Your Step-by-Step Journey Through Joint Replacement Surgery at KDSG Hospital, Greater Noida

A doctor bandaging a patient’s leg.

The decision to have joint replacement surgery is not easy. Neither is understanding exactly what you are signing up for. Most patients have a rough idea — surgery, hospital, physiotherapy — but the details between those dots are what causes the anxiety.

This guide walks through the entire journey: from the first appointment at Dr. Akash Dubey's clinic in Gaur City 2, Greater Noida West, through surgery at KDSG Superspeciality Hospital, to complete recovery. Every step is explained so you know what to expect, when, and why.

Step 1: The First Consultation at Your Bone Mechanic Clinic

Your journey begins at Shop No. 24, Gaur City Arcade, Gaur City 2, Greater Noida West.

The first consultation with Dr. Akash Dubey is not a formality. It is a proper clinical assessment that takes enough time to understand your specific situation. Bring:

All previous X-rays and MRI scans (even if they are a few years old)
A list of current medications
A brief note on what treatments have already been tried

What Happens During the First Appointment

History taking — Dr. Dubey will ask about when the pain started, how it has progressed, what makes it better or worse, and how it is affecting your daily life. This is not routine box-ticking; the pattern of your symptoms tells a lot about the underlying diagnosis.

Physical examination — The joint is examined for swelling, tenderness, range of motion, alignment, and stability. The muscles around the joint are assessed for strength and wasting. Gait is observed.

Imaging review — X-rays are essential. If you do not have recent ones (within the last 6 months), they may be arranged. For complex cases or where soft tissue assessment is needed, MRI may be recommended.

The conversation — Dr. Dubey will explain what the assessment shows, what the range of treatment options is — including non-surgical options — and what surgery would involve if it is indicated. You will leave the consultation understanding your diagnosis and having a clear picture of the path forward.

No pressure, no rush. Patients consistently note that consultations with Dr. Dubey are unhurried. Questions are welcomed. Surgery is never presented as the only option unless it genuinely is.

Step 2: Pre-Operative Investigation and Medical Clearance

If surgery is agreed upon, the preparation phase begins. This typically takes 2–4 weeks.

Investigations Required

Blood tests — full blood count, kidney function, liver function, blood sugar, clotting profile
ECG — to assess cardiac rhythm
Chest X-ray — to assess lung and cardiac silhouette
Urinalysis — to rule out urinary tract infection before surgery
Echocardiogram — for patients with known or suspected cardiac conditions
Blood sugar control — diabetic patients need HbA1c and fasting glucose within acceptable ranges before surgery

Medical Optimisation

Any uncontrolled condition — blood pressure, blood sugar, cardiac arrhythmia, anaemia — is managed before surgery is scheduled. This is not bureaucracy; it is how serious surgical complications are prevented.

Medications to review:

Blood thinners (warfarin, aspirin, clopidogrel, newer anticoagulants) — typically stopped 5–10 days before surgery
NSAIDs — usually paused before surgery
Metformin — typically held 48 hours pre-operatively
All other regular medications are reviewed by the anaesthesiologist

Step 3: Prehabilitation — Preparing Your Body

In the 2–4 weeks before surgery, prehabilitation exercises make a measurable difference to recovery speed. These are gentle, targeted exercises provided by the physiotherapy team:

Quad sets and straight leg raises
Hip abductor strengthening
Gentle cycling if tolerated
Walking within comfortable limits

Improving muscle strength before surgery means you enter the procedure with better reserves — which directly translates to faster rehabilitation on the other side.

Step 4: Pre-Admission and Day of Surgery at KDSG Superspeciality Hospital

KDSG Superspeciality Hospital in Greater Noida is where Dr. Akash Dubey performs joint replacement surgeries. The hospital is equipped with modern orthopaedic surgical facilities, anaesthetic support, and a structured post-operative care team.

The Night Before

Follow fasting instructions carefully — nothing by mouth after midnight (water may be permissible until 2 hours before surgery in some protocols; your team will specify). Shower and wash the surgical area with soap. Remove nail polish, jewellery, and any hair clips from the head area.

Day of Surgery

Admission and preparation — You arrive as scheduled, are admitted, and change into a hospital gown. IV access is established. The surgical site is marked by the surgeon.

Anaesthesia — Your anaesthesiologist will discuss options. For knee replacement, spinal anaesthesia (a lower-body block) is frequently used, either alone or with sedation. General anaesthesia is an alternative. The choice depends on your medical history and preference.

