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Unilateral Knee Replacement

As we age, our bodies start to suffer from various ailments, and one such condition that affects millions around the globe is knee arthritis. The good news is that technology has provided solutions like unilateral knee replacement which can help improve the quality of life of people suffering from knee arthritis. This type of knee replacement surgery focuses on replacing only the damaged knee compartment with a prosthesis and preserving the healthy parts. If you detect symptoms of knee arthritis, don't suffer in silence; consult with our skilled doctors at Pristyn Care. Book your appointment today and take your first step towards a pain-free life.

As we age, our bodies start to suffer from various ailments, and one ... Read More

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    Dr. Abhishek Bansal (X1TASpV05r)

    Dr. Abhishek Bansal

    MBBS, MS (Ortho), DNB- Orthopedics, M.R.C.S.
    20 Yrs.Exp.

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    20 Years Experience

    location icon Express Greens Plaza, Sector 1,Vaishali, Ghaziabad
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    Dr. Manu Bora (2CDYqEqpB0)

    Dr. Manu Bora

    MBBS, MS-Orthopedics
    19 Yrs.Exp.

    4.8/5

    19 Years Experience

    location icon Signature Business Park, Mono Rail Station, 3 & 4 th, Road, near Chembur, Postal Colony, Chembur, Mumbai, Maharashtra 400071
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    080-6510-5029
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    Dr. Bhagat Singh Rajput (2tBWrJPbYX)

    Dr. Bhagat Singh Rajput

    MBBS, D.Ortho
    44 Yrs.Exp.

    4.5/5

    44 Years Experience

    location icon Pristyn Care Elantis, Ring Road, Lajpat Nagar
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    Dr. Prabjit Singh Gill (TMvU0Bc3az)

    Dr. Prabjit Singh Gill

    MBBS, MS-Orthopedics
    40 Yrs.Exp.

    4.5/5

    40 Years Experience

    location icon Pristyn Care Diyos, Safdarjung Enclave, New Delhi
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What is Unilateral Knee Replacement?

Often referred to as Partial Knee Replacement (PKR), unilateral knee replacement is a medical procedure where only one compartment of the knee is replaced with an artificial part made of metal or plastic. This new component, also known as a prosthesis, helps to reduce pain and improve function in the affected knee.
A unilateral knee replacement is usually recommended when only a single compartment of the knee joint is affected by arthritis or any other damage, thereby preserving the healthy bone and ligaments.
The operation usually takes around one to two hours to complete and has a high success rate. The goal is to relieve pain and improve mobility, making everyday activities easier.

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Diagnosis Before Unilateral Knee Replacement Surgery

Before considering a patient for unilateral knee replacement surgery, doctors need to conduct a thorough evaluation. This typically includes a review of the person’s medical history, a physical examination, and certain clinical tests, such as:

  • Assessment of Symptoms: Doctors will evaluate the pain, stiffness, swelling, and instability in the knee – all of which are potential indicators of severe arthritis.
  • X-Ray Examination: This is used to confirm the presence of arthritis in the knee joint, assess its severity, and determine which compartment of the knee is affected.
  • MRI Scans: In some cases, doctors may also order an MRI scan to gain a more detailed view of the knee and pinpoint the exact location of the damage.

Are you going through any of these symptoms?

What is the Procedure for Unilateral Knee Replacement?

Unilateral knee replacement is a surgical procedure aimed at treating severe arthritis that affects only one compartment of the knee. Below we break down the process step-by-step:

  • Incision: The surgeon makes a small incision, usually about 3-4 inches long, on the affected side of the knee.
  • Removal of Damaged Parts: Only the damaged cartilage and bone from the affected compartment(s) are removed, leaving healthy parts intact.
  • Implant Placement: Metal and plastic implants are fixed in place of the removed areas to resurface and create new smooth joint surfaces.
  • Ligament Examination: In some cases, additional steps may be necessary. For instance, if the anterior cruciate ligament (ACL) is damaged, it may also need to be removed. On the contrary, if the posterior cruciate ligament (PCL) is still healthy, it can be retained.
  • Closure: Once all necessary steps have been completed, the surgeon will close the incision with sutures or staples and apply a bandage.

Who is the Right Candidate for Unilateral Knee Replacement?

