Consultation is done either at Doctor’s Clinic (Dr Raj Kanna Knee & Ortho Clinic) or at one of our tie-up centers (Westminster Healthcare, Apollo Spectra Hospital) depending on the date and patients priority. Prior appointment is necessary. For the appointment, you can contact the following numbers
|Phone||: 0091 96262 62945|
|: 0091 96262 62952|
|Srilanka Patients||: 0 75525 0963|
We will confirm you the appointments within 24 to 48 hours.
The surgical treatment will be planned in one of our tie-up hospitals based on the patient’s choice. Our tie- up hospitals are NABH ( National Accreditation Board for Hospitals) accredited for maximum patient safety and care.
Getting ready for Surgery
Caution: Patients who are on blood thinners (agents used to prevent clotting of blood such as Aspirin, Clopidogrel etc) are supposed to stop it 5 to 7 days before the planned surgery date. We generally get cardiologist opinion for all patients who are aged greater than 40 years prior to undergoing surgery. It is advisable to discuss with the cardiologist before stopping such medications.
The evening before surgery patient will be seen by the anesthetist. Type of anesthesia (Reginal or general) and other anesthesia-related queries can be sorted out with the anesthetist at this point. The patient will also be seen by a physician to manage comorbid conditions such as Blood pressure, Diabetes, etc… The ward nursing staff will prepare the leg planned for surgery. Also, they will do some sensitivity tests for medications which are to be given during and after surgery.
We as a routine prefer to give spinal + epidural anaesthesia to anesthetise the leg. Patient will be completely conscious during the procedure. But if the patient does not want to be awake a gentle sedation will be given, putting the patient to sleep till the end of the procedure. On few occasions we have to choose general anaesthesia where the patient becomes unconscious throughout the procedure. The choice of anaesthesia will be decided by the anaesthetist after having a complete discussion with the patient.
Generally for a single knee replacement the time taken will be 70 to 90 minutes depending on the complexity of the case. We do all our cases with computer assistance which helps the surgeon to do every step of the surgery accurately without error.
After the surgical procedure patient is observed in the recovery room for two to three hours and then they are shifted to their rooms. Aged patients (more than 75 years) or those with medical risks are observed in intensive care unit. Such patients are usually observed for 24 hours and then they are shifted to their rooms.
We follow a specialized protocol which was co-published by Dr Rajkanna in an American journal, “Journal of Arthroplasty” in the year 2010. As a part of the protocol pain controlling medications are started 12 to 24 hours before surgery which prepares the central nervous system well in advance and closes the pain gate, so that the brain does not feel the pain at the time or after the surgery. Secondly the medications are carefully and rationally combines for maximum action with minimum or no side effects. Finally using cryo (ice) therapy and pain controlling pumps have revolutionized the pain management after such major surgeries.
The patient will be allowed to take fluid orally in about 5 to 6 hours after surgery. Normal diet is usually given the day after surgery. Diet for the patient will be provided by the hospital.
Bed exercises are commenced soon after surgery. The patient will be made ambulate in the following days after surgery as per the below-mentioned schedule. Recovery time vary between patients depending on multiple factors including their general health condition.
The rehab protocol varies slightly for cases undergoing Key Hole surgery depending on the procedure. Physiotherapy support can be extended after discharge if the patient needs it. In that case, we have our network physiotherapists who will take care of the patient by visiting them at the place where they stay.
A clear and detailed treatment summary will be provided to the patient at the time of discharge. Medications to be taken after discharge will be summarised and explained to patient and their attenders to the point.
The patients are followed up in the outpatient clinic every 3 to 4 days and sutures are usually removed by day 12 or 13.
Usually one or two attenders will be allowed to stay with the patient depending on the room category and the hospital policy. Food to the attenders can be provided at special request.
Patients are usually fit to travel by flight one or two weeks after surgery depending on the surgical procedure. Fitness letter to travel by flight will be provided at request.
Overseas patients are advised to come in Medical VISA if they are planning for surgical procedure. We will be able to provide you the VISA support letter after going through your medical reports.
I met with an accident on Nov 8, 2017. My bone got smashed into 4 pieces heavily. I thought i wont reappear by walk, but with his auspicious treatment i just got completely cured in 2 months and i am on running on my leg now. He has returned back my normal life. Congrats and well done Sir.
My mother in law had her second knee replacement surgery and she is walking fine now,and Dr. Raj Kanna sir is very good at explaining the do's and don't s to the patient.
I had meniscus tear on my right knee. Thanks to Dr. Rajkanna. He explained the exact details of the status of injury, procedure to be done and do's & don't s after surgery. He didn't demand much as fees. I am feeling good like before the occurrance of injury. I would recommend him for Ortho related problems.