Smart Knee Replacement (Fast-Track Recovery)

What is Smart Knee Replacement?

SMART Knee Replacement is a flawless way to treat the patients who ought to undergo the knee replacement surgery with a splendid rule for the physician and the anesthesiologist to administer “minimal anesthesia with maximum pain relief” which aims to ensure there is a reproducible outcome to the physician in delivering good results with a higher level of satisfaction for the patients.

Smart Knee Replacement (Fast-Track Recovery) What is Smart Knee Replacement?

Astounding Medical Achievements

The SMART Knee Replacement is a novel and multi-modal approach that has been progressively evolved by Dr Bharath taking the cues from his distinct experiences with a lot more thousands of knee replacements besides mentoring from legendary surgeons in the field of knee replacements. The sophisticated techniques with precise tools used for the fast-track recovery made Dr Bharath a pioneer in SMART Knee replacement with all its unique characteristics, and protocols providing exceptional orthopedic care.

Key insights of fast-track recovery

Fast Track Knee Replacement follows the “Enhanced Recovery Pathway” by which the joint pain or acute knee problems can be operated by adopting highly specialized surgical techniques using the preoperative, intra-operative, and post-operative protocols. The key element is performing minimally invasive total knee replacements with technically advanced procedures, enabling a speedy recovery and greater patient satisfaction where the patients are discharged in a shorter time span with negligible pain (i.e.) the surgical time is just 20 minutes compared to the standard protocols requiring 2. 30 to 3.00 hours.

1. Intraoperative protocol on the Fast Track

  • Spinal anesthesia along with local infiltration analgesia
  • Planning for Fluid Therapy
  • Small standard incisions to avoid drains
  • Compression band-aids and cooling.

2. Postoperative Protocol on the Fast Track

  • Deep venous thrombosis prophylaxis, monitoring blood-thinning drugs, and prevention of blood clots.
  • Multimodal opioid-sparing analgesia, using alternatives rather than heavy narcotics in pain management.
  • Early mobilization
  • Immediate discharge when functional criteria are met by educating the patient
  • Early physical therapy and rehabilitation.

SMART knee replacementSMART knee replacement is a precise way of doing knee replacement surgery which ensures a consistent and reproducible outcome to the surgeon and a higher level of satisfaction to the patient. This novel technique has been gradually evolved by Dr. Bharath taking cues from his personal experiences with well over thousands of knee replacements as well as mentoring from legendary surgeons in this field. This made Dr. Bharath, a pioneer in SMART knee replacement with all its unique characteristics.

SMART knee involves modification of surgical techniques at various stages of the procedure including preoperative, intra-operative, and post-operative protocols. The key element in the SMART technique is minimal handling of soft tissue and bone, facilitating fast track recovery and early return to routine life. As a result, the surgical time has reduced significantly to 20 mins compared to the standard protocols requiring 2. 30 to 3.00 hours.

Smart Knee Replacement (Fast-Track Recovery) What is Smart Knee Replacement? - smr high

The SMART technique ensures minimal blood loss, hence no requirement for blood transfusion. The major advantage is immediate postoperative pain relief enabling the patients to walk within 4.00 to 5.00 hours after surgery. Painless surgery motivates the psychology of the patient to ambulate early and climb stairs on day one. The rehabilitation in SMART knee replacement is faster as compared to conventional knee replacement thus facilitating discharged on day two.

On testing the results of SMART knee replacements, the complications like deep vein thrombosis and infection rate have significantly reduced making knee replacement a safer procedure for all age groups. The precision of this technique helps to reduce the error of the index surgery to achieve consistent, predictable, and reproducible outcomes in a fast track manner.

Smart Knee Replacement | What is Fast Track knee replacementThe fast-track recovery involves small incisions, minimal blood loss, and less tissue dissection, hence there is no requirement for blood transfusion. The major benefit is immediate postoperative pain relief which helps the patients to gain proprioceptive function and also, it enables the patients to walk without any support within 4:00 to 5:00 hours after surgery.

We at Bharath Orthopaedics never use opioids for pain reliefs or tourniquets as it can avoid drowsiness, vomiting, and avoids complications like respiratory depression. Painless surgery motivates the psychology of the patient to ambulate early and climb stairs using support on day one.

The rehabilitation in SMART knee replacement is faster as compared to conventional knee replacement thus facilitating discharge on day two where the patient can walk to the washroom and is independent. After 10 days of post-surgery, the patient will be walking without making use of any walking aid.

It is a boon for the senior citizens because on testing the results of SMART knee replacements, the difficulties like a deep vein thrombosis and infection rate have significantly reduced making knee replacement a safer procedure for all age groups. The precision of this dynamic technique helps to reduce the error of the index surgery to achieve the desired repercussions in a fast-track manner.

SMART knee replacement - Orthopedic Surgeon | Dr. Bharath

Highlights or prerequisites of Smart Knee Replacement

  1. Painless surgery
  2. Minimal blood loss
  3. Less complication
  4. Early mobilization (within 4 hours after surgery)
  5. Early discharge (on postoperative day 2)
  6. Faster rehabilitation
  7. Early return to routine life (2 to 3 weeks)
  8. Tested results (consistent, predictable & reproducible)
  9. Zero infection rate
  10. Faster recovery
  11. Early discharge (on postoperative day 2)
  12. Very cost-effective.
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