Dr Amit Sharma, City Clinic, Krishna Nagar/ Yashoda Superspeciality Hospital, Kaushambi, Ghaziabad (2025)

03/08/2025

With an increase in health awareness, there has been an increase in Gym goers & recreational sportspersons, it's a good thing.

But, It has a flipside too, gym & Sports related Injuries are also increasing.
Such injuries, if not taken care of, can throw you out of action for months.

Sharing My article on 'PURSUING FITNESS SAFELY ' published in Hindustan Times.

22/07/2025

"When life gives you lemons, make lemonade" -

Maintaining positive emotions like hope, humor,hobby and gratitude during adversities can broaden thinking, improve coping skills, and even yield physiological benefits like enhanced immune responses and faster recovery during illness

Inset - One of my patient, sustained fracture & had to endure Above knee casting for 6 weeks, which is nothing less than a gruelling punishment in summer time , but, she took it in her stride..
Her hobby being painting, she & her daughter painted the tool of punishment so beautifully, it looked like an impeccably maintained art work.
Plaster was removed & she took it back as a souvenier...
That's the spirit,

06/07/2025

moments like this always make me proud & grateful of my profession❤️‍🩹

Nothing more Heartning than bringing a young girl - suffering from an easily rectifiable Genu Valgum or knock knees for 5 years - back to the mainstream with a simple procedure of corrective Osteotomy.

10 weeks post surgery, from a gloomy girl - walking awkwardly for many years - she came in as a confident, radiant girl walking normally.
Smile on the face of family who were suffering from social stigma for so long said it all .
Surgery was planned in summer vacations so that school absence was minimal

Fitness given to join school from tomorrow with some precautions.🥳

Fabulous work by our physiotherapy team for proactively working with her to regain motion & strength.

21/06/2025

Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work....
And the only way to do great work is to love what you do." - Steve Jobs

Adding to that,To go long distance, it's important to have a team that shares your belief & celebrates every small milestone together ..

In the pic - "Team Robotics" of Orthopedic Department, Yashoda Super Speciality hospital in fine spirits (though hidden behind the mask) after successfully completing Ten Robotic TKRs this week

19/06/2025

Ushering in a new era of "Robotic Knee & Hip Replacement" at Yashoda Super Speciality hospital, Kaushambi. with one of the most Advanced 'MAKO' Robotic system of the world - By Stryker

The 'MAKO Total Knee Replacement (TKR) system by Stryker' offers several advantages over other robotic-assisted knee replacement systems.

1.Most Importantly, it allows Surgeon-Controlled Workflow.
MAKO maintains surgeon control at every step, with the robot assisting—not replacing—surgeon decision-making.

2.Haptic Feedback Technology-
MAKO's robotic arm restricts movement outside the predefined boundaries, enhancing surgical safety.
Haptic technology helps prevent over-resection or unintended bone cuts.

3.Proven Clinical Outcomes
Being from Stryker, MAKO has one of the longest track records among robotic systems, with numerous peer-reviewed studies supporting excellent outcomes in over "two million" successful knee replacements.

4.Only System having software for TOTAL KNEE REPLACEMENT, TOTAL HIP REPLACEMENT & PARTIAL KNEE REPLACEMENT in one Robotic system

Benefits of Robotic-Assisted Knee Replacement -

Enhanced Precision:
Sub-millimeter accuracy in bone resections and implant placement reduces the risk of malalignment and improves joint function

Personalized Treatment:
Customized surgical plans tailored to the patient's unique anatomy. Every step is planned even before opening up the joint

Minimal soft tissue dissection :
cuts are made within the predefined zones minimizing surrounding tissue damage resulting in reduced post op pain.

Reduced Recovery Time: Minimally invasive techniques and precise implant positioning result in shorter hospital stays and quicker rehabilitation.

The short video below depicts a "seamless Workflow where Surgeon, AI & Machine" are working together in harmony for surgical precision & patient safety.

26/05/2025

Osteoarthritis Hip” is a progressive & debilitating condition causing destruction of Hip Joint. It can be caused by
Trauma
Chronic Alcoholism
Long term Steroids
Certain Metabolic Disorders
Sometimes, it can happen without any reason (idiopathic)

When the hip is destroyed beyond a certain point, the only treatment option to alleviate pain & deformity is a “Total Hip Replacement”.

