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Total-Knee-Replacement Surgery in
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What Is Knee Replacement?
Worn-out or injured knee joints are becoming a common issue every day. In such cases, parts of the damaged knee are cured with the help of knee replacement surgery, which helps relieve pain and allows the knee to function better. Your damaged bone and cartilage are replaced in this surgery with artificial parts made of metal and plastic. The recovery period for this surgery is very short. Your stay in the hospital will vary depending on your needs. Many even return home on the same day after the surgery. The knee replacement surgery cost varies from Rs. 3,30,000 to Rs. 4,40,000.
When Should Knee Replacement Surgery Be Done?
A knee replacement surgery is commonly done to ease arthritis pain. It is also considered in patients who have trouble walking, climbing, and getting up from the chair. Most knee replacements are done between the age of 50 to 70 years.
Who is at Risk?
Nowadays, Knee replacement operation has become quite common. Although most people do not experience any complications, some rare risks may occur, and these include: - Knee stiffness - Wound infection - Deep infection around the joint replacement that might require further surgery - Abnormal knee joint bleeding - Damage in the nerve, ligament, or artery around the knee joint - Blood clots or deep vein thrombosis (DVT) - Continuous knee pain
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Enhanced Quality of Care
End-to-End Management
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Lower Costs and easy financing support
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Knee Replacement Indications
Knee replacement surgery is generally recommended: - If the patient has severe pain, swelling, and stiffness in the knee joint with reduced mobility - If the knee pain interferes with the patient’s quality of life and sleep - If the pain makes it difficult or impossible to do everyday tasks - If the patient is unable to have a normal social life
Eligibility Criteria For Knee Replacement
Eligibility for knee surgery depends on the severity of knee pain, limited mobility, and response to conservative treatments like medication and physical therapy. Also, it is recommended if you have arthritis, including osteoarthritis, rheumatoid arthritis, posttraumatic arthritis, or fractures.
Tests For Knee Replacement Surgery
If you face any of the above issues, your doctor may first assess if knee replacement is necessary. You may be asked to get an X-ray scan done. This will help your doctor to check the mobility, stability, and strength of your knees. It will also highlight the extent of knee damage.
Ineligibility Criteria For Knee Replacement
Knee replacement surgery is contraindicated in patients with: - Active local or widespread infection - Medical conditions that put the patient at an increased risk for complications or death during or after the surgery - Severe disease affecting peripheral blood vessels or nerves
Knee Surgery Types
The knee replacement surgery is done in 2 ways, i.e. total knee replacement and partial knee replacement surgery. - In total knee replacement surgery, all the affected or damaged knee joint is replaced with an artificial joint. - In partial knee replacement surgery, only a part of the affected knee joint is removed surgically. It is replaced with an artificial joint that is made of plastic or metal. Many hospitals in India also perform Robotic Knee Replacement Surgery that lessens stress, trauma, and pain to the patients.
Preparing For A Knee Replacement
Certain medications and dietary supplements might be stopped before the surgery. You might also be instructed not to eat any solid food after midnight on the day of your surgery.
Steps in Knee Replacement
Prior to the knee operation, your doctor may give you a spinal block or general anesthesia. The spinal block will numb the lower part of your body, whereas the general anesthetic will put you in a sleep state. Your doctor may inject numbing medicine around the knee joint so that you do not feel the pain after your surgery. The procedure is usually completed within 2 hours. To perform the surgery, the surgeon: - Makes a cut over the knee. - Removes diseased and affected bone and cartilage, leaving healthy bone intact. - Place the implants into the thigh bone, shinbone, and kneecap.
Recovery After Knee Replacement
After the surgery, you might need crutches or a walker. It will help if you arrange for them prior to the surgery. Make arrangements for a ride back home from the hospital. Also, arrange for someone who can help you with the everyday tasks, including cooking, bathing, doing laundry, etc. The risk of blood clots generally increases after the surgery. To prevent this complication, you may need to: - Move early - Apply pressure - Take blood thinners Your doctor may ask you to do frequent breathing exercises. You may also be asked to increase your level of activity gradually. You can learn the exercises from your physical therapist. After leaving the hospital, you may have to continue the physical therapy at home or at the hospital.
Advantages Of Knee Replacement
Knee replacement surgery is one of the most effective and safest procedures. It helps people improve their mobility and relieves long-term pain. The surgery improves the patient’s quality of life.
Success Rate Of Knee Replacement
Around 90-95% of knee replacement surgery in India is successful. It is considered one of the safest and most successful surgeries around the world, too.
Options If Knee Replacement Is Not Successful
If the knee replacement fails, your doctor may recommend that you undergo another surgery, i.e. a revision total knee replacement. Here, your doctor removes some or all of the parts of the implant and replaces them with new ones.
Alternatives Of Knee Replacement
Knee joint replacement surgery is generally not the first option to treat severe knee pain. Various alternative therapies are recommended and tried, which may even relieve some. These include the following: - Weight loss and exercise - Physical therapy - Hyaluronic acid injections - Medication and steroid shots - Acupuncture - Prolotherapy - Arthroscopic surgery - Knee osteotomy - Walking aids and supports
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Frequently Asked Questions
Knee joint replacement surgery is very safe. With the advanced surgical techniques, especially with the use of robots, the surgeries are done in the most precise way. This improves the safety and accuracy of the procedure.
Surgery is never the first option. First, your doctor may recommend non-surgical therapy options. However, if you do not benefit from these, your doctor may discuss the advantages of surgery with you. The decision to consider surgery will depend on the severity of your condition.
The artificial knee is made of metal or metal-grade plastic. There are 2 ways to attach the implants to the bone. One is the cement-based technique, where cement is used to fix the implant in place. The other is non-cement-based, where the knee implant has a porous coating. This allows the bone to grow onto it and fixes it in position.
