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Knee Joint Replacement
by CLS Technique

Full Movement with Cross Leg Sitting — Joining Generations by Joint Replacement

Our Signature Technique

What is the CLS Technique?

CLS stands for Comfortable Low Sitting / Crossed Leg Sitting — a technique developed by Dr. Jigar Shah after advanced training at Singapore General Hospital (SGH).

How It Works

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 during the procedure
Ligaments are balanced in such a way that full and free range of motion of the joint 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."

— Dr. Jigar Shah

Because of this meticulous approach, postoperative recovery becomes very fast and the patient gets most of the total movements before going home.

What You Can Do After Surgery

Life After CLS Knee Replacement

The CLS technique restores movements that matter most to Indian patients and their daily lifestyles.

Cross-Leg Sitting

Sit easily on the floor with crossed legs for religious work and daily activities.

Easy Car Access

Comfortable in-out of car without struggle.

Low Sofa Sitting

Easy sitting on low-lying sofas and furniture.

Stair Navigation

Adjust to unequal height of steps with confidence.

Indian Toilet Use

Can use Indian-style toilet if needed.

Active Lifestyle

Feel rejuvenated, almost ten years younger.

"Feel rejuvenated from a depressed restricted life to a more mobile enthusiastic life, with feeling of being almost ten years younger than they are."

Understanding the Procedure

Why Knee Replacement?

One of the best inventions of the twenty-first century

Has become quite simpler over a period of years

Minimal risks involved

Bent legs and joint gets natural

Walking speed and pattern improves

Walk from second day with walker, then stick, then freely

Patient feels their age almost ten years decreased

Don't Delay the Decision

"Carry on with whatever it is, bear till you can, this is age related and can't be better, have lived quite a lot and not much left to live" — this kind of thinking by patients or their relatives, leading to delaying the operation, is the root of a more painful future.

Step by Step

The Operation Process

Pre-operative

Complete check-up to ensure patient readiness:

Blood reports
X-ray
ECG
2D Echo (if needed)
Physician check-up

During Surgery

Done under spinal anaesthesia (injection in the back)
Antiseptic wash given to leg to avoid infection
Drain tube kept to remove damaged fluid and blood
Epidural analgesia for pain-free immediate postoperative period
Minimal incision length and blood loss with CLS technique

Post-operative

Patient can start taking liquids and soft diet within 2–3 hours post-operation. Recovery begins immediately with our structured rehabilitation program.

Quick recovery with CLS technique means most patients achieve full movement before discharge.

Your Recovery Journey

After Knee Operation — Recovery Timeline

Day 1

Quadriceps exercise, sit with back rest

Day 2

Sit by side of bed, walk with walker

Day 3

Drain tube removed with dressing

Day
3–5

Discharge

Out-of-Ahmedabad patients can stay up to 5 days at no extra charge

25–40
Days

Cross-legged sitting achieved

Walk freely without support

1
Month

Can drive & swim

3
Months

Can play light games

Sit on the floor

Note: Most patients get full range of motion on their own due to CLS technique. Many patients don't need physiotherapist access, and are still able to sit cross-legged.

Both Knees Together

Bilateral Knee Replacement

Well-popularized in recent years — both knees replaced in a single sitting under single anaesthesia.

Single Anaesthesia

Single anaesthesia for both surgeries, reducing overall risk and stress on the body.

Single Admission

Avoids repeating all procedures and medicines with a second admission.

Better Outcomes

Patients with severe arthritis on both sides get better outcome when done together.

Reduced Expenditure

Significant reduction in total cost compared to two separate surgeries.

Note: The decision for bilateral knee replacement is made jointly by the surgeon and physician after a thorough patient evaluation.

Implant Standards

Quality of Joints Used

World-best imported company joints are used in almost 100% of cases at Shaurya Hospital, ensuring the highest standards of quality and durability.

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)

Proven Durability

Long-term results data up to 30 years already published in journals, confirming the lasting effectiveness of quality implants.

Have Questions?

Frequently Asked Questions

Where should one get knee replacement done?

The ideal setup includes a well-equipped Operation Theater of international standards, well-experienced supporting staff, a highly qualified surgeon, and best quality US FDA approved joints. All of these factors together determine the success and longevity of the knee replacement.

Is Computerized / Robotic surgery a must?

More than 90% of the success or failure depends on the surgeon's expertise running the computer. The computer is barely a supportive machine. The real question you should focus on is: who is the surgeon?

Should we go for a joint which allows cross-leg sitting?

The ability to sit cross-legged is not a function of the joint only. With the CLS technique, most patients sit cross-legged irrespective of the joint type used. A well-performed surgery combined with patient cooperation equals the best result.

What is the durability of the knee joint?

Long-term results data up to 30 years have been published in journals. An expert surgeon combined with US FDA approved joints from top companies ensures an absolutely bright and long-lasting future for the patient.

Real Results