Fast Track Total Knee Replacement

Though Total Knee Replacement is a very successful procedure and gives excellent long term results, many patients are scared of postoperative pain and physiotherapy and try to avoid the procedure. With Fast Track surgery, Dr Kevin Choksey combines different techniques which are proven to give the patient a smooth speedy recovery and excellent long term outcomes.

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Muscles sparing

A. Muscles sparing

With conventional surgeries, after the skin incision, the thigh muscle (Quadriceps) is cut, the surgery is performed and then the muscle is repaired. With the Subvastus approach, also popularly known as SubV or the Jiffy Knee in the US, the quadriceps muscle is not cut. The entire muscle is preserved, retracted to the other side and then the surgery is performed.

This fantastic muscle sparing approach results in
- Faster recovery of the muscle
- Less pain
- Comfortable physiotherapy
- Less postoperative stiffness.

In scientific literature also, Subvastus approach is known to support Fast Track Knee Replacement Surgery.

Though technically demanding, Dr Kevin Choksey has been a pioneer of this muscle sparing approach in Surat and South Gujarat region

Technology (Robot) Assisted

B. Technology (Robot) Assisted

Robotic Knee Replacement is actually Robotic Assisted Knee Replacement surgery. It combines a skilled surgeon’s expertise with the precision of robotic technology. For both total and partial replacements, Robotic technology has proven to be a game changer. Dr. Kevin Choksey uses the most advanced Stryker MAKO Robotic System to perform robotic total knee replacement surgery in Surat, offering unmatched accuracy and personalized results.

How Robotic Knee Replacement works?

      The process begins with a detailed CT scan, which helps map out the patient’s hip, knee, and ankle centers, along with other key bone structures. This data is used to create a 3D virtual model of the patient’s lower limb and the knee. This allows the surgeon to pre-plan the procedure by customizing the size and positioning of the implant specific to your knee anatomy. Not only that, it ensures perfect and desirable alignment of the leg with zero human error.

During the surgery, the robotic system helps the surgeon to record tissue tension. With available information of exact bony anatomy and the ligament tensions, the surgeon plans the entire surgery virtually on screen to achieve optimum alignment and ligament balance. Unlike conventional knee replacement, where the sequence of steps is CBA- (Cut bone, Balance ligaments, Assess the knee), In Robotic surgery, the sequence is  ABC(Assess the knee by CT, Balance ligaments virtually, and the Cut bone). Hence performing bone cuts becomes the last step of the surgery, after all planning and virtual execution is done.

For performing bone cuts, unlike traditional knee replacement, this procedure uses a robotic arm. During the procedure, surgeon controls the robotic arm while maintaining full control over the surgery. The robot ensures exact bone cuts and proper alignment, improving implant fit. It uses a Haptic system where in it executes the bone cuts in a pre- defined boundary, without causing any damage to the tissues and ligaments around the bone. This results in better joint alignment and balance, reduced post-operative pain, faster recovery, and a more natural-feeling knee after surgery.

Dr. Kevin Choksey brings this cutting-edge robotic knee replacement surgery in Surat, offering patients a safer, precise, more personalized, and long-lasting solution for chronic knee pain.

>Benefit of robotic knee replacement
>Less Blood & Bone Loss
>Ligament Protection
>Perfect Joint alignment & balancing
>Enhance surgical Planning
>Best Precision & accuracy
>Quick Recovery
>Less Need of physiotherapy
>Short Hospital Stay
>Customized placement of implant

ligament sparing

 C.ligament sparing

Robotic Cruciate Retaining Total Knee Replacement is an advanced form of knee replacement surgery where the posterior cruciate ligament (PCL)—the strongest ligament of the knee and a key stabilizer — is preserved. Using the precision of robotic technology like the Stryker MAKO system, this surgery allows Dr. Kevin Choksey to resurface only the damaged surfaces of the knee while retaining the PCL for more natural knee movement.

Preserving the PCL helps maintain the knee’s original mechanics, offering better balance, improved joint stability, and a more natural feel after surgery. The result? Patients often experience less pain, quicker recovery, and more confidence in movement—especially on stairs and uneven surfaces.

Cruciate Retaining TKR is being increasingly used (75% of knee surgeries) in developed countries like US and Australia. This cutting-edge technique is ideal for most patients looking for long-term relief without compromising the natural function of their knee. Dr. Choksey proudly offers robotic cruciate retaining knee replacement in Surat for precise, personalized outcomes.

FAQ's

Frequently Asked Questions

It is a big myth that the robot performs the surgery. Robot is just an assistant, a precision tool in the hands of the surgeon. It is the surgeon who is in command and makes all critical decisions. Robot just helps in precise execution of those decisions.

Robotic surgery offers improved accuracy, personalized implant positioning, minimal tissue damage, and a quicker, smoother recovery.

It’s an advanced robotic platform that uses a pre-surgery CT scan to create a 3D model of your knee, allowing for more precise planning and execution. It is the most used robot in US and Australia.

Yes, it is considered safe and has shown better outcomes in terms of recovery, implant positioning, and long-term results. After all, it is the surgeon who operates, not the machine.

Many patients report reduced pain, faster rehabilitation, and an earlier return to daily activities compared to traditional surgery.

As with any knee surgery, there are general risks. There is no specific complication related to robotic assistance. On the contrary, robotic assistance often reduces complications related to implant positioning and improves patient outcomes, as well as implant survival.

It takes the same time as traditional surgery, but with more precision and better planning.

Yes, Dr. Kevin Choksey offers expert robotic knee replacement surgery in Surat using the latest MAKO robotic technology for better outcomes.

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