Rajiv Gandhi Shiromani Award 2012 For Excellence In Joint Replacement Results
Dr. Ajay Deep Singh receiving the Rajiv Gandhi Shiromani Award 2012 for excellence in Joint Replacement Results. From (left to right) Choudhary Randhir Singh former governor of Sikkim, Balmiki Prasad Singh governor of Sikkim, Shekhar Dutt governor of Chhattisgarh, Bhisham Narayan Singh former governor of 7 states of India and Dr. Ajay Deep Singh.
Bharat Jyoti Award 2011 (Glory Of India Award) For Excellence in Joint Replacement
Dr. Ajay Deep Singh receiving BHARAT JYOTI AWARD (GLORY OF INDIA AWARD) for excellence in joint replacement. From left to right G.V.G Krishnamurthy former chief election commissioner of India and Bhisham Narayan Singh former Governor of 7 states of India.
10 YEARS OF CLINICAL EXPERIENCE IN HIP REPLACEMENT AWARDED WITH "RASHTRIYA RATTAN (JEWEL OF THE NATION) AWARD" 2015
Qualification and Contact Details Of Dr. Ajay Deep Singh
Dr. Ajay Deep Singh- Consultant Orthopaedic Surgeon, D.Orth. MCh Orth (Gold Medal). F.A.S.I.F. (Germany)
Fellow Of- 1)Hillingdon Hospital And Mount Vernon Hospital, London.
2)King George Hospital, London
3)University Clinic Muenster, Germany
Phone number- (0091) 9876626779. Please call between 8 am 10 pm Indian Standard Time (+ 5 hours and 30 minutes GMT)
E-mail- [email protected]
Fellow Of- 1)Hillingdon Hospital And Mount Vernon Hospital, London.
2)King George Hospital, London
3)University Clinic Muenster, Germany
Phone number- (0091) 9876626779. Please call between 8 am 10 pm Indian Standard Time (+ 5 hours and 30 minutes GMT)
E-mail- [email protected]
My services are available at Satyam Hospital ,Jalandhar, Punjab, India
Patients are able to walk WITHOUT SUPPORT of walker stand or stick after just 6 DAYS of Hip replacement instead of usual time of 6 WEEKS.
Click on my You tube channel link
https://www.youtube.com/watch?v=5JHvS3M09ms
to see the video of one of my international patient belonging to a middle eastern country. This patient came to me at IVY HOSPITAL, MOHALI, PUNJAB , INDIA, walking on crutches ( he could not walk WITHOUT SUPPORT before operation). But after just 6 DAYS of hip replacement he is able to walk WITHOUT SUPPORT of walker stand or stick. Patients on an average take 6 WEEKS to walk WITHOUT SUPPORT after hip replacement.The model of hip replacement used in this surgery is available in the market for last 35 years, the technique used is around since 1970 and a full 15-20 cm skin cut was given as against a smaller skin cut of a new minimally invasive technique. STILL patients all around the world are being MISLED that NEW ADVANCES IN SCIENCE AND TECHNOLOGY are responsible for giving better results in hip replacement. This video is another proof that results of hip replacement depend upon the DEXTERITY of the surgeons hand and NOT on the use of a NEW technique or model of hip replacement.
This website has been launched to create awareness among patients that there is nothing wrong with the technique and model of Hip replacement which is available for the last 30 years. But still most patients in India believe that, NEW Techniques, use of a Computer (Navigation) and NEW MODELS OF HIP REPLACEMENT can give BETTER results. What patients really need to understand is that they need to find a surgeon who has a good surgical result, and not get MISLED into buying NEW MODELS of hip replacement which are 2-3 times more expensive and are being sold with a PROMISE that these hips would last for 30 years instead of 15 years ( which is the average life of the older hip model), but in reality MOST of these NEW MODELS of hip replacement ( for example METAL ON METAL HIPS) are lasting only 7-8 years. Remember these NEW MODELS of Hip replacement have undergone NO LARGE SCALE HUMAN TRIALS ( according to a report published in THE LANCET, March 2012). They have only been tested in Laboratory. These NEW MODELS of hip replacement are an EXPERIMENTAL PROCEDURE and are not an Established procedure.
