Revised joint replacement packages and pricing as per Govt NPPA implant pricing, effective 16th Aug 2017.

Knee Joint Replacement Overview & Description

Knee Before and After Knee Joint Replacement Surgery

All You Wanted To Know About Knee Replacement

With increase in longevity, more number of senior citizens demand a better quality of life. A painful knee can seriously hamper a person's capacity to walk freely and make him dependent not only on drugs to relieve pain but also on others for mobility. The solution to painful arthritic knee is now easily available in form of Knee Surface Replacement.

Imagine yourself pushing a fully loaded vehicle which has flat tyres. You would need considerable force to make it move. Same happens to an overweight person with an Arthritic Knee Joint. Their knee joints feel stiff and are deformed and hence the person needs more physical energy to get up from a sitting position, walk, climb stairs and negotiate slopes.

To overcome this, he or she takes medicine to relieve pain and muscle spasm and may use a support to walk, but as the age advances, the ability to overcome pain decreases making the person confined to bed most of the time. Prolonged use of NSAIDS (pain relieving medicines) can even damage the liver and the kidneys of the elderly person.
For an individual aged above 60 years, having painful knee joints which hamper day to day living, knee surface replacement is an ideal choice. With current state of progress in every field of medicine, conditions like diabetes, hypertension, cardiac insufficiency are no more contraindications for surgery. Even obesity is not a problem.

The surgery is relatively safe since it is carried out under Epidural Anaesthesia. This anaesthesia is better tolerated by the elderly. There is also an added advantage of postoperative analgesia by use of infusion pump. The infusion pump is used to deliver the calculated fractional dose suitable for an individual patient.

The patient is constantly monitored with the Pulse Oxymeter to measure the Oxygen concentration of blood and Cardioscope to evaluate cardiac function during the surgery.

Unlike Hip Joint Replacementwhere a large part of the upper end femur is removed to be replaced by metallic implant, in Knee Surface Replacement only the irregular superficial surface of femoral and tibal condyles are shaved, which are then resurfaced using cobalt chrome prosthesis for the femur the tibia with an Ultra High Molecular Weight High Density Polyethylene (UHMWHDPE) insert for the tibia and patella, as this combination of metal and plastic has minimum friction and is well tolerated by the body.

Even though the surgery involves bone resurfacing, it mainly consists of soft tissue realignment and balancing, hence the deformity is corrected and the patient is ready to be discharged on the 5th postoperative day in majority of cases. This reduces the cost as well social inconvenience to the family.

Resurfacing reduces the friction thereby reducing the pain and hence the patient starts exercise using Continuous Passive Motion Machine (CPM) within 48 hours and starts standing and walking either on the same day or next day, initially requiring support for locomotion. During the post operative period at home, the patient needs to exercise regularly, use walking aids and use a commode. Sitting on the floor is not permitted. Unlimited stair climbing and walking is permitted.

Knee Replacement Surgery is One Of The Most Successful Procedures Used For Relief Of Pain,Gaining The Range Of Motion And improving The Ability To Walk,For A Variety Of Painful Knee Disorders.sss

If you are advised knee replacement surgery, it is natural that you would want to know more about it. This website gives you all the information, which you wish to know, It explains, in simple words, what to expect before, during and after the surgery. It is meant to help you understand the intricacies of this complex surgery. In simple language, you are told what will be done for you by the medical and paramedical staff and what you are required to do to achieve the desired end result. It is recommended that you go through this website before you undergo the surgery. If you have any questions, please use the feedback form and we would be glad to help.

The schedule given here is a guideline and individual variations may occur. The end result varies in different individuals, and in two operated knees in the same individual, depending on various factors like age, general condition of the patient, conditions of the joint, indication for surgery, whether the surgery is on single knee or both knee joints simultaneously etc.

No guarantee of any kind can be given for any surgical procedure. According to world reports, Knee Replacement Surgery is one of the most successful procedures used for relief of pain, gaining the range of motion and improving the ability to walk.

