Florida, USA?
Yes

Hip resurfacing in India

Hip replacement and its alternatives
Dr.A.K.Venkatachalam
Consultant orthopaedic surgeon, Chennai.
Tel 9282165002
E mail akvenkat@gmail.com
akvenkat15@hotmail.com
Web www.hipsurgery.in

Have you been advised a hip replacement operation?

If yes, please read the following information on facts about the operation and more advanced bone preserving hip replacement options called Proxima hip replacement and hip resurfacing.

The hip joint may need to be replaced with an artificial joint when it is irreversibly damaged and cannot be salvaged by alternate surgery. The patient complains of pain and restriction of movement. The pain may often be referred to the knee or felt in the knee and no hip symptoms. Occasionally the pain may be felt more in the buttock area rather than in front of the groin.

Who needs a hip replacement?
In India, many young patients with ankylosing spondylitis, avascular
necrosis, post septic arthritis, post traumatic arthritis, are
advised a hip replacement for disabling pain. Thus many hip replacement operations are performed in younger patients. The surgery should cater to the enhanced demands on an artificial joint by younger and more active patients. Naturally an operation designed for Western elderly patients is not suitable for younger patients.
The other category of persons who need hip replacement are elderly with a hip fracture. In this group a partial or total hip replacement may be required. In this group, conventional total hip replacement is the best solution.

What is a total hip replacement?

In this operation the ball shaped upper end of the thigh bone (femur) and the socket (acetabulum) are replaced. The ball is replaced with a long metal stem that is fixed into the upper end if the thigh bone. Its upper spherical end articulates with a cup shaped polyethylene socket that is cemented into the pelvis.

Model of a total hip replacement
Conventional hip replacements sacrifice a great deal of normal bone as the head, neck, and upper part of the thigh bone is removed for implantation of the prosthesis. Moreover wear debris from the polythetheylene liner lead to osteolysis and bone loss. When this first hip is to be changed or revised after its lifespan more bone loss occurs. Conventional hips have a small ball to reduce friction and wear, but the ill effect of this is an increased risk of dislocation. An average dislocation rate of 3- 4 % has been reported. These implants do not last very longer than 20 years and revision rates of 50% at 20 years have been reported. Survival rates are less satisfactory for the relatively younger active patients. Thus a total hip replacement is not an ideal implant for younger patients less than fifty years old who need a new hip. It is however the best option in elderly people.
Problems with conventional total hip replacement:
A total hip replacement is an excellent & time tested operation in the elderly. However in the young problems may arise. These are
(1) Excessive bone sacrifice and loss
(2) Increased risk of dislocation
(3) Patients cannot squat or sit cross legged on the floor with out the risk of dislocation.
(4) Range of movement is less
(5) Patients cannot involve in sports
(6) Poor survival in young and active patients they require earlier revision.
(7) Revision surgery is difficult
(8) The hip feels less like a normal hip
(9) The cup wears with time and plastic from it harms bone
(10) Change in length of the leg after surgery leading to leg length discrepancy.

Why remove normal bone when only the surface of the ball is bad?
This is the logic behind hip resurfacings. This bone preserving hip resurfacing involves replacing only the diseased bony surfaces of the head of femur and acetabulum. This involves sculpting the head of the femur and covering it with a metal cap and fixing an uncemented socket into the acetabulum to receive the head.
Hip Resurfacing-What is it?
A bone preserving hip replacement!
A surface hip replacement is an operation in which the top joint surface of the upper end of the femur bone is scraped and shaped into a cylindrical form from a spherical form. A metal spherical cap is glued or cemented over the cylindrical stump.
This restores the normal shape & size to the upper end of the thigh bone. Next the socket in the hip bone is scraped into a hemisphere. A metal cup is impacted after complete cartilage removal. This cup will integrate with the body’s bone on the back side as it has a layer of the same material as bone. The hip shape is thus restored to normal as shown in the picture below.
.
Model of a surface hip replacement
Preservation of bone and less stress shielding makes it easy to revise this hip if needed. The large head size provides a very stable joint and recreates the sensation of a normal hip joint. Patients have gone back to playing Judo and Squash after this operation. Advances metallurgy makes the metal on metal articulation likely to survive longer in the young and active patient. With less metal inside the bone and less invasion of the medullary cavity of the femur, the risk of infection is reduced. Rehabilitation is faster and better.
Advantages of hip resurfacing:
(1) Allows the patient to squat and sit cross legged on the floor safely
(2) Allows a normal range of movement.
(3) Sacrifices only the surface diseased bone and preserves normal bone
(4) Imparts a more normal sensation
(5) The joint is likely to last longer even in younger and active patients.
(6) Earlier and faster rehabilitation
(7) Less risk of dislocation
(8) Easier to revise if needed.
(9) No leg length discrepancy.

Proxima hip replacement-
What is it?
Comparison of a total and Proxima hip replacement
This is the latest addition to the armamentarium of the hip surgeon in India. It is a bone preserving hip replacement.
In this operation, the entire diseased head of the femur is removed. The lining of the hip socket is resurfaced with a metal cup. A tiny uncemented hip with a short stem called the Proxima hip is impacted into the upper end of the femur or thigh bone.
The size of the implant matches the natural one and hence the risk of dislocation is almost eliminated. It is recommended when bony destruction is advanced and hence unsuitable for resurfacing and a total hip replacement would be overkill.
The advantages of a Proxima hip over a total hip are
• Bone sparing hip replacement
• Minimally invasive technique for implanting
• Metal on metal joint- longer durability
• Least chance of dislocation.
• Patients can squat and sit cross legged on the floor.
• Absence of thigh pain as the lower portion of the thigh bone is not reamed.
• Can be converted to a total hip later.

So in conclusion although total hip replacements remain an excellent option in a specific elderly age group, Hip replacement alternatives should be strongly considered in the young patient requiring a hip replacement in India.


Dr.A.K.Venkatachalam's Photos

Loading…
  • Add Photos
  • View All

Dr.A.K.Venkatachalam's Blog

Dr.A.K.Venkatachalam

Medical travel excellence award

Posted on October 30, 2011 at 11:31am 0 Comments

Dr.A.K.Venkatachalam

Indian Medical tourism destination Canada 2009 show cases International medical travel to India

Posted on February 18, 2010 at 9:00pm 0 Comments

IMTD 2009, an exhibit of Indian medical providers was held in Toronto, Canada from the 20th through 22nd November 2009. It show cased Indian clinics, hospitals and spas amongst the Candadian public. This is the first time that Canada got to see a Medical tourism show. After the recent World Medical tourism congress in Los Angeles, this is the second time within a month that Indian hospitals showcased their medical expertise in North America. Madras Joint Replacement center… Continue
Dr.A.K.Venkatachalam

Stem cell treatment promises cure for young patients with knee cartilage injuries.

Posted on September 23, 2009 at 1:12pm 1 Comment

Dr.A.K.Venkatachalam is one of the few surgeons in India offering stem cell treatment for cartilage and bone lesions as shown in the picture above.

Autologous cartilage cell implantation & autologous osteoblast implantation are the two procedures now available.

These procedures can heal localized bony & cartilage lesions in the knee joint. These lesions include osteochondritis dissecans, post traumatic cartilage lesions etc.… Continue
 
 
 

© 2012   Created by Medical Tourism City.

Badges  |  Report an Issue  |  Terms of Service