Benefits of Total Hip Replacement (THR)

Pain Relief: THR provides substantial relief from persistent hip pain, often eliminating the need for pain medications

Improved Mobility & normalcy in Gait : Patients experience enhanced joint movement, making daily activities like walking, climbing stairs, and getting up from a chair easier. Their gait becomes normal.

High Success Rate: The procedure boasts a high success rate, with over 95% of patients reporting satisfaction and significant pain reduction.

Long-Term Durability: Modern implants are designed to last, with many remaining functional for 25 years or more.

Enhanced Quality of Life: By alleviating pain and improving mobility, THR enables individuals to return to activities they enjoy, leading to better overall well-being.

These benefits collectively contribute to a significant improvement in the patient's physical & emotional health.

Below is a short video of a young Patient who was suffering from Secondary Osteoarthritis Hip with complete destruction of both Hips for the last 5 years.
We performed Bilateral Total Hip Replacement at Yashoda Super Speciality Hospitals, Kaushambi & it's heartening to see him back to normal activities of life.
Video was recorded with prior consent for general awareness purpose

Yashoda Super Specialty Hospitals

15/05/2025

POST COVID STEROID INDUCED AVN OF HIP, A SERIOUS PROBLEM

Although corticosteroids have been life-saving in the treatment of COVID-19, they have also emerged as a major risk factor for the development of Hip AVN in Covid patients treated with long term steroids.

AVN or Avascular Necrosis of the hip is a painful condition that occurs when the blood supply to the head of the femur (thigh bone) is disrupted.

It is a progressive disease which might ultimately lead to destruction of the hip joint and severe arthritis, requiring TOTAL HIP REPLACEMENT ultimately.
Time for AVN to present clinically may range from 3 months to 3 years.

Early detection of AVN through MRI is critical because the resulting bone collapse can be avoided if timely treatment is started.

“Minimally Invasive Regenerative procedures” such as Core Decompression, Bone Graft & Stem Cell Concentrate insertion in diseased Hip can significantly slow down the degenerative process of AVN.

Below is a short video of the procedure done through a small ‘one inch’ incision on day care basis.

06/05/2025

Orthobiologicals - What they are & their role in Modern Orthopedics -

Orthobiologics represent a transformative approach in modern orthopedics, leveraging the body's natural healing mechanisms to address musculoskeletal injuries and degenerative conditions. Here's a concise overview:

1. Definition: Orthobiologics are biologic substances derived from the patient's own tissues—such as blood, bone marrow, or adipose tissue—used to enhance healing processes in orthopedic ailments .

2. Common Therapies

Platelet-Rich Plasma (PRP)
Concentrated platelets from blood, rich in growth factors, promote tissue repair and reduce inflammation.

Bone Marrow Aspirate Concentrate (BMAC): Stem cells from bone marrow that aid in regenerating damaged tissues.

Adipose-Derived Stem Cells: Stem cells harvested from fat tissue, utilized for their regenerative properties.

3. Uses -

Tendon and Ligament Injuries: Accelerates healing in conditions like rotator cuff tears and tennis elbow.

Osteoarthritis:
Reduces pain and inflammation, potentially delaying the need for joint replacement.

Cartilage Repair:
Assists in the regeneration of cartilage in joints.

4. Advantages-

Minimally Invasive:
Many procedures are performed with minimal surgical intervention, reducing recovery time.

Reduced Risk of Rejection:
Using autologous materials (from the patient's own body) lowers the risk of immune rejection.

Potential to Avoid Surgery:
In some cases, orthobiologics can serve as an alternative to traditional surgical methods.

5. Considerations:

Variable Outcomes: Effectiveness can vary based on the individual's condition and the specific therapy used.

Regulatory Status: The approval and regulation of orthobiologic treatments can differ by region, affecting availability and standardization.

In summary, orthobiologics offer promising, patient-specific treatments that harness the body's innate healing abilities, presenting a modern alternative to conventional orthopedic interventions.

14/04/2025

People have preconceived notion that elderly age group, especially 75 +is not meant for Replacement.. अब इस उम्र में क्या करेंगे घुटने बदलवा कर.. is the common opening statement.

