Personalised Knee Solutions

Kinematic Alignment

Experience the Future of Knee Replacement

Personalised knee replacement designed around your individual knee anatomy, ligament balance and functional goals.

Dr. Ankiit Bhartia

Orthopaedic & Knee Replacement Specialist

Call +91 9899007005
Physiotherapist examining a patient's knee

Personalised Knee Solutions

Experience the future of knee replacement with a personalised approach.

Kinematic Alignment

Dr. Ankiit Bhartia

Dr. Ankiit Bhartia

Knee Replacement Specialist

Dr. Ankiit Bhartia is dedicated to providing personalised orthopedic care with a special focus on knee replacement and kinematic alignment techniques.

His approach focuses on restoring natural knee alignment, maintaining soft-tissue balance, and helping patients achieve better mobility, comfort, and recovery.

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Understanding Knee Replacement

What is Knee Replacement?


Knee replacement surgery is a procedure in which the damaged or worn-out knee joint is replaced with a high-quality artificial joint (implant) to relieve pain, correct deformity, and restore movement.

When Does Knee Replacement Become Necessary?

When knee pain starts affecting your day-to-day activities like:

Walking
Climbing stairs
Sitting or standing
Sleep quality

…and medicines, exercises and injections stop helping, knee replacement becomes the most effective solution.

Doctor consulting a patient about knee treatment

Knee Replacement Surgery

Components of Knee Replacement Surgery


Total knee replacement involves replacing the damaged surfaces of the knee joint with artificial components designed to restore movement and function.

Femoral Component

The component placed on the femoral side of the knee.

Tibial Component

The component placed on the tibial side of the knee.

Polyethylene Insert

The insert works between the artificial components to support smooth movement.

Crux of Kinematic Alignment

What is Personalised Knee Replacement?


Calipered kinematic alignment uses a series of intraoperative verification checks and caliper measurements of the small pieces of bone the surgeon removes to accurately fit the total knee replacement.

These steps restore the patient’s pre-arthritic joint surfaces within 0 ± 0.5 mm, making the technique more accurate than robotics and navigation instrumentation, as described in the supplied brochure.

The kinematic alignment of the prosthetic components with the three kinematic axes of the knee has the same beneficial effect on function as aligning new tires on the axles of a car to restore a smooth ride.

Physiotherapist assessing knee joint movement

Key Principles

01. Native Rotational Axes

KA aims to restore the native, pre-arthritic rotational axes, leading to a "forgotten joint" sensation.

02. Customized Procedure

KA is a customized, bony-only procedure that preserves native soft-tissue balancing.

03. Natural Soft-Tissue Balance

KA reduces prosthetic overstuffing of the lateral compartment and avoids unphysiological collateral stretching.

How Does Kinematic Alignment Work?

Kinematic alignment aims to co-align the axes of the components with the three-dimensional axes of the native knee.

This minimizes the need for ligamentous release by maintaining the patient’s original soft tissue tension and joint line orientation.

The Big Question

Why is Personalisation Needed?

Every knee is different. Personalised knee replacement takes individual anatomy and functional requirements into consideration.

01

Natural Knee Alignment Is Different in Every Person

Some people naturally have slightly bow-legged or knock-kneed alignment.

Trying to force every knee into the same standard alignment may not match the patient’s natural biomechanics.

Personalized surgery respects the individual anatomy of the knee.

02

Ligament Balance Varies Between Patients

The ligaments around the knee control stability and movement.

Each patient’s ligament tension is different.

Personalized planning helps the surgeon balance the ligaments properly, which improves comfort and stability after surgery.

03

Activity Levels Are Different

A patient who wants to walk comfortably at home has different needs compared to someone who wants to remain very active.

Personalization allows the surgeon to tailor the surgery according to the patient’s functional goals.

04

Bone Structure and Arthritis Pattern Are Unique

The damage caused by arthritis is not identical in every knee.

Some patients have more damage on one side of the knee, while others have different patterns of wear.

Personalized surgery helps address the specific pattern of arthritis in each patient.

Personalised Knee Replacement

Advantages of Personalised Knee Replacement

The supplied brochure highlights the following potential advantages.

Minimal Soft Tissue Dissection

Minimal Blood Loss

Less Operative Time

Less Complications

Very Quick Recovery

More Natural Knee Alignment

Better Ligament Balance

Higher Long-Term Patient Satisfaction

Life After Knee Replacement

What Can You Expect After Surgery?

Natural Feel and Function

Many patients report that the knee feels more natural, with smoother, more fluid movement during daily tasks such as walking, climbing stairs, or squatting.

Faster Recovery and Reduced Pain

Research indicates that KA often leads to quicker recovery times, less swelling, and reduced pain early on, as the technique typically avoids extensive ligament releases.

Faster Return to Activity

Studies show that patients frequently return to regular activities, including low-impact sports, within 4–6 weeks.

Long-Term Durability

Early research and up to 15 years of registry data indicate that KA has equivalent, and potentially better, long-term survival compared to traditional mechanical alignment.

Studies cited in the brochure show excellent 10-year survivorship.

Expectations Post Surgery

Recovery Milestones

Recovery after knee replacement is a step-by-step process.

Early physiotherapy session after knee surgery
Day 1–3

Immediately After Surgery

During the first few days, the main focus is on pain control, early movement, and safe walking.

Patients are usually encouraged to:

  • Start gentle knee movement exercises
  • Sit and stand with support
  • Begin walking with a walker or support
  • Perform basic physiotherapy exercises

Early movement helps prevent stiffness and improves circulation.

First 2 Weeks

Building Strength and Flexibility

During this period, the knee gradually becomes stronger and more flexible.

Patients typically notice:

  • Reduction in pain and swelling
  • Improved knee bending and straightening
  • Increased confidence while walking with support
  • Ability to perform basic daily activities

Physiotherapy is extremely important during this stage.

