About Knee Replacement
The knee joint is one of the most important parts of the body which is necessary for mobility. Pain and discomfort in the knee joint due to the wearing off of the cartilage tissue between bones leads to reduced mobility and difficulty in performing daily activities. A knee replacement surgery is performed in order to reduce pain by removing the diseased or damaged part of the knee bone and is replaced with an artificial joint which is made of metal and plastic. Knee replacement surgery can be of two types Total Knee Replacement and Partial Knee replacement.
A knee replacement surgery is performed when a patient is suffering from osteoarthritis, rheumatoid and psoriatic arthritis, or if the patient has suffered a traumatic injury on the knee joint. There are many benefits of undergoing a knee replacement surgery like reduction in pain, increased mobility and the freedom to undergo daily activities. The hospital stay in a knee replacement surgery is not long and a patient may recover from the surgery in few days or a week. After the surgery, a patient is required to undergo extensive physical therapy so that they can walk again and resume their daily activities.
Types of Knee Replacement Surgery
- Total Knee Replacement
A total knee replacement surgery is performed when the patient is facing serious difficulty in walking and performing daily activities due to intense pain in the knee joint. Under the total knee replacement surgery, the damaged part of the upper and lower bone is removed and replaced with metal implants that are designed to mimic the motion of the knee.
- Unicompartmental Replacement
If only the inner region of the knee known as the media then it is possible to perform a partial or Unicompartmental knee replacement. Under this, a minimally invasive procedure is performed where a small incision is made as compared to a total knee replacement surgery and then the implant is inserted.
- Kneecap Replacement
If only the kneecap is affected by arthritis, then it is possible to only replace the under the surface kneecap and its groove. This type of surgery is also called a patellofemoral replacement or patellofemoral joint arthroplasty.
- Revision Knee Replacement
This type of surgery is required when a patient is having a knee replacement surgery third or fourth time. It may also be performed when the arthritis is very severe or there is a severe bone deformity.
Procedure of a Knee Replacement Surgery
First of all the patient is either given general anesthesia or epidural anesthesia after which an incision of about 8 to 12 inches is made in front of the knee. The surgery may be either total knee replacement or partial knee replacement.
The procedure for total knee replacement is as follows
After the incision is made and the kneecap is exposed the damaged end of the thighbone known as the femur and the shine bone is known as tibia is carefully removed. The end of the femur is replaced by a curved piece of metal and the end of the tibia is replaced by a flat metal plate. These are either joined using the bone cement or bones are treated to encourage fusing with the replaced part. The ends are measured accurately and a dummy prosthesis is fixed to test the working of the joint after which the prosthesis is fitted and the bones cleaned. The wound is either stitched or clipped and a dressing is placed on the wound. A splint may be used to keep the leg immobile but usually, the patients are encouraged to walk as early as possible. It is a common procedure and the replaced portion may last for 15-20 years.
The procedure for a partial knee replacement is as follows:
If only a side portion of the knee is damaged then a partial knee replacement may be performed. It is performed with a smaller incision and less part of the bone being removed. However, it is a riskier procedure than the total replacement surgery and is performed on 1 in 4 patients suffering from osteoarthritis. The benefits of this procedure are that the hospital stay is less and the healing is also fast. A person may also be able to retain the natural movement of the knee because only a small part of the bone is removed.
There are also several other procedures such as kneecap replacement surgery in which only the kneecap is removed and a very small incision is made which leads to faster recovery and less blood loss. There is also a new technique discovered known as multi incision surgery in which only a small incision is made after which specialized instruments are used to maneuver around the tissue rather than cutting through it. This method is generally used for partial knee replacement and leads to faster recovery.
