Mrs. Adeola, a 58-year-old housewife, is from Lagos, Nigeria. She is from a well-to-do family, and she loves cooking, gardening, and dancing.
All of her hobbies and activities were compromised due to her increasing knee pain. Initially, the pain was less, so she ignored it. But, slowly the pain started restricting her movement.
Adeola ignored the suffering from chronic knee pain for over ten years. However, one day her son Sammuel, who was studying in the USA, decided to look for a permanent solution. On his vacations, Sammuel visited Lagos and couldn’t understand the reason for ignorance and particularly when her knee pain was impacting her lifestyle badly. She was visibly sad and missing all the happy moments of life i.e. her dancing, gardening, and long walks.
Sammuel decided to treat her before the completion of his vacation. He took her to a nearby orthopedic doctor. The orthopedic doctors prescribed her a pain killer. There was some relief in pain but not in movements as her knee condition has deteriorated.
One more orthopedic doctor suggested knee replacement surgery. She was scared even hearing the suggestion because she had a bad experience in her family when her father underwent knee replacement surgery. Her father got an infection after the surgery and alignments were also not up to the mark. Her father’s condition became so miserable that he couldn’t even walk after the surgery.
Sammuel knew her fears and recommended the family to visit India for the surgery. He started exploring the options in India and that’s the time he dropped the message to MedicoExperts helpline. The MedicoExperts patient care executive got in touch with him and gave two options to the family. One they can plan to visit India and, second, to get it done in Lagos itself in the next surgical camp.
The family finally decided to wait for the camp and to get the surgery done from MedicoExperts orthopedics Indian surgeon who regularly visits Nigeria for surgeries.
MedicoExperts arranged the online video consultation with the orthopedic surgeon who is going to operate on her knee and cleared all her doubts regarding the procedure, knee implant type, and different materials. Sammel decided to go for the best implant.
After a month or so, MedicoExperts announced its camp. Sammel and his mother Adeola were the first ones to book the surgery.
Adeola was admitted a day before the MedicoExperts team arrived. The local doctor initiated pre-procedure investigations to ascertain her readiness for the surgery.
All the reports were normal and her surgery is scheduled for early morning the next day.
The surgery lasted for 2 hours and was a successful surgery. The next day of surgery, the surgeon made her stand and walk slowly with support. After 3 days Adeola got discharged and she took care of her knee as advised by the doctor.
The surgeon had prescribed her medication and physiotherapy.
Within 2 weeks she could walk without any support and without any pain.
Adeola described the surgery as life-changing for her. She was really grateful for her smart son Sammuel and MedicoExperts.
Adeola is still in touch with MedicoExperts and gardening, cooking, and taking long walks are part of her new routine.
Joint replacement surgery in Nigeria
MedicoExperts’ team of expert orthopedic surgeons travel to Nigeria to perform a number of orthopedic surgeries for the benefit of the Nigerians and hence saving them money on visa, air travel, and hotel stay.
MedicoExperts help local hospitals to upgrade the existing infrastructure and bring the skills for the best results of the surgery. MedcioExperts Indian specialist surgeons also ensure that local doctors are trained to take care of the patient post-surgery.
Commonly performed joint replacement surgery in Nigeria
Before we begin with the total knee replacement surgery let’s understand knee anatomy firstly.
Knee joint anatomy and its function:
The knee is one of the largest and most complicated joints in the human body. The knee is a joint that connects the thigh bone (femur) to the shin bone (tibia). The other bones that make up the knee joint are the fibula (the smaller bone that runs alongside the tibia) and the patella (kneecap).
Tendons connect the knee bones to the leg muscles that move the knee joint. Ligaments connect the bones of the knee and give it stability:
- The ACL prevents the tibia from sliding forward on the femur and the femur from sliding backward on the tibia.
- The femur cannot slide forward on the tibia, and the tibia cannot slide backward on the femur, thanks to PCL.
- The medial and lateral collateral ligaments prevent the femur from sliding side to side.
The medial and lateral menisci are two C-shaped pieces of cartilage that act as shock absorbers between the femur and tibia.
Bursae, or fluid-filled sacs, support the smooth movement of the knee.
Knee Replacements Surgery in Nigeria
Knee arthroplasty, also known as knee replacement surgery, is a procedure in which the damaged knee joint is surgically removed and replaced with a plastic or metal implant. Knee replacement surgery can help people with osteoporosis or arthritis who have been in pain for a long time.
Depending on the patient’s condition and the extent of the damage, a top orthopedic surgeon from India will perform total knee replacement surgery on one or both knees.
Hip joint anatomy and its function:
The hip is a ball-and-socket joint. The femoral head is the ball at the top of your femur (thighbone). The acetabulum, or socket, is a part of your pelvis. The ball rotates and moves forward, backward, and sideways in the socket, allowing your leg to rotate and move forward, backward, and sideways.
Soft tissue called cartilage covers the ball and socket in a healthy hip, allowing them to glide together smoothly. The bones scrape together and become rough if the cartilage wears down or is damaged. Osteoarthritis is a condition that causes pain and limits movement. Walking or even getting in and out of a chair can be difficult with an arthritic hip.
Different types of hip replacement surgery?
Total hip replacement:
Total hip replacement is the most common type of hip replacement surgery (also called total hip arthroplasty).
