Total Knee replacement Bilateral) — medlly

Total Knee replacement Bilateral)

My mother, aged 71, needs to undergo Total Knee replacement of both knees due to osteoarthritis since 20+ years. She also has right back hip pain which probably needs physiotherapy first before she goes for TKR. Most of the articles for knee replacement cost are dated 3-4 years ago. Want recommendations of good doctors in South delhi (rather I should not put any preference for location if doctor / hospital) has good success rate. Also, any idea on the cost of Knee replacement and any new technological afvances. I hear high flex knees have better success rate and new techniques do not involve muscle cutting, rather muscle is moved, surgery performed and muscle comes back to its position and this procuedure doesnt involve blood loss.
Any comments, suggestions will be helpful and any recommendations for good physiotherapist for hip joint pain.

Comments

  • @rklpn24 below are the cost for total knee replacement for one Knee in various delhi NCR hospital in 2017. hope this will help you a bit.

    http://medlly.com/discussion/754/total-knee-replacement-cost-in-delhi-ncr-hospital
  • Also in one of threads I was checking i can see people have shared reviews for 2016 Quoting one of them.
    http://medlly.com/discussion/4/mother-s-total-knee-replacement-surgery-at-medanta-medicity-gurgaon-under-dr-ashok-rajgopal#latest

    You might like to check the original thread and if you have specific question you can ask that user.

    And I wish you mother a successful surgery. Please share your experience with us. This technology which you have mentioned seems good .
    prashant1 said:

    MY 2 CENTS ON KNEE REPLACEMENT

    I recently got bilateral total knee replacement ( B-TKR) done for my mother at Max Super-speciality Saket, under Dr. SKS Marya.

    While collating information regarding knee replacement in India i came across this thread and found it to be immensely useful. Through this post i want to ease the trauma for information seekers, by presenting a clear picture of my experience.

    4 things are most important when choosing hospital for knee replacement :smile:
    a) The experience of the surgeon and his team,
    b) The implant used and surgeons comfort level with implant
    c) post operative pain management
    d) physiotherapy


    a) Experience of surgeon :

    Many good surgeons exist in metros ,specially delhi , bombay and chennai. I was looking at delhi as i did not have any support structure in other cities. Options before me included Dr Ashok Rajgopal ( Medanta), Dr SKS Marya( Max Saket), and others. After collecting a lot( i mean a lot) of feedback on ground from former patients ( i had a chat with about 8 patients from medanta, and 6 from Max, 3 from AIIMS, 2 from Artemis, 4 from fortis, over a period of 3 months through my contacts, i zeroed in on Dr marya @ Max hospital Saket. TO be frank at the level these surgeons operate skill is same , people choose them for their personal considerations of faith, convenience and personal contacts.

    Feedback about Dr SKS Marya : very gentle person, understanding and willing to listen to you ( and not in a hurry to judge you or to force you into an option.
    Dr. Marya Has a great team and in sofar i have inquired i have not heard of single botched up operation on his part. His team was very professional as well. He has been doing knee replacement surgeries for about 20-25 years now and is a master of his trade. He also has great support infrastructure at Max superspeciality saket.

    P.S : Ending August 2016, Dr. SKS Marya is shifting to Medanta .

    b) Implant used are of 2-3 broad types : 1) CO-CR : is the mainstream implant which is the standard for knee replacement surgery for about 10-15 years now. This implant is a workhorse and accounts for about 97 % of knee implants in India. This is the only implant which is approved when you opt for treatment by insurance. This is the favourite implant of surgeons in India for most of the cases as they are comfortable using it ( for many years now) and are well verse with contingencies and post operative implications related to it.[ cost = 87500 per knee]

    2) ATTUNE : this is a advanced version of knee implant COCR manufactured by DePuy ( a subsidiary of Johnson & Johnson) . Theoretically it has longer life and more lateral movements than COCR implants. BUT since it has been launched only in 2014, so not much data-points are available for corroborating its claims .[cost= 2,62,000 per knee

    3) PERSONA : this a knee implant that competes with attune knee. theoretically almost the same to attune knee ( from a patients perspective), and also equally unproved. Patients who have had them cannot differentiate much between them and nonrmal COCR implants.[cost= 2 lacs +]

    c)Pain management post operation : pain is the biggest devil post operation . in my mothers case pain was managed really well. She was speaking to us 2 hours after surgery and wasn't feeling any significant pain, just the weakness from empty stomach and drowsiness from anaesthesia. For the remainder of the stay in hospital she didn't feel much pain either.She did not have any other problems like diabetes, hypertension, or blood pressure priorly. The nursing staff was good, but then you have to keep chasing them , or they take you for granted.

    d) physiotherapy : 22 hours after surgery my mother bent her knee for the first time.It was very painful, but with great pain comes good recovery. After that she actively started walking twice a day using walker and since discharge a physiotherapist visits us and the progress has been real good.

    Some other points :

    a) insurance : preference order of hospitals for insurance is - corporate mediclaim> CGHS>Individual insurance.

    In my case it was corporate mediclaim, so my mother lived in a single room with great facilities and after 7 days of hospital stay i paid about 10k only(Surgery and implants included), rest was borne by my insurance company.

    Feel free to question and comment.

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