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Joint Replacement
Joining Generations by Joint Replacement — Full Movement with Cross Leg Sitting
Advanced knee & hip replacement surgery with specialized training from Singapore General Hospital and MIOT Chennai.
Joint Replacement Excellence
Specialized Joint Replacement Expertise
Dr. Jigar D. Shah brings world-class expertise in both knee and hip replacement surgery. His CLS Technique for knee replacement, developed after advanced training at Singapore General Hospital (SGH), allows patients to sit cross-legged after surgery.
For hip replacement, Dr. Shah received specialized training from the renowned MIOT Institute, Chennai — one of Asia's largest Hip Replacement Centers — under the legendary mentor Dr. Prithvi Mohandas. This dual specialization, combined with over two decades of surgical experience, makes Shaurya Hospital a trusted destination for joint replacement surgery.
Understanding Your Knee
Stages of Knee Arthritis
The knee joint cushion (meniscus) wears down over time, progressing through four stages. Understanding your stage helps determine the right treatment.
Stage 1
MildPain just started. X-ray almost normal.
Lifestyle changes, exercise
Stage 2
ModeratePain on getting up, difficulty in long walks. Decreased joint space on X-ray.
SFRT injection, braces
Stage 3
SevereDifficulty on stairs, limp. Bone spurs visible on X-ray.
SFRT (early), evaluation
Stage 4
AdvancedCan't sit cross-legged, bent legs, avoids socializing due to pain. Bone-on-bone on X-ray.
Joint Replacement (CLS)
Knee Replacement
Knee Joint Replacement by CLS Technique
Full Movement with Cross Leg Sitting — Developed after advanced training at Singapore General Hospital
What is CLS Technique?
CLS stands for Comfortable Low Sitting / Crossed Leg Sitting. This technique was developed by Dr. Jigar Shah after advanced training at Singapore General Hospital (SGH).
The roughened articular surfaces are cut and ligaments are balanced properly. New metal surfaces are implanted with a poly-plastic in between working as a smooth gliding cushion. Minimum bones are cut and ligaments are balanced in such a way that full and free range of motion is achieved on the table in the operation theater itself.
"The root of the best end result is initiated in the theater only by the operating surgeon."
Because of this, postoperative recovery becomes very fast and patients get most of the total movements before going home. This reduces the period of physiotherapy required and they become able to sit cross-legged very soon.
Benefits of CLS Technique
After knee replacement with CLS technique, patients can:
Sit easily on the floor with crossed legs
Sit on floor for religious work
Easy in-out of the car
Easy sitting on low-lying sofa
Adjust to unequal height of steps
Use Indian toilet if needed
"Feel rejuvenated from a depressed restricted life to a more mobile enthusiastic life, with feeling of being almost ten years younger than they are."
The Operation
Knee Replacement Process
1 Pre-operative
Complete check-up including blood reports, X-ray, ECG, 2D echo (if needed), and physician check-up.
2 During Surgery
Done under spinal anaesthesia. Antiseptic wash. Smaller incision and the most advanced no muscle cutting technique is used for knee replacement leading to minimum blood loss with CLS technique.
3 Post-operative
Patient can start taking liquids and soft diet within 2–3 hours post-op. Walking with walker from the next day morning.
Recovery
After Knee Operation
Quadriceps exercise, sit with back rest
Sit by side of bed, walk with walker
Walking more freely confidence boosted
Discharge after climbing stairs (up and down) with smiling faces and happier life awaited
Cross-legged sitting achieved
Can drive & swim
Back to work
Can play light games
Bilateral Knee Replacement (Both Knees Together)
Both knees can be replaced in a single sitting under single anaesthesia. This means single admission, avoiding repeating all procedures and medicines, and significant reduction in expenditure. Patients with severe arthritis on both sides get better outcomes compared to sequential surgery.
Decision is made jointly by surgeon and physician after patient evaluation.
Quality Assurance
Quality of Joints Used
World-best imported company joints are used in almost 100% cases at Shaurya Hospital. Never has there been a question regarding quality of joint in a single patient.
What patients should confirm:
Whether it's US FDA approved or not
Name of the company and its cadre
Type of joint (All poly or metal backed)
Fixed bearing or mobile bearing (rotating platform)
Durability: Long-term results data up to 30 years already published in journals.
Common Questions
Knee Replacement FAQs
Where should one get knee replacement done?
Look for a well-equipped OT of international standards, well-experienced supporting staff, a highly qualified expert surgeon, and best quality US FDA approved joints.
Is Computerized/Robotic surgery a must?
More than 90% of success or failure depends on the surgeon's expertise. The computer is barely a supportive machine. Rather than getting impressed from advertisements, one should decide based on who is the surgeon performing the operation.
Should we go for a joint which allows cross-leg sitting?
Cross-legged sitting after surgery is not just a function of the joint. With a well done technique like CLS, most patients can sit cross-legged irrespective of the type of joint used. A well performed surgery and patient's cooperation have no alternatives.
What is the durability of the knee joint?
Joints used at Shaurya Hospital have long-term results data up to 30 years. Surgeries performed by an expert surgeon with US FDA approved joints from top-level international companies have an absolute bright and long lasting future.
Hip Replacement
Total Hip Replacement
Special Training from MIOT Chennai — One of Asia's Largest Hip Replacement Center
When is Hip Replacement Needed?
AVN — Avascular Necrosis of Hip
Diminished blood circulation leading to damage and collapse of the hip ball (femoral head), causing severe pain and loss of mobility.
Failed Fracture Surgery
Previous hip surgery with lost reduction or hardware failure requiring revision through total hip replacement.
Rheumatoid Arthritis
Autoimmune condition that attacks the joint lining, causing chronic inflammation, cartilage destruction, and progressive hip joint deterioration.
Osteoarthritis
Age-related wear and tear of the hip joint cartilage, leading to bone-on-bone contact, chronic pain, stiffness, and difficulty walking.
Types of Hip Procedures at Shaurya Hospital
Cemented Hip Replacement
Traditional cemented fixation technique providing reliable results, especially suited for elderly patients with weaker bone stock.
Bipolar Hip Replacement
Specialized procedure for fracture neck of femur, using a dual-bearing implant that provides excellent mobility and reduced wear.
Ceramic Total Hip Replacement
Premium ceramic bearing surfaces offering superior durability, minimal wear, and excellent biocompatibility for long-lasting results.
Uncemented THR
Modern press-fit fixation that allows bone to grow into the implant for a natural, biological bond and long-term stability.
Revision THR
Complex surgery to replace a failed or worn-out previous hip replacement, requiring advanced surgical skills and specialized implants.
THR with Long Stem
Advanced procedure for complex cases involving significant bone loss, providing enhanced fixation and stability in challenging situations.
Specialized Technique
Modified Ender Nailing Technique
Dr. Jigar Shah's specialized technique for hip fractures
Done Under IITV
Performed under Image Intensifier TV guidance for precision and accuracy
Hardly Two Stitches
Almost the smallest incision claimed worldwide for hip fracture surgery
Discharge in <24 Hours
Hip fracture patients discharged in less than 24 hours since the operation
One of a Kind in Gujarat
Shaurya Hospital is probably the one and only center in entire Gujarat with this capability
Why Choose Us
Why Choose Shaurya for Joint Replacement
International Training
SGH Singapore for knee & MIOT Chennai for hip replacement
CLS Technique
Cross-legged sitting after knee replacement surgery
Complex Cases
Handles revision THR, failed surgeries, severe deformities
Proven Results
Patients from across Gujarat and Rajasthan trust us
Get Back to Living Pain-Free
Expert knee & hip replacement care with Dr. Jigar Shah.