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FIFO technique brings revolution in knee, hip joint replacement

UNI Jun 04, 2018

A breakthrough in latest concepts in knee and hip replacement surgery has come up with first time ever launch of FIFO (Fast in Fast Out) technique.


This new technique combines benefits of minimally invasive surgery, patient specific high performance implants with higher flexibility, modified pain control concepts and minimal bleeding even to suit our geriatric population. With this revolutionary technique, patients can walk 3-hr after surgery which has become almost painless now.

The modified concept launched in country by Dr Manuj Wadhwa, Chairman & Executive Director- IVY ELITE Institutes of Orthopaedics & Joint Replacement at IVY Hospital, Mohali, has minimal blood loss with a combination of advanced muscle sparing surgical exposure, specialized mix of latest techniques like digital surgery and better patient-specific implants.

The tissue preserving total knee replacement (TKR) surgery goes beyond the general scope of conventional TKR surgeries using smaller incision and special instruments to approach the knee from the front with minimal trauma to the soft tissue, muscles and tendons.

The specialized technique perfected by Dr Manuj Wadhwa allows the advantage of satisfactory surgical exposure in all patients including the very obese with easy implantation of standard implants with specialized instrumentation. Patients expect a painless, functional stable knee as their first priority, but deep knee flexion is unquestionably next in line.

We have almost stopped the use of blood transfusions for knee replacement surgeries, even for patients who have been operated on both knees in one sitting, pointed out Dr Wadhwa. Talking about the new technique improved pain control concepts, Dr Manuj said that now the ultimate concept in best centers globally is based on reduced tissue trauma surgery and pain control using cocktail of medicines to be injected in soft tissues around the knee during surgery making patients feel more comfortable post-surgery. Most of these patients are even able to raise their legs a few hours after surgery.

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