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Total Knee Replacement- Minimally Invasive

Total knee replacement is a transformative surgical procedure for those grappling with severe knee pain due to arthritis. This procedure replaces the damaged knee joint with an artificial implant, helping patients regain mobility and enjoy life without enduring chronic pain. If your life is being hindered by persistent knee discomfort, consider consulting with our experienced doctors at Pristyn Care. Our team can guide you through the process and help determine if TKR is the right solution for you. Take the first step towards a pain-free life—book your appointment at Pristyn Care today.

Total knee replacement is a transformative surgical procedure for those grappling with severe ... Read More

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    Dr. Debashish Chanda (ncpD3B72NM)

    Dr. Debashish Chanda

    MBBS, MS-Orthopedics
    15 Yrs.Exp.

    4.8/5

    16 Years Experience

    location icon Delhi
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    Dr Sourabh Chachan (xBdD2Q9LOS)

    Dr Sourabh Chachan

    MBBS, MS (Ortho), MRCS (Edinburgh) FMISS (Seoul), FIASA (USA), FACS (USA) Robotic & Endoscopic Spine Surgeon
    13 Yrs.Exp.

    4.8/5

    13 Years Experience

    location icon Delhi
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    6366-528-300
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    Dr. Amyn Mohamed Husein Rajani (3KhO8PQQeH)

    Dr. Amyn Mohamed Husein ...

    MBBS, MS-Orthopedics, Fellowship in Arthroplasty, Fellowship in Arthroscopy,
    Yrs.Exp.

    4.7/5

    24 Years Experience

    location icon Pristyn Care Clinic, Mumbai
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    6366-528-300
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    Dr. Kamal Bachani (3uCOy0grwa)

    Dr. Kamal Bachani

    MBBS, MS(Ortho), M.Ch(Ortho)
    34 Yrs.Exp.

    4.7/5

    34 Years Experience

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  • What is total knee replacement?

    Total knee replacement (TKR), or total knee arthroplasty, is a surgical procedure that replaces a damaged or worn-out knee joint with an artificial implant. This involves replacing the entire knee joint—comprising the ends of your thighbone (femur), shinbone (tibia), and potentially the kneecap (patella)—with metal and plastic components designed to mimic your natural knee function.

    TKR is one of the most successful medical procedures, typically recommended when conservative treatments such as medications, physical therapy, or injections fail to provide relief from severe pain. 

    The primary goals of TKR include pain relief, improving mobility, correcting leg deformities, and aiding patients to resume their normal activities. With appropriate precautions and modifications in activity, knee replacements can last several years and enhance your quality of life.

    • Disease name

    Osteoarthritis

    • Surgery name

    Total Knee Arthroplasty

    • Duration

    1 to 2 hours

    • Treated by

    Orthopaedic surgeon

    Total Knee Replacement Surgery Cost Calculator

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    What Are The Types Of Total Knee Replacement?

    There are multiple types of implants used in TKR surgery. The choice depends on various factors, including the patient’s age, weight, activity level, and anatomy. Here are some types of implants:

    • Metal on Plastic: This is the most common type of implant used, where a metal femoral component rides on a plastic spacer attached to the tibial component. It’s the least expensive and has the longest safety and implant lifespan record.
    • Ceramic on Plastic: For patients sensitive to certain metals, a ceramic femoral component rides on a plastic spacer.
    • Ceramic on Ceramic: Both femoral and tibial components are made of ceramic, which is least likely to cause body reactions but may squeak when the patient is walking.
    • Metal on Metal: Both femoral and tibial components are made of metal. This type is less commonly used due to concerns about metal traces leaking into the bloodstream.

    Each implant type is designed to provide smooth movement, minimise wear, and last several years. Further, advanced materials and manufacturing techniques have improved implant durability and reduced complication rates. However, they can still wear out or loosen over time, especially in younger, more active patients.

    Are you going through any of these symptoms?

    Diagnosis Before Total Knee Replacement Surgery

    It is essential to accurately diagnose your condition before recommending TKR surgery. Several diagnostic tests may be conducted to determine the severity of damage to the knee joint. These tests include:

    • Physical Evaluation: Your doctor will thoroughly assess your condition, involving your medical history, symptoms, and a detailed physical examination.
    • X-rays: This allows the doctor to view the degree of damage to your knee joint. 
    • MRI Scan: This imaging scan allows your doctor to assess the condition of the muscles, cartilage, and ligaments around your knee.
    • Knee Aspiration: In cases where an infection is suspected, your doctor might recommend a knee aspiration. The fluid is extracted from your knee and sent for testing.
    • Ultrasonication and Molecular Diagnostic Studies: These modern techniques are used to identify infections by detecting microorganisms present in the affected area.

