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Cyber Knife Treatment India
Cyberknife Treatment:

Cyberknife treatment ranks among the latest cancer treatment procedures. It has
opened up a new dimension and revolutionary approach in the field of stereotactic radio
surgery for the cure of various types of cancers. Cyberknife is an all total outpatient and
non-invasive treatment procedures in which the tumors are destroyed are radiation.
One of the main benefits of the treatment is that there are no side effects and risks of
post surgery like other conventional surgical procedures. Radiation can be put to any
part of the body every effectively.

Cyberknife History:

The history began in 1987 when John R. Adler, M.D., professor of neurosurgery and radiation oncology at Stanford University
Medical Center, developed the Cyberknife System after completing a fellowship in Sweden with Lars Leksell, MD, the founder
of radio surgery. With the Cyberknife System, Adler’s vision was to develop a non-invasive robotic radio surgery system with
superior accuracy for treatment of tumors anywhere in the body. The revolutionary concept reached far beyond the practice of
radio surgery at the time, which restricted radio surgery to the treatment of intracranial tumors.

Since the launch of the Cyberknife System, Accuracy has undertaken an aggressive strategy to develop system
enhancements that facilitate clinicians’ ability to treat tumors anywhere in the body with the highest levels of accuracy.
Currently, Accuracy has installed more than 150 Cyberknife Systems worldwide and a large body of peer-reviewed papers
supports its clinical practice. Accuracy is committed not only to continuing its tradition of advancing the field of robotic radio
surgery, but also to providing its customers with the highest level of support in their ongoing efforts to fight cancer.

How is Cyberknife different from other Stereotactic Radiosurgery Systems?

    •   The Cyberknife, like other stereotactic radio surgery systems, uses a linear accelerator (beam source) and image
        guidance.

    •   Unlike some other systems, Cyberknife image guidance is repeated throughout treatment delivery in order to
        compensate in real time for small changes in patient or tumor position, which is especially helpful for tumors that move
        with breathing.

    •   In addition, the Cyberknife utilizes a robotic arm that gives the system flexibility to reach areas of the body that are
        unreachable by other radio surgery systems.

    •   The Cyberknife system is able to locate tumors within the body without the use of an invasive stereotactic frame used
        with other systems. This is much more convenient and less traumatic for patients.


Conditions Treated with Cyberknife:

The following conditions can be successfully treated with the Cyberknife:

    •   Spine tumors
    •   Brain tumors
    •   Lung cancers
    •   Metastatic cancers — or cancers that have spread — to the brain, lung and spine
    •   Pancreatic cancers
    •   Prostate cancer for adults
    •   Other lesions, tumors and conditions in the body where radiation treatment is indicated
Cyberknife Treatment Preparations:

Preparations work is often done prior to the scheduled Cyberknife treatment procedure.

    •   Making a Mask or Body Mold
        A mask (for treating brain tumors) or a body mold will be made and used to
        minimize patient movement during the treatment. The process is simple
        and painless.

    •   CT scan
        A CT Scan will be taken prior to the Cyberknife treatment procedure.
         The surgeon and radiation oncologist will use the scan to identify the exact size,
        shape and location of the tumor to be targeted along with the surrounding vital
        structures that need to be avoided.

    •   Once the CT Scan is performed and the results are studied, physicians will use the Cyberknife system's advanced
        software to determine the amount, intensity and direction of the radiation beams the root will deliver to the target. The
        system is very careful to ensure that a sufficient dose is administered to destroy the tumor without damaging the
        adjacent normal tissue.

    •   Physicians have the option to choose forward or Inverse Treatment Planning, depending on each patient's unique
        situation, including tumor location and proximity to critical structures.

