Total Knee Replacement surgery or TKR is an operative procedure where the damaged knee is replaced using an artificial knee. During the surgery, the ends of the thighbone are ejected and replaced with an artificial metal shell the edge of the leg bone is replaced with a plastic piece over a manmade metal stem.

Many designs with different materials are used in total knee replacement surgery in Chennai. At Bharath Orthopaedics, we use advanced implants to deliver the best clinical outcomes and increase lifestyle.

Procedures followed
There are 3 types of procedures followed Total, Unicondylar / Partial and Revision Knee Replacements for the total knee replacement surgery in Chennai.
Benefits of total knee replacement surgery
Pain relief
Increased movements in the joints
Correction of deformity or straight knee
Strengthens the leg
Quality of life is improved
Ability to return to normal life
Below mentioned are the non-surgical procedures followed

Hyaluronic acid injections or knee shots
Platelet-rich plasma or PRP injections
Stem cell therapy
Hyaluronic acid or knee shots
Hyaluronic acid is like a substance that occurs in the joints, and it acts as a lubricant as well as a shock absorber, helping the joint to work properly. Hyaluronic acid injections are also known as HA or gel injections. They are used in treating knee pain of patients with osteoarthritis or for whom other treatments have been ineffective.

How do hyaluronic acid joint injections work?
1. For a healthy joint, a fluid named hyaluronan provides lubrication. But, if are infected with osteoarthritis, there would be less supply of this fluid. Hyaluronic acid joint injections complement the joint’s hyaluronan with hyaluronic acid.2. It is a basic procedure performed during the total knee replacement surgery in Chennai where the doctor injects hyaluronic acid directly in and around the joints’ area. The injections will depend on the specific type of usage of hyaluronan preparation, but most of the people are injected for three to five weeks.3. If the treatment is effective, you can experience good results within days. Sometimes, the relief often lasts for several months when your doctor may recommend repetitions.

Platelet rich plasma or PRP injections
Plasma is a liquid part of the human blood mostly made of water and protein. It allows red, and white blood cells along with the platelets to move through your bloodstream. Platelets make your blood clot as they play a major role in healing.

How do PRP injections work?
To collect plasma, the surgeon takes samples of blood from your body and to separate the platelet-rich plasma from the blood he uses the machine. Then the area of your body is being treated with PRP injections.

The surgeon uses a needle during the total knee replacement surgery in Chennai to inject the plasma by making the area of your body numb. PRP injections are used to treat torn tendons, muscle injuries, joint injuries, tendinitis and, arthritis.

Stem cell therapy
Stem cells are special cells that act as building blocks and have the potential to distinguish the types of cells within the human body. It is a strategy to repair degenerative cartilage than implantation with a key focus of tissue on the functional replacement of cartilage and meniscus regeneration.

How does stem cell therapy work?
During the procedure, your physician will draw the blood through a peripheral vein. Then the physician will extract a sample of your bone marrow from the iliac crest which is considered one of the most fruitful sites to harvest stem cells.

The blood samples and bone marrow samples are used for the total knee replacement surgery in Chennai to prepare an injection of growth factors from the blood and stem cells processed out of the bone marrow. This mixture is injected into the affected orthopaedic therapy targeted area to promote healing and recovery.

Also in some cases, total knee replacement surgery in Chennai includes knee cartilage transplants in which the damaged cartilage will be replaced with a new one.

When do you require total knee replacement surgery in Chennai?
1. If you are aged above 55 2. If you have severe knee pain which limits your routine activities like walking, sitting, and climbing stairs.3. If the moderate pain increases gradually to severe knee pain, especially while resting4. If you have any deformities5. If you are intaking drugs for a long period causing you side effects6. If you have Osteoarthritis which is nothing but the wear and tear of the protective cartilage7. If your immune system weakens with pain in joints or other areas. 8. If you have been swelling with pain around the knee.

While our QuickBooks accountants were answering QuickBooks related questions on Yahoo Answers asked by small business accountants, they came across a few interesting ones regarding how to book income coming from Groupon and donations (the last for a nonprofit organization) or giving customers a refund. We thought to put the answers and questions together in case you find yourselves needing to book similar transactions in your QB accounting business software.

Q1: Customer refund in QuickBooks?
I make a customer receipt for every payment the customer makes. At the end of the day, I go to “record deposits” tab and check every payment; this will make my deposit amount. Sometimes I have to give a cash refund to the customer for the service they have already used and those money was already deposited before. When I make a refund in QuickBooks it does not reduce my deposit amount in the deposit screen. How do I reduce the amount of money in the “record deposit screen”?

