Dr. Chandrashekar P | Best Orthopedic Surgeon in Bangalore | Best Orthopedic Doctors in Bangalore

Dr. Chandrashekar P is the best ortho doctor in Bangalore with a keen interest in Joint Replacement and Arthroscopy Surgeries of the Knee, Shoulder, and Hip. Before joining Sakra World Hospital, he was working with Fortis Hospitals from 2010 and continued until January 2014. Presently, he is serving as Senior Consultant and Head of Orthopedics at Sakra World Hospital. He is one of the best orthopedic doctors in Bangalore, treating patients from different states and many countries all over the world.

Dr. Chandrashekar P is one of the best joint replacement surgeons in Bangalore to perform Advanced Arthroscopy and Knee Replacement Surgeries. After joining Sakra World Hospital he has performed more than 6000 surgeries and to his credit, he has performed more than 2000 Joint Replacement and Arthroscopy Surgeries in Sakra World Hospital and more than 10,000 such procedures so far.

He is a pioneer in minimally Invasive computer-assisted knee replacement in India and also one of the few surgeons performing Meniscal Repairs and Autologous Chondrocyte Implantation in the state.
After finishing his MS (Orthopaedics), Dr. Chandrashekar P. did his Fellowship Training in Joint Replacement and Trauma at Bombay Hospital, Mumbai, and moved to Germany and Belgium for his Joint Replacement and Arthroscopy Training. He undertook Shoulder Arthroscopy and Replacement Fellowship training in South Korea. Dr. Chandrashekar completed Knee Resurfacing Surgery training in the USA and is one of the first in Karnataka to do the same, making him a pioneer in this technique.
Dr. Chandrashekar. P has expertise in Knee Resurfacing Surgery, Meniscal Transplant, Minimally Invasive computer-assisted Knee Replacement Surgery, Custom-fit Knee Replacement, Unicompartmental Knee Replacement, Patellofemoral Replacement; Hip Resurfacing, and Revision Surgery for Failed Replacements.
His expertise includes -
  • Arthroscopy & Sports Medicine 
  • Ligament Reconstruction
  • Meniscectomy
  • Meniscal Repairs
  • Multiple Ligament Injuries
  • Surgery for Instability and Recurrent Dislocations
  • Rotator Cuff Tears and SLAP Tears
  • Chondral Stem Cell Grafting (Harvested Autologous Cartilage Culture Transfer)
  • Mosaicplasty & Microfracture
  • Meniscal transplant 
  • First Orthopedic surgeon to start knee resurfacing surgery in South India and has the highest number of surgeries in India
  • First Orthopedic surgeon to start minimally invasive computer-assisted knee replacement surgery in our state and has the highest numbers
  • First Orthopedic surgeon to do computer-assisted partial knee replacement in South India.
  • First Orthopedic surgeon to perform Ultra button ACL Reconstruction in the state
  • First Orthopedic surgeon to start Persona Knee with computer technology
  • First Orthopedic surgeon to introduce Columbus AS Knee in our state
  • First Orthopedic surgeon to introduce Verilast Knee Technology- Knee Replacement in our state
  • Apart from Knee and Hip Replacement, Dr. Chandrashekar P performs keyhole surgeries on the knee and has performed more than 2500 such procedures.
  • He has participated in many national and international conferences as a guest speaker and has performed live surgeries at conferences.
  • Dr. Chandrashekar. P has a special interest in Arthritis in young patients and he did the first Knee Resurfacing Surgery in Karnataka. He is one of the pioneers of this technique in India.
  • He has authored publications on Custom Fit Knee Replacement and Knee Resurfacing Surgeries.

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Frequently Asked Questions

There is a subset of patients suffering from arthritis pain and also suffering from ligamental meniscal injuries, who have to put the surgeries forward due to COVID.

There are a lot of people who are suffering from immense pain, they have postponed the surgery thinking that they will do it later, but now since COVID has taken 6-7 months these patients are finding it tremendously difficult to do household activities like getting out of the bed, going to the restroom.

For example, a patient with very severe knee arthritis with a stress fracture or a patient with very severe hip arthritis, ligament injury with instability bleeding to bucket-handle meniscal tears. These are the people who are feeling difficulty doing normal household activities because they have to limp or there is a constant fear of falling due to severe arthritis.

We have found the best way to operate on patients who are considered elective but unfortunately because of the pain, they cannot wait for a long time. We think that with our exposure, we did 200 surgeries but we are very happy to say that neither the doctors nor our patient got infected with COVID.

Among these 200 elective procedures involved knee joint replacement and many arthroscopic procedures like ligament, meniscus injury, and shoulder arthroscopy procedures.