Cyberknife Treatment Procedure:

    •   During Cyberknife treatment procedure, the patient is fitted with the custom plastic mask (for cranial tumors) or body
        cradle (for spinal tumors/lesions or other extra cranial tumors such as lung or pancreas) and lies on the treatment
        table.
    •   Prior to beginning of the actual radiation treatment, the imaging system acquires x-ray image of the patient position.
        This information, compared with the information gathered with the CT scan, is used to move the linear accelerator to
        the appropriate position by the robot.
    •   This process is repeated at 50 to 200 different positions around the patient to complete the treatment. At various
        intervals, the robot stops and additional x-ray images are obtained, thereby allowing the Cyberknife to track and
        compensate for small amounts of patient movement.
    •   The entire process is painless, and it typically takes between 30 to 60 minutes to deliver all radiation beams for cranial
        treatments. Most typically a patient can go home immediately upon completion and return to normal activities. If the
        treatment prescription is for staged (fractionated) radio surgery, the patient will return on a separate visit and repeat
        the above process for treatment delivery.

Cyberknife Treatment Advantages:

Cyberknife treatment is preferred over other invasive surgical methods since it consists of minimal complications. Apart from
this, there are other advantages which are -

    •   Extremely accurate radiation targeting means higher doses of radiation can be used, offering the patient a better
        chance for cure
    •   Treats hard-to-reach tumors, many that may have been diagnosed as inoperable
    •   Tumors receive radiation from many angles, minimizing damage to healthy tissue
    •   Continually checks and compensates for any movement you make during treatments, ensuring accuracy
    •   Requires no metal head frame or skull pins
    •   Eliminates risks related to surgery, including potential infection, complication from anesthesia and post-operative
        bleeding
    •   Requires no recovery time. Most treatments are done on an outpatient basis
    •   Patients undergo their treatment and immediately resume normal daily activities
    •   Reduces pain
    •   Requires no or minimal sedation
Cyberknife Treatment Follow up:

After the radio surgery treatment, follow-up with MRI are usually done in 3 to 6 months. The physicians will explain to the
patients such procedure at the end of the treatment.

Cyberknife Treatment Risks:

Because the Cyberknife system is non-invasive, there are lower risks of complications when compared to other treatment
options, including a lower risk of infections, lower risk of hemorrhage/severe blood loss, decreased risk of hearing loss, and
decreased risk of alteration in feeling to the extremities.

Cyberknife Treatment India:

India has been offering Cyberknife treatment for almost four years now. So, that makes India the most experienced
Cyberknife center in Asia, which also means that as there will be a good number of patients who have received Cyberknife
treatment, you can talk to them about their experiences.The other benefits of Cyberknife treatment in India are that there are
no waiting lines and as there are little or no side-effects, you can also treat yourself to a lovely vacation in multi-cultural India.

Medical tourists from the U.S., U.K., Middle East, and other parts of Europe can benefit from quality Cyberknife radio surgery
in India. This is because India offers:

    •   Modern, hygienic hospital with 5-star facilities and US Joint Commission International Accreditation.
    •   Internationally qualified, English-speaking surgeons and specialists.
    •   The latest advanced medical equipment and techniques.
    •   Medical staff, among whom, many have trained and gained experience from the U.S.
    •   Excellent patient care and a special department for international patients.
    •   Not too far or too expensive to travel.




Cost of Cyberknife Treatment in India:

    •   Cyberknife treatment costs will vary from patient to patient and between centers, but hospital, accommodation and
        associated expenses are generally much lower than with conventional surgery.
    •   Cost of Cyberknife treatment will depend on geographical location as well as the type and location of the tumor being
        treated.
    •   Costs will also depend on the number of sessions necessary to treat the tumor. Patients in the United States can
        expect to pay between $50,000 to $100,000 for Cyberknife treatment, which may or may not include follow-up visits
        and hospitalization costs.
    •   Patients traveling to India save 60% to 80% of the cost than that offered in US and UK.

