How to choose the best knee replacement surgery?
This is an important question and this is the biggest question in the minds of everybody who is planning to undergo a knee replacement surgery. To understand which is the best you must examine the unbiased long term results and the evidence available from large independent databases collected over the last 40 years.
So far all the evidence suggests that in a given patient, the most important factor that determines the success of the surgery is ‘the quality of the Surgeon’. It has been shown that in a good surgeon’s hands even an average implant will work very well. In a bad surgeon’s hands, even if you use the most expensive implant it may not work very well. Because the most critical factors for success of surgery are
- Appropriate patient selection
- The surgeon’s clinical acumen and judgement
- Proper planning
- Proper counselling
- Surgical approach - Critical
- Surgical technique - Critical
- Soft tissue balancing - Critical
- Strong fixation of implant - Critical
Make of implant will probably come after all these factors. All the above factors are essentially depends on the quality of surgeon. So it is always best to let the surgeon decide what is the implant he is most comfortable with and what works best in his hands.
If after all this you still want to know which implant makes have the best outcomes so far, the evidence so far shows that (and this may keep changing every year) Nexgen CR and Press Fit Condylar implants have the best outcomes.
So I suggest you must look closely at the education and training of the surgeon rather than their unrealistic, claims and high decibel shallow advertising they bombard you with. Talk to the surgeon, understand their skill and depth of knowledge, assess their data and outcomes, talk to some of their patients (again avoid paid agents) and then decide.
Why Landmark?
Landmark hospital was established by world class surgeons with the primary goal of providing cutting edge world class Orthopaedic care in India at affordable rates after realizing that ensuring high quality healthcare was not possible at affordable rates in big corporate hospitals. It has laid down structure, principles and protocols to state at the frontiers of advanced medical care. In the last two and half years since it’s inception nearly 2000 knee replacement surgeries were performed at Landmark hospitals and there were no infections which is one of the world’s best results.
Why Dr Sudhir Reddy?
Dr Sudhir Reddy studied his MBBS & MS Orthopaedic surgery from India’s premier institute “All India Institute of Medical Sciences’ (AIIMS) New Delhi. He was the only student selected to AIIMS in that year from South India. After AIIMS he emigrated to United kingdom where he completed MCh Orth (Gold medalist), FRCS Edinburgh & FRCS Trauma & Orthopaedics all in first attempt. He completed his Higher Surgical Training (HST) as Specialist registrar at Ninewells University Hospital, Dundee, UK. He also worked as consultant Orthopaedic Surgeon in UK. He is one of the very few Indians who got HST in UK with FRCS Tr & Orth and worked as a consultant in United Kingdom. He also did a Fellowship in Revision Joint replacement at the world famous Endo Klinik in Germany. He has so far performed more than 6000 joint replacements with the highest success rates. He is one of the leaders in Knee replacement surgery in India. He is also the only surgeon in South India doing all Knee replacements with the Subvastus approach which has revolutionised the recovery and pain relief