The Natural Knee Replacement (NKR) Program at VIROC Hospital, Vadodara, combines Dr. Vrajesh Shah and Dr. Rajiv Paradkar’s exhaustive research spanning a period of 10 years to create a pioneering surgical technique for aesthetic knee-replacement.

With exhaustive and meticulous study and research, Dr. Shah and Dr. Paradkar, have devised an avant-garde technique of knee replacement – the NKR technique. Placing their trust in Dr. Shah and Dr. Paradkar’s NKR technique, parents of over 50 of the most renowned doctors of Vadodara have undergone successful knee replacements, under the NKR technique, at VIROC hospital.

Over a period of years, the shock absorbing cartilages of the knee joints wear naturally, resulting in the immensely painful forms of arthritis that interrupt many activities of life. The number of elderly persons suffering distress due to knee aches is increasing every day. And the Last resort to allay this pain is knee-replacement. A conventional total knee-replacement surgery meets the standard parameters that enable the elders to walk up to 2kms without a limp, ascend and descend stairways and stand straight on their feet. But do you wish your parents to be able to do just this after a knee replacement surgery? Will your parents be satisfied with such minimalistic results? Vadodara’s renowned VIROC hospital offers the unique NKR technique in order to completely restore the life of elderly persons. NKR is the uncompromising technique that not just transplants the knee, but rebuilds a patient’s life by infusing Pace, power and performance which leads to positive attitude for life.

Under this technique, a new cap is fitted, taking utmost care that the natural structure of the bone and the surrounding tissues, ligament (PCL) and muscle are not distorted. This ensures a perfect balance and longevity of the implant, while ensuring that the patient is completely relieved of the knee-pain, bending legs and limps.

Our ageing parents wish to lead a normal life and undertake strenuous pilgrimages. But very often, their ageing knee joints do not support their physically exerting expeditions. But NKR is a definite technique to reinstate normal life for your parents in every way, making it possible to undertake the pilgrimage of their choice – whether it is the Chaar Dhaam yatra, Vraj Parikrama, Palitana or Haj.

This revolutionary NKR treatment has given a new lease of life to hundreds of patients with moderate to severe arthritis. NKR has not just made them active, but restored their normal lives in an incredible way.

Meet Our Patients

Our Joint Replacement Doctor

DR. Vrajesh Shah
DR. Vrajesh Shah Orthopaedic and Joint Replacement Surgeon

DR. Vrajesh Shah

Orthopaedic and Joint Replacement Surgeon
Dr. Rajiv Paradkar
Dr. Rajiv Paradkar Orthopaedic and Joint Replacement Surgeon

Dr. Rajiv Paradkar

Orthopaedic and Joint Replacement Surgeon

FAQ's

What precautions should be taken to prevent arthritis? Does it occur with palti posture(sitting cross legged) and squatting?

It Occurs From Continuous Pressure Over Joint Cartilage During Activities of daily living like squatting; Making Palti Posture(sitting cross legged) ; Using Indian Toilet.. As a Prevention and Precaution One should go for full R.O.M. exercises, weight reduction and should have calcium rich diet. Swimming is one of the best exercise for arthritis, as it deloades the joint while exercising muscles.

Are there any medicines which can revert or halt cartilage damage?

osteoarthritis (age related knee joint pain) is mechanical wear & tear of knee joint cartilage. It is actually an aging process. In very early stages of osteoarthritis medicines like glucosamine, diacerin etc. can alter or slow down the progression of disease. Pain killers can make patient comfortable, but medicines cannot cure arthritis.

Will knee replacement be successful in patient who has ca+ deficiency, osteoporosis, weak bones?

Treatment of Ca+ deficiency, osteoporosis & weak bones is medicines that deposits calcium in bone and loading of bones through walking and exercising. Treating patients only with medicines is not effective. So it is very important to make patients pain free and mobile. so if patient with osteoporosis has knee arthritis, we treat them simultaneously with medication & knee replacement surgery.

