Dr. Anuj Agrawal

  • I was suffering from severe arthritis in both knees since several years, and Dr. Anuj Agrawal did bilateral knee replacement for my knees. I was extremely satisfied by the outcome of the surgery. Contrary to my expectations, I didn’t have any significant pain just 3 days after surgery, and could walk without support at 2 weeks. I have a low sitting at my office, and have no problem in sitting cross-legged on the floor after surgery. I highly recommend Dr. Anuj for knee replacement surgery based on my experience.

    Subhash Bhargava, Delhi
  • I underwent bilateral knee replacement in a single sitting for my knee pain at Max Hospital, Patparganj. My surgeon DrAnuj Agrawal took good personal care of me, right from the time of admission till discharge. I was apprehensive that a bilateral surgery would be very painful with a prolonged rehabilitation period. However, I was painfree within 2 weeks of surgery and could get back to work within 6 weeks. I recommend DrAnuj Agrawal for his expertise in joint replacements.

    Brahmpal Sharma, Ghaziabadnation
  • I had arthritis of both my hips due to a condition called avascular necrosis. I used to walk with severe limp, and could not sit properly due to the condition of my hips. Dr. Anuj Agrawal did uncemented hip replacements for both my hips, at an interval of 6 weeks. I could walk without support just 2 weeks after the second surgery and could even ride a scooter at 1 month. I have become completely painless now, and am quite happy by the outcome of the surgery. I would highly recommend Dr. Anuj Agrawal for hip replacements.

    Uday Singh, Hyderabad
  • FAQs

    What is the success rate of Joint Replacements?

    Joint Replacement is one of the most successful procedures of modern medicine, with a success rate over 99% in short term. The only major immediate complication is infection, whose incidence has been reduced to <0.5 % with modern theatres and antibiotic prophylaxis.

    The long term ‘survivorship’ of the prosthetic joints depends on the materials, industrial processes, age/activity level of patient, bone quality and surgical accuracy. Most of the modern hip and knee prostheses have over 95% survivorship at 20 years.

    What is the minimum age after which one can/should undergo total joint replacements?

    Once the bony growth has nearly completed (after the age of 14-16 years), anyone can undergo Joint Replacement, if need arises. However, since the long term survivorship of knee prostheses is in the range of 25 to 30 years, knee replacement is usually done after the age of 50 years. Hip prostheses have higher survivorships and are commonly done in young patients too.

    What is the recovery period after a Joint Replacement surgery?

    With advancement in prosthetic designs and surgical techniques, the recovery period after a joint replacement surgery is less than a month. Patients are allowed to walk (with aids) the day after surgery, with no “bed-rest” being required. By the time of discharge from hospital (2-4 days after surgery), patient is relatively pain-free, and by 10-14 days, patient can independently carry out routine day-to-day activities. Some kind of walking aid is continued for 4-8 weeks after surgery. Complete restoration of function might take up to 3 months or more after surgery, depending upon the severity of arthritis.

    What are the risks and complications associated with a Joint Replacement surgery?

    Joint replacement surgery is a major surgery, and like any other major surgery, is associated with anaesthesia-related risks such as strokes, heart attacks, pneumonia and blood clots. Blood clots occurring in deep veins (deep venous thrombosis or DVT) are particularly common after joint replacements, and can be potentially life-threatening if the clots dislodge and get transported to the lungs (pulmonary embolism). Hence, anti-clotting medications are given for 2-4 weeks after joint replacement surgery to minimize the risk of this complication.

    Other risks and complications associated with this surgery include infection (<0.5%), neurovascular injury (very rare in TKR) and allergic reactions to the prosthesis or cement. The new joint may not feel normal, feel somewhat stiff and might cause a slight shortening or lengthening of the operated leg (more common in THR), which is not noticeable or at the most, requires a shoe insert. Instability or dislocation of the prosthetic joint is another rare complication, the latter only seen with mobile-bearing knees or hip replacements.

    What is the role of computer-aided (navigation) or robotic Joint Replacement surgery?

    With the use of modern instrumentation, an experienced joint replacement surgeon can consistently perform the surgery with required accuracy, giving excellent results. In some complex cases with severe deformities, guidance provided by navigation technology (CAS or computer-aided surgery) can prove handy and help increase surgical accuracy. Similarly, robotic technology is useful for some difficult partial knee replacements, such as bicompartmental and patellofemoral replacements.

    For routine joint replacements, no ‘aid’ is requiredby the surgeon, and the use of navigation or robotics has not been shown to improve function or prosthetic survivorship. These merely serve as ‘marketing tools’ in such cases, and help the surgeon to instill confidence in the minds of patients. Some of the new technologies, such as robotic arm, can be prohibitively expensive!

    What are the other recent advances in Joint Replacement surgeries?

    Apart from the advent of improved materials and bearing surfaces to decrease wear and increase prosthetic survivorship, other advances in joint replacements aim to allow early and improved patient function after surgery. Large diameter head (LDH) hips and high-flexion knees allow improved range of motion after hip and knee replacements. Patient-specific instrumentation (PSI) and implants are available to more closely match knee implants to the native anatomy of the patient, particularly in patients with abnormal anatomy. Minimally invasive and muscle sparing techniques are used for both hip and knee replacements to decrease post-operative pain and allow early rehabilitation.Multimodal analgesia techniques are employed for rapid and pain-free rehabilitation after surgery.