In the operating theatre — The surgical team introduces themselves. Sterility measures are confirmed. Robotic system setup begins if robotic-assisted surgery is planned.

The surgery — Total knee replacement takes approximately 60–90 minutes. Total hip replacement typically takes 90–150 minutes. You will not be aware of the procedure if under general anaesthesia; with spinal anaesthesia, a drape prevents you from seeing the surgical site and sedation keeps you comfortable.

Recovery room — Immediately after surgery, you go to the post-anaesthetic care unit for monitoring of vital signs, pain levels, and nausea. Your family is updated on how the surgery went.

Step 5: The Hospital Stay (Days 1–3)

You will be moved to your room once stable.

Day 1 post-op — The physiotherapy team visits. This is not optional. You will be helped to sit up, then to stand at the bedside, then to take first steps with a walker. Yes, on the same day as surgery. Movement prevents blood clots and signals to the body that it can begin adapting to the new joint.

Pain management — Regular oral medications supplemented by IV medication if needed. A nerve block placed at surgery helps in the early hours. Ice packs to the knee. Compression stockings.

Blood thinners — Anticoagulants are started to prevent DVT. This continues for 2–6 weeks after discharge, depending on your risk factors.

Wound care — The dressing is checked. Drains (if used) are removed within 24–48 hours.

Walking and physiotherapy — By day 2, you will be walking short corridors with the physiotherapist. By day 3, you should be managing a short flight of stairs safely before discharge.

Discharge criteria:

Pain manageable with oral medications
Walking independently with aids
Able to manage stairs
Wound is clean, dry, and sealed
Blood pressure, blood sugar, and other parameters stable

Step 6: Discharge and Home Recovery

Going home is a milestone — and the start of the phase that requires the most active participation from you and your family.

What You Will Need at Home

A raised toilet seat (or bedside commode for the first week)
A shower stool or chair
Crutches or walker (provided before discharge)
Clear pathways — remove rugs and trip hazards
Someone to help for the first 2–3 weeks

The Home Exercise Programme

You will be given a structured home exercise programme. These exercises are not suggestions — they are the mechanism of your recovery. Quad sets, straight leg raises, heel slides, ankle pumps. Three to four times daily for the first several weeks.

Follow-up Appointments

10–14 days — wound check, suture/staple removal
6 weeks — X-rays to confirm implant position, physiotherapy assessment, driving clearance discussion
3 months — functional review, X-rays
1 year and then periodically — long-term implant monitoring

Step 7: Physiotherapy and Functional Return (Weeks 3–6 onward)

Formal physiotherapy sessions begin once the wound has healed — typically around week 2–3. These sessions focus on progressive range of motion, strength training, and gait normalisation.

Most patients transition from a walker to a cane between weeks 3–4, and to unassisted walking by weeks 6–8.

At 3 months, most patients are back to daily activities. At 6 months, most report significant improvement in pain and function compared to their pre-surgical state. Continued improvement up to 12–18 months is normal.

What Patients Have Said About Their Experience with Dr. Akash Dubey

Patients who have undergone joint replacement under Dr. Dubey's care consistently highlight his thoroughness during consultation, his availability for post-operative questions, and the clarity of his recovery guidance. One patient described him as having "soft spoken, very professional" qualities, and noted a grandfather who underwent knee replacement "is now walking pain-free." Another specifically appreciated the time Dr. Dubey took to explain every aspect of the diagnosis — "he answered every question in detail and gave us proper time."

Frequently Asked Questions

Q: How long will I stay in hospital after knee replacement at KDSG, Greater Noida?

Typically 2–4 days for uncomplicated total knee or hip replacement. Complex cases may require a longer stay.

Q: Can family members accompany me during my hospital stay?

One attendant is typically permitted during the hospital stay. Your care team at KDSG will advise on visiting arrangements.

Q: Will I need to come back to KDSG for physiotherapy after discharge?

Post-operative physiotherapy can be arranged through a combination of outpatient sessions at or near KDSG, and a home exercise programme guided by Dr. Dubey's team.

Q: What if I have concerns after going home?

Dr. Akash Dubey's team is reachable by phone for post-operative concerns. Do not hesitate to call if you notice increased swelling, wound problems, fever, or significant pain that is not responding to medication.

Contact Dr. Akash Dubey — Your Bone Mechanic

Dr. Akash Dubey

Robotic Surgery Certified | Member, AOPAS

Clinic: Shop No. 24, Ground Floor, Gaur City Arcade, Near Sarvodaya Hospital, Gaur City 2, Greater Noida West, U.P. – 201301

To book a joint replacement consultation, call +91-8130441429