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Dr Gaurav Abbi Orthopedic Spine Specialist

Dr. Gaurav Abbi, MD is an award winning and board certified Best San Francisco Spine Surgeon in the San Francisco, CA Bay Area.

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Dr Gaurav Abbi Orthopedic Spine Specialist

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  1. gauravabbiortho@gmail.com(415) 3985990  KNEEREPLACEMENT Home / Services / Kneereplacement AnteriorCervicalDiscectomyAndFusion PosteriorCervicalSurgery PosteriorCervicalLaminoplasty PosteriorCervicalLaminectomyAndFusion LumbarLaminectomy LumbarSpinalFusion KneeReplacement FractureCare PeripheralNerveSurgery Kneereplacement SanFranciscokneeandhippainsufferers – EliminatepainwithaTotalKneeReplacement. 90% ofSan Franciscokneepainpatientsreportsignificantlyreducedpainaftersurgery. 85% ofartificialkneeslast 20+ years. SanFranciscokneeandhippainpatientsundergoaTKRiftheyhavearthritisinthehipthat hasnotresolvedwithconservativetreatment. CandidatesforSanFranciscototalkneereplacement surgeriesaren’tjustlookingtorelievealittlepain. Whilepainreliefisamainreasonforthesurgery, thosewhoneedafullreplacementoftenhavestructuraldeformitiessuchasbowedlegsorknocked kneesduetoboneloss, andthedeformityisoftenverynoticeable. Whenthishappens, it’shardertomovethekneeswithoutpainandthere

  2. canbesignificantlossofmotion. Grindingandseverepainareamongchiefcomplaintsofthosewhoneedtotalkneereplacementsurgery. Whatisit? Whatisit? SanFranciscokneereplacementsurgerytypicallytakesonetotwohourstocomplete. Duringthistime, damagedboneandcartilageare takenoutofthekneeandmetalimplantsareinsertedintotheendsofthecalfandthighbones. Plasticspacersareusedtohelpthe prostheticjointmovemoreeasily. Newtechnologieshavechangedthewaymanydoctorsdokneesurgeryandgivensurgeonsmoreoptions onhowtocompletetheprocedure. Computer-aidedsurgeries, forexample, arebecomingmorecommoninkneesurgeries. Thetechnology hasbeenpraisedforallowingbetterplacementofthenewjoint, whichhelpsthenewjointlastlonger. Itcanalsobemorebeneficialin surgerieswheredeformitiesareextreme. Whenakneejointisinsertedcorrectlyitislesslikelytoloosenearlyorweardownquickly. Notevery doctorsaysthecomputer-aidedtechnologyisanimprovement, askneereplacementswerealreadyaprettyroutineprocedureatmost hospitals, butthenewtechnologydoesallowforanewapproachthatcouldincludesomeimprovementsinrecoveryforthepatient. Many SanFranciscototalkneereplacementscannowbedoneasoutpatientprocedures, whichmeansapatientgoeshomethesamedayasthe operation. Byprescribingfewernarcoticspost-operatively, SanFranciscokneepainandhippainpatientsareabletogetupandmovearound sooner, whichleadstolesscomplicationsandafasterrecovery. Painmayslowpatientsdownforacoupleofweeks, butitdoesn’ttakelong forthepaintosubside, andthenpatientsfeelbetterthantheydidbeforetheprocedure. Withnewprotocolsinplace, patientsaretypically upandwalkingthedayaftersurgerywithacaneorwalker, homeinonetotwodays (iftheprocedureisn’tdoneoutpatient) andresuming normalactivitywithouttheuseofanassistivedeviceafteronemonth. Purpose Purpose ThosewhoundergototalkneereplacementsinSanFrancisconoticeasignificant, immediatechangeinpain. Inmanycases, atotalknee replacementsurgerycanalsofixadeformity, oratleastlessenitsaffect. Dailyactivitiesbecomeeasiertocompletebecauseofreducedpain, andthatgrinding/gradingfeelingmanypatientscomplainaboutcanbeeliminated. Rangeofmotionmayneverreturntowhatitwasbefore thekneestartedexperiencingproblems, butitshouldbeimprovedwiththepossibilityofcompleterecoveryinsomecases. Thosewho

