Question 1

Could the presentation be shared as a PDF in French as well as English, and was a translator available for the French-speaking doctors on the call?

Dr. Subhash Jangid · Accepted Answer

Yes to both. The English PDF was shared with the group, the French version had already been sent separately, and a dedicated French translator was present throughout the session to help the doctors from Congo follow along.

Question 2

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

Dr. Subhash Jangid · Accepted Answer

Yes, the English PDF was shared again on request.

Question 3

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

Dr. Subhash Jangid · Accepted Answer

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.

Question 4

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

Dr. Subhash Jangid · Accepted Answer

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.

Question 5

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

Dr. Subhash Jangid · Accepted Answer

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.

Question 6

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

Dr. Subhash Jangid · Accepted Answer

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.

Question 7

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

Dr. Subhash Jangid · Accepted Answer

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.

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Questions Doctors Asked Dr. Subhash Jangid