✅ NABH Accredited · 10,000+ Surgeries · GiniVision™ AR Technology

Knee Replacement Surgery in Mohali

Q: Is robotic knee surgery available in Mohali?

Yes. Gini Hospital offers GiniVision™ AR navigation using Pixee Medical Knee+ NexSight technology — delivering robotic-level precision without a bulky robotic arm. No CT scan required, compact headset-based system, full surgeon control. This is exclusive to the Mohali-Chandigarh region.

Q: What is the difference between GiniVision™ and robotic surgery?

Robotic surgery uses a robot arm, pre-op CT scan, bulky equipment, and shared control between surgeon and robot. GiniVision™ uses an AR headset, requires no CT scan, is compact, keeps full control with the surgeon, and offers comparable alignment accuracy at lower cost.

Q: How long will my knee replacement last?

Modern knee implants last 20–25 years with appropriate activity levels. GiniVision™ precision alignment maximises longevity by ensuring optimal load distribution across the implant.

Q: What is the difference between total and partial knee replacement?

Total knee replacement (TKR) resurfaces the entire knee joint — all three compartments. Partial knee replacement (PKR) resurfaces only one compartment and is suitable when disease is isolated to one area. PKR offers faster recovery and a more natural feel, but is only appropriate for selected patients.

Q: How long is the hospital stay for knee replacement?

Total knee replacement: 3–5 days. Partial knee replacement: 1–2 days. Revision knee replacement: 5–7 days depending on complexity.

Q: When can I walk after knee replacement?

Most patients walk with a walker on Day 1 after surgery. Walking without a walker is typically possible at 4–6 weeks. Stairs with one hand by 2–3 weeks.

Q: When can I drive after knee replacement?

Left knee replacement: approximately 4 weeks. Right knee replacement: 6–8 weeks, when full reaction time and strength are restored. Always confirm with Dr. Harjoban before resuming driving.

Q: Is knee replacement covered by insurance?

Yes. Knee replacement is covered under CGHS, ECHS, and 32+ private insurance plans. Gini Hospital offers cashless facility and our team handles all pre-authorisation paperwork.

GiniVision™ — Robotic-Like Precision. Without the Robot.

Led by Dr. Harjoban Singh with 10,000+ surgeries, Gini Hospital now uses GiniVision™ AR navigation (Pixee Medical Knee+ NexSight) to deliver real-time, intraoperative alignment guidance — the same precision as robotic surgery, at a fraction of the cost, with no bulky robot and no pre-operative CT scan required.

📍 Mohali (SAS Nagar), Punjab · Serving Chandigarh Tri-City

🚨 Severe knee pain, fall, or locked knee? Call immediately: +91 81463 20100

💬 WhatsApp Us

10,000+

Surgeries

GiniVision™

AR-Guided

95%+

Satisfaction

20–25 Yrs

Implant Life

24/7

Emergency

NABH

Accredited

Dr. Harjoban Singh performing GiniVision AR-guided knee surgery at Gini Hospital Mohali

GiniVision™ AR Navigation · Live in Surgery

Sub-millimetre accuracy · No robot required · Faster recovery

Not sure if you need surgery yet?

70% of patients sent for knee replacement don't need surgery — yet. Dr. Harjoban always explores conservative options first.

Explore Save the Knee Programme →

Honest Guidance

Do You Actually Need Knee Replacement?

Dr. Harjoban believes in honest guidance — surgery is only recommended when it is truly the right option. Here's how to know where you stand.

If any of the following apply, we strongly recommend trying non-surgical treatment first:

✓ KL grade 1 or 2 arthritis on X-ray
✓ BMI over 35 and not yet optimised
✓ Under 50 years old
✓ Have not tried structured physiotherapy + injections for at least 6 months
✓ Pain is manageable and not affecting sleep or daily function

Recommended next step:

→ 100-Day Save the Knee Programme. 70% of patients in this group avoid surgery entirely.

