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Nishok Hospital - Orthopedic & Skin Specialist Hospital Contact Us.
Mon - Fri: 09:30am - 7:30pm
Balaghat, Madhya Pradesh
Advanced, precise, and personalised knee replacement surgery — led by Dr. Shrey Jain, Balaghat's robotic joint replacement surgeon.
Dr. Shrey Jain is an orthopaedic surgeon based in Balaghat, with expertise in joint replacement, paediatric orthopaedics, spine surgery, and complex trauma care. He is a robotic joint replacement surgeon, experienced in performing robotic-assisted knee replacement using the MISSO Robotic System.
Since joining Shaheed Bhagat Singh District Hospital, Balaghat in September 2024, Dr. Shrey has performed 100+ joint replacement surgeries overall, with 30+ completed in Balaghat itself — including several milestone "firsts" for the district.
Today, he brings this same expertise and robotic-assisted precision to patients at Nishok Hospital, Balaghat.
Dr. Shrey has led several landmark surgeries for Balaghat, including a number of "firsts" for the district.
First knee replacement surgery at a government facility in Balaghat (District Hospital Balaghat)
First hip replacement surgery at a government facility in Balaghat (District Hospital Balaghat)
First bilateral knee replacement surgery in Balaghat
First robotic knee replacement surgery in Balaghat
These milestones were covered by local media, including Divya Express, Patrika, and Balaghat Jabalpur Express.
Robotic-assisted joint replacement combines a surgeon's skill and judgement with advanced 3D imaging and real-time guidance. Instead of relying only on manual instruments, the surgeon uses a personalised surgical plan built from the patient's own CT scan — and a robotic arm that helps carry out that plan with a high level of consistency and accuracy.
The robot does not perform the surgery on its own — Dr. Shrey remains in full control throughout the procedure.The robotic system assists the surgeon in carrying out the surgical plan. The surgeon remains responsible for the procedure and clinical decisions.
Nishok Hospital uses the MISSO Robotic System (by Meril) for robotic-assisted total knee replacement. Some of its key capabilities:
Personalised 3D surgical planning based on the patient's own CT scan
Real-time, computer-guided precision during bone cutting and implant alignment
Built-in safety mechanisms, including automatic stoppage if bone movement exceeds a safe limit
Designed to support sub-millimetre accuracy in implant positioning
Robotic assistance changes several things for the patient, compared to conventional knee replacement.
Greater precision in bone cutting and implant alignment
Less tissue damage and reduced blood loss during surgery
Less pain and discomfort after surgery
Faster early recovery and quicker return to walking
Better implant fit, which can support longer implant life
| Comparison | Conventional | Robotic-assisted |
|---|---|---|
| Surgical planning | Based on 2D X-rays and standard sizing | Personalised 3D model from the patient's own CT scan |
| Alignment accuracy | Depends on manual instruments and technique | Guided in real time, kept within the planned boundaries |
| Tissue handling | Wider margins often used for safety | Tissue-sparing cuts guided by the pre-op plan |
| Recovery experience | Standard post-op recovery timeline | Often smoother, more predictable early recovery |
Note: Both conventional and robotic-assisted knee replacement require assessment, surgical planning and rehabilitation. Robotic-assisted surgery uses computer-supported planning and guidance. The choice depends on clinical suitability, available facilities and discussion of risks, benefits and costs.
Knee arthritis caused by any of the following:
Choose a condition to see images and the key points to know.
Osteoarthritis is a common cause of knee pain in which the protective cartilage gradually wears down, leading to pain, stiffness and difficulty with everyday movement.
Avascular necrosis occurs when reduced blood supply damages bone tissue. In the hip or knee, the condition can progressively affect the joint and may cause pain, stiffness and difficulty walking.
A CT scan of the affected joint is taken, along with routine investigations for a pre-anaesthesia check-up.
Surgery typically takes about 1.5 hours. Most patients begin walking and start physiotherapy the same evening.
Patients typically stay in hospital for 3 to 4 days.
Most patients return to normal daily activity around day 15.
A follow-up visit around day 14–16 for stitch removal.
Timelines are typical. Recovery varies with each patient's health, and Dr. Shrey will guide you at every stage.
A look at Nishok Hospital and our work. Use the arrows or swipe to browse, and tap any photo to view it full size.
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Answers to common questions about robotic-assisted knee replacement.
None — patients are encouraged to walk on the day of surgery itself.
Usually on the day of surgery itself, or the next day.
Most patients can start climbing stairs from day 3 onward.
With modern pain management techniques, most patients remain comfortable during the post-operative period.
No. The surgeon performs the surgery — the robot only assists with planning and precise execution, under the surgeon's full control.
No. The robotic system only executes what the surgeon plans and directs — it does not act independently.