For Information On HIP Replacement click on the link of my other website given below-

 http://besthipreplacementsurgeoninindia.weebly.com

Rajiv Gandhi Shiromani Award 2012 For Best Knee Replacement Results

Dr. Ajay Deep Singh receiving the Rajiv Gandhi Shiromani Award 2012 for Ground Breaking results in knee replacement, from ( left to right) Balmiki Prasad Singh Governor of Sikkim, Skekhar Dutt Governor of Chhattisgarh and Bhisham Narayan Singh former Governor of 7 states of INDIA.

Bharat Jyoti Award (Glory OF India Award) 2011 for best knee replacement results

Dr. Ajay Deep Singh receiving 'BHARAT JYOTI AWARD' ( GLORY OF INDIA AWARD) for GROUND BREAKING results in knee replacement.From left to right G.V.G. Krishnamurthy former chief election commissioner of India and Bhisham Narayan Singh former Governor of 7 states of India.

10 YEARS OF CLINICAL EXPERIENCE IN KNEE REPLACEMENT REWARDED WITH "RASHTRIYA RATTAN (JEWEL OF THE NATION) AWARD" 2015

Qualification And Contact Details Of Dr. Ajay Deep Singh

Dr.Ajay Deep Singh - Consultant Orthopaedic Surgeon , D.Orth .MCh Orth (Gold Medal). F.A.S.I.F.(Germany) 
Fellow Of- 1) Hillingdon And Mount Vernon Hospital , London.
                2)King George Hospital ,London
                3) University Clinic Muenster, Germany.
Phone number- (0091) 9876626779. Please call between 8 am and 10 pm Indian Standard Time ( + 5 hours and 30 minutes GMT)
 E-Mail- ajaydeepsingh107@gmail.com

My services are available at Patel Hospital , Jalandhar , Punjab , India.

This website has been launched to create awareness among patients that   there is nothing wrong with the technique and model of knee replacement which is available for the last  30 years.But still most patients in India believe that, NEW techniques and new advances in science and technology are needed for giving better results in knee replacement. What patients really need to understand is that they need to find a surgeon who has good surgical results,and not get MISLED by FALSE claims of NEW advances in science and technology being responsible for giving better results in knee  replacement.

How to choose the best surgeon for knee replacement in India who is not only cheap and affordable but also has the best knee replacement results comparable to best knee replacement results in the entire world.

Well in that case patients should look for the following 3 points in the knee replacement results of their prospective knee replacement surgeons.

POINT (1)-Patients are able to walk WITHOUT support after just 6 "DAYS" of knee replacement Instead of a usual time  of 6 "WEEKS".

After knee replacement  a patient can walk  WITHOUT support of walker stand or stick after just 6 "DAYS" of knee replacement instead of a usual time of 6 "WEEKS".Patients who are mentally and physically stronger are able to walk WITHOUT support in just 4 "DAYS" ,while patients who are mentally and physically a bit weaker take 10 "DAYS".Patients are being informed that this surgical result has been achieved using the STANDARD surgical technique of knee replacement which is in use for the last 25 years.Patients  are also being informed that i do NOT use the NEW MINI INCISION technique in which a smaller surgical cut is given , because it has now been proven with research that claims of a smaller surgical cut leading to a faster recovery after knee replacement  are NOT true.Patients are advised NOT to be mislead by FALSE claims of faster patient recovery after knee replacement with the use of a NEW technique in which a smaller surgical cut is given.Any patient needing more evidence for this fact can access the original research papers  by clicking on the following 2 links given below-

A prospective randomised study of minimally invasive midvastus ...www.ncbi.nlm.nih.gov/pubmed/22608852


The John Insall Award: No Benefit of Minimally Invasive TKA on Gait ...www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)


 As stated before patients who are mentally and physically stronger take only 4 "DAYS" instead of a usual time of 6 "WEEKS".Patients can view videos of 2 such patients on my  You Tube channel by clicking on the following link given below-


https://www.youtube.com/channel/UCFYgSfHaJN83JpX3qqZx_EQ/videos.