Click on the link given below and read the original article as published in the BRITISH MEDICAL JOURNAL (BMJ) to confirm that these NEW models of hip replacement are an EXPERIMENTAL procedure---
How safe are metal-on-metal hip implants? BMJwww.bmj.com/content/344/bmj.e1410
By choosing a NEW MODEL of hip replacement you are opting to become part of a large scale human endeavour to test the LONG TERM performance of these hips in human beings as compared to their performance in a laboratory ; but most patients in India are MISLED into believing that these NEW MODELS of hip replacement are CERTIFIED or GUARANTEED to last for 30 years instead of 15 years. Only time will tell whether these new hips last for 30 years or not. Patients are being DISINFORMED that these NEW hips are US FDA approved, and hence are safe. But the patients are NOT being told that most of these NEW hips have been approved under the US FDA 510(k) approval protocols which DO NOT require manufacturers to conduct HUMAN TRIALS if they can show that the device is similar in design to another product already on the market ( THE LANCET, March 2012)
Choosing the right total hip Replacement Model, Which hip replacement model is the best
The purpose of this site is NOT to scare patients against a particular model of hip replacement, but the purpose is to tell the TRUTH to the patients. If after knowing the TRUTH the patient makes an informed decision, and selects a NEW MODEL of hip replacement, knowing fully well the RISKS and UNCERTAINTIES associated with the New model of hip replacement, then every surgeon has a right to implant these hips in patients.
Ceramic On Ceramic Hip Replacement longevity (life or survivorship)
As the latest ceramic on ceramic hips have been around for the last 10 years, the latest UNBIASED PUBLISHED research paper CLAIMS that after 10 years the longevity of the latest ceramic on ceramic hip is only EQUAL TO AND NOT GREATER THAN the longevity of the best available model of the OLDER hip replacement models. Click on the link below to read this research paper
Advantages and disadvantages of ceramic on ceramic total hip ...
www.ncbi.nlm.nih.gov/pubmed/23069885
Advantages and disadvantages of ceramic on ceramic total hip ...
www.ncbi.nlm.nih.gov/pubmed/23069885
Ceramic On Ceramic Hip Replacement Disadvantages, Problems, Squeaking and failures
MOST of the patients fitted with ceramic on ceramic hips do VERY WELL. But a FEW patients suffer catastrophic failure.It is NOT possible to predict in which patients these hips would fail or give rise to problems.
Most common problem after ceramic on ceramic hip replacement is a SQUEAKING SOUND. This SQUEAKING sound resembles the sound of a fingernail quickly scarping down a blackboard. Click on the link given below to see a video of a patient with a squeaking hip
http://www.youtube.com/watch?v=rviIIuGC1Xw
Though some studies claim that the this problem of squeaking hip is only ONE %, but other PUBLISHED studies show upto TWENTY % incidence of squeaking after ceramic on ceramic hip replacement. Click on the link given below to see a research paper showing TWENTY ONE percent incidence of squeaking after ceramic on ceramic hip replacement-
High Incidence of Squeaking in THAs with Alumina Ceramic-on ...
www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
Fracture of either the cup or the femoral head (hip ball) can lead to catastrophic failure of the hip. Surgery to remove the fractured hip and put a new hip is technically VERY DIFFICULT, as a surgeon may struggle to remove VERY LARGE NUMBER of very small particles of the fractured hip which may escape out into the surrounding tissues.
Most common problem after ceramic on ceramic hip replacement is a SQUEAKING SOUND. This SQUEAKING sound resembles the sound of a fingernail quickly scarping down a blackboard. Click on the link given below to see a video of a patient with a squeaking hip
http://www.youtube.com/watch?v=rviIIuGC1Xw
Though some studies claim that the this problem of squeaking hip is only ONE %, but other PUBLISHED studies show upto TWENTY % incidence of squeaking after ceramic on ceramic hip replacement. Click on the link given below to see a research paper showing TWENTY ONE percent incidence of squeaking after ceramic on ceramic hip replacement-
High Incidence of Squeaking in THAs with Alumina Ceramic-on ...
www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
Fracture of either the cup or the femoral head (hip ball) can lead to catastrophic failure of the hip. Surgery to remove the fractured hip and put a new hip is technically VERY DIFFICULT, as a surgeon may struggle to remove VERY LARGE NUMBER of very small particles of the fractured hip which may escape out into the surrounding tissues.
Learn From Metal On Metal Hip Replacement Failure, Problems and DISASTER
Between 1997 and 2011, one million patients worldwide, were implanted with Metal on Metal hips with the promise that these hips would last for 30 years instead of 15 years. Some people even claimed that these hips WOULD LAST A LIFETIME. In September 2011 the NATIONAL JOINT REGISTRY FOR ENGLAND AND WALES released a report that after just 6 years thirty percent of all patients who had received a metal on metal hip replacement device manufactured by the most reputed company in the entire world had failed and required another operation to get their hips changed. Subsequently the British Medical Journal published an article that suggests that Metal on Metal hips DO NOT have a life more than metal on plastic hips ( older model of hip).
These failing hips generated large debris of cobalt and chromium metal ions which created huge holes in the bones of a few patients and lead to formation of non cancerous soft tissue lumps known as pseudo tumors in others. An article published in the Journal Of Bone And Joint Surgery in October 2010 claimed that these metal ions leached out from the tissues surrounding the hip and entered into the blood stream , eventually damaging distant organs like heart, brain, kidney , thyroid and unborn babies in mothers womb. In Feburary 2012 a BBC and British Medical Journal Investigation discovered that there may be hundred and thousand of people fitted with metal on metal hips who have been exposed to these toxic metal ions.
