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Overview

The Department of Orthopedics at Apollo Hospitals, Gurugram, assesses and treats conditions affecting the bones, joints, muscles, ligaments, tendons and spine. Care may include treatment for arthritis, sports injuries, fractures, back and neck problems, hand or foot conditions, childhood orthopedic disorders, bone infections and bone or soft-tissue tumors.

Many orthopedic conditions improve without surgery. Treatment may involve activity guidance, physiotherapy, medicines, bracing, injections or rehabilitation. Surgery is considered when it is likely to provide a meaningful benefit, when an injury cannot heal adequately without it or when delay could lead to lasting harm. The decision depends on the diagnosis, severity, imaging findings, general health, activity needs and the patient's priorities.

Orthopedic care often involves other specialties. Patients with inflammatory arthritis, diabetes, osteoporosis, infection, neurological symptoms or significant medical conditions may need coordinated input from rheumatology, endocrinology, infectious diseases, neurology, geriatrics, anesthesia, critical care or rehabilitation.

Our Orthopaedic Team

The team may include orthopedic surgeons with focused experience in joint replacement, arthroscopy and sports medicine, spine surgery, trauma, hand and upper-limb surgery, foot and ankle surgery, pediatric orthopedics, limb reconstruction and orthopedic oncology. They may be supported by anesthesiologists, radiologists, physiotherapists, occupational therapists, pain specialists, nurses and rehabilitation professionals. Our specialists include:

Sub-specialities

Joint Replacement and Reconstruction

Assessment and treatment of advanced hip, knee or shoulder joint damage, including total or partial replacement and revision surgery when a previous implant has failed. 

Arthroscopy and Sports Medicine

Diagnosis, rehabilitation and selected keyhole procedures for ligament, cartilage, tendon and joint injuries affecting athletes and active people of different ages. 

Spine Care and Surgery

Treatment of neck and back conditions such as disc prolapse, spinal stenosis, instability, deformity, fractures, infection and selected tumors. Many patients are treated without surgery. 

Trauma and Fracture Care

Emergency and planned care for fractures, dislocations, open injuries, multiple injuries and fractures that have not healed correctly. 

Hand, Wrist and Upper-Limb Surgery

Treatment of tendon, nerve, joint and bone conditions affecting the fingers, hand, wrist, elbow and shoulder, including selected microsurgical procedures. 

Foot and Ankle Surgery

Care for ankle injuries, tendon disorders, arthritis, bunions, flat feet, deformity and other conditions that affect standing and walking. 

Pediatric Orthopedics

Assessment and treatment of fractures, clubfoot, developmental hip problems, limb deformity, growth-plate injuries and other bone or joint conditions in children. 

Bone Health and Fragility Fracture Care

Evaluation of osteoporosis and fracture risk, particularly after a fracture caused by a minor fall, with treatment aimed at reducing the risk of another fracture. 

Limb Reconstruction and Deformity Correction

Management of limb-length differences, bone deformity, nonunion, malunion and complex bone loss using staged or gradual reconstruction when required. 

Orthopedic Oncology

Assessment and surgical treatment of bone and soft-tissue tumors, including limb-preserving surgery where clinically appropriate. 

Orthopedic Rehabilitation

Physiotherapy and occupational therapy before or after injury and surgery, with goals based on mobility, strength, independence, work and return to activity.

