Institute Of


Asian Joint Reconstruction Institute

The Institute of Orthopaedics at SIMS Hospital is also known as AJRI (Asian Joint Reconstruction Institute). It is a centre of international repute for complex Bone and Joint related conditions. Besides patients from various corners of the country, the institute receives hundreds of patients from the Western part of the world, like USA and Canada, looking for high-end Orthopaedic procedures.

The institute is operated by a team of outstanding Orthopaedic surgeons in chennai, who have dedicated their interest to the science of joint replacement, reconstruction and preservation with the use of current techniques and technologies. The combined experience of the senior consultants in the institute, who have refined their clinical skills over decades of practice, is unmatched in this part of the world. Our doctors hold patents for several techniques in Joint procedures, contribute to world research and members of knowledge consortium. All the consultants in the team are very patient-centric and highly motivated to constantly improve the standards of Bone and Joint Care.

Asian Joint Reconstruction Institute SIMS Hospital

Group consultations have been the core philosophy at the Institute of Orthopaedics. This allows the doctors to devise the best plan of treatment using their collective experience. Moreover, being a part of a multi-specialty healthcare ecosystem, the patients also get the benefit of receiving support or intervention from other medical disciplines like imaging services, intensive care, renal care, rehabilitation programs, if required.

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Meet Our Experienced Team

Our Dedicated Consultants for Orthopaedics

Dr. Yugal Varandani

Arthroscopy & Sports Medicine

We categorize every patient walking into the hospital as web appointments, new patients, follow-up patients, awaiting admissions, emergencies and casual visitors. Moreover, we follow a patient-centric approach at AJRI where each patient is given a detailed counselling before and after the procedure called the green line concept. Our doctors strive to provide the best care and attention to patients helping them to alleviate the feeling of being neglected. We’ve already put into a practice an ecosystem where a group of counsellors, doctors and other support team work in harmony to make this happen. Also, we’ve made it a point to do post-surgical care online where doctors can perform examinations through the web.

SIMS being one of the best orthopedic hospital in Chennai, always look-out for non-surgical management/alternative options, even for advanced joint conditions. Hence, surgery / joint replacement may not become an immediate recommendation. Being a team of specialists and sub-specialists, each case is carefully evaluated before recommending the best course of treatment. The team of doctors provide solutions for a wide range of Bone and Joint conditions including joint preserving options like Focal Cartilage transplants to Arthroscopic procedures and from Corrective Osteotomy to Revision Surgeries. Our customized programs offer pain-relief solutions for arthritis or impaired joint function. Our services comprise of the following:

For the first time in Tamil Nadu, SIMS Hospital launched Robotic knee replacement in Chennai. It is the only centre in the state to have this technology and relevant clinical expertise. Robotic Total Knee Replacement Surgery has many definitive benefits over traditional joint replacement surgery: one being, a bone-conserving technology as it helps in preserving natural anatomy. It enables the surgeon to operate with enhanced precision even during the most complex procedures and difficult cases. Enhanced precision and lesser bone removal leads to less blood loss, reduced pain, faster and better post-operative outcomes for the patient. Robotic-assisted joint replacement is at a much higher level with regards to Patient satisfaction parameters compared to the traditional joint replacement surgery.

Accuracy of component placement is the most important variable that influences the outcome of joint replacement surgery especially the function and the longevity of the prosthesis. Orthopaedic Surgeons has been the key designer for computer navigation systems to fine tune the accuracy of component placement to optimize outcomes for both Hip Replacement and knee replacement surgeries.

Institute of Orthopaedic has the best ortho surgones in Chennai and also involved in the development of “PrePlan* – 2 pin Concept”, a patient-specific custom instrumentation based on CT scan that enables precision in key surgical steps.

Revision or redo hip and knee reconstruction is becoming common in India. Revision is required for patients whose primary replacement implants have failed due to varied reasons (wear and tear, infection and primary failure). Surgical experience is a critical ingredient while addressing a variety of issues encountered during revision surgeries.

Complex revision joint replacement surgery is one of the most technically challenging interventions in orthopaedics. The team at Institute of Orthopaedics has best ortho doctors in chennai who can perform Revision knee replacement surgery with excellent clinical outcome. Our doctors hold vast experience in complex revisions and reconstructions of the hip and knee involving the use of allografts, porous tantalum material, non cemented metaphyseal sleeves and custom revision components.

Total Knee Replacement surgery is not the only solution for all types and stages of painful arthritis. In some patients, only one compartment is predominantly affected. These situations are best suited for joint conserving procedures like corrective Osteotomies / Unicondylar replacement. Since all the ligaments are preserved and as the procedure is minimally invasive, the recovery is rapid and functions near normal.

Unlike the western population, hip arthritis occurs in the young patient in India/Asia. Hence conserving bone becomes crucial. The BHR (Birmingham Hip Resurfacing) and BMHR (Birmingham Mid Head Resection) prosthesis are specifically developed for younger and more active patients. Institute of Orthopaedics has experience of over 2000 BHR/BMHR procedures which makes it the largest volume centre in Asia. In addition, the centre has done the largest number of avascular necrosis procedure of the hip in the world.

Conventional knee replacement is not suitable for a relatively younger and active patient due to the potential of rapid wear and early failure. Oxinium knee reduces the wear by 50%. It is popularly known as the “30-year knee” in North America. This innovation was brought to this region by our surgeons in early 2010, enabling the deployment of the knee replacement procedure for relatively younger patients.
State-of-the-art technology is deployed at the Institute of Orthopaedics for precise identification of bone & joint conditions, deciding on the best treatment approach and execute the procedure with high-degree of perfection. These include technology for investigation & diagnosis, pre-surgical planning, actual surgical procedure, post-operative care, Ultrasonicator for microbiology apart from digital archiving of patient records and many more. Few of the technologies that we use at SIMS are :