Point (2)-Patients are able to FULLY bend their knees to 150 degrees EVEN with the use of the STANDARD model of knee replacement which is available for last 30 years. (WITHOUT use of the NEW MODEL of knee replacement )

Patient Sohan Singh of Ferozepur  city is able to FULLY bend his knee upto 150 degrees after knee replacement, so that the back of his thigh touches the back of his calf.This surgical result has been achieved with the use of the standard model of knee replacement , which is available for last 30 years.

 Sitting cross-legged, squatting and kneeling down after knee replacement

Patient Datar Singh Bains of Garhshankar sitting cross- legged after knee replacement

Most patients want that after knee replacement they should be able to sit cross-legged, squat and kneel down on their knees.IF a patient is able to bend his knee more than 130 degrees, then he is able to  sit cross-legged,squat and kneel down on his knees.Their is a new model of knee replacement called the "High-Flex" knee. Different companies which manufacture this new model of  knee replacement CLAIM that when this new model is used ONLY then patients can bend their knees more than 120 degrees.I have been using the STANDARD model of knee replacement which is available for last 30 years, and still my patients are able to bend their knees to 130-150 degrees and hence are able to sit cross-legged, squat and kneel down on their knees.Ironically i have been consulted by a number of patients who underwent knee replacement from OTHER surgeons and have been fitted with the new "High-Flex" knee and despite doing all physiotherapy they cannot bend their knees more than 120 degrees and hence cannot sit cross legged.I have been telling all my patients that there is NOTHING 'magical' about this new model of knee replacement.Patients need to understand that buying the new "High-Flex" knee does NOT ensure that they will be able to bend their knees fully after knee replacement.Even after doing all physiotherapy the amount of knee bending after knee replacement will depend on the surgical results of the operating surgeon.

Scientific research has shown CONCLUSIVE EVIDENCE THAT THERE IS NO DIFFERENCE IN THE KNEE BENDING ABILITY AFTER KNEE REPLACEMENT BETWEEN THE STANDARD MODEL ( WHICH IS AVAILABLE FOR LAST 30 YEARS) AND THE NEW "HIGH-FLEX" MODEL. Furthermore , this scientific research further says that, earlier published research papers which showed superiority of the High-Flex knee model over the STANDARD model were wrong as they had defective study design and wrong patient selection.
 Click on the link given below to read these META- ANALYSIS-

Do high flexion posterior stabilised total knee arthroplasty designs ...www.ncbi.nlm.nih.gov › Journal List › Int Orthop › v.35(9); Sep 2011‎

High-flexion total knee arthroplasty: a systematic reviewwww.ncbi.nlm.nih.gov › Journal List › Int Orthop › v.33(4); Aug 2009

 Also there are reports on the internet that the High-Flex knee of one of the most reputed implant manufacturing company in the entire world   is FAILING prematurely.Type 'problems with high flex knee' in google to know more about these problems.I leave the choice of whether the patient wants to use the STANDARD model or the High-Flex model on the patient"s own preference.BUT PATIENTS CAN FULLY BEND THEIR KNEES TILL THE BACK OF THIGH TOUCHES THE BACK OF CALF AND SIT CROSS LEGGED AND KNEEL DOWN ON THEIR KNEES IRRESPECTIVE OF THE MODEL OF KNEE REPLACEMENT.

