Mumbai’s best Arthritis Surgeon Dr. Samir Pilankar is very famous and renowned specialist in Total Knee Replacement and Total Hip Replacement.

TKR (Total Knee Replacement)

 TKR (Total Knee Replacement)

Total Knee Replacement is a surgery in which the worn out or injured knee joint
is replaced by an artificial joint.

Dr. Pilankar is doing knee replacement by minimal incision technique. This allows
for early mobilization with minimal pain.


  • – Severe pain interfering with sleep
    – Severe pain which disturbs your quality of life
    – Conservative treatment in the form of medication and physiotherapy has not helped

The actual procedure

-There are 3 components in TKR

  • Femoral
  • Tibial
  • Patellar

Femoral component is made of specialized stainless steel while the other two components
are made of high density polyethylene

Dr Samir Pilankar will help you for Arthroscopy in Mumbai

THR (Total Hip Replacement)

Total Hip Replacement is a surgery in which the damaged acetabular cup and femoral head are replaced. Dr. Pilankar is doing knee replacement by minimal incision technique. This allows for early mobilization with minimal pain.


  • Fracture neck femur.
  • Avascular necrosis hip
  • Arthritis of hip joint
    • Rheumatoid
    • Osteoarthritis
    • Post traumatic


Arthritis is a general term covering numerous conditions where the joint surface (cartilage) wear out. The joint surface is covered by a smooth articular surface that allows pain free movement in the joint. This surface can wear out for a number of reasons, often the definite cause is not known. When the articular cartilage wears out, the bone ends rub on one another and cause pain. There are numerous conditions that can cause arthritis and often the exact cause is never known. In general, but not always it affects people as they get older (Osteoarthritis).


The diagnosis of the hip condition is made with clinical examination and X-rays

Surgical Procedure​

An incision is made over the hip to expose the hip joint.

The acetabulum (socket)
is prepared using a special instrument called a reamer. The acetabular component
is then inserted into the socket. This is sometimes reinforced with screws or occasionally cemented. A liner which can be made of plastic, metal or ceramic material is then placed inside the acetabular component.

The femur (thigh bone) is then prepared. The femoral head which is arthritic is cut off and the bone prepared using specialinstruments, to exactly fit the new metal femoral component. The femoral component is then inserted into the femur. This may be press fit relying on bone to grow into it or cemented depending on a number of factors such as bone quality and surgeon preference.

The real femoral head component is then placed on the femoral stem.
This can be made of metal or ceramic.

The hip is then reduced again, for the last time.

The muscles and soft tissues are then closed carefully.


Most frequent questions and answers
Over the last few decades, improvements in surgical materials and techniques have greatly increased its safety as well as effectiveness. The rate of complications post TKR is very low. Surgeon before operating the patient for Total knee replacement always makes sure that the patient is fit to undergo the procedure by conducting various pre operative tests.

TKR surgery helps in achieving

  1. Freedom from pain.
  2. Improved movement.
  3. Improved quality of life and ease of doing activities of daily living.

Previously knee replacement procedure used to be very painful, but with advancement in regional anesthetic techniques now a days patients experience very little pain post surgery.

The TKR surgery can be safely done at an advanced age provided the patient is medically fit as judged by his reports and physician evaluation.

Yes definitely.

in early osteoarthritis all non operative measures should be tried. Weight loss, physiotherapy, and muscle strengthening can help reduce pain.

In advanced arthritis these have limited role and the only solution is knee replacement surgery.

Computer assisted TKR also known as Navigation TKR has immensely improved the precision in TKR. In this the OrthoAllign computer program guides the surgeon in taking precise bone cuts and hence improve the final outcome of TKR surgery.

Knee Replacement in Women

Most frequent questions and answers

A gender-specific total knee replacement implant is a prosthesis that is specifically designed either for a male or a female. The size of the implant is slightly different to accommodate the slightly different average size of the bones between males and females. Most knee replacements marketed as gender-specific are specially designed to fit a woman’s knee joint anatomy.Gender-specific implants are designed in a similar way, except that the “average” is different for a man’s bone and a woman’s bone. The idea behind doing this is that by better replicating the normal anatomy, the joint replacement implants may allow for better function, as well as improved durability.

Dr. Pilankar regularly performs gender specific knee replacement in high demand female patients with consistent good results

Before joint replacement surgery, it is important to have all required documentation. Vital information to provide the orthopedic surgeon includes:

  • A detailed list of all medications, including name of medication, dosage, and frequency taken
  • Allergies or any previous adverse reactions to drugs or anesthesia
  • Pre-existing health problems (i.e. diabetes, hypertension, blood clots, bleeding problems, etc)

On the day of surgery, patients must bring their insurance cards, preoperative physical exam paperwork and primary emergency contact information.

Yes. Dr. Pilankar will recommend pre-surgical exercises to help ease the recovery process. It is important to have good upper body strength to help with crutch and/or walker use after knee or hip replacement as you will rely on your arms heavily. Dr. Pilankar may also recommend that patients start practicing post-operative exercises, also given at the class, so they are familiar with them before returning home.

In addition to exercise, Dr. Pilankar strongly recommends patients stop smoking prior to surgery as can change blood flow patterns and slow the healing process. It is also crucial to stop all alcohol consumption 48 hours before surgery.

On the day of surgery, it is recommended that patients bring:

  • Loose fitting clothing for the hospital stay and physical therapy
  • List of medications
  • A copy of the preoperative history and physical exam form as well as labs (if available)
  • Copies of insurance information and medical history
  • Personal care items, such as a hair brush and toothbrush

On the day of surgery, do not wear makeup, hair products, perfume or jewelry. Leave all valuables at home.

Upon arriving at the hospital, patients will be escorted to the pre-surgical area where they will change into a hospital gown. After changing, the nursing staff will take vital signs, start intravenous (IV) fluids, and administer any required medications. An anesthesiologist and nurse anesthetist (CRNA) will meet with the patient and discuss the type of anesthesia that will be used during and/or after surgery (i.e. general anesthesia, spinal anesthesia, femoral nerve block/catheter). Patients will then be transported to the operating room for surgery.

Recovery after joint replacement is typically 6 to 8 weeks with the biggest adjustment occurring in the first 2-4 weeks. It is recommended that patients prepare their home by:

  • Removing any area rugs, electrical cords, or objects from areas that could increase the risk of falling.
  • Place frequently used items in easy to reach places.
  • Add bathroom aids such as a shower chair or shower bar

It is recommended that a friend or family member stay with the patient for the first 3-5 days after returning home to assist with activities of daily living (transferring from bed to chairs, bathroom assistance, dressing changes, etc).

Computer assisted TKR also known as Navigation TKR has immensely improved the precision in TKR. In this the OrthoAllign computer program guides the surgeon in taking precise bone cuts and hence improve the final outcome of TKR surgery.

Do I need knee replacement surgery?

Knee replacement surgery may be the best choice for you if :

1) you have persistent knee pain inspite of trying all conservative methods of treatment

2) inability to stand or walk without pain

Do I need knee replacement surgery?

Paper News Coverage on Joint Replacement:

Myths and facts about Knee Replacement Surgery

The article were published on Bombay Time - A supplement copy of Times Of India about the Myths and Facts about the Knee Replacement Surgery. The aim of coverage to spread awareness about the Knee Replacement Surgery among the common mass. Because of lack of information peoples are avoiding Knee Pain and Knee Replacement options.  But that leads to many more other problems and life become very bad.



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