Knee replacement is strongly recommended when:

▸ KL grade 3 or 4 arthritis — severe joint space narrowing
▸ Bone-on-bone contact confirmed on X-ray
▸ Severe pain affecting sleep, daily activity, or quality of life
▸ 6+ months of conservative treatment has not provided adequate relief
▸ Significant deformity (varus/valgus) affecting gait
▸ Rheumatoid arthritis with joint destruction
▸ Avascular necrosis (AVN) of the knee
▸ Post-traumatic arthritis following fracture

Recommended next step:

→ Book a free knee assessment with Dr. Harjoban. Same-day X-ray interpretation and clear recommendation.

Conditions We Treat

Conditions Requiring Knee Replacement

Knee replacement is the definitive solution for end-stage joint disease across a range of conditions.

🦴

Osteoarthritis (OA)

The most common cause of knee replacement — degenerative wear of cartilage leading to bone-on-bone contact, pain, stiffness, and deformity. End-stage OA (KL grade 3–4) is the primary indication.

🔴

Rheumatoid Arthritis (RA)

Inflammatory arthritis causing progressive joint destruction. When medical management is insufficient, knee replacement provides durable pain relief and restored function in RA patients.

⚡

Post-Traumatic Arthritis

Arthritis developing after knee fractures, ligament injuries, or meniscal damage. Even well-treated knee injuries can lead to accelerated cartilage loss requiring eventual replacement.

🩸

Avascular Necrosis (AVN)

Loss of blood supply to the bone causing collapse of the knee joint surface. Advanced AVN requires partial or total knee replacement for pain relief and restoration of function.

📐

Severe Deformity

Significant varus (bow-leg) or valgus (knock-knee) deformity causing altered gait, pain, and secondary joint damage. Total knee replacement with GiniVision™ precision restores neutral alignment.

🔧

Failed Previous Replacement

Loosening, wear, infection, or instability of a previous knee implant. Revision knee replacement is a complex but well-established procedure performed by Dr. Harjoban with extensive experience.

Procedure Types

Which Knee Replacement Is Right for You?

Three procedure types — the right choice depends on the extent of disease, age, activity level, and anatomy.

Most Common

Total Knee Replacement (TKR)

Full joint resurfacing — all three compartments

The most commonly performed knee replacement. All damaged joint surfaces are resurfaced with metal and plastic components, restoring alignment and eliminating bone-on-bone contact.

▸ Indications: KL grade 3–4 OA, RA, severe deformity, multi-compartmental disease
▸ Implant: Femoral component (metal), tibial component (metal + polyethylene), optional patellar resurfacing
▸ Hospital stay: 3–5 days
▸ Recovery: Walk Day 1, full recovery 3–6 months

Bone-Preserving

Partial Knee Replacement (PKR)

Unicompartmental — one compartment only

Resurfaces only the damaged compartment — medial, lateral, or patellofemoral — preserving healthy bone and ligaments. Feels more natural than TKR and allows faster recovery.

▸ Indications: Isolated single-compartment disease, intact ACL, normal BMI, older patients with limited activity
▸ Key advantage: More natural feel, faster recovery, preserves healthy structures
▸ Hospital stay: 1–2 days
▸ Recovery: Walk Day 1, full recovery 6–10 weeks

Complex

Revision Knee Replacement

Re-do surgery for failed implants

Removal and replacement of a failed knee implant. More complex than primary replacement — requires specialised implants, bone grafting, and extensive surgical experience.

▸ Indications: Implant loosening, wear, infection, instability, fracture around implant
▸ Dr. Harjoban specialises in complex revision surgery
▸ Hospital stay: 5–7 days
▸ Recovery: 6–12 months depending on complexity

Implant Quality

What Makes an Implant Last 20–25 Years?

Implant longevity depends on four key factors — and Gini Hospital addresses every one.

⏳

Longevity

Modern knee implants are designed for 20–25 years of active use. Material science advances — including highly cross-linked polyethylene — have dramatically reduced wear rates compared to older generation implants.

📏

Fit & Sizing

Correct sizing is critical for function and longevity. GiniVision™ AR navigation ensures optimal alignment and fit during surgery. A poorly aligned implant wears out faster and feels unnatural.

🧪

Bearing Surface

The articulating surface between femoral and tibial components must be durable and low-friction. Highly cross-linked polyethylene inserts offer excellent wear resistance for decades of daily use.

