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Total Knee Replacement in Delhi

Total Knee Replacement is surgery of the knee joint in which the damaged portion of the knee joint (usually cartilage) is replaced with an artificial knee joint, which is made up of an alloy of metals and medical-grade plastic in between.

Even after performing physiotherapy, taking medications, doing hot and cold compressions for an extended period and even taking knee injections and use of braces for months, the knee pain, stiffness, swelling, and loss of movement at the knee joint have not been cured, and these are ideal patients for knee replacement. So why wait and lose your quality lifetime? However, the final decision should be taken in consultation with a qualified orthopedic surgeon.

  • Stage 1: Minimal knee joint pain which occurs during activity
  • Stage 2: Stiffness of knee joint, painful movement of the knee joint, difficulty in performing routine activities due to pain
  • Stage 3: Swelling of the knee joint may be present, painful movement of the knee joint, stiffness in the knee joint, pain during walking or standing for a long duration, climbing stairs is painful, not able to sit cross leg on the ground and use Indian toilets, difficulty in performing routine activities.
  • Stage 4: Swelling, stiffness of knee joint, severe pain during walking or standing for a long duration, climbing of stairs is severely painful, not able to sit cross leg on the ground and use Indian toilet, unable to perform routine or daily activities, in some cases, deformity of the knee joint (angulation of knee joint or knee bend inwards or outwards) may be present.

Usually, during stages 1 and 2, patients will be treated with rest, pain medication, physiotherapy, hot and cold compressions, knee braces and, in some cases, injections to the knee joint.

In cases of stage 3 and 4, patients will usually require Total Knee Replacement. But the final decision has to be taken in consultation with the surgeon.

In the initial stages of the disease, physical therapy, weight control, pain medication, knee injections, and hot and cold compression can help you decrease pain and perform daily and routine activities. But even after taking treatment, the pain and deformity are not allowing you to perform daily activities and enjoy life with your loved one's Total Knee Replacement in consultation with a surgeon should be considered.

Knee osteoarthritis doesn't improve on its own. In a few patients, there can be episodes of increase and decrease in pain, but eventually, symptoms will worsen. Then why wait and lose your active years? "Don't add numbers to your age. Add the quality of life to your age."

Investigations are done before Total Knee Replacement for checking for fitness for Total Knee Replacement. Investigations usually talk about the general medical fitness of an individual. The patient will require anesthesia, and if there is some problem, the underlying medical condition can be treated or controlled before surgery. It helps in reducing the chances of complications during and after surgery.

Pain after Total Knee Replacement is minimal or painless in patients who indicated using an epidural catheter. After removing the epidural catheter ice packing, pain medications and physical therapy help to reduce pain to a more significant extent.

Usually, within a month after Total Knee Replacement, you will be able to drive.

People with desk jobs can return to activity within 3-4 weeks after surgery, but if it requires a field job or heavy work, the patient will have to wait for 6 – 8 weeks.

It depends on whether one knee is being replaced or both knees are being replaced. Generally, one takes 1-2 hours, and both knees take 3- 4 hours.

In severe cases, both knees can undergo Total Knee Replacement simultaneously. This reduces the risk of complications and ensures faster recovery, but it will require double the amount of physical therapy and determination from the patient's side. If you have to wait between both knees, it depends on the surgeons' preference and the patient's medical condition to determine the gap between 2 Total Knee Replacements.

It depends on the patient's hemoglobin before and after Total Knee Replacement. Blood can be donated by patient relatives or arranged from a community blood bank.

The ideal age for Total Knee Replacement is between 45-80 years. Still, it can be done at any age, depending on the medical condition of the patient and the severity of the disease, with proper consultation from the surgeon.

If surgery went normal without any complications and the patient was not suffering from another disease like diabetes, hypertension, asthma etc., the patient is usually discharged after 3- 5 days. But this duration may vary depending on surgeon preferences.

The patient will be able to walk the very next day of Total Knee Replacement with some support. But will be able to join routine work after a few weeks to a month, depending on the individual and the extent of surgery.

Risks may include stiffness of the knee, infection, damage to nerves, implant loosening and failure, deep vein thrombosis in case of severe knee pain, discharge from the wound, fever, chills, and difficulty in breathing. Contact your surgeon immediately.

The patient will be able to walk within a few hours to one day after Total Knee Replacement with the help of a walker or cane. The patient will be able to walk without support within a few days to weeks, depending on pain tolerance, physical therapy and surgeons' advice.

You will be able to take a shower after 2-3 days. But you can only take a bath or swim after 6 weeks.

The patient will be able to climb stairs after discharge from the hospital but with a rule of using the unaffected leg as a leading leg.

Yes, you can after having a fit to fly certificate from the doctor concerned. Also, the patient may set off the alarm, so promptly tell the security in charge about Total Knee Replacement.

Swelling may occur in the lower limb after Total Knee Replacement for 6 months. It usually resolves with ice packing and elevation of a limb. In case of difficulty breathing and excessive pain, contact your surgeon immediately.

With the advancement of technology and better-quality implants, Total Knee Replacement has become a routine surgery worldwide. Most people will resume daily activities with proper follow-up care and physical therapy.

It depends on patient activity, age and overall health. But the average knee lasts for 15- 25 years.

It depends on the hospital category chosen by patients and the type of implant discussed. At Simpainortho.com, we have tried to reduce the cost of surgery and hospital expenses and included complete after-surgery services, which patients require after surgery because we know treatment doesn't end at the patient's discharge. To ensure the quick recovery of patients in simpainortho.com, we believe that a patient requires expert care within the most comfortable surroundings until he can join routine activities. So, we have made different packages for different patients according to need, and that too at the most affordable prices.

Yes, most insurance has included Total Knee Replacement surgery.

*Content Disclaimer:
The preceding information has been provided by Dr. Sankalp Pande, a renowned orthopedician.

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