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Total Knee Replacement in India

Overview:

There is a huge of number of people in the world who all are affected by arthritis, as a result of which they suffer from incapacitating pain which hinders their everyday activities – such as walking, climbing stairs or standing for long periods. Total knee replacement or arthroplasty is a well-established treatment at the end stage of a degenerated knee joint. This operative treatment generally relieves pain, improves physical function, and has a high level of patient satisfaction, especially in the elderly. This procedure is recommended by a doctor if medications or other simpler forms of treatment do not help to alleviate the pain. This surgery helps a person to be more active and self-dependant.

low cost total knee replacement India

What is Total Knee replacement?

A Total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. The thigh bone (or femur) abuts the large bone of the lower leg (tibia) at the knee joint. The term “Total Knee Replacement” is a misnomer. The knee is not being totally replaced; rather, the knee is simply being resurfaced. Only the worn-out arthritic ends of the femur (thigh bone), tibia (shin bone), and patella (kneecap) are removed and replaced.

Candidate for Total Knee replacement:

Whether to have total knee replacement surgery should be a cooperative decision made by you, your family, your family physician, and your orthopaedic surgeon. Your physician may refer you to an orthopaedic surgeon for a thorough evaluation to determine if you could benefit from this surgery. Alternatives to traditional total knee replacement surgery that your orthopaedic surgeon may discuss with you include a unicompartmental knee replacement or a minimally invasive knee replacement. Reasons that you may benefit from total knee replacement commonly include:

Most patients who undergo total knee replacement are age 60 to 80, but orthopaedic surgeons evaluate patients individually. Recommendations for surgery are based on a patient's pain and disability, not age. Total knee replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.


Symptoms for Total Knee Replacement
:
Night pain is particularly distressing. If dysfunction of the knee is causing significant reduction in the patient's quality of life, this should be taken into account. Correction of significant deformity is an important indication but is rarely used as the primary indication for surgery. Roentgenographic findings must correlate with a clear clinical impression of knee arthritis. Patients who do not have significant loss of joint space tend to be less satisfied with their clinical result following TKA. Exhaust all conservative treatment measures before considering surgery. Knee replacement has a finite expected survival that is adversely affected by activity level.3, 7, and 8 generally; it is indicated in older patients with more modest activities. It is also clearly indicated in younger patients who have limited function because of systemic arthritis with multiple joint involvements. Young patients requesting knee replacement, especially those with posttraumatic arthritis, are not excluded by age but must be significantly disabled and must understand the inherent longevity of joint replacement. Rarely, severe patellofemoral arthritis (see image below) may justify arthroplasty because the expected outcome of arthroplasty is superior to patellectomy. Isolated patellofemoral replacement still is undergoing clinical investigation.

Preparation for total knee replacement:

Before surgery, joints adjacent to the diseased knee are carefully evaluated. This is important to ensure optimal outcome from the surgery. Replacing a knee joint which is adjacent to a severely damaged joint may not yield significant improvement in function. Furthermore, all medications which the patient is taking are reviewed. Blood-thinning medications such as warfarin (Coumadin) and anti-inflammatory medications such as aspirin may have to be adjusted or discontinued prior to surgery. Routine blood tests of liver and kidney function and urine tests are evaluated for signs of anemia, infection, or abnormal metabolism. Chest X-ray and EKG are performed to exclude significant heart and lung disease which may preclude surgery or anesthesia. Finally, it is less likely to have good long-term outcome if the patient's weight is greater than 200 pounds. Excess body weight simply puts the replaced knee at an increased risk of loosening and/or dislocation. A similar risk is encountered in younger patients who may tend to be more active, thereby adding trauma to the replaced joint.


Procedure
for Total Knee replacement:
benefits total knee replacement IndiaThe term "Total Knee Replacement" is a misnomer. The knee is not being totally replaced; rather, the knee is simply being resurfaced. Only the worn-out arthritic ends of the femur (thigh bone), tibia (shin bone), and patella (kneecap) are removed and replaced. Less than half an inch (~9mm) is removed from the ends of the bones and being replaced with metal and plastic caps, the TKA components. Total Knee Replacement is a Resurfacing and Realignment procedure. It is “Human Carpentry” in which the rough, arthritic, painful joint surfaces are removed and replaced with smooth-gliding metal and plastic surface components while the ligaments are realigned and balanced to straighten the knee. The procedure is designed to produce a pain-free stable knee that delivers better motion and better performance than your preoperative arthritic knee. Total Knee Replacement or Total Knee Arthroplasty is an implant procedure performed under general or spinal anesthesia. The operation lasts approximately two hours during which the damaged joint surfaces are resected and replaced with the metal and plastic implants. The procedure itself takes approximately 2 hours. Your orthopaedic surgeon will remove the damaged cartilage and bone and then position the new metal and plastic joint surfaces to restore the alignment and function of your knee. After surgery, you will be moved to the recovery room, where you will remain for 1 to 2 hours while your recovery from anesthesia is monitored. After you awaken, you will be taken to your hospital room.


