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Total-Knee-Replacement Surgery in
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What Is Knee Replacement?

Some people suffer from damaged or worn-out knee joints. With the aid of knee replacement surgery, damaged knee parts are replaced. With this operation, the knee will function better, and the discomfort will be reduced. In this kind of surgery, prosthetic pieces composed of metal and plastic are used to replace the broken bone and cartilage. This operation has a fairly brief recovery period. Your needs will determine how long you need to stay in the hospital. After surgery, a lot of patients go home even on the same day. The knee replacement surgery costs somewhere between Rs. 3,30,000 and Rs. 4,40,000.

When Should Knee Replacement Surgery Be Done?

Being a patient of arthritis, if your pain is unbearable, and it is becoming difficult to get out of bed or even a chair, knee replacement surgery is suggested. In this situation, you might even see some deformity in your knees, indicating the requirement for knee replacement. If your pain keeps getting worse and more frequent, then surely, it is time to get the replacement done. Knee replacement surgery may also become necessary if you have met with a severe accident, damaging your knee joints.

Who is at Risk?

    Even though knee replacement is not a very complex surgery and there are not many complications involved with it, it is better to stay cautious regarding some grave risk factors. they are as follows: - Stiff knee - Wound infection - Infected joint replacement, requiring another round of surgery - Knee joint bleeding - Damaged ligament, nerve, or artery around the knee joint - Blood clots or deep vein thrombosis (DVT) - Irresistible knee pain

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Knee Replacement Indications

    Knee replacement surgery in patients is indicated when there is: - Knee stiffness, severe pain, and swelling, causing reduced mobility - Knee pain that interferes with patient’s quality of life and sleep - Pain that makes it difficult or impossible to do everyday tasks - Affected social life due to pain, discomfort, and immobility

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. It is also recommended if you have arthritis, osteoarthritis, rheumatoid arthritis, posttraumatic arthritis, or fractures.

Tests For Knee Replacement Surgery

    By evaluating the knee's stability, range of motion, and strength, it is possible to determine whether a knee replacement surgery is necessary. To determine the degree of damage, your doctor could recommend an X-ray.

Ineligibility Criteria For Knee Replacement

    Knee replacement surgery should be avoided in patients with: - Active infection - either local or widespread - Medical problems that can increase the risk of other complications or death during and after surgery - Severe disease affecting nearby nerves or blood vessels

Knee Surgery Types

    Knee replacement surgery is usually of two types, as discussed below: - 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 damaged knee joint is surgically removed and replaced with an artificial joint. These are made of plastic or metal. Many hospitals in India perform robotic knee replacement surgery that ensures minimal stress, trauma, and pain to the patients.

Preparing For A Knee Replacement

    You might need to avoid dietary supplements and certain medications before the surgery, as instructed by your doctor. They may also ask you to fast after midnight on the day of your surgery.

Steps in Knee Replacement

    Before the knee operation, the lower part of your body will be made numb with a spinal block. Alternatively, your doctor might anaesthetise the area around the joints. Once you are unconscious or the joints are desensitised, the surgeon will begin the process of knee joint replacement. It usually takes around 1 or 2 hours to complete knee replacement surgery, following the below procedure: - The surgeon will make an incision over your knee. - They will remove the damaged parts of your joint, separating them from the healthy bone and cartilage. - Finally, the replacement parts will be implanted into your thighbone, shinbone, and kneecap. Notably, to reduce your post-surgery pain, the surgeon may use a numbing medicine to inject around the nerves or the joint.

Recovery After Knee Replacement

    Make plans for crutches or a walker before the surgery if you think you might need them for a few weeks afterward. A ride home from the hospital should be arranged in advance. Also, make arrangements for help with everyday tasks like cooking, bathing, and washing. Knee replacement surgery increases the risk of blood clots, so you may have to move early, apply pressure, and take blood thinners. You will also be told to regularly do breathing exercises and progressively increase your degree of effort. You might consider taking the help of a physiotherapist who can guide and help you in stretching your knee. After you leave the hospital, you will likely continue physical therapy at home or in a facility.

Advantages Of Knee Replacement

    Knee replacement surgery is a safe, efficient operation that restores mobility and lessens persistent pain. Most patients who get a knee replacement experience less pain, enhanced mobility, and better quality of life.

Success Rate Of Knee Replacement

    Knee Replacement Surgery in India is approximately 90% to 95% successful of all total knee replacement surgeries performed. Knee replacement surgery is one of the safest and most successful surgeries around the world.

Options If Knee Replacement Is Not Successful

    Your doctor could advise having a second surgery, i.e. revision of the complete knee replacement if your initial knee replacement doesn't work. In this treatment, your doctor replaces the old prosthesis components with new ones after removing some or all of them.

Alternatives Of Knee Replacement

    Treating knee pain does not always require knee replacement surgery. There are quite a few alternative treatments available to help you get relief. 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 quite safe. Due to advanced surgical techniques, particularly when using robots, the surgeries are carried out with the highest precision. The safety and accuracy of the process are increased by robotic surgery.

Surgery is almost never a first choice. First, non-surgical therapy alternatives could be suggested by your doctor. If none of these work for you, your doctor could talk to you about the advantages of surgery. The extent of your problem will determine whether you should have surgery or not.

Metal or plastic with a metal-grade finish makes up the prosthetic knee. The artificial implants can be anchored to the bone in two different methods. One is made of cement, whereas the other is not. The implant is fixed in place with cement in the cement-based approach. The component of the knee implant used in the non-cement approach includes a porous covering that enables bone to grow onto it and set it in place.