Ortopedic Treatments

Invasive Knee Replacement

New Technique for Knee Replacement

There are two ways to perform a total knee replacement: The traditional approach and the newer minimally-invasive (sometimes called quadriceps-sparing) approach.

  • Traditional total knee replacement involves a roughly 8″ incision over the knee, a hospital stay of 3-5 days and inpatient rehabilitation setting before going home. The recovery period (during which the patient walks with a walker or cane) typically lasting from one to three months.
  • Minimally-invasive quadriceps-sparing total knee replacement is a new surgical technique that allows surgeons to insert the same time-tested reliable knee replacement implants through a shorter incision using surgical approach that avoids trauma to the quadriceps muscle which is the most important muscle group around the knee.
  • The less-traumatic nature of the surgical approach also may decrease post-operative pain and diminish the need for rehab and therapy compared to more traditional approaches.
  • Minimally invasive total knee replacement involves the use of a smaller incision than the one used in traditional knee replacement, the incision is only 4 to 6 inches long. Because there is less damage to the tissue around the knee, patients who undergo this procedure may expect a shorter hospital stay, a shorter recovery, and a better looking scar.

Nerve Graft

Nerve grafts are used when a patient has a nerve injury resulting in complete loss of muscle function or sensation.

A nerve graft is a surgical technique in which a segment of unrelated nerve is used to replace or bridge an injured portion of nerve. The donor nerve serves as a “track” along which axons can grow down to the target area.


Also known as Degenerative Arthritis or Degenerative Joint disease or Osteoarthrosis, is the most common joint disorder, which is due to aging and wear and tear on a joint.

Normal Joint Functioning

In a normal joint, bones have a smooth, glistening surface made of a substance called Articular Cartilage on their ends that allows one bone to glide easily against another.

Joints are lubricated by a thin layer of fluid (synovial fluid) that acts like oil in an engine to keep moving parts gliding smoothly.

Shoulder Replacement

Total shoulder replacement, also known as total shoulder arthroplasty (TSA), is a tremendously successful procedure for treating the severe pain and stiffness that often result at the end stage of various forms of arthritis or degenerative joint disease of the shoulder joint.

The primary goal of shoulder replacement surgery is pain relief, with a secondary benefit of restoring motion, strength, and function.


Doctors recommend joint replacement surgery when shoulder pain and loss of function become severe and when medicines and other treatments no longer relieve pain.


The surgery involves replacing the humeral head (or joint “ball”) and the glenoid (called the “socket”).

Anatomy of the shoulder area, depicting the implant

after surgery. Partial shoulder replacement (or hemi-replacement) may also be indicated with certain severe shoulder fractures of the humeral head. This technique requires the replacement of that component only.

Total Hip Replacement Surgery

A total hip replacement (THR) – also called a Hip Arthroplasty- is a surgical procedure that re-forms the hip joint. In THR, the head of the femur (the bone that extends from the hip to the knee) is removed along with the surface layer of the socket in the pelvis (the two large bones that rest on the lower limbs and support the spinal column).

Functioning Of Hip Joint:

The hip is a ball-and-socket joint comprised of the following structures:

Head of the femur

Acetabulum of the pelvis

Ligaments of the hip joint

The head of the femur or “ball” of the hip joint articulates or moves within the cup-like “socket” called the acetabulum of the pelvic bone. Together, these structures are referred to as a “ball and socket” joint. The femoral head and acetabulum are covered by a specialized surface called articular cartilage. This allows smooth and painless motion of the hip joint.

Total Knee Replacement Surgery

The Knee is the largest joint in the body. Normal knee function is very important to perform day today activities. Knee is made up of the lower end of thigh bones (femur) which rotates on the upper end of the shin bone (tibia) and the knee cap which slides in a groove on the end of the femur.

The Joint surface is covered with a smooth substance that cushions the bones and enables them to move easily. All remaining surfaces of the knee are covered by a thin, smooth tissue liner .This is membrane releases a special fluid that lubricates the knee, reducing friction to nearly zero in a healthy knee. Normally, all of this mechanism works in harmony. But disease or injury can create disorder in this harmony, resulting in pain, muscle weakness, and reduced function.

Functioning Of Knee Joint:

The knee joint performs similar to a hinge joint. It consists of three bones:

Thigh bone (Femur)

Leg bone (Tibia)

Knee cap (Patella)

The junction where the femur and tibia couple together is called the femorotibial joint. The region of the knee where the patella and femur form a junction is called the patella femoral joint. These two joints are what allow the bending and straightening of the knee. It is these joints that are replaced in a total knee joint replacement.

Orthopedic Treatments Doctor in India (Get free Consultation with Doctor Now)


Director (Orthopaedics) & Head Joint Reconstruction (Hip & Knee) Unit
Education & Training:
  • Director – Orthopedics & Head of Unit 2 at Saket City Hospital
  • Head of the Department – Orthopedics, Nova Specialty Hospital
  • Senior Consultant – Fortis Hospital, Shalimar Bagh, Fortis Hospital, Vasant Kunj
  • Visiting Senior Consultant – Metro Hospital, Noida and Rockland Hospital, New Delhi
  • Senior Resident – Hindu Rao Hospital, Post-Graduation Government Medical College, Aurangabad  
  • MS, M Ch (Orthopedics)
  • Fellowship in Joint Replacement from Singapore General Hospital, Singapore; Puettlingen Hospital, Germany and The Prince Charles Hospital, Brisbane, Australia

Dr. Ashok Rajgopal

Knee & Hip Joint/Sport Injuries (Chairman)
Education & Training:
  • MBBS
  • MS
  • M.Ch.Orth
  • F.R.C.S. (Edinburgh)
  • Indian Orthopaedic Association Life Member
  • Indian Arthroplasty Association Life Member
  • Indian Arthroscopy Society President
  • International Medical Science Academy Awarded Fellowship
  • I S A K O S Active Member
  • Asia Pacific Arthroplasty Society Founder Secretary, Past President
  • General Medical Council (UK) Permanent Registration
  • Indian Hip and Knee Society Founder member Vice-president and President Elect

Dr. I P S Oberoi

Director- Orthopaedics
Education & Training:
  • MS (Orth.)
  • M.Ch - Orth
  • American association of Orthopaedic surgeons (AAOS )
  • Asia Pacific Orthopedics Association (APOA)
  • Orthopedics Association of SAARC Countries
  • International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS)
  • Asian Arthroscopy Society ( Secretary )
  • Indian Orthopedic Association (IOA )


Director & Head Department of Orthopaedics
Education & Training:
  • MBBS
  • DNB
  • D.Ortho
  • MRCS (UK)
  • FRCS (Trauma & Orthopaedics)
  • Delhi medical council
  • Haryana medical council
  • Royal college of surgeons of England (UK)
  • General medical Council (UK)

Dr. SKS Marya

Chairman- Bone and Joint Institute
Education & Training:
  • M.Ch. (Orthopaedics)
  • DNB (Orthopaedics)
  • M.S. (Orthopaedics)
  • M.B.B.S.
  • Awarded with AO Trauma Fellowship in Switzerland and Fellowship of the Royal College of Surgeons of England
  • Performed over 15,000 Joint Replacements Surgeries
  • Stellar academic record with Best Post Graduate and Graduate awards

Dr. Rajeev Verma

Orthopaedics / Bone & Joint Surgery
Education & Training:
  • MBBS
  • MS
  • MRCS
  • MSc
Affiliations (Professional Memberships) & Certifications
  • Indian Orthopaedic Association (Life Member)
  • Royal College of Surgeons, England
  • British Trauma Society

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