Total Knee replacement

Total Knee Replacement Surgery Procedure in India

The total knee replacement surgery is also referred to as the knee Arthroplasty. It is surgical procedure that focuses upon replacing the weight bearing surface of the knee. It is more commonly preferred course of action when you are dealing with issues like the:

  1. Osteoarthritis
  2. Rheumatoid Arthritis
  3. Psoriatic Arthritis

While the surgery can take place for the lower versions of these diseases, if the symptoms are a lot more advanced, the risk factors associated with the surgery also increase.

What is knee degeneration?

Over the course of your life, the joints, which are basically connective to issues for the bones tend to undergo a lot of stress. While the fluid present inside makes sure that the joints are safe from much of the friction, with time and with each movement, the joints tend to receive a bit of damage.

While the regeneration process is there to repair the damage, as time passes, the regeneration becomes less and less regular and the knee degeneration sets in. This causes the following issues: 1.

  1. The knee damages beyond normal repair.
  2. The joints are inflamed with time.
  3. The degenerative join pain also sets in.

The symptoms of the knee degeneration are as follows:

  1. You might feel pain with activities
  2. There is going to be a limited range of motion
  3. The stiffness will be present in the joint
  4. The joint can also swell up
  5. The knee becomes tender
  6. The joins can also deform.

What is knee arthritis?

The knee arthritis is a condition that occurs due to the loss of articular cartilage of the following bones:

  1. The femur
  2. The tibia
  3. The patella

This loss can be observed through the imaging tests such as the X-Ray.

As the cartilage is responsible for most of the smoothness that allows for a smooth motion, its losses causes the people with arthritis to feel a bit stiff as they move and their motion is also tend to be limited. Other symptoms include the following:

  1. Clicking of the knees
  2. The catching of the knees
  3. Extreme knee pain that can be felt inside the knee or even on the sides of the bone.
  4. As the cartilage seems to trim sue to friction, people might also notice a bit of deformity on the sides of the knee.

 Causes of arthritis:

  1. Simple wear and tear with time
  2. Lupus
  3. Rheumatoid arthritis
  4. Extreme movement with prior knee injury.
  5. The damage to the meniscus.

How is knee arthritis treated?

When it comes to the mater of treatment of any bone of your body, you need to keep in that all starts from the most common steps. The progress of treatment can even be basic and it would eventually6 progress into surgery. However, all that depends upon how you perform on the following options for the treatment:

  1. Losing weight: Now that the knee is not able to hold your weight properly, you might want to even lose it. This is the most common, yet the most scarcely performed form of treatment.
  2. Use of walking aids: Rather than form of treatment, this is a management procedure. Make sure to use the cane or any other walking aid on the other knee.
  3. Physical therapy: If you want to sort of prevent arthritis, you can make sure to make the muscles around the bone a lot stronger. To do that, you can partake in physical therapy as well.
  4. Medications to remove the inflammation: the anti-inflammatory medications can assist you with dealing with pain and inflammation.
  5. Cortisone injections: They help to reduce the inflammation.
  6. Arthroscopy: it is only helpful in specific symptoms.
  7. Osteotomy: It is effective in young patients.
  8. Replacement surgery: you can either opt for complete replacement or a partial replacement of the knee.

What is the procedure for total knee replacement?

The procedure of the total knee replacement involves the following:

  1. You are first kept under general anaesthesia in order remove any discomfort you might feel during surgery.
  2. Once you are put under anaesthesia, the anaesthologist monitors your heart rate and other bodily functions like breathing, blood pressure and blood oxygen level.
  3. Then the skin over the region where the incision ahs to be made to proceed is cleaned
  4. Then the incision is made in the knee area
  5. Now the process begins. The doctors first remove the damaged surfaces of the joint with the prosthesis. This prosthesis can be metal, ceramic or plastic. The ceramic or the cemented prosthesis is the most commonly used prosthesis nowadays. It is mostly chosen due to being of the same structural integrity of the bone itself. To that end, the patient won’t feel alienated from their own body. However, for some instances a combination of metallic and cemented prosthesis are taken into account as well.
  6. There are three components of the prosthesis: the tibial, the femoral and the patellar. Each of these parts is replaced.
  7. Once the operation is over, the incision is closed using stitches.
  8. A drain is placed inside this incision site.
  9. A sterile bandage is then applied.

 What are the benefits of Knee replacement surgery?

Knee replacement might be the final way to deal with the knee pain, but its benefits extend far beyond pain relief and they are the following:

  1. All the pain related impairment that you might feel that you have felt when you are partaking in normal day to day routine activities.
  2. Pain removal while you walk at night
  3. It can deal with the deformity of the knee
  4. It can provide you freedom from multiple types of pain.
  5. The mobility of the body will also improve.
  6. The quality of life also improves as a result of the procedure and exercise would become a lot easier from that point forward.

Total knee replacement might feel like something way too lucrative. But we assure you that the benefits far outweigh the costs.


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Dr. Ramneek Mahajan

Director (Orthopaedics & Joint Replacement) & Head of Unit-1

Dr. Ramneek Mahajan has over 15 years experience handling Orthopedics & Joint Replacement cases. Dr. Mahajan has to his credit approximately 2500 Joint Replacements and more than 10000 other Orthopedic & Spine surgeries. His interest lie in Primary, Revision Joint Replacement & Arthroscopy.