Question 1: What is Knee Replacement without cutting bone?

  • Answer: Replacement in which thin layer of knee bones (Femur & tibia) are shaved rather to be cut.

  • We also save the ligament (Posterior Cruciate Ligament) attached to the bone which helps in climbing & descending stairs.

Question 2: What are the benefits of Natural Knee Replacement without cutting bone?

  • Answer:Climbing & descending stairs becomes easy (Posterior Cruciate ligament preservation)

  • Knee bends better after surgery

  • This technique is even more blissful for younger patients. The life of artificially implanted knee is usually 20 to 25 years, so in case revision or reoperation is required than, as we have lot of natural bone preserved revision becomes relatively easy as we may not require artificial bone.

  • If knee replaced patient has a minor fall,
    a) Conventional knee replaced patient - may have fracture as he has less natural bone.
    b) Bone preserved knee replaced patient (cruciate retaining knee replacement) usually have minor sprain which is easily treated.

Question-3: Why all the joint replacement surgeons are not doing this bone and ligament preserving Total Knee Replacement?

  • Answer:This NKR technique of knee replacement is a technically demanding procedure which has a steep learning curve. For that, specialized training is required at authentic centers

  • Dr. Rajiv Paradkar & Dr. Vrajesh Shah, both have updated and sharpened their skills in this specialized surgery at various renowned centers across the globe i.e., In Germany , Austria , Australia ,USA , Prague etc. to name few.

  • These both surgeons work together and maintain the success at its highest level.

Question-4: Is this technique internationally recognized?

  • Answer:YES.Dr.Vrajesh Shah had presented a case series of 1000 patients in front of more than 400 joint replacement surgeons at Asia Pacific arthroplasty society (APAS) Conference organized at Mumbai, India.

Question 5: What is subvastus technique in NKR?

  • Answer:This is a technique of sparing Quadriceps Muscle (most important muscle for artificial knee). A small incision (3’-4’) which allows better and faster recovery. This technique also gives opportunity to the patient to walk on the same day of surgery.

  • Less trauma to natural muscle which will decrease post-operative pain and also reduces post-operative physiotherapy, compared to traditional technique.

Benefits of Natural Knee Replacement (NKR)