In 2012 he further reduced the time for TKR to about 8-10 minutes using 0 technique.
The reduction of time was done without in any way avoiding the essential steps of TKR. He named this fast process the ‘0’ [zero] technique to show the minimalist approach in terms of incision, operative time, antibiotics, need for blood transfusion, need for long rehabilitation.
Patients who have undergone TKR by ‘0’ Technique begin walking in a few hours and climb stairs on the day of surgery. Such mobility was achieved after 1-2 day in the early nineties.