Robotic Knee Replacement Surgeon Apollo Hospitals, Lucknow
Dr Deepankar Mishra is a Consultant in Orthopaedics and Joint Replacement at Apollo Hospitals, Lucknow. With more than nine years of clinical experience, his practice focuses on knee and hip joint replacement, with a special interest in robotic-assisted knee replacement surgery.
His approach brings together careful clinical assessment, individualised surgical planning and appropriate use of advanced technology. Treatment decisions are guided by each patient’s symptoms, anatomy, joint condition, functional goals and overall health.
Clinical Expertise
Robotic-Assisted Total Knee Replacement
Computer-assisted planning and robotic guidance to support the surgeon during selected stages of knee replacement.
Total Knee Replacement
Assessment and surgical treatment for selected patients with advanced knee arthritis and substantial joint damage.
Primary Hip & Knee Replacement
Individualised planning for patients undergoing their first joint replacement.
Revision Joint Replacement
Evaluation of selected patients with a previous joint replacement who may require revision surgery.
Joint Preservation Surgery
Assessment of suitable patients for treatment approaches intended to preserve the natural joint.
Hip Replacement
Specialist evaluation and surgical management for patients who may benefit from hip joint replacement.
Robotic Knee Replacement
Robotic-assisted knee replacement uses computer-based planning and a robotic system to assist the surgeon during selected stages of the procedure. Depending on the system and surgical plan, this may support assessment of individual knee anatomy, planned bone preparation, implant positioning, alignment and balancing considerations.
Important: The robotic syst em does not perform the operation independently. The surgeon remains in control and makes the clinical and surgical decisions. Robotic assistance is a tool—not a substitute for clinical judgement or an assurance of a particular outcome.
Potential considerations in robotic-assisted planning include:
Individual knee anatomy and alignment
Planned bone preparation and implant positioning
Soft-tissue balance and functional requirements
The patient’s condition, expectations and rehabilitation needs
When to Seek a Knee Replacement Assessment
Knee replacement may be considered when advanced arthritis causes persistent symptoms despite appropriate non-surgical treatment. A specialist assessment and suitable imaging help determine whether surgery is appropriate.
Persistent knee pain
Difficulty walking or climbing stairs
Stiffness or progressive deformity
Reduced mobility or difficulty with daily activities
A significant effect on quality of life
A Patient-Centred Approach
Every patient has different symptoms, anatomy, expectations and functional goals. Dr Mishra believes that decisions about joint replacement should follow a thorough evaluation of the clinical condition, imaging, lifestyle, functional limitations and overall health. Where robotic-assisted surgery is appropriate, the technology is incorporated into a treatment plan tailored to the individual.
Qualifications & Professional Details
MS – Orthopaedics
FIJR – Fellowship in Joint Replacement
Diploma in Hip and Knee Surgery, MRC Oxford, England
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Experience
Shalby Hospital, Ahmedabad / Lucknow
Manipal Hospital, New Delhi
Special interest
Joint Replacement Surgery
Robotic Surgery
Revision Joint Surgery
Arthroscopic Procedures
Hand Surgery and Microsurgical Procedures
Trauma Surgery
Emergency Orthopedic Management
Pediatric Orthopedic Procedures
Sports Medicine Interventions
Memberships
Society of Knee Surgeons of India
Indian Arthroplasty Association
Indian Orthopedic Association
Uttar Pradesh Orthopedic Association (UPOA)
FAQs
Q: When should I consider knee replacement?
Knee replacement may be considered when advanced arthritis causes persistent pain, stiffness or difficulty with walking and daily activities despite appropriate non-surgical treatment. The decision is made after a specialist assessment; an X-ray alone does not determine the need for surgery.
Q: Is knee replacement only for older people?
Age is one factor, but it is not the only one. The decision depends on the severity of joint damage, pain, functional limitation, general health and expected benefit. Suitability should be assessed individually.
Q: What is robotic knee replacement?
Robotic-assisted knee replacement uses computer-based planning and a robotic system to assist the surgeon during selected stages of the operation. The surgeon remains in control and makes all clinical and surgical decisions.
Q: Is robotic knee replacement better than conventional knee replacement?
Robotic assistance can support personalised planning and precise execution of the surgical plan. However, outcomes depend on several factors, including the patient’s condition, the surgical approach, the implant and rehabilitation. Robotic surgery is not necessary or suitable for every patient, and no technique can guarantee a particular result.
Q: Is robotic knee replacement completely performed by a robot?
No. The robot does not independently perform the operation. The orthopaedic surgeon plans and performs the surgery, using the system as an assistive tool where appropriate.
Q: How long does a knee replacement last?
Modern knee replacements can function for many years, but longevity varies with factors such as activity level, body weight, implant-related factors, surgical factors and overall health. Regular follow-up and following medical advice are important.
Q: How soon can I walk after knee replacement?
Many patients are encouraged to stand and walk with assistance soon after surgery, often on the day of surgery or the following day, if their condition allows. The timing and amount of walking depend on medical fitness, pain control and the treating team’s protocol.
Q: How long does recovery take?
Recovery is gradual and varies from person to person. Many patients resume basic daily activities over the first several weeks, while strength, confidence and functional improvement may continue for months. Physiotherapy and a personalised rehabilitation plan are important.
Q: Will I need physiotherapy after knee replacement?
Yes, rehabilitation is an important part of recovery for most patients. Exercises help restore movement, strength, balance and walking ability. Your surgeon and physiotherapist will guide the exercises and progression appropriate for you.
Q: Can both knees be replaced at the same time?
Simultaneous bilateral knee replacement may be an option for selected patients, but it is not suitable for everyone. A careful assessment of general health, cardiac and respiratory risk, anaesthetic fitness and rehabilitation support is essential before deciding.
Q: What tests are needed before knee replacement?
Assessment commonly includes a clinical examination, knee X-rays and pre-operative investigations based on the patient’s age, medical history and fitness for surgery. Additional tests or specialist clearance may be required when indicated.
Q: How can I know whether robotic knee replacement is right for me?
A consultation can help assess the severity of arthritis, alignment, symptoms, medical fitness and treatment goals. Dr Deepankar Mishra can discuss suitable options, including whether robotic assistance is appropriate for your individual case.