Conditions We Treat

  • Arthritis and Joint Conditions
  • Shoulder, Elbow, Wrist and Hand Conditions
  • Sports and Soft Tissue Injuries
  • Fractures and Trauma
  • Spine Conditions
  • Bone Health Conditions
  • Children's Orthopedic Conditions
  • Bone Infections and Tumors
Procedures and Treatments
Arthritis and Joint Conditions
  • Knee osteoarthritis: Loss of joint cartilage can cause pain, stiffness, swelling and difficulty with walking or stairs. Treatment may include exercise, weight management, medicines, selected injections or joint replacement, depending on severity and response.
  • Hip osteoarthritis: Pain may be felt in the groin, thigh or buttock and can make walking, bending, dressing or getting into a vehicle difficult. Examination helps distinguish hip disease from pain referred from the back.
  • Avascular necrosis of the hip: Reduced blood supply can damage the head of the thigh bone and may eventually cause collapse. Treatment depends on the stage, size of the affected area, symptoms and whether the joint surface has collapsed.
  • Inflammatory arthritis: Rheumatoid arthritis and related conditions can cause prolonged morning stiffness, swelling and damage in several joints. Medical treatment is coordinated with rheumatology, while surgery may help selected joints with established damage.
  • Gout and crystal arthritis: Crystals within a joint can cause sudden severe pain, redness and swelling. Joint aspiration may be needed when infection is also possible.
Procedures and Treatments
Shoulder, Elbow, Wrist and Hand Conditions
  • Rotator cuff disorders: Tendon irritation or tearing can cause pain when lifting the arm, weakness and disturbed sleep. Treatment may involve rehabilitation, medicines, selected injections or surgery.
  • Frozen shoulder: Pain and progressive stiffness can markedly restrict movement. The condition often improves over time, but recovery can be prolonged and treatment is individualized.
  • Shoulder instability: A shoulder that repeatedly slips or dislocates may require rehabilitation, imaging and, in selected cases, stabilization surgery.
  • Elbow tendinopathy: Tennis elbow and golfer's elbow cause pain with gripping or lifting and are usually treated with load modification and progressive exercise.
  • Carpal tunnel syndrome: Pressure on the median nerve can cause numbness, tingling or weakness in the hand, often worse at night. Clinical assessment and nerve testing may help guide treatment.
  • Hand injuries and tendon disorders: Tendon or nerve injuries, fractures, trigger finger, de Quervain tenosynovitis and hand deformities may require splinting, therapy, injections or surgery.
Procedures and Treatments
Sports and Soft Tissue Injuries
  • ACL injury: A twisting injury may cause a pop, rapid swelling and a feeling that the knee gives way. Treatment depends on instability, associated injuries, age, sport and activity goals; not every ACL tear requires surgery.
  • Meniscus injury: A meniscal tear may cause joint-line pain, swelling, catching or locking. The tear pattern, symptoms, age and presence of arthritis influence whether rehabilitation, repair or another treatment is appropriate.
  • Ankle sprain and instability: Most ankle ligament injuries recover with protection followed by progressive rehabilitation. Repeated giving way may indicate chronic instability.
  • Muscle and tendon injury: Hamstring, calf, quadriceps, Achilles and other injuries range from mild strains to complete tears and require treatment matched to the structure and severity.
  • Stress injury of bone: Repetitive loading can cause bone stress reactions or fractures. Early X-rays may be normal, so further imaging may be needed when clinical suspicion remains high.
     
