Zero % infection in Primary Cases from 6 years

No physio after surgery

Knee Replacement at Orthonova Hospital

HIGHLIGHTS

Advanced Knee Replacement

GOLD KNEE / A.S Knee (An Allergy Solution)

The best & the most expensive knee implant available in the market. It is anti allergic & anti infective. Has very low wear rate (60% less than normally used Co-Cr alloy) The innovative knee to prevent allergic reaction and to have substantially improved wear. These A.S knee implants offer a ground breaking solution for patients with sensitivity (eg) reaction on nickel, chrome or cobalt. Indeed metal sensitivity contributes implant loosening and A.S Knee prevents all this.

Benefits of AS Knee :

• Bio compatible
• Works for 30-35 years
• 60% low wear rate
• Anti-allergic knee

The first and till now the only centre in North India, upto Delhi performing this technique. 'Gold Knee'- The most successful, the most expensive & the best knee available in the market.

Custom Fit Knee

Signature Tech Visionaire Technique:

As no two knees are similar, the patient's knee is first assessed with an MRI and images are sent to the US (Memphis) where a 3d model prepared matches exactly to the actual knee of the patient. Then the cutting jigs/blocks are prepared so that the best cuts can be made on the model. These jigs are then marked for that patient and sent to the surgeon.

The jigs bear the name of the patient. It cannot be used on any other patient, and can't be reused. The surgeon conducts the operation to perfection with lesser time, smaller incision lesser soft tissue dissection and perfect alignment. Faster recovery is ensured. The need of navigation is now disappearing after the introduction of this technique.

Dr. Harprit says, “I personally feel that such a surgery has revolutionised orthopaedics”. All our patients are satisfied and happily leading their lives.

Benefits of Custom Knee Replacement:

• EFFICIENT: surgery is more efficient as measuring and matching is model prior to surgery.
• SMALLER INCISION: surgery is less invasive as the surgeon can work in a smaller area.
• PATIENT SPECIFIC IMPLANTS AND BLOCKS: best knee functions for each patient thus reducing the recovery time.
• Better alignment as it enables greater accuracy.
• Less bleeding.
• Usually no physiotherapy.
• Usually no blood transfusion.
• Less chances of infection.

Concept of Quick Knee Replacement & faster recovery with no physiotherapy

Era of quick knee replacement at Orthonova Hospital

(Article in Hindustan Times)

The sequence can change as per circumstances. Usually it is as it is written.
• Day 1
• Patient gets admitted.
• All relevant tests followed by preparation for surgery either same day or second day.
• Day 2
• Surgery conduct in 8-10 mins.(Usually)
• Day 3
• Walking in 10-12 hours.
• Day 4
• Patient Discharged.
• No Pain- Painless Technique. (Relative Term)
• No Physiotherapy after surgery - (Only Centre to offer this).
• Day 12
• Stitches removed, Treatment over. Bye Bye.
• Patient free to do whatever he wants.
• 99.9% Success rate.
• 0% Infection Rate. (Last 6 years)
• Sit Cross Legged (usually).
• Climb Stairs
• Play Games
• Drive Car
• Drive Truck

Computer Assisted Knee Surgery Specialist / Advanced Technique

Computer assisted technique or Navigation surgery for knee replacement has been the backbone of our hospital since we introduced this technique for the first time in North India in the year 2005-2006. Over 8000 such surgeries have been performed with this highly advanced computer system the hospital required the 2nd state of art Navigation in year 2014.

Procedure & Advantages

In this highly advanced procedure, all the steps, cuts, alignment and placement are monitored by a computer with advanced software, there by ensuring perfect placement of the knee implant.

Making a good surgeon even better

The surgery is not done by the computer but it guides and corrects the surgeon, what is not visible to the human eye, Hence decreasing the error.

Benefits :

• Perfect placements of knee implants
• Perfect alignment
• Longer life of implants
• Full bending
• Lesser bleeding
• Better function

Orthonova has the same navigation system as in Germany (Bad Nauheim, Oldenburg, Freiberg) & Texas Medical Centre, Houston, USA.