3–6 Weeks

Improved Mobility and Independence

Most patients experience significant improvement during this period.

Common milestones include:

  • Walking longer distances with minimal support
  • Improved knee bending (flexion)
  • Better balance and stability
  • Increased independence in daily activities
  • Some patients may begin walking without support depending on their recovery progress.
6–12 Weeks

Strength, Mobility and Normal Routines

This phase focuses on strength, mobility, and returning to normal routines.

Patients usually achieve:

  • Comfortable walking for daily activities
  • Climbing stairs with better confidence
  • Improved muscle strength around the knee
  • Increased endurance for walking and household tasks

At this stage many patients begin to feel that their knee is much more natural and stable.

3–6 Months

Returning to Regular Activities

By this time, the knee continues to strengthen and function improves further.

Patients often return to:

  • Regular walking
  • Light exercise such as cycling or swimming
  • Travelling and social activities
  • Most normal daily routines

The knee continues to improve with ongoing exercise and activity.

After KA TKR

Do’s After Knee Replacement


Walk Regularly

Maintain Low Body Weight

Keep Knee Moving

Follow Physiotherapy

Use Support

Follow Doctor's Advice

After total knee replacement, proper care and rehabilitation are essential to ensure good recovery, better mobility, and long-term success of the knee implant.

Following these important guidelines can help patients regain confidence and return to normal activities safely.

After KA TKR

Don’ts After Knee Replacement


Do Not Skip Physiotherapy

Avoid Lifting Heavy Weights

Avoid High Impact Activities

Avoid Twisting Activities

Avoid Low Chairs

Avoid Cross-Leg Sitting and Squatting

Successful knee replacement recovery depends on both the surgery and the patient’s commitment to rehabilitation and healthy habits.

Following these do’s and don’ts helps ensure better mobility, improved comfort, and long-lasting knee function.

Long-Term Knee Care

How to Take Care of Your Replaced Knees


Taking care of your knee replacement helps it last longer and function well.

Important Long-Term Measures Include:

Maintain a Healthy Body Weight

Maintaining a healthy body weight is an important part of long-term knee care.

Regular Exercise

Regular exercise helps strengthen the muscles around the knee.

Continue Physiotherapy Exercises

Continue recommended physiotherapy exercises as advised.

Avoid Excessive Strain

Avoid excessive strain on the knee.

Regular Follow-Up

Maintain regular follow-up visits with your surgeon.

Our Testimonials

Patient Experiences

P
★★★★★

Mr. Prashant

My father Bilateral Total knee Replacement surgery was done by Dr Ankiit and team at Sparsh hospital. Highly recommend for being frugal and best recovery support. My father recovered in just 2-3 week time. Now slowly going out of home for walks and climbing stairs happening. Our overall experience & long term satisfaction being immense.

R
★★★★★

Mr. Ram

A big thanks to Dr. Ankiit Bhartia and his team for getting my mom back to walking and enjoying her life pain free. I got my mom’s knee replacement done at Sparsh by Dr. Ankiit Bhartia, the whole process of operation, post-operation care and recovery was very smooth. It’s one month now and my mom is able to go out for walks, climb stairs and enjoy her evening with friends. Dr. Ankiit is a big blessing for us as he gave confidence of excellent recovery and we are more than thankful for such an amazing work by Dr. Ankiit and his team.

S
★★★★★

Mr. Saurabh

We are immensely grateful to Dr. Ankiit Bhartia for the exceptional care and expertise demonstrated during my grandmother’s knee replacement treatment and my father-in-law’s leg surgery. From the initial consultation to post-operative recovery, Dr. Ankiit Bhartia displayed a level of professionalism and compassion that exceeded our expectations. A Life-Changing Experience with Dr. Ankiit Bhartia My Grandmother's knee condition was not good and before the treatment, she was completely bedridden and unable to walk. At her age, in her 80's, we were deeply concerned about her mobility and quality of life. However, under Dr. Ankiit Bhartia’s skilled hands and compassionate approach, a remarkable transformation took place after surgery. Today, she is not only walking but also climbing stairs without any assistance—a milestone we never thought possible. Her recovery has been nothing short of miraculous, and it’s all thanks to Dr. Bhartia’s precise diagnosis, advanced treatment techniques, and dedicated post-treatment care. We cannot express enough gratitude to Dr. Ankiit Bhartia for his incredible expertise and dedication in treating my father-in-law’s long-standing leg condition. More than 20 years ago, a rod was inserted into his leg due to an injury, but unfortunately, it was never removed on time. Over the years, this led to severe complications— excruciating pain, persistent infections, bleeding, and discoloration of the leg. The condition had deteriorated so much that many doctors refused to operate, fearing that surgery might not be successful. However, Dr. Ankiit Bhartia was the only one who took on the challenge with confidence and responsibility. With his exceptional surgical skills and deep medical knowledge, he successfully performed the surgery that many deemed impossible. Today, my father-in-law is pain-free, walking effortlessly, and even driving just like a person with a normal, healthy leg. His professionalism, patience, and commitment to his patients truly set him apart. He took the time to explain every aspect of the procedure and recovery, giving us immense confidence throughout the journey. We wholeheartedly recommend Dr. Ankiit Bhartia to anyone seeking top-tier world class orthopedic and spine care. Thank you, Dr. Ankiit Bhartia, for your dedication and for making such a profound difference in our lives!

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Take the Next Step Towards Better Knee Mobility

Recovery after knee replacement is a step-by-step process. Most patients gradually regain mobility, confidence, and comfort as the knee heals.

With personalised knee replacement and proper rehabilitation, the goal is to help you walk comfortably, move naturally, and enjoy a better quality of life.

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