Every surgery carries certain risks. You are required to make yourself familiar with these risks and their shortcomings.

Dr Niraj Vora opines that, knee pain is a common complaint that has many causes. Determining what is the cause of your knee pain, symptoms may be straight forward, or it may require special tests to make a diagnosis. Once the Cause of your knee paincan be determined, appropriate treatment can begin.

The Patient Can Walk The Next Day After Surgery And Can Go Home In 5 To 7 Days.
Daily Physical Therapy Is Required For About 3 week.

Knee Replacement pdf

Photo Presentation

Damaged Portions of the Femur and Cartilage Damaged Portions of the Femur and Cartilage Before Cutting Cutting the Femur Before Replacement of Cap Replacing the cap for the upper bone of knee After Cutting the Cartilage of Lower Bone Replacing the Lower Bone Cartilage With Artificial Knee Cap Inserting the Plastic Between Lower and Upper Metal Plates of Knee Knee After the Total Knee Replacement Surgery
Knee Replacement

FAQ's - Frequently Asked Questions

Why might someone need knee replacement surgery?

A degenerative joint disease like osteoarthritis is the common reason for knee replacement surgery. Osteoarthritis, over time, breaks down the cartilage in the knee, causing pain, stiffness, swelling, and reduced mobility. There is no going back once the degeneration sets in, and this degeneration impacts daily activities, causing persistent and severe pain, significant joint damages, and despite conservative treatment.

When the conservative treatment options fail to provide any relief for the pain, stiffness, and mobility of the joint, a knee replacement surgeon suggests knee replacement surgery. In addition to osteoarthritis, there are other conditions like severe rheumatoid arthritis and severe knee injury (due to trauma) that can demand knee replacement surgery.

How long does it take to recover from knee replacement surgery?

Knee replacement surgery is a major surgery that can take up to a year for full recovery. However, the majority of people experience significant relief in pain and improved mobility within a month of surgery. The pace of recovery is also directly dependent on the physical therapy, which is crucial to regain mobility and flexibility. It is important to follow the guidelines given by the knee replacement surgeon to ensure swift recovery.

What are the risks and complications associated with knee replacement?

Knee replacement surgery prevents further joint deteriorations, improves mobility, reduces pain, and gives a fresh lease of life to the patients. But like every other medical surgery, it does carry a minute risk of complications whose probability is low. These possible complications include blood clots, mild infections, bleeding, nerve damage, and stiffness.

What are the different types of knee replacement implants available?

Depending on the implants that are used to reconstruct the knee joint, there are different types of knee replacements available today for the patients.

Total Knee Replacement (TKR): The entire knee joint is replaced with metal and plastic components. This type of knee replacement is performed when the patient suffers from significant knee damage due to severe arthritis or trauma.

Partial Knee Replacement (PKR): Partial knee replacement involves replacing only the damaged portion of the knee. This type of knee replacement is prescribed to patients with arthritis where the damage is limited to only one compartment of the knee.

Revision Knee Replacement: This type of knee replacement is performed to replace and repair a previous knee replacement that has failed or worn out. Due to the amount of work involved, this surgery is complex and will require advanced apparatus and specialized implants.

Minimally Invasive Knee Replacement: “Unlike traditional knee replacement surgery, which is performed using long surgical cuts, minimally invasive knee replacement is performed using tiny surgical cuts (less than a centimetre). This type of surgery ensures excellent outcomes with lower complications, faster recovery, and less scarring” , says top knee replacement surgeon in Mumbai Dr Niraj Vora.

Knee Resurfacing is another type of knee replacement surgery where only the damaged portion of the knee is replaced with metal and plastic components. The aim of this procedure is to preserve as much natural bone as possible to ensure holistic recovery. This procedure is usually recommended for active patients who suffer an early-stage arthritis.