I-Knee Replacement

This advanced form of knee replacement surgery ensures better alignment, perfect placement, faster mobilisation and longer lasting implant solution besides greater accuracy. It is the most advanced technique in the world for knee replacement and through I-Knee Replacement the surgeon gets to know whether his cuts on bone are perfect or not as the sensors directs the surgeon so as to get proper alignment. Any company implants can be chosen for this technique.

The knee replacement procedure is monitored very closely by a software installed in the I-Pad/net so it guarantees perfection in surgery. The patient does not have any pain or problem and walks the next day.

The first of this type of surgery in whole of North India was performed on a patient named Harbhajan Kaur in Orthonova Hospital.

The surgeon successfully operated upon 68-year old women from a village near Hoshiarpur

Oxford Unicondylar Knee Replacement

Orthonova Hospital (Joint Replacement Centre) : Only centre for Oxford Knee Replacement in India (426 Cases)

Partial Knee Replacement

If you are thinking about knee replacement, it is imperative you read this information. It has been seen during surgeries that approximately 30% of the total knee replacements that are operated world wide, have only 1/3 of the knee damaged. But since there knee option available to most of the surgeons, therefore total knee replacement is the only answer. It is now considered to be unethical and unwise to operate and remove the cartilage and bone which is not damaged and would otherwise work good for 15-20 years more.

SO THINK AGAIN BEFORE GOING IN FOR KNEE OPERATION. IS THE CENTRE OFFERING THIS OPTION ?
That's why the concept of partial knee replacement gained popularity. In UK and USA, this surgery is going on well for more than 20 years, with results more than 98% success [better than a total knee replacement]. Only, a very few surgeons are trained for this procedure all over the world, as this is a very delicate and advanced surgery History takes it that this surgery has been introduced, in India by the keen academic endeavours of Dr. Harprit Singh, at ORTHONOVA HOSPITAL, JALANDHAR.

THE ONLY OXFORD CERTIFIED SURGEON IN INDIA.
Presently, this is the only centre in INDIA offering this most advanced surgical option for the knee.

Unicondylar Knee Replacement

Also known as a partial knee replacement, a unicondylar knee replacement is an alternative to total knee replacement for patients suffering from osteoarthritis with damage confined to only one compartment of the knee joint. It wasn’t long ago that knee replacement surgery was reserved for the elderly. Now, implants and surgical techniques have improved dramatically, allowing more patients with osteoarthritis to become eligible for unicondylar knee replacement than ever before.

Partial knee replacement is most commonly used as a treatment for osteoarthritis, which is estimated to affect around 30% of the US population. This condition is caused by the wearing away of cartilage within the knee joint, which results in bones scraping against each other.

During a unicondylar knee replacement, only the damaged part of the knee cartilage is replaced with a prosthesis, as compared to a total knee replacement that addresses the entire knee joint.

Advantages of Unicondylar Knee Replacement:

Some of the advantages of a Partial Knee Replacement include:

• Better-preserved range of motion as compared to total knee replacement
• Preserves healthy tissue and bone in the knee, promoting better knee function
• Reduced blood-loss during surgery
• Faster recovery because of the less-invasive nature of the surgery

Partial Knee Replacement

Unicondylar Knee Replacement

Dr. Singh's Views

When Surgery is the last resort. Any patient with knee pain, and with drugs and physio not working, can be a candidate for this highly advanced operation. It is the surgeons choice and decision, depending upon the extent of cartilage damage, whether this procedure can be done or whole of the joint is to be changed. Sometimes the decision may be reversed during the surgery itself.

How to decide who is eligible for this procedure?

Decision of the surgeon to perform total and half knee surgery depends on the condition of the joint damage, experience & training of the surgeon and the implants available to the surgeon.
(OXFORD KNEE IS AVAILABLE TO ONLY THOSE SURGEONS WHO ARE CERTIFIED FROM OXFORD)

UNICONDYLAR ONLY IN ORTHONOVA

For a normal joint replacement surgeon - Total Knee Replacement is the only option!
For a Specialist joint replacement surgeon - Unicondylar Knee Replacement is the first choice.

