bangalore as with diseases the age at which people fall prey to knee and hip replacement surgeries has also seen a dip despite doctors calling it the last resort and the cost factors involved more and more patients opt for it at a younger age when compared to the previous yearsa lot of such trends and techniques were discussed at the fifth annual meeting of indian society of hip and knee surgeons on fridayeven among people in their 30s there are complaints of vague bone pain surgeries arent done in the 60s anymore among women its between 45 and 50 years now but the fact remains that this surgery should be the last resort said p suryanarayan president ishkslast year the total number of surgeries done was around 50000 the number of cases is on the rise because of obesity and people are not willing to tolerate pain as they used to earlier because they know theres a solution said wolfgay klauser one of the delegateseven cost is not a deterrent as many private companies insure the families of their employees and even government schemes helpat the conference attended by international delegates doctors said cases in india are peculiar when compared to other countries the quality of the bones is poor due to malnutrition indians are more flexible thanks to routine physical activity that involve squatting even the surgical techniques used are different for asiansaround 20 cases go for a revision in india as the implant wears out or because of some technical fault but theres better technology at hand now indigenous implants specific to the countrys requirements are available tooin our country we practise patientspecific positioning guides which is like having customized implants for patients a 3d model of the knee is prepared and surgery is planned on computer it is practised on the computer a few times before using the rightsized guide on the patient said adolph lombardi from usa