Procedures and Treatments
Fractures and Trauma
  • Adult fractures: Fractures of the wrist, hip, shoulder, ankle, arm or leg may be treated with a splint, cast, reduction or surgical fixation according to stability, alignment, skin condition and the patient's needs.
  • Hip fracture in older adults: A hip fracture usually causes severe pain and inability to stand after a fall. Surgery is generally performed as soon as the patient is medically ready, with early mobilization and assessment for osteoporosis and future falls.
  • Dislocations: A joint forced out of position requires prompt assessment and reduction, followed by evaluation for fracture, ligament, nerve or blood-vessel injury.
  • Open fracture: A broken bone associated with a wound is an emergency because of contamination, infection and soft-tissue damage. Treatment may include antibiotics, cleaning of the wound and stabilization.
  • Nonunion and malunion: A fracture may fail to heal or heal in a poor position, leading to pain, deformity or loss of function. Treatment is planned according to biology, alignment, stability and infection status.
  • Multiple injuries: Major trauma may require coordinated care from orthopedics, emergency medicine, general surgery, neurosurgery, vascular surgery, plastic surgery, anesthesia and critical care.
Procedures and Treatments
Spine Conditions
  • Disc prolapse and sciatica: A disc can irritate or compress a nerve, causing back or neck pain that travels into a limb, sometimes with numbness or weakness. Many cases improve without surgery, but progressive weakness or emergency symptoms need urgent assessment.
  • Spinal stenosis: Narrowing around the nerves can cause leg pain, heaviness or weakness during walking. Treatment may include exercise, medicines, selected injections or surgery according to severity.
  • Spondylolisthesis and instability: One vertebra can slip relative to another and cause back pain, nerve symptoms or both. Imaging findings are considered alongside symptoms before treatment is recommended.
  • Scoliosis and spinal deformity: Curvature may appear during growth or develop later through degeneration. Observation, bracing or surgery may be considered according to age, curve size, progression and symptoms.
  • Spinal fracture: Trauma, osteoporosis or disease can cause vertebral fractures. Treatment depends on stability, nerve involvement, pain and the underlying cause.
  • Spinal infection: Persistent back pain, fever, weight loss or neurological symptoms may be caused by infection, including spinal tuberculosis, and require timely investigation and treatment.
  • Cauda equina syndrome: New bladder or bowel dysfunction, numbness around the saddle area, or severe or progressive weakness in both legs can indicate major nerve compression and requires emergency assessment.
Procedures and Treatments
Bone Health Conditions
  • Osteoporosis: Reduced bone strength increases the risk of fracture, often after a minor fall. Risk assessment may include clinical factors, bone-density testing and evaluation for contributing conditions.
  • Fragility fracture: A fracture after low-energy trauma may be the first sign of osteoporosis. Treating the fracture alone does not address the risk of another fracture.
  • Osteomalacia and vitamin D deficiency: Poor bone mineralization can cause bone pain, muscle weakness and fractures. Vitamin D status is interpreted with calcium, kidney, liver, hormonal and nutritional factors.
Procedures and Treatments
Children's Orthopedic Conditions
  • Clubfoot: The foot is turned inward and downward at birth. Serial manipulation and casting using the Ponseti method, often followed by a minor tendon procedure and bracing, corrects many cases when the full protocol is followed.
  • Developmental dysplasia of the hip: The hip joint may be shallow or unstable in infancy. Early detection can allow simpler treatment, while later diagnosis may require more complex care.
  • Bow legs and knock knees: These are often part of normal growth, but assessment is needed when the deformity is severe, worsening, painful, asymmetrical or associated with short stature or a limp.
  • Growth-plate injury: A fracture involving the growing part of a child's bone needs accurate assessment because some injuries can affect later growth or alignment.
  • Perthes disease and limb-length difference: Disorders affecting the growing hip or unequal limb growth may require observation, physiotherapy, bracing or surgery according to severity and age.
Procedures and Treatments
Bone Infections and Tumors

Osteomyelitis: Infection of bone can cause pain, swelling, fever or a draining wound. Treatment may involve cultures, antibiotics and surgery to remove infected tissue.

Septic arthritis: Infection inside a joint can rapidly damage cartilage and requires urgent assessment, joint drainage and antimicrobial treatment.

Prosthetic joint infection: Infection around an artificial joint may cause pain, swelling, wound drainage or implant loosening and often requires coordinated medical and surgical care.

Bone and soft-tissue tumors: A growing lump, persistent or unexplained bone pain, or a fracture through abnormal bone needs specialist assessment. Biopsy should be planned by the team that will manage the tumor because the biopsy route can affect later surgery.

Diagnostics & Investigations

Clinical Examination

Assessment considers the location and pattern of pain, injury mechanism, movement, strength, stability, walking, nerve function and the effect on daily activities.

X-ray

X-rays show fractures, alignment, arthritis, deformity and implant position. Views are selected for the body part and clinical question, and comparison or weight-bearing images may sometimes be useful.

MRI

MRI provides detailed images of ligaments, cartilage, tendons, discs, nerves, bone marrow and soft tissue without ionizing radiation. It is ordered when the result is likely to change management.

CT Scan

CT gives detailed views of complex bone anatomy and may support planning for fractures, joint reconstruction, spine surgery or tumor assessment.