Perfectly done Oxford knee. As it looks like during surgery

Partial Knee Replacement

Treatment option available only in very few centres in the world and only one centre in India.

SCENARIO: If a patient walks into a routine joint replacement centre, with all conservative treatment options (like drugs, physio, exercises, massage etc) exhausted and has excruciating pain in the knee - he /she would most likely undergo a Total knee Replacement.

SCENARIO : But if he/she consults a joint replacement surgeon who is specialist in both -Total knee replacement & unicondylar knee surgery and if he is a certified surgeon from OXFORD, UK - he may only resurface the part that is damaged and leave the undamaged original cartilage untouched.

BECAUSE ORIGINAL can never be DUPLICATED
THE CONCEPT : If only one tyre of your car is damaged, would you change all the tyres? Unicondylar works on the same principle : only the damaged portion is changed.

ONLY CENTRE IN INDIA

Patellofemoral Joint Replacement (PFJ)

Patellofemoral Joint Replacement : The most advanced type of partial knee replacement. Patellofemoral joint replacement is a type of partial knee replacement that allows you to correct the damaged knee joint while preserving the healthy parts of your knee.

Patellofemoral replacement, often called knee cap replacement or patellofemoral arthroplasty, is a type of partial knee replacement. In this procedure the arthritic surface of patella (knee cap) is replaced with highly cross linked polyethylene and the corresponding articular surface on distal femur is replaced with metal cap. The healthy cartilage and bone, as well as all of the ligaments in the rest of the knee, are preserved.

This is ideal procedure for patients with isolated patellofemoral joint arthritis, considering the rest of knee joint is normal. Most of these patients are young and often suggested to wait for total knee replacement till they are in their fifties or sixties despite the pain and disabilities of bone on bone arthritis.

Dr. Harprit is also the first and the only surgeon in all of India to successfully carry out a Patellofemoral joint replacement surgery for isolated Patellofemoral joint arthritis. Such a patient would otherwise have been given long and unmeasured doses of analgesics for years altogether, until old enough or worse enough to merit a Total Knee Replacement... and which still might have been too early for him!

In hand of a normal orthopaedic surgeon this type of knee would end up having a total replacement of the joint i.e TKR thereby sacrificing the entirely normal cartilage unnecessarily, but in highly specialised centres in the world PFJ would be the answer.

Oxinium Knee

Oxinium, for longer lasting knees

Oxinium implants are said to be long-lasting and cause a considerable reduction in the need for revision knee replacement surgery.

Oxinium Overview

Developed by Smith & Nephew, which boasts of a rich history of innovation, Oxinium material is a revolutionary technology used in the production of components of knee and hip implants that exhibit superior performance characteristics due to its hardness, low-friction and resistance to roughening and abrasion. In combination with VERILAST technology polythylene, the implant has been proven to last 30 years and has been approved by the US FDA.

What makes Oxinium special ?

Its the fact that it is ideal for younger patients, it is scratch resistant and therefore wears less and lasts longer. It is truly a high performance material. The only material in the orthopaedic world to receive this award. Oxinium was awarded the prestigious 2005 ASM Intrnational Engineering Materials Achievement Award for Oxinium technology.

Advantages of Oxinium Knee:

• Oxinium is the best choice in knee replacement materials for such patients who exhibit metal allergies.
• Oxinium contains no detectable nickel, the leading cause of negative reactions in patients with metal allergies.
• Another major reason why Oxinium is so highly recommended is the fact that it is a scratch resistant material.
• Due to Oxinium’s superior hardness, smoothness and resistance to abrasion, surgeons can, now, recommend joint replacement to patients who are less than 65 years old. This wasn’t possible with traditional materials such as Cobalt Chrome, as the life of the implant was limited and the patient had to undergo revision replacement surgery in a span of 10-15 years.

CTEV (Club Foot)