Orthopaedic consultation focuses on diagnosing and managing conditions affecting bones, joints, muscles and supporting tissues. Patients experiencing persistent knee pain, hip discomfort or restricted mobility may require clinical assessment and imaging. Treatment may involve medication, physiotherapy, joint preservation or surgery, depending on the diagnosis and individual needs.
Total knee replacement is a surgical procedure used to replace damaged joint surfaces in selected patients with advanced knee arthritis. Artificial components are implanted to improve joint function and reduce pain. The decision depends on symptoms, imaging, mobility limitations and the response to appropriate non-surgical treatment.
Tissue Preserving Total Knee Replacement is a surgical technique associated with Dr. Kaushal Malhan that aims to preserve selected surrounding tissues during knee replacement. The approach may be considered in suitable patients requiring joint replacement. Results and recovery vary according to the patient's condition, surgical findings and rehabilitation programme.
Minimally invasive knee replacement uses surgical approaches designed to limit unnecessary disruption of surrounding tissues where feasible. It may be considered for selected patients with severe knee joint damage. Suitability depends on knee anatomy, deformity, previous operations and overall health. Rehabilitation remains an essential part of recovery.
Partial knee replacement, also called unicompartmental knee replacement, treats selected patients whose arthritis is mainly confined to one part of the knee. Only the affected compartment is replaced while suitable healthy structures are preserved. The procedure requires careful assessment of joint stability, disease distribution and alignment.
High-flexion knee replacement uses implant designs intended to accommodate increased knee bending in suitable patients. Outcomes depend on several factors, including preoperative movement, soft-tissue condition and rehabilitation. Greater flexibility is not guaranteed, and implant selection should be based on individual clinical requirements.
Revision knee replacement may be required when a previous knee implant becomes loose, infected, worn or otherwise unsuccessful. The operation may involve replacing some or all implant components and addressing associated bone or soft-tissue problems. Revision surgery requires detailed planning because it can be more complex than the original procedure.
Total hip replacement involves replacing damaged surfaces of the hip joint with artificial components. It may be considered for severe arthritis, selected fractures or other conditions causing substantial pain and reduced function. Surgical planning considers bone quality, anatomy, underlying disease and the patient's overall health.
Direct anterior hip replacement is a surgical approach in which the hip joint is accessed from the front. It may allow selected muscles to be preserved during the operation. Suitability depends on the patient's anatomy, previous surgery and other clinical considerations. Recovery outcomes vary between patients.
Hip resurfacing is a joint replacement option used in carefully selected patients, generally involving preservation of more of the femoral head than conventional total hip replacement. Implant selection requires careful assessment of bone quality, age, activity level and other risk factors. It is not appropriate for every patient.
Revision hip replacement may be considered when a previous hip implant develops loosening, wear, infection or another complication. Treatment requires assessment of implant position, bone condition and the cause of failure. Surgery may involve replacing components and reconstructing damaged bone or supporting structures.
Knee arthroscopy uses a small camera and specialised instruments to examine and treat selected conditions within the knee joint. It may be considered for certain meniscal or ligament-related problems. Surgery is not routinely necessary for every painful knee condition, and suitability depends on the diagnosis and clinical findings.
Anterior cruciate ligament injuries can cause knee instability, especially during twisting or sporting activities. Assessment includes clinical examination and imaging when indicated. Treatment may involve rehabilitation or surgical reconstruction, depending on instability, associated injuries and activity requirements. Individual procedural availability should be confirmed.
Sports injuries may affect ligaments, cartilage, tendons and joints. Assessment considers the injury mechanism, symptoms and physical examination findings. Treatment can include rehabilitation, medication and selected arthroscopic procedures. The appropriate approach depends on the structures affected, injury severity and the patient's functional goals.
Shoulder replacement may be considered for selected patients with severe shoulder arthritis, certain fractures or other extensive joint damage. Surgery involves replacing damaged joint surfaces with artificial components. Assessment considers shoulder movement, rotator cuff function, bone condition and available treatment alternatives.
Joint preservation focuses on managing pain and maintaining movement without replacing the joint when possible. Depending on the condition, treatment may include physiotherapy, weight management, medication or selected corrective procedures. The approach depends on disease severity, joint alignment, cartilage condition and functional limitations.