Dr. Kaushal Malhan


Chris Y from USA had a hip replacement surgery at Fortis Hospital, Mumbai, India facilitated by Healthbase. Following is his story about his experience with medical tourism abroad for hip replacement surgery.

About 5 weeks ago I went from the USA (Raleigh, North Carolina) to Mumbai, India, for hip replacement surgery. I have been home for a while now and am happy to report I am making great progress toward total recovery.

My hip problem was with me many years, but only showed itself during the past one year. In that year my gait went from normal to limping to a sort-of painful hop on only my good leg. Clearly I was in need. So I researched greatly many options both in the USA and abroad and found that more hip operations were successfully performed overseas, specifically in India. Through my research I connected with Moe, who is Healthbase’s Customer Support Manager. He patiently answered each of my questions, even when I would call again and ask new and different questions. Moe arranged for a 3-way conversation with the surgeon of my choice, who, also through my research, I chose to be the world-renowned hip resurfacing/joint replacement surgeon, Dr. Kaushal Malhan. After consideration, I realized that Healthbase, Dr. Malhan, and Fortis hospital were the right choices for me.

About 3 months later I was ready to take a trip to Mumbai, India to become whole again. Being adventurous, I arranged for my own airfare, while Moe arranged for my hospital stay, and the date of my surgery. My stay in the hospital was for a total of 12 days and 12 nights, which went by very quickly.

I hopped on the plane, (actually 3 planes), and was met at the airport (at 1 am) by Bharat, who is Fortis hospital’s International Patient Relations Manager. That same night I was brought to my room, where my check-in went fast and easy.

Let me tell you about my room. It was spacious (it was actually called a suite). It was well lit and very clean. I had all the amenities I could want – a TV, a computer, a phone, a refrigerator (stocked with complementary juices), a large easy chair, hot water-maker for coffee, lots of pillows to lounge with, and a very big bathroom area. Every day during my stay the cleaning crew came to clean everything (even the bathroom) and to change my linens.

The day after my arrival was devoted to surgery prep, which went like clockwork. It was obvious the staff had plenty of experience. I was scared, as I had never had surgery before, but was reassured at each step by every one of the staff member’s professional demeanor. The next day was my surgery, which apparently went very well. (In addition, I also needed bone grafting – this had been explained to me the day before the surgery). I felt well and strong almost immediately after the surgery. For a few days after the surgery I was given, it seems, just the right amount of pain medication, since I felt no pain, yet could easily read a newspaper, had a normal sleep pattern, and a good appetite.

Doctors, nurses, and dieticians would stop by my room daily to ask how I was feeling, did I need anything, and would I like to have anything different foodwise. The meals were always very tasty, as I could choose daily from a menu book, which had a wide variety of Indian or Continental cuisine. I could specify anything I would like to eat for any meal. I did eat a large amount each day, and had fresh fruit plates at least twice a day. Also, the kitchen was just a phone call away, so I could ask for anything at any time, day or night.

I am now moving about several hours each day without crutches or a cane. My gait is coming back, and I am exercising using the routine I was taught while in the hospital. I am completely free of medication, and foresee a time in the near future when I will be able to once again take up long-distance bicycling and walks on the beach. Dr. Malhan’s skill as a surgeon has made this possible, and his minimally-invasive techniques have definitely aided in the speed at which my recovery has progressed.

So here is the bottom line. My being a patient in Fortis Hospital was a good decision, a smart financial decision, and from a surgical standpoint, a very wise decision. My room was big and clean, the care I received was very good, the food was absolutely great, and the physical therapy I received was specific to my needs, intense but not overbearing, to which I also attribute in large part my very rapid recovery (they claim the Physiotherapy Department as ‘World Class’ – I can attest their skills truly make them such).

Anyone who is considering joint resurfacing or replacement should seriously consider the many advantages of having Healthbase as their medical tourism facilitator. In addition, I highly recommend the staff at Fortis Hospital in Mumbai, India, and especially Dr. Kaushal Malhan, whose world-renowned surgical expertise continues to create successful outcomes in patients such as myself.

Thanks Healthbase!

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Unicondylar Knee Replacement

Provided by Wockhardt Hospital
Brought to you by Healthbase

Most people are aware of the total knee replacement surgery. This involves replacing the unhealthy surface of the entire knee joint with metal and plastic implants. It is a very successful operation with good long term results. However a large percentage of patients have arthritis limited to one part of the joint alone. Replacing the whole joint in these patients is overkill and unnecessary.

Knee ReplacementMany middle aged men and women develop osteoarthritis of the knee. Osteoarthritis of the knee affects the inner half or medial compartment to start with and then proceeds to affect the outer half or lateral compartment.

In this operation only that part of the knee, which is unhealthy, is replaced. The normal surfaces are left alone. This operation has several advantages over total knee replacement surgery.

  • It can be done through a very small incision.

  • It is minimally invasive and hence tissue damage is far less.

  • The patient gets complete pain relief and the implant lasts long

  • The knee feels more natural as ligaments are preserved

  • Range of movement is full and it allows squatting and sitting crosslegged

  • Post operative hospitalization is reduced and return to normal is much faster than total knee replacement surgery.

Dr. Kaushal Malhan is a Joint Replacement and sports surgeon at the Wockhardt hospital. He was the first surgeon in India to do the mobile bearing oxford unicompartmental knee replacement and has been in the forefront in the field of full bending knee replacement surgery.

 

 

 

 

 

 

 

Frequently Asked Questions

 

  • What is unicondylar arthroplaty, or partial knee replacement?
  • What are the advantages unicondylar arthroplasty?
  • How is it different from total knee replacement?
  • You mentioned recovery is faster. What does that mean?
  • What does the surgeon do during a unicondylar arthroplasty?
  • How do I know if I am a candidate for this surgery?
What is unicondylar arthroplaty, or partial knee replacement?Partial knee replaces only the area of the knee that is worn out, sparing patients the more medically complicated and involved total knee replacement surgery.

 

What are the advantages unicondylar arthroplasty?With a partial knee replacement, there is a dramatically shorter recovery time due to less surgical trauma, less scarring and fuller range of motion.

 

How is it different from total knee replacement?

During total knee replacement, surgeons typically make a 7 to 8-inch incision over the knee, patients stay in the hospital for approximately four days, and there is a recovery period of up to three months. During minimally-invasive partial knee surgery, a part of the knee to be replaced through a small, 3-inch incision. There is minimal damage to the muscles and tendons around the knee and the required hospital stay is up to two days. The recovery period is about one month.

 

Total Knee Replacement

 

You mentioned recovery is faster. What does that mean?

Patients often walk unassisted within a week or two of the operation. Even those who have both knees done at once are able to walk without the assistance of a walker or cane fairly quickly.

 

What does the surgeon do during a unicondylar arthroplasty?When a knee replacement is performed, some bone and cartage are removed using precise instruments to create exact surfaces to accommodate a metal and plastic prostheses.

 

How do I know if I am a candidate for this surgery?

Candidates for this surgery are generally younger, more active patients. The partial knee replacement allows for symptoms of pain or discomfort. The procedure allows younger patients to buy time before they need a full knee replacement. The procedure is also effective for older patients if they have disease localized to one half of the joint.

 


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