Cyberknife Treatment in India with Tour2india4health Group:

Tour2india4health Group provides comprehensive medical services to international patients for Cyberknife treatment in India
at low cost. Patient just has to send a detailed query about the Cyberknife treatment and his/her conditions and soon he/she
will be contacted by and Tour2india4health Group assistant. That assistant will answer you query in detail and guide you with
the rest of the procedures to get the treatment done in India.
Cyberknife treatment in India is available in following cities;

                            Mumbai                      Hyderabad                      Kerala
                              Delhi                        Pune                         Goa
                           Bangalore                      Nagpur                       Jaipur
                            Chennai                      Gurgaon                    Chandigarh


Some of the common countries from which patients travel to India for surgery are:



                             USA                           UK                         Canada
                           Australia                 New Zealand                      Nigeria
                            Kenya                       Ethiopia                      Uganda
                           Tanzania                     Zambia                        Congo
                          Sri Lanka                   Bangladesh                     Pakistan
                         Afghanistan                     Nepal                     Uzbekhistan


ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign,
democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and
timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and
revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur,
Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

    •   Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for
        many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco
        structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district
        of Colaba in Mumbai is a great place to start exploring this great city.
    •   Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a
        continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing
        number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in
        the world.
    •   Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit
        Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea,
        Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists
        will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters,
        windsurfing and scuba diving.
    •   Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India
        then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of
        India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore
        has made its own attraction for travelers as one of the most charming cities in India,
    •   Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable
        transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and
        affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra..
Urology Surgery in India Patients Testimonial:
                               Knee Replacement                          Surgery in India
                                      Knee replacement surgery also known as knee arthroplasty is procedure to replace the
                                      weight-bearing surfaces of the knee joint to relieve the pain and disability of
                                      osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis
                                      and psoriatic arthritis. The procedure has been proven to help individuals return back to
                                      moderately challenging activities such as golf, bicycling, and swimming. Total knees
                                      are not designed for jogging, or sports like tennis and skiing (although there certainly
                                      are people with total knee replacements that participate in such sports). Knee
                                      replacement is a routine surgery performed on over 600,000 people worldwide each
                                      year. Over 90% of people who have had Total Knee Replacement experience an
                                      improvement in knee pain and function.

     My own surgeon in my home country was unable to provide me best medical healthcare facilities for urosurgery. I
     was so impressed not only with the surgeons, staff but also the care, dedication and service I received for urology
Knee surgery at Hyderabad in India. "I believe it is essential to find a surgeon that you can give absolute trust to. All
      Replacement Surgery Candidates
A person would be considered a candidate for knee replacement if there is:
     doctors always

    •   Daily pain
    •   The pain is severe enough to restrict work, recreation and ordinary activities of daily living
    •   Significant stiffness in the knee
    •   Significant instability (constant giving way) of the knee
    •   Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee
    •   Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis


Success Rate of Knee Replacement Surgery:
Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be
the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans
back on their feet and allowed them to enjoy their golden years.


Knee Replacement Surgery Preparations:

    •   If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.
    •   If you drink, don't have any alcohol for at least 48 hours before surgery.
    •   Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to
        strengthen your upper body will help you cope with crutches or a walker after surgery.
    •   Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery.
        This examination will assess your health and your risk for anesthesia. The results of this examination should be
        forwarded to your orthopaedic surgeon, along with a surgical clearance.
    •   Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and
        answer any last-minute questions.
    •   You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray.
    •   Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to
        stop taking certain medications or your surgeon may recommend substitute medications until your surgery.
        Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.

