The Department of Orthopaedics at Sixmile was started in the year 2008 with world class state-of-the-art dedicated operating room facilities and instrumentation with special emphasis on joint replacement surgeries and fracture fixation. It is supported by surgeons with extensive international training and backed by physiotherapy unit. GNRC with this venture deems to provide world-class orthopaedic medicare at an affordable price.

Services available

  • 24 hours emergency services for accident, injury, fracture etc.
  • Modern orthopedic trauma (fracture).
  • Total joint replacement surgeries of hip, knee & other joints.
  • Bone tumour surgeries with limb and joint reconstruction.
  • Deformity correction.
  • Geriatric fractures.

Facilities & Equipments

  • Dedicated orthopaedic operation theatres.
  • State-of-the-art instrumentation.
  • C-arm with memory.
  • Highly trained OR staff
  • Post operative ICU.


* The department is supported by the one of the most reputed intensive care services

* Modern Accident and Emergency department with hitech “Life First” ambulance.

  • Internationally established trauma protocols for the care of the critically injured patients and principles of Advanced Trauma and Life Support System (ATLS) are applied for the prompt and efficient treatment of accident victims.


Underlying Conditions Which Often Lead to Joint Replacement

Arthritis is a condition of the joints that causes swelling, recurring pain, tenderness, and redness and warmth in the affected area for more than two weeks. It can affect any person, regardless of age, though is found in women twice as much as men. There are over 100 kinds of arthritis, but the two most common that lead to joint replacement when other treatment options fail are Osteoarthritis and rheumatoid arthritis.


This is the most common form of arthritis and is often referred to as “wear and tear” arthritis. It causes the cartilage covering joint bones to wear away.

Rheumatoid arthritis

This form of arthritis results when the immune system inappropriately produces substances that attack and damage the joint. It is a long-lasting disease and affects many joints and other parts of the body.

Treating arthritis

Before joint replacement surgery is chosen, there are several other treatments you can undergo to help find comfort from arthritis:

  Mild to moderate disease                                              

  • Anti-inflammatory medication.
  • Chondro-protective drugs.
  • Disease modifying drugs (Rheumatoid Arthritis).
  • Non-impact exercise program (stationary bike, stretching, water aerobics)
  • Using assistive devices when walking, such as a cane
  • Limitation of activity
  • Joint injection

 Advanced disease                                             

If the ache of arthritis or other conditions has turned everyday activity into a painful ordeal, discouraging you from doing the things you enjoy, you may want to consider knee replacement surgery. In the past, patients with chronic arthritis in their knees could do little beyond taking painkillers and limiting their activities.

Today, it is possible to replace the knee joint with an artificial one that may reduce pain and possibly allow you to regain your mobility. Helps us avoid side-effects of painkillers and steroids some of which are potentially life-threatening. The difference in your quality of life can be dramatic.


SURGERY is a very successful option for severe osteoarthritis of the hip and knee.


Joint replacement Surgery is a surgical technique in which a painful and diseased joint is replaced with an artificial one called prosthesis.

In the past, patients with chronic arthritis in their knees and hips could do little beyond taking painkillers and limiting their activities. Today, it is possible to replace these joints with an artificial one that may reduce pain and also allow regain mobility. The difference in the quality of life can be dramatic.


The root cause for which knee or hip has to be replaced is known as Arthritis. Arthritis is a condition of the joints that cause swelling, recurring pain, tenderness, redness and warmth in the affected area for more than two weeks. It can affect any person, regardless of age though is common in women twice as much as men. There are over hundred different kind of arthritis, but two most common ones that lead to joint replacement are Osteoarthritis and Rheumatoid arthritis.

Before joint replacement surgery is chosen there are several other treatments you can undergo.

  • Ant-inflammatory medication.
  • Non-impact exercise program (stationary, bike, stretching, water aerobics).
  • Assistive devices when walking such as cane.
  • Limitation of activity.
  • Joint injection.