    What Is The Procedure For Total Knee Replacement?

    TKR surgery involves a damaged or diseased knee joint being replaced with artificial components. Here are the steps involved:

    • Anaesthesia: The surgery is performed under general anaesthesia. This means you will be unconscious during the procedure.
    • Incision: The surgeon makes an incision in the front of your knee to access the joint.
    • Removal of Damaged Cartilage and Bone: The damaged parts of your thigh and shin bones are removed.
    • Fitting Prosthetic Components: The ends of these bones are then reshaped to accommodate the prosthetic components. These are fixed into place using bone cement or a special porous coating that encourages bone growth into the prosthesis.
    • Resurfacing of Patella: The backside of your kneecap may also be resurfaced and fitted with a plastic button.
    • Checking for Proper Functioning: Your knee’s range of motion is tested, after which the surgeon closes the incision.

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    Who Is The Right Candidate For Total Knee Replacement?

    TKR is a significant procedure and may not be suitable for everyone. The eligibility for this surgery depends on various factors such as:

    • Knee Inflammation: If there’s persistent inflammation in your knee that doesn’t improve with rest or medications.
    • Deformed Knee: A visible deformity in the knee might indicate the need for surgery.
    • Failed Other Treatments: If other treatments like physiotherapy, use of anti-inflammatory medicines, restriction of activities, and use of walking supports have not helped. 
    • Quality of Life: If your knee condition hinders your quality of life, making everyday tasks like walking or climbing stairs difficult, TKR can be a viable option.

    Remember, it’s crucial to discuss your conditions thoroughly with your doctor to understand if TKR is the right choice for you.

    What Are The Benefits Of Total Knee Replacement?

    TKR can feel like a daunting prospect, but there are many advantages to the procedure. A successful operation can offer:

    • A significant reduction or even complete elimination of knee pain can drastically improve your daily life.
    • Post-surgery gives you an improved range of motion and function in your knee joint more freely and naturally.
    • An increased activity level allows you to return to normal activities and hobbies that your knee pain may have previously inhibited.
    • Enhanced independence and restored personal mobility, allowing you to move around confidently without the assistance of others.
    • A healthier lifestyle, as increased strength, stability, and exercise ability contribute to maintaining a healthy weight.
    • Improved overall quality of life means less pain, better sleep, more activity, and an overall happier outlook on lifestyle.

    How To Prepare For Total Knee Replacement?

    Getting ready for TKR involves more than just marking the date on your calendar. There are several key steps you’ll need to take:

    • Attend a pre-operative education class to understand the details of the surgery, hospital stay, and recovery process.
    • Quit smoking, as it increases the risk of complications during and after surgery.
    • Lose weight, if necessary, as carrying extra weight puts additional stress on your new joint.
    • Engage in exercises to strengthen the muscles around your knee. This can aid recovery post-surgery.
    • Arranging for some help at home for the first few weeks after surgery to assist you with daily tasks is beneficial.

    What Are The Recovery Tips and Precautions To Follow After Total Knee Replacement?

    Recovering from a total knee replacement requires dedicated care. Here are some tips for a smoother recovery:

    • Follow the physical therapy plan to regain strength and range of motion.
    • Use assistive devices like walkers or canes for additional support as directed by your doctor.
    • Avoid bending the knee past 90 degrees for the first 6 weeks post-surgery.
    • Keep from crossing your legs at the knees and twisting the knee joint.
    • Maintain a healthy weight to reduce stress on your new joint.
    • Engage in low-impact activities like walking, swimming, and cycling, which are generally safe and excellent for recovery.

    Potential Risks Or Complications Associated With Total Knee Replacement

    While TKR is generally safe, it’s important to be aware of potential risks and complications.

    • Infection: There is a small chance of infection post-surgery. It’s essential to follow all prescribed medications and wound care instructions rigorously.
    • Blood Clots in Leg Veins: Blood clots can form in the legs; prevent this by moving your legs regularly, using prescribed compression devices, or taking blood-thinning medication if necessary.
    • Nerve Damage: While uncommon, there may be a risk of nerve damage leading to numbness or weakness in the leg.
    • Implant Loosening or Wear Over Time: This may require further surgery over time. Hence, regular check-ups can identify any issues with your implant.
    • Stiffness or Limited Range of Motion: Some may experience limited movement post-surgery; physical therapy can help overcome this.
    • Fracture Around the Implant: Although rare, a fracture may occur around the implant; careful movement and adherence to post-operative precautions reduce this risk.