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Cyber Knife Treatment India

  • 1.
  • 2. Cyber Knife Treatment India Cyberknife Treatment: Cyberknife treatment ranks among the latest cancer treatment procedures. It has opened up a new dimension and revolutionary approach in the field of stereotactic radio surgery for the cure of various types of cancers. Cyberknife is an all total outpatient and non-invasive treatment procedures in which the tumors are destroyed are radiation. One of the main benefits of the treatment is that there are no side effects and risks of post surgery like other conventional surgical procedures. Radiation can be put to any part of the body every effectively. Cyberknife History: The history began in 1987 when John R. Adler, M.D., professor of neurosurgery and radiation oncology at Stanford University Medical Center, developed the Cyberknife System after completing a fellowship in Sweden with Lars Leksell, MD, the founder of radio surgery. With the Cyberknife System, Adler’s vision was to develop a non-invasive robotic radio surgery system with superior accuracy for treatment of tumors anywhere in the body. The revolutionary concept reached far beyond the practice of radio surgery at the time, which restricted radio surgery to the treatment of intracranial tumors. Since the launch of the Cyberknife System, Accuracy has undertaken an aggressive strategy to develop system enhancements that facilitate clinicians’ ability to treat tumors anywhere in the body with the highest levels of accuracy. Currently, Accuracy has installed more than 150 Cyberknife Systems worldwide and a large body of peer-reviewed papers supports its clinical practice. Accuracy is committed not only to continuing its tradition of advancing the field of robotic radio surgery, but also to providing its customers with the highest level of support in their ongoing efforts to fight cancer. How is Cyberknife different from other Stereotactic Radiosurgery Systems? • The Cyberknife, like other stereotactic radio surgery systems, uses a linear accelerator (beam source) and image guidance. • Unlike some other systems, Cyberknife image guidance is repeated throughout treatment delivery in order to compensate in real time for small changes in patient or tumor position, which is especially helpful for tumors that move with breathing. • In addition, the Cyberknife utilizes a robotic arm that gives the system flexibility to reach areas of the body that are unreachable by other radio surgery systems. • The Cyberknife system is able to locate tumors within the body without the use of an invasive stereotactic frame used with other systems. This is much more convenient and less traumatic for patients. Conditions Treated with Cyberknife: The following conditions can be successfully treated with the Cyberknife: • Spine tumors • Brain tumors • Lung cancers • Metastatic cancers — or cancers that have spread — to the brain, lung and spine • Pancreatic cancers • Prostate cancer for adults • Other lesions, tumors and conditions in the body where radiation treatment is indicated
  • 3. Cyberknife Treatment Preparations: Preparations work is often done prior to the scheduled Cyberknife treatment procedure. • Making a Mask or Body Mold A mask (for treating brain tumors) or a body mold will be made and used to minimize patient movement during the treatment. The process is simple and painless. • CT scan A CT Scan will be taken prior to the Cyberknife treatment procedure. The surgeon and radiation oncologist will use the scan to identify the exact size, shape and location of the tumor to be targeted along with the surrounding vital structures that need to be avoided. • Once the CT Scan is performed and the results are studied, physicians will use the Cyberknife system's advanced software to determine the amount, intensity and direction of the radiation beams the root will deliver to the target. The system is very careful to ensure that a sufficient dose is administered to destroy the tumor without damaging the adjacent normal tissue. • Physicians have the option to choose forward or Inverse Treatment Planning, depending on each patient's unique situation, including tumor location and proximity to critical structures. Cyberknife Treatment Procedure: • During Cyberknife treatment procedure, the patient is fitted with the custom plastic mask (for cranial tumors) or body cradle (for spinal tumors/lesions or other extra cranial tumors such as lung or pancreas) and lies on the treatment table. • Prior to beginning of the actual radiation treatment, the imaging system acquires x-ray image of the patient position. This information, compared with the information gathered with the CT scan, is used to move the linear accelerator to the appropriate position by the robot. • This process is repeated at 50 to 200 different positions around the patient to complete the treatment. At various intervals, the robot stops and additional x-ray images are obtained, thereby allowing the Cyberknife to track and compensate for small amounts of patient movement. • The entire process is painless, and it typically takes between 30 to 60 minutes to deliver all radiation beams for cranial treatments. Most typically a patient can go home immediately upon completion and return to normal activities. If the treatment prescription is for staged (fractionated) radio surgery, the patient will return on a separate visit and repeat the above process for treatment delivery. Cyberknife Treatment Advantages: Cyberknife treatment is preferred over other invasive surgical methods since it consists of minimal complications. Apart from this, there are other advantages which are - • Extremely accurate radiation targeting means higher doses of radiation can be used, offering the patient a better chance for cure • Treats hard-to-reach tumors, many that may have been diagnosed as inoperable • Tumors receive radiation from many angles, minimizing damage to healthy tissue • Continually checks and compensates for any movement you make during treatments, ensuring accuracy • Requires no metal head frame or skull pins • Eliminates risks related to surgery, including potential infection, complication from anesthesia and post-operative bleeding • Requires no recovery time. Most treatments are done on an outpatient basis • Patients undergo their treatment and immediately resume normal daily activities • Reduces pain • Requires no or minimal sedation