Ultrasound

Musculoskeletal ultrasound can assess selected tendons, muscles, fluid collections and soft tissues and may guide aspiration or injection.

Bone-density Testing

Dual-energy X-ray absorptiometry, commonly called a DXA or DEXA scan, measures bone mineral density and supports fracture-risk assessment. Results are interpreted with age, previous fractures and other risk factors.

Blood Tests

Tests may assess infection, inflammation, anemia, vitamin D, calcium, kidney or liver function, uric acid and selected autoimmune conditions according to the clinical concern.

Joint Aspiration

Fluid taken from a swollen joint can be examined for infection, crystals, blood and inflammation. Suspected septic arthritis requires urgent investigation and treatment.

Nerve Conduction Studies and EMG

These tests assess nerve and muscle function in conditions such as carpal tunnel syndrome, nerve injury or selected limb symptoms arising from the spine.

Bone Scan and Nuclear Medicine Imaging

Tracer-based imaging may help assess selected stress injuries, infection, implant loosening or bone lesions when clinically appropriate. 

Biopsy

A planned sample of bone or soft tissue may be required to diagnose a tumor or difficult infection. Imaging guidance and specialist planning help ensure the sample is taken safely and from the correct area.

Preoperative Assessment and Planning

Imaging, laboratory tests, medication review and anesthesia assessment help determine fitness for surgery, implant planning and measures to reduce complications.

Procedures & Treatments

Physiotherapy and Rehabilitation

Progressive exercise can improve movement, strength, balance and function in arthritis, back pain, tendon problems, sports injuries and recovery after surgery. The program is adjusted to the diagnosis and stage of healing.

Medicines and Pain Management

Analgesics, anti-inflammatory medicines and condition-specific treatment may be used with attention to stomach, kidney, heart, bleeding and medicine-interaction risks.

Braces, Splints, Orthotics and Casts

External support may protect an injury, improve alignment, reduce symptoms or support healing. The need and duration depend on the condition.

Joint and Soft-tissue Injections

Corticosteroid or other injections may be considered for selected joint, bursal or tendon conditions. Benefits are usually temporary and repeated use is not suitable for every patient. 

Platelet-rich Plasma Treatment

PRP may be considered in selected tendon or mild-to-moderate knee osteoarthritis cases, but evidence and response vary. It does not restore severely damaged cartilage, and suitability should be discussed realistically. 

Osteoporosis Treatment

Care may include correction of calcium or vitamin D deficiency, prescribed bone-protective medicines, resistance and weight-bearing exercise, fall-risk reduction and treatment of contributing conditions.

Knee Replacement

Damaged joint surfaces are replaced with artificial components. Total or partial replacement may be considered when symptoms remain severe despite appropriate nonsurgical care. Implant choice and recovery are individualized. 

Hip Replacement

The damaged ball-and-socket joint is replaced with artificial components. Surgical approach, bearing surfaces and postoperative precautions are selected according to anatomy, diagnosis and patient factors. 

Shoulder Replacement

Replacement may be used for advanced arthritis, selected complex fractures or severe rotator-cuff-related joint damage. The implant type depends on bone, tendon and joint condition. 

Revision Joint Replacement

A previous implant may need revision for loosening, wear, infection, fracture, instability or another complication. Revision surgery generally requires additional imaging and planning.

Arthroscopic Surgery

A camera and small instruments are introduced through small incisions for selected ligament, meniscus, cartilage, rotator cuff or instability procedures. Recovery depends on what is repaired rather than incision size alone.

Fracture Reduction and Fixation

Broken bones may be realigned and stabilized with plates, screws, nails, wires or external fixation. The method depends on the bone, fracture pattern, soft tissue, infection risk and patient factors.

Spine Surgery

Procedures may include discectomy, decompression, fusion, fixation or deformity correction. Surgery is recommended only when the clinical findings, imaging and expected benefit support it. 

Hand and Microsurgery

Treatment may include tendon or nerve repair, fracture fixation, carpal tunnel release, trigger-finger release, reconstruction or replantation in selected injuries. 

