Practice Hours
Mon - Sat (In Clinic Visits)
9:30 AM - 01:00 PM,
04:30 PM - 08:00 PM
04:30 PM - 08:00 PM
Only with Appointment
Address
71, 3rd Main Rd, NGEF Colony, Sachidananda Nagar, Raj Mahal Vilas 2nd Stage, R.M.V. 2nd Stage, Bengaluru, Karnataka 560094
Consultation Fees ₹600 /- onwards
Dr Praveen S Battepati
With 20+ years of exposure to Orthopaedics, Dr. Praveen S Battepati has worked full time at the prestigious HOSMAT Hospital for close to 14 years. He has extensive experience in Primary and Revision Joint Replacements of the hip and knee, Fracture fixations, Sports Medicine, Osteoporosis, and treating pain in the joints, bones and muscles. As the first stop Consultant for all your Orthopaedic problems, Dr. Praveen S Battepati focuses on providing patients with the best possible solution which may encompass Rest, Medication, Physiotherapy or Surgery. As a Doctor believing in protocols he aims to provide individualised and personalised treatment in accordance to the latest Evidence Based Medicine.
Specialization
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Primary Knee Replacement
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Primary Hip Replacement
Primary Hip Replacement
8 Facts about Primary Hip Replacement
- It also means resurfacing. The worn-out cartilage surface is removed and lined with smooth metal, ceramic or poly materials.
- The Main indication is severe pain due to rough Cartilage, which has not improved with medication, physiotherapy.
- The quality of life will improve so that the person undergoing surgery will be independent and pain-free.
- In Hip Replacement, the bearing surfaces are Polyethylene, Ceramic, Metal. The type of fixation can be Uncemented, Cemented, or Hybrid.
- The bearing surface, implant design, and type of fixation depend on factors like the patient's age, local condition, and bone strength.
- Common Causes for surgery are Osteoarthritis, Rheumatoid Arthritis, AVN, Fractures of the proximal femur.
- The success rate of the surgery is around 98% for a 10-15 year duration.
- It is one of the very few procedures that give dramatic results immediately after surgery.
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Revision Knee Replacement
Revision Knee Replacement
8 Facts about Revision Knee Replacement
- It means to remove the old implant and put a new one.
- The most common causes are Aseptic Loosening, Infection, Instability, Fracture involving the implant.
- When we improve the implant, part of the bone comes out, and ligaments get stretched. So the implant that we put will be of the next level, i.e., more constrained.
- In case of infection, we will do it in 2 stages. In the first stage, we remove the affected implant, clean the surfaces, apply Antibiotic laden cement. Wait for 6-8 weeks and then reoperate, remove the cement spacers, clean and, put the new implant.
- In non-infectious cases, We can do revise in a single-stage.
- Revisions are usually of all the components, but in very early mild infections, we can debride and change only the poly insert.
- The Patient has to be optimized as the duration of Surgery is much longer than the primary surgery.
- The more constrained the Implant design, the life span of the implant decreases.
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Revision Hip Replacement
Revision Hip Replacement
8 Facts about Revision Hip Replacement
- It means to remove the old implant and put a new one.
- The most common causes are Aseptic Loosening, Infection, Instability and, Dislocation, Fracture of the implant, fracture around the implant.
- When we improve the implant, part of the bone comes out. So there is a loss of bone stock in the Acetabular area, Proximal femur. The Abductor mechanism is also compromised in some cases. The revision implant, i.e., the design of Acetabular cup, liner, Femoral stem length, offset, Head size, bearing surfaces, will be based on these factors.
- In case of infection, We will do it in 2 stages. In the first stage, we remove the affected implant, clean the surfaces, apply Antibiotic laden cement over Austin Moore prosthesis or a Bipolar, and Insert it in the Femoral canal. We can insert commercially available Antibiotic loaded cement spacers. Wait for 6-8 weeks and then re-operate, remove the cement spacers, clean, and put the new implant.
- We have to keep a spectrum of Implants like augments, long implants, cemented stems, cables on standby during the surgery.
- In non-infectious cases, We can revise single-stage
- The Patient has to be optimized as the duration of Surgery is much longer than the primary surgery.
- Revision Hip surgery requires Planning, Team Work, Patience.
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Periprosthetic Fractures
Periprosthetic Fractures
8 Facts about Periprosthetic Fracture.
- It means a fracture in the bone surrounding the artificial joint placed there, for Eg. fracture around a Total Knee or Total Hip.
- Usually occurs due to a fall or, in rare cases, excessive stress or Osteoporosis.
- It is important to analyze whether the Prosthesis is loose or well-fitting.
- If the Prosthesis is well-fitting, then we can fix the fracture.