🔩

Fixation Method

Cemented fixation (most common) uses bone cement for immediate stability. Cementless press-fit relies on bone ingrowth and is preferred for younger, active patients. Choice is made at consultation.

Implant Brands Available at Gini Hospital

[Gurjot to insert brand names]

All implants used at Gini Hospital meet international quality standards. The appropriate implant for your anatomy, activity level, and requirements will be discussed in detail at your pre-operative consultation.

GiniVision™ Technology

GiniVision™ — See More. Cut Better. Recover Faster.

Robotic-Like Precision. Powered by Pixee Medical Knee+ NexSight AR.

Pixee Medical is a French medical technology company specialising in augmented reality surgical navigation. Their Knee+ NexSight system is FDA cleared and CE marked, used in 10,000+ procedures worldwide — and now available exclusively at Gini Hospital in the Mohali-Chandigarh region.

Is GiniVision™ Robotic Knee Surgery?

GiniVision™ delivers the same alignment precision as robotic surgery — without the limitations. See exactly how they compare:

Feature	Traditional Surgery	Robotic Surgery	GiniVision™ AR
Alignment Accuracy	Manual — surgeon estimate	Robotic arm guidance	Real-time AR overlay — equal to robotic
Pre-op CT Scan Required	No	Yes — radiation exposure, cost, extra appointment	No — only X-rays needed
Equipment Size	Standard OT equipment	Large robotic cart — OT space required	Compact AR headset only
Intramedullary Rod	Yes — rod in femoral canal	No rod needed	No rod needed
Extra Pins/Trackers	No	Bone pins required for tracking	No extra pins
Surgeon Control	Full	Shared with robot system	Full — surgeon makes every cut
Available in Mohali	Yes	Not widely available	Exclusively at Gini Hospital
Cost Premium	Standard	Significantly higher	Moderate — far less than robotic

Plan

Standard X-rays only — no CT scan. The system analyses anatomy and creates a virtual surgical plan. No extra radiation, no extra appointment, no extra cost.

Navigate

Dr. Harjoban wears the AR headset during surgery. The system projects real-time alignment data, bone landmarks, and cut guides directly into his field of vision — overlaid on the actual knee.

Verify

Before every cut, GiniVision™ confirms the position is correct. Alignment is verified intraoperatively and after implant placement — ensuring the final result matches the surgical plan.

Why GiniVision™ Matters for Your Outcome

Neutral mechanical alignment reduces implant wear and improves longevity

Real-time verification before every cut — no guesswork

No CT scan — no extra radiation, no extra cost, no extra appointment

No intramedullary rod — preserves femoral canal integrity

No extra bone pins or trackers inserted

Full surgeon control throughout the entire procedure

Compact AR headset — no large robotic cart in the OT

Correction of deformity guided by AR — more precise than manual estimation

Potentially faster recovery due to more accurate soft tissue balance

Pixee Medical Knee+ NexSight → pixee-medical.com

FDA cleared · CE marked · 10,000+ procedures worldwide · French medical technology

Dr. Harjoban Singh — Arthroscopic & Joint Replacement Surgeon

"GiniVision™ gives me a level of intraoperative certainty that was simply not available before. I can see the alignment live, correct it in real time, and confirm it before I close. For the patient, this means a knee that is more likely to feel natural, last longer, and require less rehabilitation."

— Dr. Harjoban Singh

Pre-Surgery Preparation

How to Prepare for Knee Replacement

Good preparation leads to better outcomes and faster recovery. Here's exactly what to do at each stage.

2–4 Weeks Before

Medical optimisation phase

✅ Complete pre-op assessment: blood tests, ECG, chest X-ray, weight-bearing knee X-rays
✅ Diabetic patients: achieve HbA1c below 8.0 — coordinate with Dr. Bhansali's team
✅ Stop smoking — minimum 4 weeks before; affects healing and infection risk significantly
✅ Dental treatment: complete any dental procedures — bacteria can seed the new implant
✅ Physiotherapy: begin pre-op quad strengthening if possible
✅ Arrange home setup: raised toilet seat, grab bars, clear pathways, ground floor access if possible

