Mother’s Total Knee replacement surgery at Medanta Medicity Gurgaon under Dr. Ashok Rajgopal
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Another doctor that I wanted to consult was Dr Bhushan Nariani @ Indian Spinal. Any reviews on the doctor & the hospital set up??
Thank you all.
Soumonath Chatterjee
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
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.
She can barely walk. There is inflammation around her knee . I took her to doctor and he advised me for Knee replacement.
My Grandmother is of 75 plus.
will it be fine for her if she will go for knee replacement at this age?
Knee replacement is a major operation and takes a long time to recover.
Your grandmothers general health should be good to be able to undergo this operation. You should take opinion of a general physician to understand about the readiness of your grand mother for this operation.
http://medlly.com/discussion/754/total-knee-replacement-cost-in-delhi-ncr-hospital#latest
Apollo hospital chennai cost for single knee replacement is around 2 lakh 10 thousand. You can check this and other cost of Chennai hospital at below link.
http://medlly.com/discussion/750/cost-as-per-total-knee-replacement-tkr-single-knee-in-chennai-hospital
Wishing your mother a successful knee replacement surgery and speedy recovery. Also requesting you to please do share your experience once you mother completes this procedure.
All the best
http://medlly.com/discussion/comment/2178#Comment_2178
My mother is equipped with Pacemaker. Is knee replacement is possible / safe for her? If yes what will be the cost of total knee replacement .How many days patient is hospitalized and how many days patient can walk.
But I guess you will have to consult doctor and only doctor can advice depending on her situation. One thing you should also take care while choosing the hospital is that Hospital should have good cardiology department along with the ortho department to handle any situations.
Overall 7 days are needed in the hospital . Normally they make patient walk before releasing the patient. Patient has to walk after 8 days . Physiotherapist will come to train the patient.
Hope this information helps you.
Wishing your mother a good health. Do let me know if you want to know anything else.
Does anybody here has experience of knee surgery by Medanta Dr.Marya? If yes then kindly share . Thanks in advance.
Could anyone share their experience with getting an older parent or relative (> 80 years) getting TKR. Where and by who was surgery done and how were the experience and outcomes.
Any advice and information would be greatly appreciated
Thanks in advance.