  • 4. Cyberknife Treatment Follow up: After the radio surgery treatment, follow-up with MRI are usually done in 3 to 6 months. The physicians will explain to the patients such procedure at the end of the treatment. Cyberknife Treatment Risks: Because the Cyberknife system is non-invasive, there are lower risks of complications when compared to other treatment options, including a lower risk of infections, lower risk of hemorrhage/severe blood loss, decreased risk of hearing loss, and decreased risk of alteration in feeling to the extremities. Cyberknife Treatment India: India has been offering Cyberknife treatment for almost four years now. So, that makes India the most experienced Cyberknife center in Asia, which also means that as there will be a good number of patients who have received Cyberknife treatment, you can talk to them about their experiences.The other benefits of Cyberknife treatment in India are that there are no waiting lines and as there are little or no side-effects, you can also treat yourself to a lovely vacation in multi-cultural India. Medical tourists from the U.S., U.K., Middle East, and other parts of Europe can benefit from quality Cyberknife radio surgery in India. This is because India offers: • Modern, hygienic hospital with 5-star facilities and US Joint Commission International Accreditation. • Internationally qualified, English-speaking surgeons and specialists. • The latest advanced medical equipment and techniques. • Medical staff, among whom, many have trained and gained experience from the U.S. • Excellent patient care and a special department for international patients. • Not too far or too expensive to travel. Cost of Cyberknife Treatment in India: • Cyberknife treatment costs will vary from patient to patient and between centers, but hospital, accommodation and associated expenses are generally much lower than with conventional surgery. • Cost of Cyberknife treatment will depend on geographical location as well as the type and location of the tumor being treated. • Costs will also depend on the number of sessions necessary to treat the tumor. Patients in the United States can expect to pay between $50,000 to $100,000 for Cyberknife treatment, which may or may not include follow-up visits and hospitalization costs. • Patients traveling to India save 60% to 80% of the cost than that offered in US and UK. Cyberknife Treatment in India with Tour2india4health Group: Tour2india4health Group provides comprehensive medical services to international patients for Cyberknife treatment in India at low cost. Patient just has to send a detailed query about the Cyberknife treatment and his/her conditions and soon he/she will be contacted by and Tour2india4health Group assistant. That assistant will answer you query in detail and guide you with the rest of the procedures to get the treatment done in India.
  • 5. Cyberknife treatment in India is available in following cities; Mumbai Hyderabad Kerala Delhi Pune Goa Bangalore Nagpur Jaipur Chennai Gurgaon Chandigarh Some of the common countries from which patients travel to India for surgery are: USA UK Canada Australia New Zealand Nigeria Kenya Ethiopia Uganda Tanzania Zambia Congo Sri Lanka Bangladesh Pakistan Afghanistan Nepal Uzbekhistan ABOUT INDIA Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service. • Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city. • Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world. • Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving. • Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India, • Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra..
  • 6. Urology Surgery in India Patients Testimonial: Knee Replacement Surgery in India Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function. My own surgeon in my home country was unable to provide me best medical healthcare facilities for urosurgery. I was so impressed not only with the surgeons, staff but also the care, dedication and service I received for urology Knee surgery at Hyderabad in India. "I believe it is essential to find a surgeon that you can give absolute trust to. All Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is: doctors always • Daily pain • The pain is severe enough to restrict work, recreation and ordinary activities of daily living • Significant stiffness in the knee • Significant instability (constant giving way) of the knee • Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee • Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years. Knee Replacement Surgery Preparations: • If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery. • If you drink, don't have any alcohol for at least 48 hours before surgery. • Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery. • Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance. • Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions. • You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray. • Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.