These failing hips generated large debris of cobalt and chromium metal ions which created huge holes in the bones of a few patients and lead to formation of non cancerous soft tissue lumps known as pseudo tumors in others. An article published in the Journal Of Bone And Joint Surgery in October 2010 claimed that these metal ions leached out from the tissues surrounding the hip and entered into the blood stream , eventually damaging distant organs like heart, brain, kidney , thyroid and unborn babies in mothers womb. In Feburary 2012 a BBC and British Medical Journal Investigation discovered that there may be hundred and thousand of people fitted with metal on metal hips who have been exposed to these toxic metal ions.
Advice For Patients who have been fitted with Metal On Metal Hips
The US FDA and the MHRA of UK have issued guidelines for patients who have been implanted with Metal on Metal hips that these patients should have a follow up examination from their doctor once a year FOR THE REST OF THEIR LIVES. In case of any pain or swelling in or around the hip, or in case of any symptoms of damage to the heart, kidneys, eyes, ears, brain or thyroid these patients should undergo blood tests to determine the concentration of cobalt and chromium ions in their blood. If conclusive evidence is found regarding the metal ions damaging the hip or other organs listed above, then patients should get these metal on metal hips removed.
Safest, Best surviving Hip Replacement Model which has a time tested proven track record is the Metal On PLASTIC Hip. The Metal On Plastic Hip designed by Sir JOHN CHARNLEY has a fifty five percent longevity after 27 years of implantation, which means that after 27 years 55 percent patients still have a well functioning hip. Also the metal on plastic hip does NOT have any of the above mentioned problems.
New Advances in Metal On PLASTIC Hip-- Highly cross-linked Plastic (Polyethylene)
Hip Replacement Fails when either the hip becomes LOOSE or it WEARS OUT. To solve the problem of wear and tear a new form of plastic , Highly Cross- Linked Polyethylene, has been introduced. It is now a proven fact that Highly Cross- Linked Polyethylene REDUCES the wear of the Plastic Cup of the hip BUT THE PLASTIC CUP STILL BECOMES LOOSE AND THE HIP FAILS. In other words, there is NO CONCLUSIVE EVIDENCE TO PROVE THAT HIGHLY CROSS- LINKED POLYETHYLENE WILL INCREASE THE LIFE OF THE HIP, ALTHOUGH THERE IS CONCLUSIVE EVIDENCE THAT IT DECREASES THE WEAR AND TEAR OF THE PLASTIC CUP OF THE HIP. Click on the link given below to read the research paper proving this fact-
Highly crosslinked polyethylene does not reduce aseptic loosening ...www.ncbi.nlm.nih.gov/pubmed/22669546
Therefore, It is for the patients to choose whether they will buy the more expensive Highly Cross Linked Polyethylene OR the less expensive normal polyethylene. Affording patients can buy Highly Cross- Linked Polyethylene, it MAY OR MAY NOT benefit you but it will certainly NOT harm you. Less affording patients should go for conventional polyethylene. You are NOT going to MISS OUT anything too spectacular.
Highly crosslinked polyethylene does not reduce aseptic loosening ...www.ncbi.nlm.nih.gov/pubmed/22669546
Therefore, It is for the patients to choose whether they will buy the more expensive Highly Cross Linked Polyethylene OR the less expensive normal polyethylene. Affording patients can buy Highly Cross- Linked Polyethylene, it MAY OR MAY NOT benefit you but it will certainly NOT harm you. Less affording patients should go for conventional polyethylene. You are NOT going to MISS OUT anything too spectacular.
Femoral head size, Is Bigger femoral head always better? Does the size of femoral head ( hip ball) matter ?
The size of NATURAL femoral head is about 44 mm. But Sir John Charnley REDUCED the size of femoral head to 22mm in his model of hip replacement. Reducing the size of the femoral head decreases the wear and tear of the plastic cup, it also decreases the FRICTIONAL TORQUE ( which is the prime force responsible for the loosening of the cup) and increases the life of the hip. But with the smaller femoral head of 22 mm the patient is able to bend his hip to a lesser extent and the RISK of DISLOCATION of the hip increases. Therefore most models of hip replacement available nowdays use a slightly larger femoral head diameter of 28 mm.
28 mm femoral head gives the patient more hip bending ability without causing much detrimental effect on the life of the hip.
