Live Discussion with Dr. Ishwar Bohra
Questions doctors asked during the Jivo Masterclass on Diagnosis & Management of Degenerative Joint Disease, taught by Dr. Ishwar Bohra, Senior Director, Joint Replacement Programme, BLK-Max Super Speciality Hospital, New Delhi, India, on . Written by Jivo Healthcare from the transcript of the session, drafted with AI assistance and edited by the Jivo team.
After a partial knee replacement, within how many days or weeks can the patient resume normal activities?
Asked by Moderator
Patients walk within a day and can return to work within a week; within a month they can sit on the ground, swim and return to everything else.
Answered by Dr. Ishwar Bohra
Is there a relationship between vitamin D deficiency and osteoarthritis?
Asked by Dr. Kobel
Definitely. Vitamin D is essential in bone metabolism: it regulates the calcium, magnesium and phosphorus that are the key minerals of bone strength, and low vitamin D is one of the major contributory factors to osteoarthritis. Deficiency often isn't picked up clinically, so once a patient is diagnosed with hypovitaminosis D, it should be corrected.
Answered by Dr. Ishwar Bohra
Is total knee replacement indicated for children with juvenile idiopathic arthritis?
Asked by Dr. Destin
Yes, if the child is not very young. Hip replacement can be done even after 13 or 14 years of age, and knee replacement usually has to wait until 18, because the longevity of implants in children is not very good, and the outcome of knee replacement in children is not as good as that of hip replacement. If the child is suffering severely from arthritis, knee replacement can be considered after the age of 16 or 18; otherwise, bracing or another alternative method is used to relieve the pain.
Answered by Dr. Ishwar Bohra
Is there any risk of malignant transformation in a patient with a tibia fracture left untreated for more than 10 years?
Asked by Dr. Olimei
No. A malunited fracture carries no risk of malignant transformation. The exception is chronic infection: if the fracture was open and has a long-standing discharging sinus from bone infection, that sinus can rarely turn into a skin cancer (Marjolin's ulcer) and should be checked.
Answered by Dr. Ishwar Bohra
What is the total cost of doing a total knee replacement, in dollars?
Asked by Dr. Olimei
Approximate cost in my own practice runs around 7,000 to 7,500 US dollars, depending on the patient's room selection and other choices. India, and our hospital specifically, offers one of the most subsidised rates in the world compared with the West and the rest of Asia.
Answered by Dr. Ishwar Bohra
In This Series: Diagnosis & Management of Degenerative Joint Disease
- 1.Degenerative Joint Disease
- 2.Partial Knee Replacement vs High Tibial Osteotomy
- 3.Stage 4 Osteoarthritis Treatment: Replacement and Revision
- 4.Live Discussion with Dr. Ishwar Bohra