Both Knee Replacement

The benefits of Same-Day-Both-Knee Surgery are, that it takes you half the time to recover, from the knee surgery fully. Although you are out of bed and walking on the first day after surgery and climbing stairs 3 days after surgery, it takes approximately 3 months to fully recover from this surgery and have complete freedom, to do what you like.

If you are planning to do one knee surgery at a time, this means it will take (3+3) 6 months for full recovery!. Of course, not everyone is fit enough for both knee surgery. But if you are a healthy person, then it makes sense to have both knees operated at the same time. Most of my patients prefer both knee surgery on the same day and if they are fit, I offer it to them.

I have been performing TKR surgery since 1988 in the United Kingdom and from 1990 in India. All of my surgeries are today performed at the Fortis Malar Hospital. Special packages are available as follows:

The Package Includes:

Cost of Implant; Optetrak, Exactech, (USA)

Room Charges for 7 days, Meals for patient, Radiology

Operation Room Charges; Theater fee / Anesthesia Medications / Theatre Consumables

Medications; Routine Medications / Antibiotics Pain Medications –DVT prophylaxis

Surgeon Fee /Assistant Surgeon Fee /Anesthetist Fee, Physiotherapy

The Package Excludes:

Pre-op Fitness Evaluation

Charges for stay more than seven days, Medication for Co-morbid conditions like Diabetes, Renal Conditions, Cardiac, etc.. and Consultations with Other specialists if required.

Post-op follow-up visits, Physiotherapy visits to the home

The prices quoted are based on the average bill amount of the last several patients and is actually not an absolute amount. Most patients (60%) get a refund from the quoted figures. Some patients had to pay more (10%)

MultiBed:           Rs. 410,000/-
Sharing Room:  Rs. 430,000/-
Single Room:     Rs. 450,000/-
Deluxe Room:   Rs. 500,000/-
Suite Room:      Rs. 600,000/-
GIPSA insured patients entitled to 10% discount on above Tariff.

Ceramic, Oxinium, and other unproven knee implants are not routinely used at my centre for Knee Replacement. It has been used on rare occasions, where patients have known allergy to certain metals.  The longevity and performance of knee replacement depend on several factors including, the expertise of the performing surgeon, your activity level, body weight, and the Hospital Facilities

We specialise in taking up complicated cases like:

Morbidly Obese Patients

Renal Failure Patients

Previously fractured & inadequately treated knee injuries

Failed surgeries from other centres



Knee Replacement Surgery - Update

~One-quarter of TKA patients may retain knee instability one year later!~ surprise
A study published online in the Journal of Orthopaedic Research suggests that one-quarter of TKA patients with knee instability prior to surgery may still have knee instability after surgery. The researchers surveyed 908 patients regarding knee instability prior to TKA and at one-year follow-up. They found that 649 (71 percent) reported instability prior to TKA, and 187 (21 percent) reported knee instability one year after TKA. Among patients with preoperative knee instability, 165 (25 percent) reported instability at final follow-up. The researchers state that knee instability was associated with pain, activity limitations, and reduced quality of life both preoperatively and postoperatively.
Therefore it is important to get the Gap Balancing right during index surgery to avoid later instabilities.

~ACD may improve outcomes for certain lumbar microdiscectomyy patients~

Findings from a study published online in The Spine Journal suggest that annular closure with a bone-anchored annular closure device (ACD) may reduce the risk of symptomatic recurrence and reoperation for patients who are at high risk of herniation recurrence following lumbar microdiskectomy. The authors conducted a multicenter, randomized, superiority study of 554 participants, 276 of whom underwent lumbar microdiskectomy with additional bone-anchored ACD and 278 of whom underwent lumbar microdiskectomy only. At two-year follow-up, they found that 12 percent of patients in the ACD cohort experienced symptomatic reherniation, compared to 25 percent of patients in the control cohort. There were 29 reoperations in 24 patients in the annular closure device group and 61 reoperations in 45 control patients. The authors note that scores for back pain, leg pain, Oswestry Disability Index, and health-related quality of life at regular visits were comparable between groups over the study period.

Anesthesia choice may reduce length-of-stay for THA, TKA patients 
A combination of total intravenous anesthesia (TIVA) and short-acting spinal anesthesia may be linked to more day-of-surgery physical therapy sessions and earlier hospital discharge compared to traditional anesthesia. Investigators conducted a retrospective chart review of 116 patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA) with TIVA and short-acting spinal blockade and compared hospital length-of-stay with a control group of 228 patients who received traditional anesthesia. They found that both THA and TKA patients who received TIVA plus short-acting spinal anesthesia had reduced hospital length-of-stay compared with the traditional protocol group. The investigators also note that patients who received the combination protocol were more likely to undergo at least one day-of-surgery postoperative physical therapy session.