    Thoroughly discuss any concerns you may have with your orthopaedic surgeon, ensuring prolonged implant life and improved mobility.

    What Is The Cost Of Total Knee Replacement In India?

    The cost of TKR in India can range widely. This variation is due to several factors that may affect the overall cost of the treatment:

    • The Choice of the Hospital: Different hospitals have diverse pricing arrangements depending on the services provided. Hospitals in metropolitan areas might have a higher price compared to those located in smaller towns. 
    • Surgeon’s Experience and Reputation: Highly renowned and experienced surgeons may charge a higher fee for their services. Their vast knowledge and expertise contribute to the successful execution of the surgery.
    • Type of Prosthesis: The cost can also be influenced by the type of implant used in the surgery. High-quality implants may be more costly but provide better results and longevity. 
    • Pre-operative and Post-operative Care: The costs related to the preparation for surgery and recovery period, such as physiotherapy, medications, diagnostic tests, and follow-up visits, also contribute to the total cost.

    Is Total Knee Replacement Covered Under Insurance?

    In India, TKR is typically covered under most private insurance plans and government schemes like CGHS (Central Government Health Scheme) and ECHS (Ex-Serviceman Contributory Health Scheme). However, the extent of coverage may depend on specific plan provisions and conditions. 

    Your insurance plan might cover hospitalisation, surgeon fees, the cost of implants, and physical therapy post-surgery. However, there might be exclusions, such as costs incurred if surgery is deemed elective or unnecessary by the insurance company or costs associated with complications arising due to negligence or not following post-operative instructions correctly.

    Remember that while most insurance plans cover a significant portion of the cost, there might still be out-of-pocket expenses. These could include deductibles, co-pays, or any costs exceeding the coverage limit. It is crucial to review your specific insurance plan details and get pre-approval from your insurance company before scheduling your TKR surgery.

    FAQs about Total Knee Replacement

    1. What is the lifespan of a total knee replacement?

    Typically, a total knee replacement can last 15 to 20 years. However, this depends on several factors, such as the patient’s age, activity level, and weight, as well as the surgical technique employed by the doctor.

    2. How long would I need to stay in the hospital after a total knee replacement?

    Typically, patients can expect to stay in the hospital for 3-5 days following a TKR. However, this may vary depending on your overall health status and recovery progress.

    3. What kind of physiotherapy plan would follow a total knee replacement?

    Physiotherapy after TKR usually starts within 24 hours post-surgery. The programme is designed to help you regain strength and range of motion. It includes exercises like gentle knee bends and lifts, ankle movements, and walking short distances with assistance.

    4. Can I perform activities like driving and sports after a total knee replacement?

    Yes, many patients can resume most of their normal activities after a few weeks post-TKR. However, a return to high-impact sports or strenuous activities should only be decided in consultation with your doctor.

    5. Will the total knee replacement feel like my natural knee?

    While a TKR aims to restore function and ease pain, it won’t exactly feel like your natural knee. There might be some minor discomfort, stiffness, or clicking noise while moving. However, these should not inhibit your daily activities.

    6. Can both knees be replaced at the same time?

    Dual knee replacement, also known as bilateral total knee replacement, is possible but is usually not recommended for all patients due to an increased risk of complications. Your doctor will consider various factors before deciding whether you are a suitable candidate for this procedure.

    7. How will my pain be managed after a total knee replacement?

    Your doctor will devise a personalised pain management plan which may include a combination of medications, ice therapy, and gradual mobilisation. The aim is to minimise discomfort and aid recovery.

    8. Can total knee replacement cause blood clots?

    There is a risk of blood clot formation, known as deep vein thrombosis (DVT), after total knee replacement surgery. However, preventative measures such as blood-thinning medications or compression stockings are often provided to minimise this risk.

    9. Is it normal to have swelling after a total knee replacement?

    Yes, it’s common to experience swelling in the knee area after a TKR. Utilising ice therapy, wearing compression stockings, and elevating your leg can help manage the swelling.

    10. What should I do if my new knee clicks after total knee replacement?

    Some occasional clicking or clunking noise from your new knee is normal as you start moving and using it. However, consult your doctor immediately if it’s accompanied by pain, swelling, or decreased mobility.

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    Content Reviewed By
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    Dr. Debashish Chanda
    15 Years Experience Overall
    Last Updated : September 26, 2024