OrthopaedicsDr. Subhash JangidJoint Replacement

Principal Director & Unit Head, Orthopaedics, Fortis Memorial Research Institute, Gurgaon

Part 9 of 9 in Recent Advances in Joint Replacement

Joint Replacement Surgery in India: What International Patients Should Know

April 13, 2025

A significant share of the cases Dr. Jangid presented in his masterclass were patients who had travelled to India for surgery, several of them from Nigeria, Congo and the United States, and his account of their treatment and recovery offers a practical picture of what that process actually involves.

Complex cases that are difficult to manage elsewhere

Dr. Jangid noted that colleagues from the United States, Europe and Australia have told him directly, at international conferences, that the volume and complexity of cases his centre handles routinely, long-neglected deformities, failed prior surgeries, complex bilateral cases, are less common in their own practices. Where implant bone loss is extensive, customised implants tailored to the individual patient are available in India at a comparatively reasonable cost, with recovery times that hold up well against more standard cases.

How quickly patients can expect to go home

One case he described was an American patient, a tall former basketball player, whose knee had failed after a previous ACL reconstruction. Robotic surgery allowed the team to plan and fit a correctly sized custom implant precisely to his anatomy. He left India within ten days of his surgery, needing only to have his dressing removed once he was back home. In a more complex case, a businesswoman from Nigeria who arrived in a wheelchair with both hips and both knees severely damaged had her hips replaced first and began walking, then her knees replaced three weeks later, before leaving India roughly ten days after that second surgery. Both cases point to the same pattern: complex reconstructive work does not necessarily mean an extended stay once the surgery itself is done well.

A pathway for doctors, not just patients

Dr. Jangid also flagged a standing training pathway for doctors from Africa: a one-year fellowship programme in India where visiting doctors can learn joint replacement surgery directly. Doctors interested in the programme need to email the team and register with India's National Medical Council before joining.

This article is based on a Jivo Masterclass session conducted by Dr. Subhash Jangid, Senior Director, Orthopaedics & Joint Reconstruction, Fortis Memorial Research Institute, Gurgaon. The article has been summarised with the assistance of an AI tool from the original masterclass recording. Watch the full Masterclass recording

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This guide is based on a live Jivo Masterclass: Dr. Subhash Jangid taught doctors across Africa on April 13, 2025.

FROM THE LIVE Q&A

DR

Dr. Juku

Could the presentation be shared as an English-language PDF?

SJ

Dr. Subhash Jangid

Yes, the English PDF was shared again on request.

See all 7 questions from this masterclass →

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Frequently Asked Questions

One attendee thanked Dr. Jangid for the presentation and asked about opportunities to train under him.

Doctors from Africa can apply for a one-year fellowship programme in India to learn joint replacement surgery. Interested doctors need to email the team and register with India's National Medical Council before joining for the year-long training.

Is there an age limit for hip or knee replacement surgery?

There is no fixed age limit at either end. Hip replacement is generally offered from skeletal maturity onward if the joint is badly damaged, and partial knee replacement is usually done from around age 40, occasionally as early as 30, though most patients present between 45 and 50. Modern implants can last more than 30 years, so age by itself is not the deciding factor.

Could an 80-year-old patient with a knee fracture still be considered a candidate for joint replacement surgery?

Yes. Age alone should never be the reason to deny treatment. What matters is whether the patient is physiologically fit and medically able to tolerate surgery, not their chronological age. Every patient deserves the chance to keep leading an active life, fracture or not.

Most post-operative painkillers are known to affect the liver. What pain medication is recommended after joint replacement that avoids this?

Opioids are used at a very low dose, delivered through a transdermal skin patch or a nasal spray rather than as tablets or injections, giving good pain control without sedation, headache or nausea. Alongside this, the only oral tablet used is paracetamol, which does not affect the stomach or the kidneys.

Sharing an update: how valuable has attending these weekly sessions been?

The attendee said he joins every Sunday and is never disappointed, describing the sessions as consistently insightful and helpful for improving his own practice. He mentioned he had further questions and would send them on separately to be passed along to Dr. Jangid.

How long do international patients typically stay in India after joint replacement surgery?

Straightforward cases can mean leaving within about ten days of surgery. Even more complex cases, such as a patient having both hips and both knees replaced across two procedures, followed a similar roughly ten-day departure window after the final surgery.

Is there a training pathway in India for doctors from Africa, not just patients?

Yes. Dr. Jangid described a one-year fellowship programme in India for doctors from Africa to learn joint replacement surgery, which requires emailing the team and registering with India's National Medical Council before joining.

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