| Sheela Devi became the first person
to undergo a wrist –joint transplantation
in India after her wrist bone was destroyed
by arthritis.
A five member team led by Dr Vikas Gupta
and Dr Ashok Rajgopal at Fortis hospital,
Vasant Kunj, implanted the artificial joint
in a one –and-a half hour long surgery
on April,30th. It was a day care surgery;
65-year old Devi was admitted in the morning
and discharged in the evening.
“Her Wrist joint was substantially
damaged. She had severe pain and restricted
wrist movement because of arthritis. We
replaced the damaged bones and the cartilage
and implanted ceramic joint between the
forearm and the wrist to give her a pain
free life,” said Dr Vikas Gupta, who
conducted the surgery.
“By doing this wrist surgery, we
have now covered the entire gamut of joints,”
Added Dr Rajgopal, Director, orthopedics
at Fortis.
So far, shoulder, knee, hip, fingers, elbow,
ankle and toss have been transplanted in
the country.
“I haven’t heard of wrist-joint
being replaced any where in the country
before. This surgery falls in the rare category
because of many conditions, including high
cost,” said Dr Kamraan Farooque, assistant
professor of orthropedics at All India Institute
of Medical Sciences At Trauma centre.
“The implant can be done in accident
cases as well,” said Dr Farooque.
Anyone who has damaged the wrist joint
has to be imported, which increases the
cost from Rs 1 lakh to Rs 3 lakh.
The ceramic on ceramic implant –
called osteo – integrable implant-
is fitted into the bone without cement and
the bone gradually grown on it, locking
it in place. It has a life of 10-15 years,
after which it has to be replaced.
“As this was a standalone implant,
there were some problems in importing it.
But the family was so determined and supportive
that everything fell into place,”
Said Dr Gupta.
Sheela Devi had been suffering from arthritis
from 15-years and had tried all kinds of
medications and procedures, before setting
on surgery in 2007.
“I know I would be the first one
undergo this kind of surgery, but I had
faith on doctors here. Now I am ready to
replace the wrist-joint of my right hand,”
she said.
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