A bad joint does not announce itself all at once. It is gradual like a little stiffness getting out of bed, pain that starts only on stairs and...
A bad joint does not announce itself all at once. It is gradual like a little stiffness getting out of bed, pain that starts only on stairs and eventually appears on flat ground, a range of movement that keeps narrowing. By the time most patients walk into an orthopaedic department, they have been managing around the problem for longer than they should have.
Medanta Lucknow's Department of Orthopaedics covers the full range of musculoskeletal conditions including joint replacement, spine surgery, sports injury and arthroscopy, complex trauma, limb reconstruction, orthopaedic oncology, and foot and ankle surgery. The team has expert orthopaedic surgeons with decades of combined experience in joint replacement, an internationally trained spine surgeon, and consultants covering sports injuries and subspecialty trauma. For patients across Uttar Pradesh and the broader central India region, this is a concentration of orthopaedic expertise that has not historically been available close to home.
Our surgeons have collectively performed upwards of 18,000 joint replacement procedures (including knee, hip, shoulder, and beyond). That number matters because joint replacement particularly revision surgery on a joint that has already been replaced is work where volume translates directly into outcomes.
Dr. Sourav Shukla, Director of Orthopaedics and Joint Replacements, is one of India's recognised arthroplasty surgeons - performed more than eight thousand joint replacements over thirty years. He is credited with introducing kinematic alignment for total and partial knee replacement in India and with performing the first direct anterior hip replacement in Uttar Pradesh - a technique that allows hip replacement through the front of the joint without detaching muscle, significantly reducing recovery time. He is a member of the national expert group on the direct anterior approach.
Dr. Saif N Shah, Director, performed the first robotic knee replacement surgery at Medanta Lucknow. His scope covers primary and revision knee, hip, shoulder, and elbow replacement, managing complex periarticular trauma, spinal decompression & fixation, and sports injuries.
Dr. Dharmendra Singh, Director, widely regarded as one of India's foremost knee replacement surgeons. His focus is primary and complex knee replacement, robotic knee replacement, hip replacement, and sports injuries. Over twenty years of practice specifically in joint replacement surgery.
Dr. Swetabh Verma is the department's spine specialist. His scope covers complex spine surgery, spinal deformity correction, occipitocervical conditions, and minimally invasive and endoscopic spine procedures. For patients in Lucknow and central UP who have previously needed to travel to Delhi for complex spine surgery, his presence at Medanta Lucknow changes the calculation.
Dr. Saumitra Dwivedi brings a different kind of surgical breadth. His arthroplasty and arthroscopy expertise includes joint replacement, sports surgery, limb reconstruction, and orthopaedic oncology. He manages limb salvage for bone tumours in both adults and children, megaprosthesis implantation, complex pelvic trauma, paediatric osteotomies, SLAP tears, Bankart lesions, ACL, PCL, and MPFL reconstructions, and reverse shoulder arthroplasty.
Dr. Yogesh Jain, Consultant, manages shoulder and knee arthroscopy, sports injuries, joint replacement, and complex periarticular trauma. Dr. Suman Saurabh, Consultant, focuses on complex orthopaedic trauma, foot and ankle surgery, ankle ligament reconstruction and deformity correction.
How do I know if I need knee replacement or if physiotherapy is still an option?
Physiotherapy manages symptomslike muscle strengthening, gait training, and pain reduction. It does not reverse structural damage to the joint. If your X-ray shows bone-on-bone arthritis, if you have significant deformity, or if the pain is now affecting your sleep and basic daily function despite medication, physiotherapy is unlikely to change the underlying picture. The decision about whether to proceed to replacement is made based on your symptoms, imaging, age, activity level, and what you want to be able to do. An orthopaedic surgeon's assessment is what determines whether you are at that point.
What is robotic knee replacement and is it better than conventional surgery?
Robotic knee replacement uses a robotic arm (controlled by the surgeon) to execute cuts in the bone with greater precision than manual instrumentation allows. The system plans the surgery based on the patient's specific anatomy from pre-operative imaging and provides real-time feedback during the procedure. It offers more consistent execution of the surgical plan, particularly in challenging anatomy. Both Dr. Shah and Dr. Singh perform robotic knee replacement at Medanta Lucknow.
What is the direct anterior approach to hip replacement?
Most hip replacements are performed through a posterior or lateral approach, which requires detaching some of the muscles around the hip to access the joint. The direct anterior approach goes through a natural interval between muscles at the front of the hip. The result, in experienced hands, is less post-operative pain, faster early recovery, and a lower risk of dislocation in the early weeks after surgery because the posterior structures are left intact. It does require specific training and a learning curve. Dr. Shukla introduced this technique in Uttar Pradesh and is a member of the national expert group on the direct anterior approach.