Artificial implants are used to replace worn-out or damaged parts of your hip during this procedure. A durable plastic cup replaces the socket, which may or may not include a titanium metal shell.
The head of your femur will be removed and replaced with a ceramic or metal alloy ball. A metal stem is inserted into the top of your femur, and the new ball is attached to it.
The Indian specialist surgeon will either perform a total hip replacement surgery on one hip or both hips depending on the patient’s medical condition.
A hip replacement surgery is opted for when all other treatment options have failed.
The surgery helps bring relief to the patient suffering from stiffness.
Partial hip replacement:
Instead of replacing both sides of the hip joint, partial hip replacement (also known as hemiarthroplasty) replaces only one side of the hip joint – the femoral head. This procedure is most commonly performed on elderly patients who have suffered a hip fracture.
In younger, more active patients, femoral head and socket resurfacing is the most common procedure.
- ACL Reconstruction: One of the four major ligaments of the knee is the anterior cruciate ligament or ACL. It’s also one of the most common athletic injuries. The ACL is responsible for the knee’s stability. Patients may experience “giving way” in the knee if the ligament is torn. As a result, the ligament will be replaced to restore stability.
- PCL Reconstruction: Surgery to repair a torn posterior cruciate ligament (PCL) in the knee is known as PCL reconstruction. PCL tears can occur as a result of trauma, such as car accidents or falling on a bent knee. They’re common sports injuries that usually result in a lot of pain and disability.
1. Meniscectomy Surgery:
You may have a meniscus tear if you have pain and swelling in your knee. The meniscus is a shock-absorbing wedge of cartilage that sits on the tibia in the knee and acts as a shock absorber.
A portion of the torn meniscus is removed via arthroscopy in a meniscectomy. Small incisions are made on the knee for arthroscopy, which allows a small camera and tool to safely complete the surgery.
2. Meniscus Repair Surgery:
A meniscus tear can sometimes occur in a section of the meniscus with a better blood supply. In this case, the doctor may opt for an arthroscopic procedure to repair the torn meniscus.
This may be more beneficial to the patient because it avoids removing a portion of the meniscus, which reduces the risk of future arthritis, but the recovery time is typically longer.
3. Meniscus Transplant:
A meniscus transplant is performed on a patient who has had their meniscus completely removed but still has knee pain. A meniscus from a donor is implanted in the patient’s knee. Arthroscopy is also used to complete this procedure.
4. Plica Removal knee surgery:
The plica is a piece of tissue that was leftover from fetal growth. In most cases, it is lost over time, but in some cases, some plica remains. If conservative treatment for plica irritation is ineffective, arthroscopy can be used to remove excess plica from the knee.
5. Lateral Release knee surgery:
The tissue on the outside of the knee that holds the knee cap (patella) in place is removed using this surgical technique. The lateral retinaculum can pull the patella laterally and cause pain if it is too tight. If the pain does not go away, the doctor may decide to release the lateral retinaculum to improve patellar tracking.
6. Microfracture knee surgery:
Microfracture is performed on a part of the knee that has small cartilage damage. The disadvantage of a microfracture is that it only works on a small area of knee damage. Because healing cartilage differs from normal joint cartilage, pain and long-term damage are possible.
7. Patellar Tendon Repair:
The quadriceps or patellar tendon is the most commonly repaired tendon in the knee. Both pass through the knee joint, but in slightly different places. It’s usually an open procedure with a scar down the front of the knee in these cases.
The arthrotomy of the knee is a surgical procedure that involves the evaluation of the knee joint. The surgeon exposes the tissue to be viewed and assessed by opening the tissue through the joint capsule.
If fragments are discovered during a knee arthrotomy, they can be removed, and the joint can be irrigated or cleaned if necessary. In the event of an infection, this may be required.
MedicoExperts Success ratio of surgeries in Nigeria
MedicoExperts have an excellent track record of 98.6% successful surgeries in Nigeria. 1.4% of people got some infection post surgeries which was also cured with medication.
Knee and hip replacement surgery cost in Nigeria
Gaining advantage of the existing technology and infrastructure in Nigeria, the knee and hip replacement surgery cost is well worth the price without having to fly to India. The cost for knee and hip replacement surgery performed by Indian specialist surgeon is as stated below:
|Sr.No.||Procedures||Cost of Procedure USD||Cost in Naira|
|1||Total Knee Replacement (1 Knee)||5000 – 5200||1900000 – 1976000|
|2||Total Knee Replacement (2 Knee)||10000 – 10400||3800000 – 3952000|
|3||Arthroscopic ACL Repair||4500 – 4700||1710000 – 1786000|
|4||Arthroscopic PCL Repair||4500 – 4700||1710000 – 1786000|
|5||Total Hip Replacement (1 Hip)||5100 – 5300||1938000 – 2014000|
|6||Total Hip Replacement (2 Hips)||10200 – 10600||3876000 – 4028000|
Frequently Asked Questions and patient concerns:
1. How soon after a knee replacement can I walk?
In 4 to 8 weeks, you should be able to walk on your own. Following a knee replacement, you will need to undergo months of physical rehabilitation (rehab). Rehabilitation will help you strengthen your knee muscles and regain movement.
2. How can I book my knee replacement surgery in Nigeria?
For booking surgery, you can fill the inquiry form or can Call/Whatsapp us at +919769516280
3. Do I need physiotherapy after the surgery?
Yes, but your doctor may recommend exercises that you can do at home.