A: If you use the “Use Credit To” functionality of a credit memo, it will only allow you to record the refund directly against your bank account, instead of grouping it with other Undeposited Funds. The simplest method to do this would be to create a Journal Entry instead of using the Credit Memo/Refund transaction. You would debit the Income account and credit Undeposited Funds for the amount of the refund. This will then show in the Payments to deposit window as a negative amount. Keep in mind that QuickBooks will not let you make a negative ‘deposit’, however, so you will need to have more to deposit than refund for the day.

Q2: How do you book income Groupon in QuickBooks?
I am a bookkeeper and I have a new client that is using Groupon to promote his business.
Two Questions:
1) I want to book the income as Unearned Revenue and as service is used book that amount as sales. Is that the correct way anyone else is handling Groupon Revenue?
2) What if the Groupon is not redeemed, the amount I assume stays in Unearned Revenue, but what if they customer never shows or uses the Groupon?

A: I would recommend treating the Groupon similar to a gift certificate. You can create another charge item and link it to a liability account. If the customer never redeems the Groupon, then you would move the amount from the liability to income. Keep in mind that you would have to reverse this transaction if the customer ever did show up.

Q3: Can you use Intuit QuickBook as a donation method?
I work at a non-profit charter school. We use QuickBooks for employee paychecks and use QuickBooks for an after school program for requesting payment. The payment is through QuickBooks. The parents get an invoice and they pay that payment through a billpay.quickbooks.com link.
We want to set up a similar method for people want to do donations. Can we do this? So instead of payments, it would be a donation account? A separate account where this money goes?

A: QuickBooks can track donations to a separate account, but you would first have to create an invoice for the amount in order for it to show up on billpay.quickbooks.com.
There is a preference you can turn on that will let you select which account a payment is going to be going to (by default, it’s Undeposited Funds). You can specify a separate bank account for any donation payments received.

The thought of experiencing the unique taste and aroma of spice tea or masala chai brings into one�s mind the unique feeling of favoring a tea that is prepared with black tea and spiced with spices like pepper, ginger, cinnamon, cardamom, nutmeg, and cloves and smells great. This tea can be prepared in various ways and it is a real rejuvenating feeling getting the aroma and taste that really refreshes and boosts ones feeling and spirits.

Talking of spicy tea brings ones thought to the black pepper; the spicy aroma and taste of black pepper promotes a feeling of well being and brings with it various health benefits. Black pepper brings with it the health benefit of being an antioxidant; this offers protection to health and is also one of the best protections against cardiovascular disease and bad cholesterol. Also it has anti-viral and anti cancer properties.

I would really like the fragrance of tea with ginger that not only helps cure a sore throat, cold or flu but is also invaluable for an upset stomach as well as for blood circulation. The aroma and taste of ginger promotes a feeling of well; ginger also reduces inflammation and boosts the immune system of the body. Drinking of spice tea with black pepper and ginger surely helps cure aches and pains especially arthritis. Also along with an enhanced feeling come antioxidants to protect health and offer protection from cancer.

It is best to drink spice tea or masala chai in such a way that you are able to savor its full aroma and taste. Masala chai made with the combination of fresh spices is to be boiled and then left to simmer. Once the tea is brewed for some time it is to be served; this helps to release its full aroma, potency and taste. How I relish the aroma and taste that cardamom in spice tea; this aromatic spice helps in digestion and boosts the immune system. It is again significant to note that this aromatic spice helps to make you feel good and healthy as it detoxifies the body, promotes circulation and also fights respiratory allergies.

I can smell and taste the aromatic spice cinnamon; this would make one feel stimulated. Cinnamon is one more useful spice that adds to the great taste and aroma of spice tea; it helps in balancing blood sugar, aids digestion and could make you feel healthy as it also has antioxidant, antibacterial and anti-inflammatory properties.

You need to experience it to talk about it; anyone would love to drink the aromatic and tasty spice tea with fennel. The great aroma of fennel with that sweet taste has more to it; it is rich in antioxidants and also offers protection against cancer. It is also true that this aromatic spice is also rich in Vitamin C, potassium and fiber and proves great to treat flatulence. Clove the right spice to make one feel invigorating has made many feel healthy at the very sip, it treats vomiting and nausea and is one of the best spice to relieve pain and has anti bacterial properties.

The aroma and taste of masala tea or spice tea is invigorating; experience it to vouch it.

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