The Post-Op Course after Total Knee replacement:
Total Knee Replacement is generally an inpatient procedure. Immediately after the surgery, you will be placed in a CPM (Continuous Passive Motion) machine which will passively move your knee through a range of motion while you are in bed. Physical Therapy is started on the day after the surgery and it involves joint mobilization, transfer training and walking. You will initially train at using a walker for transfers and walking. You may later transition to using crutches or a cane. If you can achieve a knee range of motion of 0 – 95 degrees, safely perform transfers and walk well, you will be discharged from the hospital and sent home with help to continue your recovery. If you seem to need more time to meet those goals and / or if you do not have sufficient help at home, you will be transferred to extended care rehabilitation center where you will continue your rehabilitation until you a safe to be discharged home. Within two weeks, you will become very independent in your activities and you will have returned to near your preoperative functional capabilities in activities of daily living. You will continue your rehabilitation through outpatient physical therapy and a home exercise program. Golfers often return to their recreational participation within four to six weeks. After hospital discharge, you will have regular follow-up visits at my office so that I can monitor your healing and guide your rehabilitation and activity until you achieve maximum medical recovery.


Recovery after Total Knee replacement:
It is important for patients to continue in an outpatient physical-therapy program along with home exercises for optimal outcome of total knee replacement surgery. Patients will be asked to continue exercising the muscles around the replaced joint to prevent scarring (contracture) and maintain muscle strength for the purposes of joint stability. The wound will be monitored by the attending physicians and their staff for healing. Patients also should watch for warning signs of infection including abnormal redness, increasing warmth, swelling, or unusual pain. It is important to report any injury to the joint to the doctor immediately. Future activities are generally limited to those that do not risk injuring the replaced joint. Sports that involve running or contact are avoided, in favor of leisure sports, such as golf, and swimming. Swimming is the ideal form of exercise, since the sport improves muscle strength and endurance without exerting any pressure or stress on the replaced joint. Patients are recommended to take antibiotics before, during, and immediately after any elective procedures in order to prevent infection of the replaced joint. Though infrequent, patients with total knee replacements can require a second operation years later. The second operation can be necessary because of loosening, fracture, or other complications of the replaced joint.


Alternatives to
Total Knee replacement:
The decision to undergo total knee replacement surgery is yours. It is important that you be aware of your options, other than total knee replacement surgery. You may simply decide not to have surgery and live with your arthritic knee. The following is a list of alternatives to total knee replacement surgery you may wish to explore.

total knee replacement IndiaTotal Knee Replacement in India:
Of late, India has become the most preferred medical destination for Total Knee Replacement. The reason behind this paradigm shift is the presence of hi end medical infrastructure abreast with state-of-art technologies which is virtually equivalent to those in USA, UK and Europe. India has some of the best orthopedic hospitals and treatment centers in the world and some truly superior facilities, with almost zero patients wait list. The hospitals and orthopedic medical centers have high end facilities, equipped with latest technology equipments and gadgets. Hospitals adhere to international standards of clinical care, safe environment, medication safety, respect for rights and privacy, international infection control standards.

The panel of Indian orthopaedic surgeons is highly qualified, having the experience of thousands of Total Knee Replacement surgeries - They are trained and worked in some of the prestigious medical centres in England, USA & Europe. They have a good success rate and are world renowned medical professionals known to cater service both India and abroad. And besides, India has world heritage places and exotic beaches, where the patients can rejuvenate while they recover following any orthopedic surgery.

The Total Knee Replacement in India is available at various hospitals in the following cities with latest amenities and state-of-art-facilities.



The cost of Total Knee Replacement in India:
Significant cost difference is the key in bringing patients all across the world for Total Knee Replacement in India. India is not only cheaper but the waiting time is almost zero. This is due to the outburst of the private sector which is comprised of hospitals and clinics with the latest technology and best practitioners.

Procedure

USA ($)

Singapore($)

UK($)

India ($)

Total Knee Replacement

40,000

14,000

33,000

6,500

Knee replacement (unilateral)

32,000

13,000

30,000

5,500

Knee replacement (bilateral)

54,920

23,000

48,000

11,000


Some of the common countries from which patients travel to India for surgery are:

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