A 54-year-old woman who was unable to walk or sit for almost a decade due to osteoarthritis was admitted to Global Hospital and Research Centre, Pune, India, where doctors implanted the Gold Knee-blended transplant with vitamin ePlus poly cover, a type of total knee transplant.
Gold Plus Vitamin E-Impregnated Implants

According to Aashish Arbat, senior orthopedic surgeon, who performed the surgery, Gold Knee implant can be the solution for people requiring knee replacements at a young age or for the obese. He says that Vitamin ePlus poly cover with Gold-plated knee joint is an innovative, next-generation implant with high-density polymer blended with vitamin E, a natural anti-oxidant. He says that “Vitamin E improves the material’s strength while preventing polyethylene degenerating oxidation.”
“This helps the material hold up to the higher expectations of today’s active patient. E-plus is the first blended vitamin E polyethylene, with the vitamin E homogeneously blended directly into the resin, ” Arbat added.
Three days after the surgery, Sanjivanee Watane started walking. Arbat, who performed the Gold Knee implant surgery, said that osteoarthritis affects 80% of the people in India above 50 years of age.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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