The determination of whether you are a good candidate for unilateral knee replacement is made by an orthopaedic surgeon based on several factors. These include:

  • Severity of Symptoms: Unilateral knee replacement is often recommended when the pain, stiffness, swelling, and instability in the knee are severe enough to affect daily activities and quality of life.
  • Location of Arthritis: This surgery is suitable for those whose arthritis affects only one compartment of the knee. If multiple compartments are affected, a different type of knee replacement may be more appropriate.
  • Overall Health Status: You should be healthy enough to withstand the stresses of surgery and the subsequent recovery period.

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What are the Benefits of Unilateral Knee Replacement?

A unilateral knee replacement is a surgical procedure aimed at alleviating pain and improving function in the knee joint. This procedure conserves healthy bone and ligaments, allowing for a more natural feeling and functioning knee. Here are some key benefits:

  • Quicker Recovery: Patients undergoing unilateral knee replacement typically experience a shorter recovery time compared to those who undergo total knee replacement.
  • Saving Healthy Parts: This operation preserves the healthy bone and ligaments which results in a more natural feel of the knee joint.
  • Less Invasive: The surgical approach for unilateral knee replacement is less invasive with smaller incisions.
  • Reduced Post-Operative Discomfort: Patients typically experience less pain and swelling after surgery as compared to total knee replacement.
  • Maintains Natural Knee Function: Unilateral knee replacement allows for more natural movements of the knee.

How to Prepare for Unilateral Knee Replacement?

Preparing for a unilateral knee replacement is crucial to ensure a smooth surgical procedure and recovery. The following steps must be taken into consideration:

  • Pre-Surgical Tests: Blood work, X-rays, and EKG are performed to evaluate your overall health before surgery.
  • Medication Adjustments: Certain medications like blood thinners may need to be paused before surgery. Always consult your doctor before adjusting any medication.
  • Home Arrangements: Consider arranging for help at home during your recovery period as mobility will be limited initially.

What are the Recovery Tips and Precautions to Follow After Unilateral Knee Replacement?

Recovery from a unilateral knee replacement requires patience and adherence to post-operative instructions. Here is what you can expect:

  • Physical Therapy: This is crucial to regain range of motion and strength in the knee.
  • Assisted Mobility: Protected weight-bearing with the aid of crutches or a walker may be required initially.
  • Activity Limitation: Patients should avoid high-impact activities like running until cleared by the doctor.
  • Pain Management: Pain medication and anti-inflammatory drugs can be used to manage post-operative discomfort. Always take medication as prescribed by your doctor.

Potential Risks or Complications Associated with Unilateral Knee Replacement

Like any surgical procedure, unilateral knee replacement comes with potential risks, although they are relatively uncommon. These could include:

  • Infection: There is a risk of infection post-surgery which can be managed with antibiotics.
  • Blood Clots and Bleeding: Although uncommon, these risks can be mitigated with medication.
  • Anaesthesia-Related Risks: These are rare, but patients should discuss potential anaesthesia complications with their anaesthetist before surgery.
  • Implant Issues: There’s a possibility of the implant loosening or arthritis progressing in the future.
  • Post-Operative Pain: Some patients may still experience pain or symptoms in the treated knee after surgery. If this occurs, it’s important to communicate this to your doctor at follow-up appointments.

Despite these potential risks, unilateral knee replacement has been proven to be a successful procedure for many patients suffering from localised knee joint damage. Your surgeon will discuss all potential risks with you and ensure that the potential benefits outweigh them before proceeding with the surgery.

What is the Cost of Unilateral Knee Replacement in India?

The cost of a unilateral knee replacement in India can differ considerably. Here are some of the key elements that coz

  • Hospital: Depending on the hospital you choose for your surgery, the charges may vary. High-end hospitals typically have higher prices due to their state-of-the-art facilities and expert surgeons.
  • Surgeon: The fees charged by surgeons differ based on their experience and expertise. A renowned surgeon with immense experience might charge more than a lesser-known or less experienced surgeon.
  • Implant Cost and Consumables: The expense of the knee implant and consumables used during surgery can add a significant amount to the overall surgical cost.
  • Operation Theatre and Hospital Bed Charges: Operation Theatre (OT) charges, hospital room rent, and other related costs form a significant part of the total surgery cost.
  • Medicines and Post-Surgery Care: This round-up includes expenses incurred on medicines, post-operation physiotherapy, and diagnostic tests during hospitalisation.

Is Unilateral Knee Replacement Covered Under Insurance?