Point (3)-Ability to climb up stairs and descend  down stairs WITHOUT support after knee replacement

The 'Gold Standard' to compare the knee replacement results of different surgeons is the American Knee Society Knee Score.Climbing stairs is compared under the Functional Component of the Knee Score.According to this, in case of the best case scenario, a patient after complete recovery of  knee replacement should be capable of  climbing up stairs and descending down stairs WITHOUT ANY (railing) SUPPORT. Only then are full 50 points awarded to the operating surgeon.In case the result of knee replacement is NOT PERFECT, the patient is likely to have problems descending down stairs more than climbing up stairs.In such situations when a patient is able to climb up stairs without support BUT descends down stairs WITH RAILING SUPPORT, only 40 points are awarded to the operating surgeon.In even less perfect case where the patient is UNABLE to climb and descend stairs WIHTOUT SUPPORT and takes railing support to both climb up and descend down support, only 30 points are awarded to the operating surgeon.
 This criteria was developed by the American Knee Society in the 1980's ; which means that the TECHNIQUE AND MODEL OF KNEE REPLACEMENT with which patients can climb up stairs and descend down stairs WITHOUT RAILING SUPPORT are available since the 1980's.

Finally DO NOT be MISLED into believing that the use of a computer (navigation)  will improve the outcome of your knee replacement.All the above knee replacement results have been achieved by me WITHOUT use of a computer ( navigation).If this much evidence is not enough for you then  click the following link given below

Computer-Navigated Versus Conventional Total Knee ArthroplastyA ...jbjs.org/article.aspx?articleid=1363272‎



This link will open the research paper published in the Journal Of Bone And Joint Surgery in November 2012 titled Computer-Navigated Versus Conventional Total Knee Arthroplasty: A Prospective Randomized Trial
By Young-Hoo Kim, MD1; Jang-Won Park, MD1; Jun-Shik Kim, MD1 

This RANDOMIZED study clearly shows NO DIFFERENCE in clinical results, alignment and survivorship (life) of knees that underwent computer navigated total knee replacement or conventional total knee replacement WITHOUT USING  computer.Furthermore a META-ANALYSIS has been conducted by Tao Cheng, Xiao-YUN Pan, Xin Mao, Guo-You Zhang, Xian-Long Zhang and published in the knee journal in August 2012;  which shows computer navigated total knee replacement does NOT lead to clinical results superior to conventional total knee replacement.
Click the following link to read this meta-analysis-

Little clinical advantage of computer-assisted navigation over ...www.thekneejournal.com/article/S0968-0160(11)00195-5/abstract‎


 My final advice to all patients requiring knee replacement is that  DONT be MISLED by FALSE claims of recent advances in science and technology being responsible for giving BETTER results in knee replacement. Remember results of knee replacement depend on the Dexterity of the surgeons hand or the surgical ability of the operating surgeon.Just find a surgeon who has GOOD results in knee replacement.Also remember the SAME procedure of knee replacement has different results in the hands of different surgeons. 

 

The new model of knee replacement called Oxinium knee has been approved under the the US FDA 510(k) protocol which DO NOT require manufactures to conduct HUMAN TRIALS, if they can show that the device is similar in design to another product already on the market. As the Oxinium knee has NOT undergone  LARGE SCALE HUMAN TRIALS, the CLAIM that the Oxinium knee would last for 30 years instead of 15 years ( which is the average life of the conventional knee) is based on laboratory testing and not HUMAN TESTING. The latest research paper shows that after 8 years the wear and tear in the Oxinium Knee is SIMILAR to that of the conventional knee.

Click on the following link to read this research paper-

Comparison of the Genesis II total knee replacement with ... www.ncbi.nlm.nih.gov/pubmed/2293349

But still patients in India are being MISLED that the Oxinium knee is GUARANTEED to last for 30 years instead of 15 years.


 . 

Most patients believe that like a new model of i-phone or a new model of a car, a new model of knee replacement would be better. But a study published in the International Herald Tribune, (December 2011) found that NO NEW HIP OR KNEE REPLACEMENT MODELS introduced during the last 5 years had a longer life than the older models, and 30 % of the NEW models were WORSE than the older models. Therefore, it is for the patient to decide which model of knee replacement would they choose. CHOOSE WISELY. Don't forget that apart from a knee replacement model, you also have to choose a GOOD KNEE REPLACEMENT SURGEON. AGAIN CHOOSE WISELY.