Total knee replacement is a surgical procedure that involves replacing damaged or worn-out knee joints with artificial implants. It is commonly done to alleviate severe knee pain and restore mobility in individuals with conditions like arthritis or injury. The surgery aims to reduce pain, improve joint function, enhance mobility, and ultimately enhance the quality of life for the patient.
Total knee replacement can significantly reduce or eliminate knee pain, allowing individuals to move more comfortably and engage in daily activities without discomfort.
By replacing damaged knee joints TKR surgery can restore mobility and range of motion, enabling individuals to walk, climb stairs, and participate in physical activities more easily.
With reduced pain and improved mobility, individuals who undergo TKR often experience an enhanced quality of life, as they can resume activities they enjoy and maintain independence.
Total knee replacements are designed to be durable and long-lasting, providing lasting relief from knee pain and functional improvements for many years after the surgery.
We are specialise in primary & complex primary robotic total knee replacement and revision knee replacements.
TKR is the surgery that is done for the advanced stage arthritis of the knee joint, wherein all the three compartments gets degenerated, and is hence replaced.
UKR is the surgery that is done when only one compartment of the knee is degenerated or involved, and hence only that compartment is replaced.
Knee replacement is needed when person has severe pain, instability, deformity and / or stiffness, affecting the activities of daily life.
It is usually performed under spinal anesthesia. A qualified anesthetist decides the most appropriate anesthesia for the said patient.
The actual surgery time is around 20 minutes. But, with pre-operative and post-operative procedures which are required along with the surgery, it can approximately take about 2 hours.
The overall recovery of the patient is multi-factorial. It varies from person to person. But, the rough road map is like, the patient is made to walk with the help of walker and brace just after few hours of surgery, and is encouraged to walk so for about 3 weeks. Independence in activities of daily life can be expected between 6 to 8 weeks. Strenuous activities may be prevented for 4 to 6 months. The complete recovery can often take 12 to 14 months.
Freedom from pain, greatly improved quality of life and independence can be rated as the main advantages of surgery.
As for any surgery, this surgery too has complications. Infection, DVT, neuro vascular damage, soft tissue damage, fracture, persistent unexplained pain are the major complications of others, that can happen.
Modern day implants with advanced technologies and research especially in the development of polyethylene, imparts an approximate life of 25 plus years. However, it cannot be guaranteed & there are so many factors which decided the fate of the implant.
In a standard surgery, the stitches are removed after 20 days of surgery.
Proper hygiene, good nutrition, hydration, physiotherapy and regular medications are important post operative advices for successful result.
Age is just the number. Patient’s mental and emotional age is more important than physical age.
If the patient is medically fit, and if the primary condition warrants bilateral knee replacement surgery at same stage; then both the knees can be replaced at a single stage under single anesthesia & hospitalization.
Modern day implant with advanced technology allows individual to sit cross legged, squat and kneel.
All these activities are absolutely possible after surgery, if the patient was doing them very comfortably even before the surgery. However, these activities should be initiated after the surgeon’s approval & that may vary from person to person.
Physiotherapy plays an integral part for the success of this surgery. It helps build the muscle strength, thereby easing the road to recovery. It also helps to a greater extent in preventing certain complication like arthrofibrosis. Well done physiotherapy under the guidance of a qualified physiotherapist for a stipulated time offers great outcome.
Today, this surgery is being offered under various state and central government yojnas. It is definitely of a huge help to that strata of the society who cannot afford such expensive surgery. Since that there is a huge difference, starting from the implants to medications, disposables, ancillary items required for such surgery; this comparison is just not possible. It can be safely noted that, this surgery is a blessing to all those who otherwise will need to live a crippled life. It has to be an individual call as there are advantages and disadvantages of getting it done under free yojna.
If the primary surgery fails for any reason, revision surgery is absolutely possible. Today, with the basket of revision implants, the end result even after revision surgery is pretty satisfactory.
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