Total Knee Replacement, also known as Knee Arthroplasty, is a surgical procedure designed to replace damaged bone and cartilage in the knee, typically due to conditions like osteoarthritis or injury. This surgery is usually considered when conservative treatments such as medication, physical therapy, and exercise fail to relieve pain. TKR surgery is both safe and effective, providing significant relief from discomfort and restoring knee joint function, which aids in improved mobility.
Statistics on Knee Replacement Surgeries
Annually, approximately 70,000 to 80,000 knee replacement surgeries, along with 20,000 to 30,000 hip replacement surgeries, are performed. This indicates a growing awareness among individuals suffering from arthritis regarding their surgical treatment options. In the earlier stages of arthritis, medications and walking aids may help, but for those experiencing severe symptoms, Total Knee Replacement (TKR) offers a viable solution.
What Does Total Knee Replacement Surgery Involve?
Many arthritis sufferers may feel hopeless when informed about the severe damage to their knees. However, Total Knee Replacement surgery represents one of the most effective treatments available, significantly improving knee function and offering renewed hope to patients.
Types of Total Knee Replacement Surgery
Preparation for Total Knee Replacement Surgery
During TKR surgery, patient safety is paramount. Once anesthesia (either spinal or general) is administered, the orthopedic surgeon will make an incision to remove the damaged knee joint surfaces, replacing them with a prosthesis made from high-quality polymers or metal alloys. The prosthetic knee is secured to the bone using surgical-grade cement, after which the incision is closed, and a drain may be placed to manage excess fluid.
Recovery After Total Knee Replacement Surgery
Optimal Sleeping Position Post-Surgery: Following surgery, patients can expect some pain and soreness. Typically, it may take up to six weeks to resume normal activities, and full benefits from the surgery can take six months to a year. It's advisable to sleep on your back with the leg extended to promote proper blood flow. Using a rolled towel or soft pillow to prop the leg can also be beneficial.
Walking After Total Knee Replacement Surgery: Patients are encouraged to begin walking as soon as possible. Most can walk without crutches within three weeks. Initially, walking for 10 minutes is recommended, gradually increasing duration with the guidance of a physical therapist.
Exercises to Perform Post-Surgery: Gentle exercises such as breathing exercises, thigh squeezes, and knee straightening should be included in the recovery routine.
Navigating Stairs with a Cane: Initially, stairs may be discouraged for a few days post-surgery. When resuming stair use, move slowly, holding the railing with one hand and the cane with the other. Step up with the non-operative leg first, then bring the other leg up. For descending, step down with the operative leg first.
Physical Therapy After Total Knee Replacement Surgery: Collaborating with a physical therapist is crucial for a successful recovery. They will guide you through exercises tailored to your condition, helping restore flexibility and functionality in a phased approach, minimizing the risk of injury while allowing the surgical site to heal.
With a focus on patient education and collaboration, ANS Super Specialty Hospital aims to ensure the best possible outcomes for individuals undergoing Total Knee Replacement surgery.
Frequently Asked Questions
What is the cost of Total Knee Replacement in India?
The cost of TKR in India varies based on factors like the type of procedure (unilateral vs. bilateral), surgeon’s fees, hospital charges, and the patient's health. Government regulations have reduced implant costs, making TKR more accessible.
When is Total Knee Replacement Surgery necessary?
TKR is generally recommended for middle-aged and older adults experiencing significant pain, swelling, stiffness, or reduced mobility due to arthritis.
What conditions are treated with Total Knee Replacement?
Conditions include severe osteoarthritis, rheumatoid arthritis, ligament damage, infections causing osteoarthritis, gout, and avascular necrosis.
What activities should be avoided post-TKR?
High-impact activities such as squatting or jogging should be avoided until cleared by a physical therapist.
Can I crawl on my knees after TKR?
Kneeling may be possible with clearance from a physical therapist, but crawling should be avoided due to the risk of damaging the prosthesis.
What are common post-operative issues?
While most patients report pain relief and improved mobility, potential issues include stiffness, infection, and prosthesis wear.
How long until I’m pain-free?
Most patients experience mild pain for 2-4 weeks post-surgery, with gradual improvement over the following months.
When can I return to work?
Patients may return to desk jobs within 4-6 weeks, but those in physically demanding roles may require more time.
How long until I feel normal?
Patients can generally resume normal activities within six months, with full strength typically returning within a year.
Will I need further hospital visits?
Hospital stays average 4-5 days post-surgery, with some facilities offering outpatient options.
How long will the implant last?
Implants generally last 15-20 years; younger patients may require a second operation later.
What type of anesthesia is used?
TKR surgery is performed under general or spinal anesthesia, depending on individual circumstances.
Can I climb stairs after surgery?
Yes, most patients regain the ability to climb stairs with proper rehabilitation.
What is the success rate of TKR in Delhi?
Success rates vary based on health and post-operative care; consultation with a healthcare provider can provide specific statistics.
How much does TKR surgery cost in Delhi?
Costs depend on several factors, including hospital choice and surgeon fees; consult hospitals for accurate estimates.
Will I regain full knee motion post-surgery?
Most patients achieve good flexibility and motion with the help of prescribed physical therapy.
Is physical therapy necessary after TKR?
Yes, physical therapy is vital for enhancing recovery and ensuring optimal results.
Can both knees be replaced simultaneously?
In certain cases, simultaneous replacement may be possible, contingent upon overall health and surgeon recommendations.