Strict surveillance eye is very much required, from the time the patient decides to go for the surgery, better to go for COVID testing and also segregate the hospital into three zones, one is a COVID zone or red zone with patients who tested COVID positive and one is holding zones, where patients are waiting to get results. The Holding zone is treated with the highest protocols which are also considered COVID-negative zones and there is a completely COVID-free zone where the patients have been tested for COVID and the result came out negative

Post-surgery rehabilitation is very important and we always try to encourage physiotherapists to do only home visits and not to do any OPD practice. So the rehabilitation specialists are doing only home visits when the patients are already tested by the hospitals. So there is never a mixing of COVID-positive and COVID-negative patients.

So far we have performed 300 to 350 orthopaedic procedures without having any cross-infection rate both to the doctor and to the patient. Sakra also offers home health care where rehabilitation or post-fracture treatment, and post-replacement patients are treated. It is all about maintaining a proper chain so that the patient benefits at these times of crisis and also they don’t have the fear of getting infected by this coronavirus.

The knee is one of the important joints in the body because it carries the weight of the human being but is also important for sporting activities. So in the knee, there are structures like the meniscus which are the rubber pad for cushioning, and ligaments that support the stability of the knee.

The most common injuries to the knee are rubber pad injuries or meniscus injuries,  ligament injuries, and cartilage injuries. Meniscus injuries are quite common because of the sporting population. Usually, when we do sports the twisting movements can cause meniscus and ligament injuries. Also slipping in the house or a fall, or a twist in the house can also cause meniscus injuries.

The meniscus is a C-shaped structure in the knee, there are two menisci, the inner menisci called the middle menisci, and the outer menisci called the lateral meniscus. It is divided into three zones:

  • The outer zone also called the Red-red zone
  • The middle zone is called the white-red zone
  • The inner zone is called the white-white zone
These meniscus injuries can result in a tear of the meniscus. These tears are classified into radial, horizontal, complex, oblique, horizontal cleavage, and root tears.

Meniscus root tears are the tears in which menisci are attached to both the front and back of the leg bone or the tibia bone through a structure called a root. So we have an inner meniscus front attachment and back attachment, and another meniscus front, and back attachment. The detachment of the root from the bone is called root tears.

Not all meniscal tears require surgery, some can be managed conservatively. Small peripheral tears are red-red zone tears that can be managed conservatively without surgery because the blood supply to the outer portion of the meniscus is present whereas small tears can heal by themselves.

If the tears are extending from Zone 2 to zone 1 that is the red-white zone and white-white zone then surgery is contemplated or bigger tears in the periphery or the outer zone (red-red zone) need surgical treatment.

Removal of the meniscus - It is called a meniscectomy. It should be done when the tears are in the white-white zone and which is not repairable and also in the complex tears where the meniscus is crushed and the tissues are not good. One should be very very careful to remove as least meniscus as possible because removal of too much of the meniscus ends in losing the cushioning effect of the meniscus. The thigh bone and leg bone start crushing each other and develop cartilage damage or arthritis. 

Repair of the meniscus - It is called meniscus repair. There are three techniques used in meniscus repair:

  • Outside-in technique - Putting needles from outside and stitching the meniscus through suture materials. This is usually done for the front half of the meniscus.
  • Inside-out technique - It is done for the posterior half of the meniscus
  • All inside technique - There are very variegated uses in all inside techniques such as biodegradable material, peek material, and all suture material. 

These all suture devices come with disposable devices which help in delivering the implant into the meniscus and which create a knot or suture around the meniscus which helps in repairing the meniscus.
In the last five years, I have performed almost 10000 meniscus repairs and in my experience, once the meniscus is repaired well.

We are happy to introduce JuggerStitch by Zimmer Biomet, which is all inside a knotless meniscus repair device that doesn’t carry any implantable peak or biodegradable implant. It is made up of only suture material. This device has been introduced for the first time in the country by Sakra World Hospital. We are one of the premium hospitals in the country to do the meniscal repair. 

The benefit of JuggerStitch by Zimmer Biomet is that it is knotless, an all-suture implant that allows easy implant insertion.

If meniscal repairs are followed up well you can do MRIs and see how the meniscus is healed and at the same time if you have retained the meniscus you can allow the patient to go back to complete sports activities after 6-9 months. Post-surgery good physiotherapy and rehabilitation are required, first, we do walking, then we do weight-bearing, then we train the patient for balance agility and sports training in the future.

At Sakra, we always suggest doing meniscal repair because if you remove the meniscus then there is no other option and the meniscus cannot regrow. If too much of the meniscus is removed then the only option left is a meniscus transplant where you have to get the meniscus from the cadaver labs and do the meniscal transplant. So it is better to save as much as possible.

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