IS there any injection of knee joint available which can cure osteoarthritis?

Treatment of Ca+ deficiency, osteoporosis & weak bones is medicines that deposits calcium in bone and loading of bones through walking and exercising. Treating patients only with medicines is not effective. So it is very important to make patients pain free and mobile. so if patient with osteoporosis has knee arthritis, we treat them simultaneously with medication & knee replacement surgery.

Who are the manufactures of knee joint implants (prosthesis), and which company implant does you preferred?

There are many companies like J & J, Zimmer, , Stryker, Aesqulap, Maxx, Orthovasive, Biomet etc. to name a few who manufacture knee implants(prosthesis). Every implant have their own advantages. We study the patient’s X-RAY & then suggest implant (prosthesis) of a particular company. Also, the selection of implant depends on the life style cultural & social requirement of the patients.

Is there any right age for total knee replacement?

Usually knee replacement is a surgery for patients above 60 years of age. Due to sedentary life style, lack of exercise & some disease of young age like rheumatoid arthritis, ankylosing spondilitis ,we see lots of patients who has severe disease of knee joint at a very young age. These patients are in so much pain that they cannot perform even their house hold activities. So, actually speaking decision of knee replacement is not based on age of patient but how much suffering he has because of knee pain.

Is bone & ligament preserving technique of knee replacement (CR technique) internationally approved?

Yes, recently DR. VRAJESH SHAH presented a series of 1000 cases done by this technique in Asia pacific arthroplasty society (APAS) conference, Mumbai. It was highly appreciated by more than 350 joint replacement surgeons.

What is the life of artificial implanted knee joint?

According to various mechanical laboratory testing on simulators, the knee implant can survive for approx. 25 years. In hands of a skillful surgeon, well fixed and well aligned knee replacement can last up to 25 years or even more.Only condition is, patient has to follows the prescribed life style instruction by the surgeon.

My mother has rheumatoid arthritis. She has both hip & both knee problems (arthritis). She is not able to walk. Can she be benefited from surgery?

These are relatively difficult case. Definitely, we can make them walk pain free after offering them both hip & knee replacement surgery.(link varshaben bharghav).

Is it possible to drive vehicle after knee replacement?

Patient’s can drive even bicycle after knee replacement. So, definitely, they can drive car & two wheeler comfortably.

What are the chances of getting infection after knee replacement?

According to various mechanical laboratory testing on simulators, the knee implant can survive for approx. 25 years. In hands of a skillful surgeon, well fixed and well aligned knee replacement can last up to 25 years or even more.Only condition is, Infection rate at viroc hospital is 1 in 200 cases(0.5%). This very well matches with the international standards.

How much walking distance is permitted after knee replacement?

There is no defined distance which a knee replaced patient can walk. Walking distance depends on physical fitness of individual. There are example of patients going for Europe tour, visiting niagra falls & even walking across pyramids in Egypt after knee replacement surgery.

Will it be possible to seat cross leg, squat &/or perform namaaz after knee replacement?

Now a day’s knee implants (prosthesis) are available which allows more than 130* knee range of movement. Range of movements of artificially implanted knee is a function of implant design, surgeon’s skill and elasticity of thigh muscles. So, if we use this high flexion knee implants & if the patients muscle are elastic then it is possible to sit cross leg, squat &/or perform namaaz.

My mother's weight is about 100 kg & she has severe knee pain. Can she be benefited from knee replacement?

knee implant’s (prosthesis) are designed taking into consideration height & weight. Heavy weight is an important parameter during implant designing. so definitely obese(heavy weight patient) can definitely be benefited after this operation(link varshaben bhargav).

My father has severally bowed legs. He walks like a duck, waddling on both sides. Will he be benefited after knee replacement?

obviously, yes. These are the actual patients, who get maximum benefit after knee replacement surgery. Patient’s both legs will become absolutely straight & he will be able to walk straight and without limp & (link vipinchandra soni).

