Treatments
Hip Replacement Surgery
Mr Jain is experienced in all aspects of hip replacement surgery and will work with you to find a personalised solution for your hip pain.
Hip replacement surgery is a surgical procedure in which a surgeon removes a painful hip joint and replaces it with an artificial joint often made from metal, polyethylene or ceramic components. It is typically done when all other treatment options have failed to provide adequate pain relief. Sometimes joint injections can help provide temporary pain relief but a hip replacement should not be performed within six months of the injection due to the increased risk of infection. A hip replacement should relieve a painful hip joint making your normal daily activities easier.
The hip joint is a ball and socket joint and both the ball (femoral head) and the socket (acetabulum) are replaced during total hip replacement surgery. A variety of diseases and conditions can cause cartilage in the hip joint to wear away. The most common reason for hip replacement surgery is osteoarthritis. Other conditions including rheumatoid arthritis, avascular necrosis, post-traumatic arthritis and certain hip fractures can also lead to a breakdown of the hip joint and the need for surgery.
A variety of surgical approaches are used to access the hip joint and perform the operation. Each approach has advantages and disadvantages but currently there is no definitive evidence that strongly supports one approach over another. The implants can either be fixed to bone with cement (cemented implants) or through a press-fit using a special synthetic bone coating (uncemented implants). Mr Jain will discuss the most suitable options for you based on your individual circumstances and current scientific evidence.
A total hip replacement is widely regarded as one of the most successful operations that exists but like any other operation there is a small risk of complication. Potential complications include bleeding, haematoma, wound leakage, infection, nerve injury, arterial injury, wear, loosening, implant failure, dislocation, fracture, leg length difference, stiffness, thrombosis, chest infection, kidney damage, stroke and heart attack. Mr Jain will discuss the process, benefits and risks of hip replacement surgery with you so that you can make an informed decision.
Robotic Hip Replacement
Mr Jain offers robotic-assisted hip replacement surgery at Nuffield Health Leeds Hospital and will discuss the potential advantages of this technique with you.
The use of robotic-assisted hip replacement surgery has rapidly increased over the last decade. It is similar to conventional hip replacement surgery in many ways but utilises modern technology to improve digital planning, implant positioning and restoration of hip biomechanics.
Mr Jain is trained in the use of the Stryker MAKO robot which has been in clinical use since 2010. This is the commonest robotic system used for hip replacement surgery and it has a long and successful track record. It is a semiactive system which controls the power tools used to perform the hip replacement. Its uses haptic feedback to ensure a higher level of precision compared to conventional hip replacement surgery. In addition to an x-ray, a preoperative CT scan is required in order to obtain a three-dimensional anatomical profile of the hip joint. This allows a detailed understanding of subtle anatomical variations and enables a fully bespoke hip joint reconstruction.
Mr Jain will discuss further details of robotic-assisted hip replacement surgery with you during your private consultation.
Revision Hip Replacement
Mr Jain is trained in all forms of revision hip replacement surgery.
He has experience in diagnosing and managing problematic hip replacements and offers modern solutions for revision surgery. His recent published research focuses on the prevention and management of the commonest problems following hip replacement surgery which are periprosthetic femoral fracture, dislocation and infection.
Revision hip replacement surgery is a procedure performed to replace a failed initial hip replacement. Over time, even the most successful hip replacements can fail due to wear or loosening of implants, infection, dislocation or a fracture of the bone around the implants. Revision surgery is more complicated than the initial hip replacement because it involves removal of the original implants and then placement of new implants. The bone around the hip may need to be rebuilt with bone graft or augments (metal pieces that substitute for missing bone). Specialised techniques and implants are usually required to achieve a durable hip replacement.
Revision surgery generally takes longer than the initial hip replacement and due to its higher complexity, it has a higher complication rate and longer recovery period. Mr Jain will explain the benefits and risks of revision surgery with you and as per national guidance, will ensure that a multidisciplinary team approach is utilised to support the decision-making process.
Knee Replacement Surgery
Mr Jain performs knee replacement surgery for a variety of conditions and will work with you to find an appropriate solution for your knee pain.
There are multiple factors to consider when undergoing knee replacement surgery and he will use current scientific evidence in order to guide you.
Knee replacement surgery is a procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability, most commonly caused by osteoarthritis. Other diseases such as rheumatoid arthritis and trauma can also result in severe knee damage and pain. It is usually done when all other treatment options have failed to provide adequate pain relief. Sometimes joint injections can help provide temporary pain relief but a knee replacement should not be performed within six months of the injection due to the increased risk of infection. A knee replacement should relieve a painful knee joint making your normal daily activities easier. The surgery involves removing damaged bone and cartilage from your knee and replacing it with an artificial joint made of metal and polyethylene. The implants are most commonly fixed to bone with cement and the prosthesis is designed to replicate the knee’s natural movement as much as possible.
Knee replacement surgery is recognised as a safe and effective procedure that can help patients return to normal activities with less pain and improved function. For some, recovery and rehabilitation can be a lengthy process and typically involves an extensive period of physiotherapy to regain strength and mobility.
Knee replacement surgery has a high success rate and is one of the commonest orthopaedic operations but like any other operation there is a small risk of complication such as bleeding, haematoma, wound leakage, infection, nerve injury, arterial injury, wear, loosening, implant failure, fracture, tendon injury, ligament injury, stiffness, instability, chronic pain, dissatisfaction, thrombosis, chest infection, kidney failure, stroke and heart attack. Mr Jain will discuss the process, benefits and risks of knee replacement surgery with you so that you can make an informed decision.
Enhanced Recovery
Enhanced recovery is a patient-centred, evidence-based approach that aims to reduce a patient’s surgical stress response, optimise their physiological function and facilitate better recovery.
Enhanced recovery protocols include preoperative education, medical optimisation, prehabilitation, minimising fasting, active prewarming, antibiotic prophylaxis, standardised anaesthetic regimens, maintaining normal blood pressure and temperature, early mobilization after surgery and encouraging early oral intake. This approach is well proven in improving recovery, reducing the risk of postoperative complication and reducing the length of hospital stay.
The enhanced recovery approach is multidisciplinary and involves surgeons, anaesthetists, ward nurses, theatre staff, physiotherapists, occupational therapists, pharmacists and dietitians. It requires active patient participation and is tailored to the individual’s needs.
Day Case Surgery
Mr Jain has developed an innovative day case pathway for patients undergoing hip and knee replacement surgery in Leeds.
This is when patients are admitted to hospital, have their surgery and then return to their own home all on the same day. He has worked with colleagues to optimise anaesthetic, surgical and rehabilitation techniques to ensure postoperative symptom control, early mobilisation and same day discharge. His patients consistently report high levels of satisfaction with being able to return to their own homes on the evening of surgery. Mr Jain will discuss the suitability and process of day case hip and knee replacement surgery with you if you wish to avoid a stay in hospital.