Yes, most health insurance policies in India provide coverage for unilateral knee replacement surgeries. While insurance can significantly reduce your financial burden, it’s important to bear in mind any waiting periods or pre-existing condition restrictions. You may have to serve a waiting period of 2 to 4 years before claiming your surgery expenses if you have a knee injury or condition such as arthritis that is detected prior buying your health insurance policy. Your health insurance will typically cover:

  • Hospital stay costs
  • Diagnostic tests during hospitalisation
  • Surgeon’s fee
  • Cost of the knee implant and consumables
  • Medicines and additional post-hospitalisation expenses including physiotherapy

However, it’s crucial to review your specific insurance policy to understand precisely what is and isn’t covered. Some exclusions may include waiting periods, any conditions or injuries unrelated to the knee, and pre-existing conditions or injuries detected before purchasing your health policy. Overall, managing the cost of a unilateral knee replacement in India can be significantly easier with the right insurance policy in place.

FAQs Around Unilateral Knee Replacement

What is the difference between unilateral knee replacement and bilateral knee replacement?

Unilateral knee replacement involves the surgical replacement of a damaged knee joint with an artificial one in one leg, whereas bilateral knee replacement involves the same procedure in both knees. The decision between unilateral and bilateral replacements depends on various factors such as the patient’s overall health, severity of knee joint damage, and personal preferences.

How long does a unilateral knee replacement usually last?

The longevity of a unilateral knee replacement can vary based on numerous factors including the patient’s lifestyle, overall health, weight, and activity level. However, on average, a knee replacement can last anywhere between 15 and 20 years.

How painful is a unilateral knee replacement procedure?

Pain is subjective and can vary from person to person. However, with the advancements in medical technology and pain management techniques, most patients experience manageable levels of pain post-surgery. Furthermore, your doctor may prescribe medications to help manage pain during the recovery period.

Can I drive after my unilateral knee replacement surgery?

Yes, you should be able to drive again once you have regained sufficient muscle control and strength in your operated knee. The typical timeframe is around 6 weeks post-surgery, but it may vary depending upon your recovery progress.

Will I need physiotherapy after a unilateral knee replacement?

Yes, physiotherapy is an integral part of recovery after a unilateral knee replacement. It helps to improve mobility, strength, and balance in the knee joint thereby aiding in quicker return to normal functioning.

Is it normal to have a clicking sound in my knee after unilateral knee replacement?

Yes, it is relatively common for individuals to experience a clicking or clunking noise in their replaced knee joint during certain movements. This is due to the plastic and metal components of the artificial joint rubbing together and is generally not a cause for concern unless it is accompanied by pain or swelling.

Will I need to use walking aids after a unilateral knee replacement?

Yes, in the initial stages post-surgery, walking aids such as crutches or a walker may be required to help maintain balance and support while moving. As your knee strength and mobility improves, you will gradually wean off these aids under your doctor’s guidance.

Can a unilateral knee replacement be redone if necessary?

Yes, if an artificial knee fails or wears out over time, a second operation known as a revision knee replacement can be performed. However, repeat surgeries can be more complex and may have a slightly higher risk of complications.

How soon can I return to work after a unilateral knee replacement?

Return to work after a unilateral knee replacement depends on the nature of your job and your recovery progress. If you have a desk job, you might be able to return to work within 4-6 weeks. If your job involves heavy physical labour, it might take up to 3 months or more.

Can I play sports after my unilateral knee replacement?

Yes, once fully recovered, many patients are able to participate in low-impact sports and activities like swimming, golfing, and cycling. It’s essential to consult with your doctor before resuming any sports activities post-surgery.

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Medically Reviewed By
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Dr. Abhishek Bansal
20 Years Experience Overall
Last Updated : October 1, 2025

What Our Patients Say

  • JS

    Jyoti Sharma

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    5/5

    My mom got hip replacement here. Post surgery care and support is top class. Nurses very patient with elderly ppl.

    City : Hyderabad
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    Ashok Verma

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    Hip joint pain had become unbearable. Got proper guidance and a physiotherapy plan that actually worked

    City : Delhi
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    Sneha Agarwal

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    When my mom fractured her hip, we chose Diyos for her replacement surgery. Everyone—from reception to the nursing staff was kind and attentive.

    City : Delhi
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    I had both my hips replaced at Diyos Hospital. The freedom I feel now is hard to explain in words. Thank you for treating me with so much care and respect.

    City : Delhi
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    Arjun Kapoor

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    I’m finally able to sleep without hip pain after my hip replacement surger. The hospital was clean, calm, and the care was exceptional.

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    Good experience. had hip replacmeent at diyos

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