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

Knee replacement surgery includes the procedure of replacing a patient's knee and may be beneficial for those with worn-out or damaged knee joints. In this treatment, the damaged bone and cartilage are replaced with prosthetic parts made of plastic and metal. This procedure improves the knee's functionality and lessens pain. Your needs will determine how long you must remain in the hospital after surgery. Most patients go back home on the same day. The cost of knee replacement surgery may be between Rs. 3,30,000 and Rs. 4,40,000.

When Should Knee Replacement Surgery Be Done?

Knee replacement surgery is beneficial for patients with grave pain, stiffness, and swelling in the knee joint with reduced mobility, knee pain that interferes with the patient’s quality of life and sleep, pain that makes it difficult or impossible to do everyday tasks and affects social life, creating discomfort and immobility.

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

    Be cautious of the following knee replacement indications to consider knee replacement surgery: - Extreme pain, stiffness, and swelling in the knee joint with 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. Also, it is recommended if you have arthritis, including 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

    Your doctor may provide an anesthetic or a spinal block to numb the lower portion of your body before your knee operation. In order to minimize pain or suffering following surgery, the surgeon may additionally inject a numbing medication into the joint or the region around the knee. An average knee replacement procedure lasts 1 to 2 hours. - The surgeon makes a few incisions above the knee to complete the surgery. - The surgeon then removes diseased and damaged bone and cartilage, leaving healthy bone intact. - The surgeon inserts the replacement components or implants into the kneecap, shinbone, and thighbone.

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.