Total Knee Replacement

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Total knee Replacement Surgery
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What is total knee replacement

• Knee Replacement Surgery also known as Knee
  Arthroplasty is a process to replace the weight
  bearing surfaces of the knee joint to relieve the
  pain. Knee replacement surgery can be performed
  for other knee diseases such as rheumatoid
  arthritis and psoriatic arthritis.
• Knee Replacement Surgery has been proven to help
  individuals return back to normal life and can do
  challenging activities like golf, bicycling, and
  swimming. Total knees are not designed for
  jogging, or sports like tennis and skiing
  (although there certainly are people with total
  knee replacements that participate in such
  sports).

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When should anyone have Knee Replacement Surgery?
When should anyone have Knee Replacement Surgery?

• A person would be considered a candidate for knee
  replacement surgery if there is
• Daily pain
• The pain is severe enough to restrict work,
  recreation and ordinary activities of daily
  living
• Significant stiffness in the knee
• Significant instability (constant giving way) of
  the knee
• Significant deformity (knock-knees or bow-legs)
  that hinders normal function of the knee
• Damage from arthritic conditions, such
  as osteoarthritis, rheumatoid arthritis or
  post-traumatic arthritis

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What are different types of Knee Replacement
Surgery?
What are different types of Knee Replacement
Surgery?

1. Total Knee Replacement Surgery
2. Partial Knee Replacement
3. Minimally Invasive Knee Replacement
4. Revision Knee Replacement Surgery
5. Computer Assisted Surgery
6. Bilateral Knee Replacement

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Total Knee Replacement Surgery
Total Knee Replacement Surgery

• Total knee replacement surgery removes all weight
  bearing, damaged knee cartilage and bone and
  replaces it with a man made metal or plastic
  joint that tries to replicate the knee function.
  In total knee replacement surgery, a highly
  polished strong metal alloy replaces the femur
  portion of the knee joint a strong durable
  polymer tray replaces the tibia portion of the
  joint, and more plastic replaces the kneecap or
  patella. Total Knee Replacement Surgery usually
  takes 1.5 to 3 hours.
• The total knee replacement surgery can help to
  relieve the pain and restore the function in
  severely diseased knee joints.

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Reasons that benefit from total knee replacement
surgery commonly includes
Reasons that benefit from total knee replacement
surgery commonly includes

• Severe knee pain that limits your everyday
  activities, including walking, climbing stairs,
  and getting in and out of chairs. Anyone may find
  it hard to walk more than a few blocks without
  significant pain and may need to use a walker.
• Moderate or severe knee pain while resting,
  either day or night
• Chronic knee inflammation and swelling that does
  not improve with rest or medications
• Knee Disease a bowing in or out of your knee
• Knee stiffness inability to bend and straighten
  your knee
• Inability to tolerate or complications from pain
  medications

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Partial Knee Replacement
Partial Knee Replacement

• Partial knee replacement Surgery, or uni
  compartmental knee replacement Surgery, is the
  choice if only one part of the knee is severely
  damaged and requires replacement rather than the
  entire joint. An implant for either the femur
  portion, tibia portion or patella portion is
  surgically inserted through a smaller incision.
  If two or more sections of the knee are damaged,
  the partial knee replacement surgery may not be
  the best treatment choice. Hospital stays are
  generally shorter perhaps even overnight.
• Although not as common as total knee replacement
  surgery, the partial or unicompartmental knee
  replacement surgery is a viable alternative in
  limited situations. The designs of the Partial
  types of knee replacements have improved over the
  years. The Partial knee replacement surgery also
  has smaller, less invasive incisions.

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Minimally Invasive Knee Replacement
Minimally Invasive Knee Replacement

• Newer minimally invasive knee replacement
  surgery uses specific surgical techniques that
  allow a 3 to 5 inch incision rather than the
  standard 8 to 12 inch incision. The smaller
  incision provides for recovery with potentially
  less scar tissue formation, less pain, and a
  faster healing period. Hospital stays are from
  one to three days.
• A recent advance in the performance of total knee
  replacement surgery is the use of minimally
  invasive surgical approaches. Minimally invasive
  knee replacement surgery technique is more
  challenging than standard total knee replacement.
  The incisions are approximately half the size of
  those used in a standard approach. The smaller
  incisions and new techniques to expose the joint
  may result in short-term advantages such as a
  quicker rehabilitation, less pain, and a shorter
  hospitalization, according to some reports.

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• Foot and ankle movement also is repeated after
  the surgery to increase blood flow in leg muscles
  to help prevent leg swelling and blood clots.
  Most patients begin exercising their knee the day
  after surgery. A physical therapist will teach
  you specific exercises to strengthen your leg and
  restore knee movement to allow walking and other
  normal daily activities soon after your surgery.

