Best Knee Replacement in India:
Knee replacement surgery can be performed as a partial or a total knee replacement depending on the patient’s knee condition. Knee replacement is also called knee arthroplasty or total knee replacement and it is a surgical procedure to resurface a knee damaged by arthritis or a severe knee injury. Knee replacement is a means to achieve relief from pain as well as return to daily activities. The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged (bone and cartilage) and to relieve knee pain that cannot be controlled by other treatments.
Total Knee Replacement is the replacement of your knee joints by surgery. This is done to relieve pain and disability and to improve knee movement. Patients who need Knee Replacement have pain while walking, climbing stairs and getting in and out of the chair. The degree of pain varies from patient to patient depending on age, weight, and level of joint degeneration.
Who Needs Total Knee Replacement?
A primary reason for the degeneration of the knee joint is osteoarthritis which is a common ailment related to age. Osteoarthritis causes the articular cartilage to wear away, resulting in severe knee pain and stiffness. Other reasons for wanting a total knee replacement are rheumatoid arthritis, trauma, and deformity of bone or even psoriatic arthritis. Other reasons can be cartilage defect, meniscus tear, and ligament tear.
If your knee replacement is causing pain, stiffness, and instability then your knee arthroplasty surgeon will recommend second surgery which is called Revision Total Knee Replacement Surgery. In this procedure, your doctor removes implants of the previous surgery and replaces them with new ones. Though it may seem similar, revision surgery is more complex compared to the first surgery needing specialized implants and tools along with meticulous planning. There are different types of Revision Total Knee Replacement. In total there are 3 primary components to Knee Replacement i.e. femoral, tibial and patellar.
About Knee Operation in India
During the procedure, the front of the knee is exposed. The quadriceps muscles are detached from the patella. Patella is commonly called kneecap. The patella is placed on one side of the tibia. Tibia is the main bone below the knee. Your surgeon will remove the worn-out cartilage, knee tissues, and bone that is damaged along with the anterior cruciate ligament.
Thereafter, the bony surface of both the tibia and femur (Bone above the knee) end is resurfaced to fit the prosthesis. Your surgeon will cement up to three prosthetic components into place, including a metal femoral shell (pause), a metal and plastic tibial component, and a plastic patellar component.
During the surgery, any deformity that may have been there being corrected. The ligaments are balanced so that the knee recovers its range of movement making it stable and aligned. Before the incision is closed the surgeon will rotate and bend the knee to ensure that the knee has mobility and will function properly.
Total Knee Replacement Revision is a more complex procedure compared to the primary Total Knee Replacement. It also takes longer surgery time compared to the primary Total Knee Replacement.
How is Knee Replacement Procedure Performed?
Your knee will be in a bent position to expose all surfaces of the joint. After the incision, your surgeon moves aside your kneecap and cuts away the damaged joint surfaces. After preparing the joint surfaces, the surgeon attaches the pieces of the artificial joint. The details of the procedure are given below:
Stage 1: The incision is usually about 8 to 10 inches long. In case of minimally invasive knee surgery, the incision is usually about 4 to 6 inches long.
Stage 2: The surgeon will remove the damaged portions of your thigh and shin bone, removing a little of the bone beneath as well.
Stage 3: Next, metal implants are placed into the joint space, usually cementing them into the remaining bone.
Stage 4: In most cases, your surgeon will also remove part of the underside of the kneecap.
Stage 5: A plastic spacer is inserted into the space between the metal implants, for ease of movement.
Stage 6: The layers of your skin and muscle will be surgically closed.
*At times to give strength to the new implant bone graft may be used to make up for the bone loss in previous surgery and removal of implant thereafter. After the bone is readied, the implant is placed and fixed. For revision, the stem at times is longer to give strength. Metal block and platform block may be added to the main component in case of a bone deficit. Soft tissue repair may also be required.
What Outcome to Expect from Knee Replacement Surgery?
The Total Knee Replacement usually lasts 2 hours. After that, you are moved into a recovery room and thereafter to your room. The pain will remain for a couple of days but medicines will help to reduce it. A day after surgery, your therapist will bend your knees and if possible you will be asked to take a few walking steps. Within days you will start walking normally. You will also be able to climb the stairs.
Occasionally the pain will be there but that is part of the recovery process. Knee strengthening exercises are crucial as it strengthens the muscle around your knee as well. It will have completely recovered within 2 months and you will be able to do the usual routine. But you should be careful not to hurt or put unnecessary pressure on your knees by involving an activity that puts pressure on your knee like horse riding.
Know more about Hail Michael’s experience on his Total Knee replacement Surgery
What are Causes of failure of Total Knee Replacement?
1. Knee Implant Loosening or Wear-out
Though a standard implant is supposed to last 15 to 20 years it may not last that much period. Over time the implant may loosen from the underlying bone. Though it was firmly fixed using cement over a period of time, it may loosen causing knee pain. Loosening of the implant may be caused by high impact activity or excess body weight but it’s difficult to ascertain the exact reason in a patient. At times, the plastic spacer between the two metal components of the implant may wear out. At times a patient outlives the life of an artificial knee that was implanted.
2. Knee Infection
Infection is always a possibility in surgery including Total Knee Replacement. Infection can occur when in the hospital or once you are back. It can also be contracted years after surgery. If an artificial joint becomes infected then it can become stiff and painful. Eventually, the implant will begin to loosen from its attachment to the bone. Even if the implant remains fixed firmly, the infection can cause swelling and pain making revision surgery necessary. Revision of an Infected knee can be done in 2 ways. Debridement is enough in some cases where the infection is washed out and the metal implant is left in its place. Only the plastic spacer is changed but if debridement is not enough then a staged surgery itself is required.
3. Knee Instability
Ligament around your knee provides stability to your knee, which is necessary for adequate function like standing, walking and climbing stairs. If the ligament around your operated knee becomes damaged or improperly balanced or loose, then it will make the knee unstable. This will also cause pain, swelling or stiffness. You will always feel that your artificial joint will “give away” or “slip out”. Implants are designed to work with the existing ligaments however, damage or loosening of the ligament will prevent the implant from functioning properly. This will require revision surgery.
4. Knee Stiffness
Sometimes a Total Knee Replacement may not help in achieving the desired movement that is required for everyday regular activity. It happens due to excessive operative scar tissue build-up around the artificial knee joint area. If your doctor is unable to break down the scar tissue without operation then he will have to recommend Revision Total Knee Replacement to achieve a complete range of motion for your knee.
5. Knee Fracture
A fracture that occurs around the component of a Total Knee Replacement then it can cause damage or loosening of the implant. These fractures are mainly caused by falls or accidents. When the bone is damaged or when it is weakened by osteoporosis, then the damaged section will need revision surgery and replacement of implant with a specialized and larger component implant.
Total Knee Replacement at Treatment Possible:
Treatment Possible is associated with Top Knee Replacement surgeon in India who specialize in affordable Knee replacement Surgery. We only work with best hospital for knee replacement in India that are equipped with OT that are compatible with complex knee replacement surgeries. Treatment Possible also associates with the best knee replacement surgeon in India who are experienced in operating complex cases and ensure knee replacement success rate in India.
Treatment Possible ensures high-quality knee replacement while we guarantee the lowest knee replacement surgery cost in India. Our understanding of the Indian Healthcare market and our valued relation with India’s best knee replacement surgeon enables us to maintain cost of knee replacement in India that are reasonable, affordable and transparent.
The cost of total knee replacement in India will be USD 5500 in a twin sharing room and USD 7000 in a single room. This is standard tariff using standard US FDA approved implant. If a specialized implant is required then the knee replacement surgery cost may increase.
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