Limb Reconstruction

Bone grafting, internal devices or external frames may be used for deformity, limb-length difference, bone loss, nonunion or malunion. 

Pediatric Orthopedic Treatment

Care may include Ponseti casting and bracing, treatment for developmental hip dysplasia, growth-guided procedures, fracture care or deformity correction. 

Treatment of Bone and Joint Infection

Management may involve aspiration, surgical washout, removal of infected tissue or implants, targeted antibiotics and staged reconstruction.

Orthopedic Tumor Surgery

Treatment may include planned biopsy, tumor removal and reconstruction, with limb preservation considered when it can provide appropriate disease control and function.

Technology & Advancements

  • Digital Surgical Planning
  • Computer Navigation and Robotic Assistance
  • Modern Joint Implants
  • Arthroscopic Systems
  • Intraoperative Imaging
  • Minimally Invasive Spine Techniques
  • Microsurgical Equipment
  • Enhanced Recovery Pathways
  • Integrated Rehabilitation
Procedures and Treatments
Digital Surgical Planning

Measurements from X-rays or CT scans can support implant sizing, alignment and planning for joint replacement, trauma or deformity correction. 

Procedures and Treatments
Computer Navigation and Robotic Assistance

These systems can support implant positioning during selected joint replacements, but the surgeon remains responsible for planning and execution. 

Procedures and Treatments
Modern Joint Implants

Different implant designs, fixation methods and bearing materials are selected according to anatomy, bone quality, age and activity needs. No implant has a guaranteed lifespan. 

Procedures and Treatments
Arthroscopic Systems

High-definition cameras and specialized instruments allow selected joint procedures through small incisions. The benefits depend on the condition and procedure rather than incision size alone. 

Procedures and Treatments
Intraoperative Imaging

Image intensifiers or three-dimensional imaging may provide real-time views during fracture, spine or reconstruction procedures. 

Procedures and Treatments
Minimally Invasive Spine Techniques

Selected procedures may use smaller access routes to reduce muscle disruption. They are not appropriate for every spine condition. 

Procedures and Treatments
Microsurgical Equipment

Operating microscopes and fine instruments support selected nerve, tendon and blood-vessel repairs. 

Procedures and Treatments
Enhanced Recovery Pathways

Multimodal pain control, early nutrition and safe mobilization may support recovery after selected orthopedic operations. The pathway is adjusted to the patient and procedure

Procedures and Treatments
Integrated Rehabilitation

Early physiotherapy, mobility training and discharge planning can begin during the hospital stay and continue after discharge.

Why Choose Apollo Hospitals for Orthopedics in Gurugram

Subspecialty-Based Care

Patients may be assessed by surgeons with focused experience in joint replacement, sports injuries, spine, trauma, hand, foot and ankle, pediatric orthopedics or tumor surgery.

Non-Surgical Options

Physiotherapy, activity guidance, medicines, bracing and selected injections may be considered before surgery when appropriate.

Surgery and Rehabilitation

Surgical treatment can be coordinated with pain management, physiotherapy and rehabilitation to support recovery and function. 

Fracture and Trauma Care

Imaging, surgery, blood-bank support, critical care and other specialties may be coordinated for complex injuries. 

Joint Reconstruction Services

Primary and revision replacement options may be available for advanced hip, knee or shoulder conditions. 

Care for Complex Patients

Medical conditions, medicine risks, nutrition and mobility are reviewed before major surgery with relevant specialists. 

Bone-Health Follow-up

A fracture after a minor fall can prompt evaluation for osteoporosis and future fracture prevention.

Care for Children

Pediatric assessment may address fractures, clubfoot, hip development, growth-plate injuries and limb alignment.

Frequently Asked Questions

1 When should joint or bone pain be assessed?
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Arrange an assessment when pain persists, recurs, disturbs sleep, limits activity, follows an injury or is associated with swelling, locking, instability, numbness or weakness. Sudden inability to bear weight, a deformed limb, an open injury or a hot swollen joint with fever needs urgent care.

