Exercise can prevent osteoporosis – TOI NEWS

On the eve of World Osteoporosis Day, doctors pointed out at an alarming rise in the number of osteoporosis patients. Almost every other person over the age of 50 years is likely to suffer from osteoporosis, they said.

According to International Osteoporosis Foundation, one in three women and one in five men aged 50 years and over will suffer an osteoporotic fracture. Osteoporosis makes bones weak and fragile so much so that they can break even after a minor fall, a bump, a sneeze, or a sudden movement. Fractures caused by osteoporosis can be life-threatening and a major cause of pain and long-term disability.

“Old people may not be fit for surgery and therefore, suffer pain forever,“ said Dr Udai Prakash, director and specialist in joint replacement, Udai Omni Hospital for Advanced Orthopaedics and Trauma. Osteoporosis is however, preventable and starting early is helpful.“The best thing that can be done to prevent osteoporosis is to exercise regularly as it helps keep the bone strength intact. Adequate sun exposure and calcium rich foods can help prevent it,“ said Dr Rajkiran Dudam, consultant Rheumatologist, Star Hospitals. Read More



Dr Udai Prakash at the Arthrex Surgical Skills Lab – LATEST INNOVATIONS IN ADVANCED KNEE ARTHROSCOPY at Arthrolab, Germany

I was recently in Munich to update himself in the latest technology in knee ligament reconstruction. The Arthrex surgical skills lab is equipped with the latest arthroscopic wet and dry lab simulators and is stocked with a complete inventory of the latest instrumentation and implants.


The exposure certainly gave me the edge in offering my patients the latest surgical options in knee ligament surgery.


The knee has several ligaments that can get damaged after sports injuries and accidents. These include the ACL (anterior cruciate ligament), the PCL (posterior cruciate ligament), MCL (medial collateral ligament) etc.

Without surgical reconstruction many young patients can never get back to sports and an active lifestyle. The knee becomes vulnerable to getting worn out (arthritis) at a younger age than average.

Early and expert ligament reconstruction can help young people get back their former active lifestyle and delaying surgery can result in damage to other structures within the knee. It’s like a loose hinge on a door, if not repaired early can result in other hinges coming loose.

Knee arthroscopy procedures (keyhole surgery) have advanced many fold in the last few years. This was an opportunity for surgeons like myself  interested in knee surgery to update themselves.

The experienced faculty from around the world conducted practical demonstrations in some of the most advanced arthroscopic (keyhole) procedures for ligament and meniscal injuries of the knee.


knee-arthroscopy-2 This is the latest in Anterior Cruciate Ligament reconstruction  using the all inside technique which would give a patient less post -operative pain and a quicker recovery.

Dr Udai Prakash at the Oxford Partial Knee Replacement Course, Pune Nov 2015

Dr Udai Prakash was invited as faculty for the recent Oxford Partial (Uni-compartmental) Knee Replacement course held in Pune to teach young surgeons from across the country on how to do this unique surgery.
The course was organised by Zimmer-Biomet – the largest orthopaedic implant manufacturer in the world. Amongst the faculty were surgeons from Oxford University, UK.
The Oxford group from the UK are pioneers in this type of knee replacement where only the worn out part of the knee is replaced. The results in terms of function and complications are far lower for the partial knee replacement when compared to total knee replacement.

Dr Udai Prakash and Dr Sharat Kusuma give a thumbs up to Partial knee replacement

Dr Udai Prakash, earlier this month welcomed Dr Sharat Kusuma also an expert in minimally invasive surgery to Udai Omni Hospital.

Together they performed several partial knee replacement surgeries. The hospital is pleased to announce all patients are doing extremely well. Their star patient was Mrs I. S. aged 79years, had  bilateral partial knee replacements walked within 24 hours, with good physiotherapy was up and about to visiting friends, shopping outdoor within 10 days and resuming full activities within 3 weeks.

Both Dr Udai Prakash and Dr Sharat Kusuma feel that the partial knee replacement should be considered by all patients who are thinking of having a total knee replacement.

1 in every 4 patients with advanced arthritis of the knee may be suitable for a partial knee replacement which holds several advantages over the total knee:

  • Bone conserving
  • Ligament conserving
  • Smaller operation
  • Smaller incision
  • Minimal blood loss
  • Much faster recovery
  • Normal knee function
  • Better movement
  • Can play sports like badminton and gentle tennis
  • Easier to climb stairs and sit on the floor

Dr Sharat Kusuma, MD, MBADr Sharat Kusuma.Dr Udai Prakash Dr Udai Prakash FRCS(Eng),FRCS(Edin),FRCS(Tr&Ortho) offer surgical and non surgical treatments of hip and knee joint conditions and specialise in Partial Knee Repalcement.

Recommended further reading: Avoid a Total Knee Replacement with a Patial Knee Replacement.

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