Testimonials

VIROC Hospital
4.7
Based on 316 reviews
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Sheth Bhavana
Sheth Bhavana
03:23 05 Oct 20
Best experienceUpdated hospital with latest equipmentsExcellent doctorsWell trained staffVery cooperative... staffNeat and clean, good service at this covid time..read more
Dr Girish Patel
Dr Girish Patel
03:35 01 Oct 20
Explanation regarding the procedure was explained in detailed, with queries upto the satisfaction. Treatment & Care... taken by all staff is “ MARVELLOUS “ Facilities Excellent.Enjoyed while stay at Hospital without any problem. we’re much Happy with All Regards. आमा कसु अति शयोकटी नथी.read more
Jagdishjjoshi Jetilal
Jagdishjjoshi Jetilal
11:34 18 Sep 20
My name is Jagdish j Joshi I am 65 years old I am suffering from osteoarthritis science 15 years there for it is... difficult for me for walking siting then I was thinking to operate knee replacement then I visited Viroc hospital Dr.Vrajesh shah examine me and advice for knee replacement due to corona epidemic we afraid to operate then we again consult dr. Vrajesh shah and he told that our hospital full filled all corona guide line my operation was done and I climbed stairs and walk at the same day of operation I really thankful to dr.vrajesh shah who gave me new painless life and also thanks to surgeons team nursing staff and swipeer staff also they are ready to give service in any time I suggest that for knee replacement Viroc hospital is best in Vadodara and I wish in future Viroc hospital stood first in all over indiaread more
Abhijit mahajani
Abhijit mahajani
11:21 17 Sep 20
Very Good Treatment, nice hospital all staff members also good
stuti shukla
stuti shukla
04:01 31 Aug 20
Doctors with compelete staff is very supportive.
Geeta Shah
Geeta Shah
11:54 29 Aug 20
Best hospital in vadodara. Doctors, staff and hospitality at its best. Taking so much precautions during this pandemic... time.We came here with lots of tension as father's age is 88. But talking with doctor Vrajesh, tension vanished like anything.We got so much attention and care in this hospital. Very happily, we took discharge today.Thank you all Viroc Team.read more
amit kumar
amit kumar
03:51 26 Aug 20
Well and good hospital in Baroda for kee replacement and all orthopedic treatment
Pranab Chatterjee
Pranab Chatterjee
04:02 13 Aug 20
This hospital is a very good place for orthopedic treatment specialy for knee replacement. This hosp is having very... excellent expert ortho surgeon. Service of all asst doctors,nurses and cleaning staff is excellent. They all are very well behaved and render very good service. Only one thing I must say the canteen service in view of quality should be improved.read more
Het Gandhi
Het Gandhi
03:52 06 Aug 20
Due to corona pendamic hospital gave us best treatment .My surgery was Knee replacement and on the same day of surgery... i can walk easily climb stairs without pain and the 3rd day of surgery i went home with broad smile on my face hospital staff also carrying nature and doctors team also care for patient personally. i suggest other patients that if you have any orthopedic problem please visit first in Viroc hospital.read more
Maulik Tailor
Maulik Tailor
18:10 11 Jul 20
My Mother's Robotic Knee replacement surgery was done successfully at affordable packages during Corona period with... precautions which is really challenging one.I would like to specially thanks to Dr. Vrajesh Shah and appreciate for his politeness to Senior Citizens & to Listen problems Carefully. Team of Doctors are providing true guidance and treatment in the right directionHospital Staff is well caring & creating Family environment. Doctors are genius in surgery.read more
Hitesh Patel
Hitesh Patel
08:56 13 Jul 18
One of the best orthopedic hospital for mainly all kind of joint replacement surgery. Weather it is for knee joint or... heap joint or any fractures, all operations are offered by experts and at affordable packages. The doctors are genius. I am quite impressed by Dr.Vrajesh Shah.read more
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