Trying to clear misconceptions regarding total knee replacement (TKR) in the elderly, along with clarifications:

1. “Elderly patients are too old for surgery.”
Reality:
Age alone is not a contraindication. Many elderly patients (even in their 80s and 90s) undergo successful knee replacement if they are otherwise in good health. Overall physical health, not just age, is the key factor.

2. “Recovery is too difficult for older adults.”
Reality:
While recovery may be slower in older adults, many can regain good mobility and quality of life. With proper physiotherapy and support, elderly patients often recover well.

3. “Knee replacement doesn't last long in older patients.”
Reality:
TKRs typically last 15–20 years or more. For many elderly patients, this is more than sufficient for the rest of their lives.

4. “Elderly people are too frail to handle anesthesia.”
Reality:
Anesthesia techniques have improved significantly. Spinal or regional anesthesia is commonly used, which is safer and has fewer complications in older patients than general anesthesia.

5. “Pain after surgery will be unbearable.”
Reality:
Post-op pain is manageable with modern pain management techniques. Most patients report significant pain relief within a few weeks of surgery.

6. “It’s better to avoid surgery and just manage with medications.”
Reality:
While conservative management can help, severe osteoarthritis may not respond well to medication. In such cases, surgery can dramatically improve function and quality of life.

7. “Elderly patients will lose their independence.”
Reality:
In fact, many regain independence after TKR. Reduced pain and improved mobility often lead to more active and independent lives.

26/03/2025

Give me a pool or a ocean full of water , I will swim for sure 🏊 coz

Swimming offers numerous physical and mental health benefits -

It is a full-body workout that improves cardiovascular fitness, strength, and flexibility.

The water provides resistance, helping to build muscle tone and endurance while minimizing the risk of joint strain or injury

Swimming enhances lung capacity and can improve respiratory health.

It is also an excellent way to manage stress, reduce anxiety, and boost mood, thanks to the calming effect of water.

Swimming is suitable for people of all ages and fitness levels, making it a versatile and enjoyable exercise.

So, this season, if you are not a swimmer, become one & if you are one, try to become a better one, it's a life skill

07/03/2025

Contrary to the myth that long running can damage the knees. Light running can have several positive effects on knee cartilage.
It helps improve joint lubrication by stimulating the production of synovial fluid, which nourishes and protects the cartilage.
The low-impact nature of light running reduces the risk of cartilage wear and tear compared to high-impact activities. Additionally, it strengthens the muscles surrounding the knee, providing better support and reducing stress on the cartilage.This can improve overall joint stability and function.
Regular light running can also help maintain a healthy weight, reducing excess pressure on the knees, which is beneficial for long-term joint health.

04/03/2025

Robotic Knee Replacement is the most raging topic & trend in Orthopedics. This is a general awareness post to explain how Robotics function in our field .
Orthopedic Robotic Surgery & Orthopedic robots are not like the ones that we see in movies or at car assembly lines where Robots are functioning independently.
In our field, it's more of a “ Robotic Arm Assisted procedure” where Robotic Arm is guided to take bone cuts during Surgery. A significant part of surgery is still done by surgeons.

Posting a small awareness video of Robotic Knee Replacement & underlining the Pros & Cons of Robotic Knee Replacement

Pros of robotic knee replacement -

Precision: Robots assist in creating accurate cuts, improving alignment and positioning of the knee implant.
Reduced pain and recovery time in difficult cases : pre operative planning often results in less dissection , leading to faster healing.
Personalized approach: Robots can help tailor the procedure based on the patient's unique anatomy.

Cons of robotic knee replacement:

Cost: Robotic-assisted surgeries are more expensive due to advanced technology & disposables used .
Learning curve: Surgeons require specialized training to use robotic systems effectively.
Surgical time: Robotic Arm setup is time consuming, adding to surgery time & technical glitches, associated with any machine, need to be factored in.
Indications : Orthopedics robots are not like general surgery robots where surgeon is sitting out on a console, Using robots in simple, straightforward cases is still a debatable topic.

still some way to go before understanding the true benefits & pitfalls of Robotic Replacement Surgery. But that's true for all the innovations

Dr Amit Sharma

03/08/2025

22/07/2025

06/07/2025

21/06/2025

19/06/2025

26/05/2025

15/05/2025

06/05/2025

14/04/2025

26/03/2025

07/03/2025

04/03/2025

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