The recovery period of a knee replacement surgery is about three to five days and depends on several factors such as the patient’s age, weight, and other medical conditions. During the surgery, the patient may be given painkillers intravenously and blood transfusion if required. After the surgery is performed there would be a large dressing on the wound to protect the exposed knee. The dressing is changed regularly till the wound is completely healed. After the surgery, the medical staff helps the patient to get up and walk. If the patient had minimally invasive surgery then he would be able to stand up on the same day. But usually, the patient is encouraged to stand up 12-24 hours after the operation. During the stay at the hospital, a physiotherapist teaches the patient exercise that helps them to walk and retain passive movement. After the patient is discharged from the hospital it is essential that he or she continues to do the exercise recommended by the physiotherapist so that they are able to walk on their own. The patients may be able to walk without the help of crutches completely after six weeks of surgery.
Benefits of Knee Replacement Surgery
There are different types of knee replacement surgeries such as total knee replacement, partial knee replacement and knee resurfacing. Some of these procedures are done through minimally invasive surgery in which only a small incision is made in the skin order to insert the implants. When a small incision is made it leads to faster recovery, less blood loss, decreased time in a hospital, quicker return to normal activities. Even if a total replacement surgery is performed there are benefits to the patients who have been long suffering from intense pain and discomfort in the knee joint. After the surgery, the patients are relieved from the intense pain and are able to go through their daily activities without any discomfort. As the medical technology has advanced there is an increased improvement in the design of the prosthetics and they are implanted with greater precision. The prosthetics are designed to fit each patient. These also result in fewer complications and the surgery is successful. This helps the patient to have a natural movement in their limbs. Thus, a knee replacement surgery is very beneficial for patients who are suffering from instant pain and are not able to perform their daily activities.
- What are the complications associated with a knee replacement surgery?
Knee replacement surgery is a commonly performed procedure and involves low risk. Complications, if any may arise from anesthesia. Some complications that may arise are blood clotting, infection and damage to nerves. Infection is the one that occurs most commonly but still at a very low rate.
- Is knee replacement surgery is the only way to cure arthritis?
The cure for arthritis depends upon the advancement of disease in each patient. If it is at early stage then lifestyle modification, physical exercise and medications will help the patient to manage pain and perform daily activities with sufficient ease. But if it as at an advance stage and no other remedy alleviates the symptom then knee replacement surgery might be suggested by the doctor. A knee replacement surgery greatly relieves the pain and restores some mobility in the limbs.
- What are knee implants made of and how long do they last?
The knee implants are made of metal alloys and plastic and are joined with the bone using acrylic cement. The duration of an implant is usually 15-20 years and may last the life time of a patient.
- Do I need to lose weight prior to a knee replacement surgery?
You should shed enough excess weight before surgery to have good recovery & to lower complication rates. Weight loss can also reduce your pain to the point that surgery may not be even required.
- After how many years will I require to replace my knee implant?
With better-improved materials, better surgical technique & better rehabilitation after surgery it is more likely to be successful for the rest of your life. But based on the data 80-90% of the Knee Replacement lasted for 15-20 years.
- What reports do I have to carry for my first appointment with a knee replacement surgeon in Thane?
Any precise condition like diabetes, hypertension, thyroid disease or any surgery in the past report should be carried. If X-Ray of the knee has already been done, it can be carried too.
- Can I opt for any other treatment option in place of a knee replacement surgery? What is the approximate cost of a knee replacement surgery in Thane?
In the case of early stages of Knee issues, conservative approaches can be considered like physiotherapy, medical or intraarticular injection. But please consult Orthopaedist before making that decision. Approximate cost of Knee replacement surgery is around 1.8 – 2 lacs.
Surgery in Mumbai, Thane
Our clinical facility at Mumbai, Thane has a specialty center dedicated to orthopedics which provides the finest quality treatment to the patients. Our team of orthopedic surgeons is experienced in all kinds of orthopedic procedures like knee replacement, hip replacement, shoulder replacement and more. They perform these procedures routinely and have years of experience and knowledge with them. Hundreds of such operations have been performed at our hospital with a fast recovery rate for patients. Our doctors and medical staff are committed to provide the patients with best treatment and care so that they recover fast.