Surgeons choose from a vast array of joint replacement implants produced by various manufacturers. Materials and clinical engineering of these implants vary. The patient is informed about the cost and result of various clinical results of the implant chosen for joint replacement surgery. There are some criteria of surgeon, on the basis of which they select the implant for surgery. The surgeon’s criteria may include:

  • The age of patient, activity level, weight, and degree of arthritis;
  • The implant’s track record of long – term stability and adhesion – called fixation.
  • The implant’s ability to re-establish normal function.
  • The surgeon’s comfort with the surgical instruments associated with the preferred implant.
  • The surgeon’s confidence in the implant’s clinical success rate and product quality.


Based on the above criteria, the surgeon will choose the solution that is best for the patient.

The Joint Replacement Centre of GNRC with all its supported services assures everyone with complete cure, so that you can reclaim your mobility with our healing touch. We assure you the joy of motion.

Why choose GNRC JRC for your joint replacement?

World class dedicated clean operation theater resulting in lowest possible infection rates as per world standards; equipped with imported Swiss instrumentation and American operation table.

Success rates for this operation at GNRC- JRC are comparable to the best centres in India. Patients achieve good mobility and implanted joints have documented survival upto 20-25 years in cases of mobile bearing joint replacements.


The sophistication levels of the TKR surgery done is at par with the best available anywhere in India. It is one of the very few selected centres in India where the newer designs like mobile bearing and high flexion knees are being implanted.

We use imported implants of highest international quality.

The cost of this operation at GNRC-JRC is a small fraction of the cost of getting this done elsewhere in India excluding travel and accommodation expenses of going outside the state.

We have an excellent post operative pain management programme which reduces the trauma associated with surgery to the minimum. This enhances the early mobility and recovery of the patient, hence reducing the hospital stay.

GNRC Hospitals Department of Physiotherapy and Rehabilitation is one of the best-equipped centers manned by highly skilled personnel.


Knee Joint Replacement Surgery

Hospital stay- You should expect to stay in hospital for 5 to 14 days, depending on your recovery and home support. Allow 6 to 12 weeks off for recovery. It can result in complete pain relief in that knee and much improved mobility and independence.

During operation- The most commonly used type of replacement is a surface replacement in which the worn ends of the bone are covered with metal or plastic and the patient’s own ligaments are retained to keep the joint stable. A cut is made on the front of the knee; the worn ends of bone are removed and replaced either with the new surfaces made of metal on the thigh bone (femur) and metal or plastic on the top of the shin bone (tibia), or a metal hinge. Both types are usually fixed in place using a special cement.


After a Knee Replacement

After surgery, painkillers are given by injection or mouth. After a few days you will be allowed up, occasionally with a supporting brace, until the muscles become strong again. You will need a walking frame or crutches until you can use sticks. When you leave hospital, you should be able to lift your leg straight off the bed and to bend the knee almost to a right angle.  Increase in movement will be encouraged by physiotherapy and exercise. When you leave hospital you will be seen by the specialist after a few weeks for a routine check. Patients with desk jobs may return to work after 6 weeks, but other patients with more active jobs may have to wait for up to 3 months. It may not be possible to return to jobs that involve heavy physical activity. Gentle exercise is allowed, but jogging and repetitious exercises involving impact to the foot are not. Gentle dancing and gardening is possible. Normal sexual activity may be resumed as comfort allows. Every effort should be made to avoid excessive weight gain.

If a Knee Replacement is not performed

If the knee is not replaced, the pain, stiffness and deformity will increase until the patient either requires a walking frame or, in the most severe cases, a wheelchair. Pain relief is difficult and regular drugs may be needed.

Newer Knee Prosthesis Designs:

Mobile bearing prosthesis: In this design the plastic rotates on the tibial component thereby drastically reducing stress and wear. This is indicated specially in younger and more active patients. The LCS mobile bearing knee from Depuy, USA has a follow-up of more than 20 years now with outstanding survivorship of nearly 90%.

High flexion knee: Normally knee replacement patients can bend their knees to around 110-120 degrees thereby restricting squatting and low sitting postures required to perform social and religious activities. This revolutionary knee design in selective patients restores full knee bending allowing patients to kneel, squat and sit cross-legged.  

Total Hip Replacement

Uncemented Hip:

 Long term fixation specially indicated in active patients below 60 years.

  • Modern management of complex & complicated fractures with state-of-the-art techniques.
  • GNRC Sixmile Orthopaedics deptt specializes in Geriatric fracture management.