2 Does knee arthritis always require surgery?
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No. Exercise, weight management where relevant, activity changes, medicines and selected injections can reduce symptoms for many people. Replacement is considered when pain and loss of function remain substantial despite appropriate nonsurgical treatment.

3 When is joint replacement considered?
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Joint replacement may be considered when advanced joint damage causes persistent pain and disability and other reasonable treatments no longer provide enough relief. The decision is based on symptoms, examination, imaging, health, goals and expected benefit.

4 How long does recovery after joint replacement take?
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Recovery varies with the joint, operation, age, strength, home support and other health conditions. Walking usually begins early with assistance, but return to driving, work and independent activity should follow the surgeon and rehabilitation team's advice rather than a fixed timeline.

5 How long does a joint replacement last?
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Modern implants often function for many years, but lifespan varies with implant type, fixation, age, activity, body weight, bone quality, infection and other factors. No exact lifespan can be promised for an individual.

6 Can I sit cross-legged or squat after joint replacement?
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The answer depends on the joint, implant, surgical approach, strength and range of movement. Discuss floor sitting, squatting and other culturally important activities before surgery so expectations and rehabilitation can be planned appropriately.

7 Does every ACL tear need surgery?
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No. Some people regain stable function with structured rehabilitation. Surgery may be considered for repeated giving way, associated repairable injuries or a planned return to pivoting activity. Return to sport is based on healing, strength, movement and functional testing, not time alone.

8 Is arthroscopy a minor procedure?
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Arthroscopy uses small incisions, but the work performed inside the joint may still be substantial. Recovery after a simple diagnostic or cleaning procedure differs greatly from recovery after ligament, cartilage, meniscus or tendon repair.

9 How long does a fracture take to heal?
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Healing time varies with the bone, fracture pattern, blood supply, stability, age, smoking, nutrition, diabetes, infection and treatment. Progress is assessed with symptoms, examination and imaging rather than a standard number of weeks.

10 Does back pain need an MRI?
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Usually not at the start when there are no warning signs. Imaging is considered when serious disease is suspected, symptoms are progressive, neurological problems are present or the result is likely to change specialist treatment.

11 When is back pain an emergency?
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Seek emergency assessment for new loss of bladder or bowel control, numbness around the groin or saddle area, severe or progressive weakness in both legs, major trauma or rapidly worsening symptoms with fever or serious illness.

12 Can physiotherapy replace surgery?
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For many conditions, physiotherapy is a primary treatment and surgery may not be needed. In other cases, rehabilitation improves readiness for surgery and supports recovery afterward. The role depends on the diagnosis and severity.

13 Do PRP injections work for knee arthritis?
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Some people with selected knee osteoarthritis may have symptom improvement, but research findings and individual response vary. PRP does not regrow severely damaged cartilage or guarantee that surgery can be avoided.

14 Does a fracture after a minor fall need osteoporosis assessment?
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Often, yes. A low-trauma fracture in an older adult can indicate reduced bone strength and a higher risk of another fracture. Assessment may include fracture-risk review, bone-density testing, blood tests, fall prevention and treatment when indicated.

15 My child has bow legs. Should I be concerned?
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Bow legs and knock knees are often normal stages of growth. Assessment is advisable when the change is marked, worsening, painful, present mainly on one side, associated with a limp or short stature, or outside the expected age pattern.

16 Can clubfoot be treated without major surgery?
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Many babies with isolated clubfoot respond well to the Ponseti method, which uses serial casting, often a small Achilles tendon procedure, and prolonged bracing. Completing the bracing phase is important because recurrence can occur.

17 Is joint replacement possible with diabetes or heart disease?
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It may be, but risk depends on the condition and how well it is controlled. Medical assessment and optimization can reduce risk, and the orthopedic and anesthesia teams decide whether and when surgery is appropriate.

18 Which symptoms suggest a bone or joint infection?
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Severe pain, warmth, swelling, fever, inability to move or bear weight, wound drainage or increasing pain around an implant need prompt assessment. Infection may occasionally occur without a high fever, particularly in older or immunocompromised patients.

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