But nowdays femoral head with bigger diameters of 32 mm, 36mm and 40mm have been introduced. These large heads further increase the hip bending ability and decrease the RISK of DISLOCATION OF THE HIP. But these large heads decrease the life of the hip. These large femoral heads of 32mm, 36mm, 40mm and 44mm are available ONLY in Metal On Metal, Ceramic On Ceramic and Highly Cross-linked Polyethylene models. Metal on Metal Hip replacement has been withdrawn. RISKS and UNCERTAINTIES of Ceramic on Ceramic hip replacement have been discussed above; which leaves only Highly Cross linked polyethylene models.
Latest research shows that as the femoral head size increases from 22mm to 32 mm the life of the hip DECREASES BY 2.8 TIMES. Click on the link given below to read the research paper proving this fact--
Femoral head diameter affects the revision rate in total hip arthroplastywww.ncbi.nlm.nih.gov/pubmed/17068699
Therefore if you really want to increase the life expectancy of your hip AVOID large diameter 32mm, 36mm and 40 mm hips. Choose the 28 mm Metal On Plastic Hip. With 28 mm hip, you can do ALMOST all activities OF DAILY LIFE. You MAY have some problem in SQUATTING with a 28 mm hip. So modify your lifestyle to avoid SQUATTING. But if SQUATTING is part of your profession, choose a 32mm Metal on Highly Cross Linked Polyethylene Hip. The 32 mm femoral head will decrease the life of your hip to SOME extent but will allow you to squat comfortably.
If you are concerned about the RISK OF HIP DISLOCATION with a 28 mm hip, simply choose A GOOD SURGEON. A good surgeon can do a thousand things during operation which will DECREASE the risk of Hip dislocation even with a 28mm hip. Lastly, strictly follow the advice of your surgeon to avoid certain hip movements , especially in the first 6 months of surgery, to avoid hip dislocation. DONOT BE AFRAID, hips DONOT dislocate spontaneously. They only dislocate if the hip is moved through certain specific range of movements.
28 mm femoral head gives the patient more hip bending ability without causing much detrimental effect on the life of the hip.
But nowdays femoral head with bigger diameters of 32 mm, 36mm and 40mm have been introduced. These large heads further increase the hip bending ability and decrease the RISK of DISLOCATION OF THE HIP. But these large heads decrease the life of the hip. These large femoral heads of 32mm, 36mm, 40mm and 44mm are available ONLY in Metal On Metal, Ceramic On Ceramic and Highly Cross-linked Polyethylene models. Metal on Metal Hip replacement has been withdrawn. RISKS and UNCERTAINTIES of Ceramic on Ceramic hip replacement have been discussed above; which leaves only Highly Cross linked polyethylene models.
Latest research shows that as the femoral head size increases from 22mm to 32 mm the life of the hip DECREASES BY 2.8 TIMES. Click on the link given below to read the research paper proving this fact--
Femoral head diameter affects the revision rate in total hip arthroplastywww.ncbi.nlm.nih.gov/pubmed/17068699
Therefore if you really want to increase the life expectancy of your hip AVOID large diameter 32mm, 36mm and 40 mm hips. Choose the 28 mm Metal On Plastic Hip. With 28 mm hip, you can do ALMOST all activities OF DAILY LIFE. You MAY have some problem in SQUATTING with a 28 mm hip. So modify your lifestyle to avoid SQUATTING. But if SQUATTING is part of your profession, choose a 32mm Metal on Highly Cross Linked Polyethylene Hip. The 32 mm femoral head will decrease the life of your hip to SOME extent but will allow you to squat comfortably.
If you are concerned about the RISK OF HIP DISLOCATION with a 28 mm hip, simply choose A GOOD SURGEON. A good surgeon can do a thousand things during operation which will DECREASE the risk of Hip dislocation even with a 28mm hip. Lastly, strictly follow the advice of your surgeon to avoid certain hip movements , especially in the first 6 months of surgery, to avoid hip dislocation. DONOT BE AFRAID, hips DONOT dislocate spontaneously. They only dislocate if the hip is moved through certain specific range of movements.
Sitting cross legged , squatting and kneeling after Hip Replacement
Tirath Singh is a Carpenter in Sandaran , Hoshiarpur ( Punjab). His profession requires him to squat and sit CROSS -LEGGED after Hip replacement . He was ALMOST Mislead into buying a large diameter femoral head 32 or 36 mm Metal On Metal Hip , But i convinced him that if he chooses the wright surgeon , then he can sit cross-legged and squatt after hip replacement even with the CONVENTIONAL Hip Replacement MODEL which has a SMALLER Diameter Femoral Head of 28 mm and has proven time tested average life of 15 years , instead of the large diameter femoral head Hip replacement models which have a LESSER and NOT greater average life expectancy. ( as the femoral head size increases from 22mm to 32 mm the life of the hip decrease by 2.8 times). Today he is able to squatt and sit-crosslegged after hip replacement with the Conventional 28mm Hip Replacement Model.