• Very much polite friendly and explained in detail problem and diagnosis, treatment pros and con's over three/four sessions. Dr. Vikram Mhaskar is very competent, explains in details the problem, treatment and other queries of the patient till patient is satisfied and thus win faith of the patient.

    Sami
    Visited For Knee Replacement

  • I got my Mother in law's both knees complete replacement surgery done from Dr. Vikram Mhaskar, and what a fantastic job done .!!! My in-law started walking in just 2 days... She was suffering from pain and couldn't even walk for 1 min... Dr. Mhaskar is friendly and highly skilled .. His approach towards patients is very professional and ethical... I would recommend each and everyone who wants to get any kind of Knee and shoulder surgery or just consultantion please see him once...he will surely guide you through best treatment... I seriously can't thank enough to Dr. Vikram Mhaskar and his team for looking after us Pre and Post operational treatment's

    Yogita Malhan

  • Doctor experience was awsmmm ....we all agree with Dr. vikram' treatment and hospital was also good .....thnk u so much Dr. vikram.....

    Abdul khaliq
    Visited For Knee Replacement

  • Partial and Total Knee Replacement

    What is osteoarthritis?

    The knee is a joint that consists of three bones. The thigh bone (Femur), the leg bone(tibia) and the knee cap (patella). The joint means a confluence (meeting point) of two bone. The thigh and leg bone glide over each other facilitating bending and straightening of the knee. The knee cap glides over the thigh bone and has the all important muscles attached to it , acting as a lever to facilitate movement of the joint.

    The bone surfaces are covered by a polish (much like the paint on your walls) that facilitate smooth movement between the two surface with least friction. As we get older or due to certain injuries to the cartilage, they get worn out. When this happens two rough surfaces rub against each other during knee movement and little particles are released. These irritate the covering of the knee that has little structures (cells) whose job is to secrete 1-2 ml of a lubricant and end up secreting much more due to the irritation. This is much like a dust particle getting into your eye and tears coming out.

    Why does it happen?

    This occurs primarily due to aging. It has a genetic association (if any parent first degree relative has it, you can get it), due to a mild alignment issue in the legs since childhood, the weight of the body may pass more through the inside/outside of the joint making it prone to wear and tear. It can also occur due to some pre-existing injury to the joint, cartilage or infection in the knee that causes it to loose its smoothness and eventually arthritis.

    Can it be treated with medicines?

    Unfortunately there are no medications that are proven to treat osteoarthritis.

    What about injections?

    Injections can provide a temporary relief in some cases where the fluid in the knee is excess by removing the fluid and injecting the medicine to decrease fluid production temporarily. This is much like tear drops in an irritated eye.

    What is partial knee replacement?

    When the osteoarthritis mainly affects one compartment of the knee, a cap is put only on that compartment that is damaged. This is called unicondylar knee arthroplasty.

    What is total knee replacement?

    When the osteoarthritis involves more than one compartment a cap is put on all three compartments of the knee. This is called total knee replacement. The aim is to resurface the bone with a metallic cap and align the knee straight so that the body weight goes through the centre of the knee.

    Do you replace the knee completely?

    Replacement is a misnomer. The knee is not replaced but re-surfaced only. i.e an approximately 1cm cap made of metal is put around the knee to compensate for the worn out cartilage.

    How can I avoid surgery?

    Knee arthroplasty surgery is not a life saving but a life changing operation. It is done only when the quality of life is compromised by pain. To avoid rapid progression of arthritis it is important to keep ones weight under control and exercise the thigh muscles (quadriceps) regularly.

    Is the surgery painful?

    We use the latest technology in pain management by instilling ample local anesthesia at the operative site as well as give epidural anesthesia that blocks the pain nerves post surgery keeping the patient pain free.

    How do we do it differently?

    The aim in knee arthroplasty is to resurface the joint and make the lower limb neutrally aligned (i.e straight) so that equal weight passes through both compartments. Dr. Mhaskar is a strong proponent of computer assisted knee surgery. Computer assisted surgery eliminates the minor errors associated with human judgement to achieve perfect alignment. It is used as a adjunct to the surgery.

    Can both knees be done together?

    More often than not arthritis is a bilateral disease affecting both knees. We are strong proponents of operating on both knees together as it is much more convenient for a patient and with excellent medical back up is the dictim in most of our cases.

    What is the post op rehabilitation?

    The patient stays in the hospital for 4 days after a single knee and 5-7 days after a bilateral knee surgery. The patient is made to stand up the same day or the next day after a single sided surgery and on the second day after a bilateral surgery. Before the patient is discharged, they can ambulate on their own using a walker. Stair climbing commences after 3 weeks. Physiotherapy is largely done by the patient with the physiotherapist just guiding him. At the end of 3 weeks supports are weaned off and the patient walks independently.

    How successful is the surgery?

    The success rate of this surgery is excellent as it is done by a highly trained specialist who understand the nuances of knee surgery. Our previous patients are testimony to this with all having only good things to say about us and the operation.

    What if I have a failed knee replacement done elsewhere can you set it right?

    This being a specialised knee practise we have a vast experience in treating failed knee replacements also known as revision knee replacements. In these surgeries we use implants that confer further stability to the new joint.