The first time when you meet Dr. Rajani
in his office, a complete history will be taken. During this session it is of utmost importance that you mention to the doctor of any past or present medical illness (blood pressure problems, diabetes mellitus, heart disease etc). You should also mention if any surgery was performed on you in the past.
Please also bring a list of medications that you are taking currently. It is of utmost importance that medications like Ecospirin (Aspirin), or clopidogril be stopped atleast 10 days before the date of surgery.
This will be followed by a complete physical examination of the knee joint. Special care will be taken to do a thorough examination of the knee without giving you any pain.
Once a complete examination is done, specialized x-rays of the knees will be ordered, which will help us to identify the stage of the arthritis.
» Stages of Osteoarthritis :
Mild decrease in joint space
Sublaxation with deformity
absent joint space
Dislocation with deformity
» Examination of your Knees :
After completion of the clinico-radiological evaluation the patient and the relatives will be explained the disease with the help of animation videos.
If one may require a high tibial osteotomy, the procedure will be explained to you by customised animation videos. You will also be shown videos of patients with Arthritis in different stages who have undergone high tibial osteotomy, with reference to their pre-surgery ability and post surgery ability videos.
You will be given a specialised brochure and contact details of various patients operated by Dr. Rajani
so that you can share your queries and anticipation with them. During this session you are free to ask any queries you may have about arthritis and high tibial osteotomy. If at all your require a surgery and wish to get it done by Dr. Rajani, then a series of investigations will be ordered for you.
» Investigations Before Surgery :
> CBC, ESR
> FBS & PLBS
> LFT & RFT
> HIV, HBSAG & HCV
> PT & PTTK
> BLOOD GROUPIMG AND CROSS MATCHIMG
> URINE ROUTINE
> X-RAY CHEST PA VIEW
> 2-D ECHO
» Date of surgery :
Once fitness for surgery has been obtained the next available date be given to you for the surgery, depending upon the waiting list.
After you have specified the hospital & the type of room required for you, the necessary bookings for the room, the implant (prosthesis) and the operation theatre will be done.
Once fitness for surgery has been obtained a date will be given to you for the surgery.
» At the hospital :
You will be required to get admitted in the hospital a day prior to the surgery.
along with the anaesthetist will visit you in your room in the evening before the surgery.
In the morning of the surgery the limb to be operated will be shaved, scrubbed and covered in a sterile cloth.
You will then be wheeled in to the operation theatre complex.