Lok Sabha Question No. 3129 (UNSTARRED), answered on 2021-08-06
Subject: Knee Replacement Surgeries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. Shanmuga Sundaram

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 3129 TO BE ANSWERED ON THE 06 th  AUGUST, 2021

## KNEE REPLACEMENT SURGERIES

## 3129. SHRI SHANMUGA SUNDARAM K:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- a) whether the Government is aware that most of the knee-replacement surgeries done by Government  as  well  as private hospitals in  Tamil  Nadu  every year end up in complications whereas the international bench mark stipulates 1 to 2% only and if so, the reaction of the Government thereto;
- b) whether the Government has received any reports regarding failure of knee-replacement surgeries from the Government of Tamilnadu; and
- c) if so, the details of such cases pertaining to Government Hospitals and Private Hospitals in Tamil Nadu?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (c)

'Public Health and Hospitals' being a State subject, the primary responsibility of providing healthcare  and  hospital  services  to  its  citizenslies  with  the  respective  State  Governments including  Tamil  Nadu.    However,  the  Ministry  of  Health  and  Family  Welfare  provides technical  and  financial  support  to  the  States/UTs  including  Tamil  Nadu  to  strengthen  the public healthcare delivery at public healthcare facilities.

Support under National Health Mission (NHM) is provided to States/ UTs to supplement the efforts  of  the  State/UT  governments,  for  setting  up  of  new  facilities  as  per  norms  and upgradation  of  existing  facilities  for  bridging  the  infrastructure  and  human  resource  gaps, based on the requirements posted by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

As  per  the  information  received  from  the  State  of  Tamil  Nadu,  20,165  Total  Knee Replacement  (TKR)  Surgeries  (1420  in  Government  Hospitals  and  18,745  in  private hospitals) were performed under Chief Minister's Comprehensive Health Insurance Scheme of Tamil Nadu (CMCHISTN) from 11.1.2017 to 31.7.2021.  State further informed that the need for revision of TKR surgeries and deaths may be considered as complications of primary TKR  surgeries  and  as  per  available  data  of  CHCHISTN,  the  complication  rate  for  TKR surgeries is 18 cases (0.089%) which includes Implant Failure and death.

Further, the State informed that the number of failed Total Knee Replacement surgeries was calculated  by  the  number  of  applications  received  for  Revision  Knee  Replacements  and furnished the details of 27 Revision Knee Replacement surgeries requested under CMCHISTN between 11.1.2017 to 31.7.2021 as below

| Year                |   Numbers of requests received for Revision Knee Replacement Surgeries |
|---------------------|------------------------------------------------------------------------|
| 2017                |                                                                      5 |
| 2018                |                                                                      6 |
| 2019                |                                                                     10 |
| 2020                |                                                                      5 |
| 2021 (upto July 31) |                                                                      1 |
| Total               |                                                                     27 |