- If the Prosthesis is loose, then we have to fix the fracture and use a new prosthesis that is longer and bypasses the fracture.
- The whole process of treatment is more challenging than treating a normal fracture or only arthritis. More stress to the body. Longer duration of surgery. Slower and longer rehabilitation compared to a normal fracture treatment or an isolated joint replacement.
- The treatment cost is also significantly increased because of the special implant requirement, longer stay, and surgery duration.
- So, Prevention of fracture in patients with a joint replacement should be a priority. We should educate Patients about Fall prevention changes at home, exercises to keep core muscles strong, use walking aids if necessary, take care of osteoporosis.
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Osteoporosis
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Sports Injuries
Sports Injuries
8 Facts about Sports Injuries.
- Sports injuries usually cause damage to the Cartilage, Ligaments, Meniscus
- The most commonly Injured areas are Knee, Shoulder, Ankle.
- If the degree of injury is mild to moderate, it usually heals with Rest, Medication, and Physiotherapy.
- When Injury is severe, it has to be resolved by Surgery.
- The most preferred Surgical Option is Arthroscopic Method, wherein, using small incisions, scopes are introduced into the Joint, and the injured structures are repaired or reconstructed.
- Since Incisions are small, recovery is faster.
- Most of the implants used to repair/reconstruct the injured structures are Bioabsorbable. We need not remove them.
- After Surgery and proper rehabilitation, persons can return to sporting activities.
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Arthritis
Arthritis
8 Facts about Polyarthritis.
- It simply means pain in multiple joints.
- Can be Associated with fever, rashes, swelling of the joints
- The most common causes are Rheumatoid Arthritis, Gout, psoriasis, post-viral fever.
- Can involve the peripheral joints and the spine also
- Treatment is multimodal with Drugs, Physiotherapy, Meditation, and sometimes surgery.
- Can be debilitating if neglected.
- Drugs have to be taken life long
- Needs to follow up with the Doctor regularly.
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Fractures & Dislocation
Fractures & Dislocation
14 Facts about Fractures.
- It simply means a break in the bone.
- Usually occurs due to injury to the bone, which may be due to trivial energy - like fall while walking or fall from the bed. It can also be due to Road Traffic Accident, Fall from height, Assault.
- Usually, there is much pain, swelling, deformity of the affected bone, and loss of function like cannot walk if there is a lower limb fracture.
- The first aid treatment in fractures till you reach the medical help will be temporary splinting, Local Icepacks.
- Fractures can be closed where the soft tissue envelope is intact or open fracture where the soft tissue envelope is breached.
- Apart from the bone, the trauma can injure tissues like muscles, nerves, skin, and vessels.
- Injury to the Vessels is an Absolute Emergency. If not handled within 6-12 hours, the affected limb's amputation is the usual result.
- Fracture of the long bones like the femur or Multiple fractures can cause a lot of blood loss, and the patient can go in for a shock.
- If the injury to the spine is significant, then there is a high chance that the fractured fragments can press on the spinal cord or the nerves, then there can be paralysis of the affected limb.
- Treatment of isolated, closed single bone fracture can vary from splinting, casting, or surgery depending on displacement.
- Treatment of Open fractures, Polytrauma, Vessel Injuries requires a Multidisciplinary approach in an Institutional setting where the priority is to Optimise the patient, like treat the shock, operate the fractures in stages as the condition permits, rehabilitate the patient.
- Surgery can be in the form of K wiring, Plating, Cabling, Interlocking Nailing.
- General Guidelines when a Fracture occurs...
- a. If it is a small bone & it is a closed fracture, Can go to the clinic.
- b. If a large bone like the thigh or hip area, spine, open fracture, or injury has occurred due to high energy (RTA ), please rush the patient to an Institute.
- Always better to get treatment from an Orthopaedic Surgeon. Getting Native treatments like splinting, massaging, coin treatment from quacks does more harm than good.
Prapoorna Ortho Consult
It is a 1200 plus square feet clinic situated on the 2nd floor amidst a beautiful garden. Lift access is available for both walking and wheel chair bound patients. It is a place where Dr. Praveen. S. Battepati will hear your problems, examine you and solve the issue in the best possible manner. The staff are trained to deal with patients and family members with empathy. The Clinic is situated adjacent to a 50 feet road due to which parking is not much of a problem.
Services
Articles
Eight Facts about Primary Knee Replacement
23 Mar 2021
It also means resurfacing. The worn-out cartilage surface is removed and lined with smooth metal, ce… Read more..
Eight Facts about Revision Knee Replacement
16 Feb 2021
It means to remove the old implant and put a new one. The most common causes are Aseptic Loosening,… Read more..
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