1 Week Before

Final preparation

✅ Stop blood thinners (aspirin, warfarin, clopidogrel) as specifically advised by Dr. Harjoban
✅ Stop NSAIDs (ibuprofen, diclofenac) — increases bleeding risk
✅ Confirm insurance pre-authorisation is complete — our team will confirm
✅ Pack hospital bag: loose clothing (shorts/track pants), toiletries, walker if you own one
✅ Arrange caregiver / family support for the first 2 weeks at home

Day Before Surgery

Pre-admission evening

✅ Admit to hospital as scheduled — pre-op nursing assessment done
✅ Meet anaesthesiologist — spinal anaesthesia plan confirmed
✅ Shower with antiseptic wash as instructed by nursing team
✅ Remove nail polish, jewellery, hairpins
✅ Continue regular medications (blood pressure, heart) with a small sip of water unless told otherwise

Day of Surgery

Surgery morning

✅ Fast: nothing to eat or drink for 6–8 hours before surgery time
✅ Wear hospital gown provided by the ward team
✅ IV line placed, pre-op antibiotics given 30 minutes before OT
✅ Blood sugar checked — diabetic patients monitored throughout
✅ OT transfer: you'll be wheeled to the OT — family waits in the designated area

Inside the OT

What Happens During Your Knee Replacement

A step-by-step walkthrough of your surgery day — so you know exactly what to expect.

Your Operating Theatre Team:

Dr. Harjoban Singh (Lead Surgeon) Assistant Surgeon Anaesthesiologist Scrub Nurse OT Technician

Duration: Total knee replacement: 1–1.5 hours. Partial: 45–75 minutes. Revision: 2–3 hours.

Spinal / General Anaesthesia

Most knee replacements are performed under spinal anaesthesia (you are awake but feel nothing below the waist). General anaesthesia is used when spinal is not suitable. A tourniquet is applied to the thigh to minimise bleeding.

Surgical Incision

A 15–20 cm midline incision over the front of the knee. The patella (kneecap) is reflected to expose the joint surfaces.

Joint Assessment

Dr. Harjoban inspects the full extent of cartilage loss, deformity, and ligament balance. This confirms the surgical plan and component sizing.

Tibial Preparation

The damaged tibial surface is precisely cut. GiniVision™ AR guides the cut angle and slope in real time.

GiniVision™ AR Activated ✨

Dr. Harjoban's AR headset is activated. Real-time alignment data is projected into the surgical field — confirming bone landmarks, cut angles, and component positioning before every step. This is the key differentiator from conventional surgery.

Femoral Preparation

The distal femur is shaped and resected with AR-guided precision to match the femoral component. Flexion/extension gap balance is verified.

Trial Implant Fitting

Trial components are inserted and the knee is taken through full range of motion. Alignment, stability, and balance are confirmed. Adjustments made if needed.

Final Implant Cementation

Final components are cemented (or press-fit) into place. Polyethylene tibial insert is locked in. GiniVision™ performs final alignment verification.

Wound Closure & Drain

The knee is closed in layers. A drain may be placed for 24–48 hours. Compression bandage applied. Tourniquet released.

Recovery Room

You wake up in the recovery room with monitoring of vitals, pain, and blood sugar (diabetics). Physiotherapist visits same evening for first ankle pumping exercises. You'll be walking with a walker by the next morning.

Recovery Guide

Your Knee Replacement Recovery — Step by Step

Recovery from knee replacement is a structured process. Here's exactly what to expect and when.

In Hospital (Days 1–5)

✅ Day 1: ankle pumping, quad sets — done in bed
✅ Day 1 evening: stand with walker assistance
✅ Day 2: walk short distances with walker, bend knee to 60°+
✅ Day 2–3: drain removed, wound assessment
✅ Day 2–3: stairs with physiotherapist guidance
✅ Target knee flexion before discharge: 90°
✅ Discharge criteria met: walking safely, wound dry, pain controlled

Weeks 1–6 (Home Phase)

▸ Walker use for 4–6 weeks
▸ Daily physiotherapy exercises — flexibility and strengthening
▸ Stitches/staples removed at 10–14 days
▸ OPD follow-up: 2 weeks, 6 weeks, 3 months, 1 year
▸ Ice pack over knee 15–20 min 3–4× daily to control swelling
▸ Blood thinners (anti-coagulation) for 4–6 weeks — DVT prevention
▸ Target knee flexion at 6 weeks: 110°+