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Revision Knee Replacement Surgery
Revision Knee Replacement Surgery

• Revision knee replacement Surgery is for removing
  and replacing a prosthetic knee joint that is
  worn out. Revision knee replacement surgery can
  be repeated multiple times, but scar tissue
  formation from previous knee surgeries can make
  the procedure increasingly difficult with each
  replacement event.

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Computer Assisted Surgery
Computer Assisted Surgery

• Knee replacement using computer assisted surgery,
  or CAS, is a computer-driven technology that uses
  computer guided imagery during surgery. The
  computer treats the alignment of the knee
  components during the surgical procedure and
  renders the alignment more accurate. The high
  level of accuracy may increase the longevity of
  the total knee replacement.

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Bilateral Knee Replacement
Bilateral Knee Replacement

• For the patients who have both knees equally
  affected by cartilage damage and decreased
  mobility, bilateral knee replacement surgery is
  an option. Both knees undergo any of the above
  mentioned knee replacement type surgeries at the
  same time.
• How successful is the Knee Replacement Surgery?
• Knee replacement surgery is recognized as a
  miracle of modern surgery. Most orthopedic
  Surgeons consider replacement surgery to be the
  best method of handling arthritis in the knee.
  Knee replacements have literally put hundreds and
  thousands of humans back on their feet and
  allowed them to enjoy their golden years.

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What are the benefits of Knee Replacement Surgery?
What are the benefits of Knee Replacement
Surgery?

• Pain Relief
• When arthritic joint surfaces are re - surfaced
  just like in the case of a knee replacement
  implants made of a combination of metal and high
  density plastic are fixed onto the prepared
  surfaces. Since the original, arthritis - laden
  joint surfaces have been removed and replaced
  with metallic and plastic materials the original
  joint pain caused by the exposed bone, no longer
  exists. This gives the patient a considerable
  reduction or even elimination of pain.

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benefits of Knee Replacement Surgery
benefits of Knee Replacement Surgery

• Improved Mobility
• When the joint anatomy is rough and irregular
  secondary to advanced arthritis, the ability of
  the joint to move smoothly is limited.
  Frequently, overall range of motion can be
  severely limited due to joint surface
  irregularity as well as the presence of excessive
  fluid production. Total knee replacement can
  largely restore range of motion.

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benefits of Knee Replacement Surgery
benefits of Knee Replacement Surgery

• Improved quality of life
• When a person is no longer burdened by chronic,
  pain and joint motion has been vastly improved,
  the quality of life is improved as well. Most
  patients visiting a surgeon's office for
  consideration of a knee joint replacement have
  endured long standing pain and functional
  impairment. A successful joint replacement can
  return the patient to leading a normal life.

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How much does Knee Replacement Surgery cost in
India?
How much does Knee Replacement Surgery cost in
India?

• India is the most preferred medical tourism
  destination as it provides low cost Knee
  replacement surgery option for national and
  international medical tourists.
• The cost of knee replacement surgery in India is
  almost ¼ of the cost that in UK, US and other
  developed countries.

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• The below-mentioned costs are an approximate
  range for knee replacement surgeries, meant as a
  guide
• Single Knee Replacement - 2.0 - 3.2 (cost in
  lakhs )
• Bilateral Knee Replacement - Single Sitting - 3.5
  - 6.0 (cost in lakhs)
• Bilateral Knee Replacement - Staged- 4.0 - 6.4
  (cost in lakhs)

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Some of the hospitals that are best for Knee
Replacement Surgery in India are
Some of the hospitals that are best for Knee
Replacement Surgery in India are

• Artemis Hospital, Gurgaon
• Dharamshila Cancer Hospital, New Delhi
• Medanta - The Medicity, Gurgaon
• Columbia Asia Yeshwantpur, Bengalaru
• Fortis Memorial Research Institute, Gurgaon
• BLK Hospital
• Indraprastha Apollo Hospital, New Delhi
• Global Health City, Chennai
• Global Hospital, Mumbai
• Kokilaben Dhirubhai Ambani Hospital, Mumbai

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Some more Best Hospitals

• Nanavati Super Speciality Hospital, Mumbai
• Aster Medcity, Kerala
• Apollo Hospital, Chennai
• Jaslok Hospital, Mumbai
• Sir Ganga Ram Hospital, New Delhi
• Max Hospital, New Delhi
• Manipal Hospital, Bangalore
• Sparsh Hospital, Bangalore
• MIOT Hospital, Chennai
• BGS Global Hospital, Bangalore

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What care is provided by Hospital after knee
replacement surgery?

• Usually the first day after knee replacement
  surgery, you'll begin to work with a physical
  therapist who will teach you exercise to regain
  full leg and knee movement.
• During the hospital stay, the patient will attend
  physical therapy once or twice a day. An
  occupational therapist and nurse discharge
  planner will help you prepare for your return
  home.
• Your doctor may recommend a continuous passive
  motion (CPM) machine that bends and straightens
  your knee.
• You may be given special elastic stockings to
  reduce swelling. An anticoagulant medication also
  may be administered to help circulation and
  prevent blood clots.

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