  3. undergoatotalkneereplacementinSanFranciscoreportareductioninpain, orcompleteelimination ofpain, fixeddeformitiessuchasknockedkneesorbowedlegs, nomoregrindingorgradingfeeling causedbytheboneswithinthejointrubbingagainsteachotherandtheabilitytododaytoday activitieswithoutpainortheuseofassistivedevices. Benefits Benefits ThebenefitsofSanFranciscototalkneereplacementsurgeriesincludereducedpainandtheabilityto completedailyactivitiespain-free, orrelativelypain-free, withouttheuseofassistivedevices. Thosewhoundergoatotalkneereplacement willfinditeasiertosit, standandlaydownwithoutpain. Deformitiessuchasbowedlegsorknockedknees, whichaffectgait, canberighted. AreastheSurgeryHelps: AreastheSurgeryHelps: SanFranciscoTKRsurgeryreducesoreliminatesknee, hipandlegpain. Whatconditionscanbetreated? Whatconditionscanbetreated? SanFranciscoTKRsurgerytreatsarthritismkneeinjury, jointpainandlegdeformities. Theprocedure: Theprocedure: SanFranciscoTKRsurgerytakes1-2hoursonaveragetocomplete.  Thepatientisputundergeneralanesthesiaandanincisionismade  Thetissueisdividedtoallowaccesstothejoint, whichisthenremoved  Metalimplantsareinsertedintotheendsofthecalfandthighbones  Plasticspacersareplacedtohelptheprostheticjointmovemoreeasily  Incisionsareclosedandthepatientiswheeledtorecovery Aftertheprocedure: Aftertheprocedure: Manypatientscangohomefromakneereplacementsurgerythesameday. Patientsaretypicallyupandwalkingthedayaftersurgerywitha caneorwalker. Painmayslowpatientsdownforacoupleofweeksbuttheycantypicallyresumenormalactivitywithouttheuseofan assistivedeviceafteronemonth. Physicaltherapyisrecommendedtostrengthenthejoint. Alternatives Alternatives Beforekneesurgery, manypeopletrytomanagekneepaininSanFranciscowithmedicationand/orcortisoneshots. Somedoctorsare suggestingthatstemcellinjectionscouldrepairjointsenoughthatsurgerywouldnotbeneeded. Otherinterventionscanreducepaininthe kneesuchasphysicaltherapy, losingweightandexercisingtostrengthenthemusclesandincreaseflexibility. Insomecases, apartialknee replacement—whichcosts10-20percentlessthanatotalkneereplacement—maysufficeandatotalkneereplacementcanbeavoided. Risks Risks Therearerisksassociatedwitheverysurgery, andoftenthoserisksaremadeworsebyunderlyinghealthissues. Forexample, apatientwhois

  4. obeseisatahigherriskofsufferingcomplicationsduringsurgery, andtheirweightcouldmaketheirrecoverymoredifficult. Ahistoryofheart disease, diabetesordepressioncanalsoaffecthowwellapersonfairsduringsurgeryandrecovery. Mostlytheseconditionsextendthe healingprocessbuttheydoalsoincreasetheriskofsurgeryitself. Ifyouhaveunderlyingdisease, talkitoverwithyourdoctor. Iftheprocedure istoorisky, they’lladviseagainstit, however, thatisrareinmostcasesforkneereplacementsurgery. Beforeatotalkneereplacementsurgery, everySanFranciscokneepainpatientshouldtakestepstomaketheproceduregomoresmoothlysuchasloseweightorquitsmoking. Knockingbadhabitsandimprovingoverallhealthcanalsomakerecoveryeasierandfaster. Risksassociatedwithgeneralanesthesiashould alsobediscussedwithyourdoctor. Payments/cost Payments/cost TheaveragecostofatotalkneereplacementsurgeryintheUnitedStatesis $49,500, accordingtoHealthline.com. Luckily, insurancewilloften coverallorpartofatotalkneereplacement, loweringtheout-of-pocketcostforpatients. Dr. AbbiperformstheprocedureinSanFrancisco andsurroundingcities. References: References: "OAKneeReplacementPictures: BeforeandAfter -- WhatHappens?" WebMD. AccessedApril23, 2018. https://www.webmd.com/osteoarthritis/ss/slideshow-knee-replacement. HARITINIAN, EmilG., andAshvinL. PIMPALNERKAR. "Computer AssistedTotalKneeArthroplasty: DoesItMakeaDifference?" Mædica. June2013. AccessedApril23, 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865127/. "AlternativestoKneeReplacementSurgery." Healthline. AccessedApril23, 2018. https://www.healthline.com/health/total-knee-replacement-surgery/alternatives. "WhatYouNeedtoKnowAbouttheCostofKnee ReplacementSurgery." Healthline. AccessedApril23, 2018. https://www.healthline.com/health/total-knee-replacement-surgery/understanding- costs Totalkneereplacement  isindicatedifyouhavearthritisinthehipandhavefailedconservativemeasures. Formoreinformationclickhere: http://orthoinfo.aaos.org/topic.cfm?topic=A00389

  5. Total Knee Replacement Total Knee Replacement Total Knee Replacement COMESEEDR. ABBITODAYATONEOFHISOFFICELOCATIONS COMESEEDR. ABBITODAYATONEOFHISOFFICELOCATIONS MAKEANAPPOINTMENT Dr. GauravAbbigrewupintheBayAreaandattendedUCSanDiegoformedicalschool. HetrainedatUCDavisinOrthopedicsurgeryanddidafellowshipin spinesurgeryatNYU-HospitalforJointDisease. From2012-2016, heworkedatSantaClaraValleyMedicalCenterastheChiefofSpinesurgeryinthe OrthopedicdepartmentandasanassociateProfessoratStanford.  OURSERVICES  AnteriorCervicalDiscectomyAndFusion  PosteriorCervicalSurgery  PosteriorCervicalLaminoplasty  PosteriorCervicalLaminectomyAndFusion  LumbarLaminectomy  LumbarSpinalFusion  KneeReplacement  FractureCare  PeripheralNerveSurgery PATIENTEDUCATION  CervicalDegenerativeConditions  CervicalRadiculopathy  CervicalStenosis/ Myelopathy  LumbarDegenerativeConditions  LumbarDiscHerniation  LumbarSpinalStenosis  LumbarSpondylolisthesis

  6.  PeripheralNerveConditions  Arthritis  Knee/HipReplacement  Fractures  Osteoporosis CONTACTINFO Office #1 728PacificAve #503, SF94133. Phone: 4153985990 Fax: 4153985976 Office #2 2171JuniperoSerraBlvd #388, DC94014. Phone: 6509938349 Fax: 6509938352 EMAIL gauravabbiortho@gmail.com © 2019Dentalcare. AllRightsReserved.

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