🚨 Emergency Warning Signs — Call Immediately

⚠️ Fever above 38.5°C

⚠️ Wound red, swollen, warm, or discharging fluid

⚠️ Calf pain, swelling, or redness (possible DVT)

⚠️ Sudden chest pain or shortness of breath

⚠️ Sudden severe knee pain or locking

⚠️ Leg going numb, cold, or blue

Call immediately: +91 81463 20100 (24/7 Emergency)

Physiotherapy Programme — 5 Stages

Stage	Timeframe	Goals	Key Exercises
1 — Acute	Day 1–7	Pain control, swelling reduction, early mobilisation	Ankle pumps, quad sets, straight leg raises, short walks with walker
2 — Early Active	Weeks 1–4	Improve range of motion (0–90°), reduce dependence on walker	Heel slides, wall slides, seated knee bends, gait training
3 — Strengthening	Weeks 4–8	Quad/hamstring strength, achieve 110°+ flexion	Mini squats, step-ups, resistance band exercises, stationary cycling
4 — Functional	Weeks 8–12	Normal gait pattern, stair climbing, return to daily activities	Gait correction, balance training, pool walking (if available)
5 — Long-Term	3–6 Months	Full function, return to activity, implant longevity	Swimming, cycling, walking programme, light weights

Return-to-Activity Milestones

Day 1

Walk with walker

2–3 Weeks

Stairs with one hand

4 Weeks

Left knee: driving

4–6 Weeks

Without walker

6 Weeks

Return to desk work

6–8 Weeks

Right knee: driving

3 Months

Light daily activities

4–6 Months

Swimming, cycling

6–12 Months

Full recovery

Long-Term Care for Your Knee Implant

✅ Avoid high-impact sports (running, jumping, squash)

✅ Maintain healthy weight — every kg reduces implant stress

✅ Annual OPD review with X-ray from Year 5 onwards

✅ Inform all future doctors/dentists that you have a knee implant

✅ Take antibiotics before dental procedures (as advised)

✅ MRI is safe — no metal detector issues with modern implants

✅ Recommended activities: walking, swimming, cycling, golf

✅ Report any new pain, swelling, or clicking promptly

Your Specialist

Your Knee Replacement Specialist

Dr. Harjoban Singh

Arthroscopic & Joint Replacement Surgeon

MBBS · MS (Orthopaedics) · Fellowship in Arthroscopy & Sports Medicine

✅ 10,000+ surgeries performed — knee, shoulder, and sports injuries
✅ Fellowship-trained in Arthroscopy & Sports Medicine
✅ Extensive experience in primary and revision knee replacement
✅ Certified GiniVision™ AR navigation surgeon — Pixee Medical Knee+ NexSight
✅ Languages: Punjabi, Hindi, English

"My goal with every knee replacement is not just to relieve pain — it is to give my patient a knee that feels natural, lasts decades, and lets them live fully."

Pricing & Insurance

Costs & Insurance

Transparent pricing. Cashless insurance. No hidden costs.

What's included in your knee replacement package:

✅ Pre-op assessment (blood tests, ECG, X-rays)

✅ Surgery (implant, anaesthesia, OT charges)

✅ Hospital stay (room, nursing, meals)

✅ Physiotherapy during hospital stay

✅ Post-op medications (discharge supply)

✅ Walker / mobility aid during recovery

✅ OPD follow-up visits (standard protocol)

✅ GiniVision™ AR navigation (included, not extra)

Service	Cost
OPD Consultation (Dr. Harjoban Singh)	₹1,500
Total Knee Replacement (TKR)	Contact for estimate
Partial Knee Replacement (PKR)	Contact for estimate
Revision Knee Replacement	Contact for estimate
Pre-op Assessment Package	Included in surgery package
GiniVision™ AR Navigation	Included — no extra charge
Physiotherapy (post-op in hospital)	Included in hospital stay

Insurance Coverage

✅ CGHS and ECHS — fully covered, cashless

✅ 32+ private insurance plans accepted

✅ Cashless facility — no upfront payment for insured patients

✅ Pre-authorisation handled entirely by our team

✅ TPA liaison and documentation managed in-house

✅ Contact us to verify your specific policy coverage

FAQ

Frequently Asked Questions

Everything you need to know about knee replacement at Gini Hospital.

Is robotic knee surgery available in Mohali? +

Yes. Gini Hospital offers GiniVision™ AR navigation using Pixee Medical Knee+ NexSight technology — delivering robotic-level precision without a bulky robotic arm. No CT scan required, compact headset-based system, full surgeon control. This technology is exclusive to Gini Hospital in the Mohali-Chandigarh region.

What is the difference between GiniVision™ and robotic surgery? +

Robotic surgery uses a robot arm, pre-op CT scan, bulky equipment, and shared control between surgeon and robot — significantly higher cost. GiniVision™ uses an AR headset, requires no CT scan, is compact, keeps full control with the surgeon, and delivers comparable alignment accuracy at a fraction of the robotic surgery premium.

How long will my knee replacement last? +

Modern knee implants last 20–25 years with appropriate activity levels. GiniVision™ precision alignment maximises longevity by ensuring optimal load distribution across the implant — reducing uneven wear.

Do I really need knee replacement surgery? +

Not necessarily. If you have KL grade 1–2 arthritis, BMI over 35 (not optimised), are under 50, or have not tried 6 months of non-surgical treatment, you may not need surgery yet. Our 100-Day Save the Knee Programme helps 70% of patients in this group avoid surgery entirely. Dr. Harjoban will advise honestly after examination and X-rays.

What is the difference between total and partial knee replacement? +

Total knee replacement (TKR) resurfaces the entire knee joint — all three compartments. Partial knee replacement (PKR) resurfaces only one compartment and is suitable when disease is isolated to one area. PKR offers faster recovery and a more natural feel, but is only appropriate for selected patients with isolated single-compartment disease.

How long is the hospital stay for knee replacement? +

Total knee replacement: 3–5 days. Partial knee replacement: 1–2 days. Revision knee replacement: 5–7 days depending on complexity.

When can I walk after knee replacement? +

Most patients walk with a walker on Day 1 after surgery. Walking without a walker is typically possible at 4–6 weeks. Stairs with one hand support by 2–3 weeks.

When can I drive after knee replacement? +

Left knee replacement: approximately 4 weeks. Right knee replacement: 6–8 weeks, when full reaction time and strength are restored. Always confirm with Dr. Harjoban before resuming driving.

Is knee replacement covered by insurance? +

Yes. Knee replacement is covered under CGHS, ECHS, and 32+ private insurance plans. Gini Hospital offers cashless facility and our team handles all pre-authorisation paperwork. Contact us to verify your specific policy.

Can I have knee replacement if I have diabetes? +

Yes, with appropriate pre-operative optimisation. We require HbA1c below 8.0 for elective knee replacement. Dr. Harjoban coordinates with Dr. Bhansali's endocrinology team to optimise blood sugar control before surgery, significantly reducing infection and healing risks.

What implants are used for knee replacement at Gini Hospital? +

We use international-quality knee implants meeting global standards. Specific brands are discussed at the pre-operative consultation based on your anatomy, activity level, and requirements. [Gurjot to add brand names].

Can both knees be replaced at the same time? +

Bilateral knee replacement is possible and assessed individually. Simultaneous bilateral replacement may be considered for selected patients; staged replacement (3–6 months apart) is often recommended to reduce surgical risk and allow full recovery between procedures. Dr. Harjoban will advise the best approach for your situation.

What happens if my knee implant fails? +

Revision knee surgery is available at Gini Hospital. Dr. Harjoban has experience in complex revision procedures. Implant failure is uncommon with modern components and precise GiniVision™ alignment — but if it occurs, we are fully equipped to manage it.

What is Pixee Medical Knee+ NexSight? +

Pixee Medical is a French medical technology company specialising in augmented reality surgical navigation. Their Knee+ NexSight system is FDA cleared and CE marked, and has been used in over 10,000 procedures worldwide. Learn more at pixee-medical.com.