local_hospital
Doctors
business
Our Hospitals
calendar_today
Book Appointment
phone
Call
description
Patient Resources
Slide 1

Total Knee Replacement Surgery

Total Knee Replacement Surgery

January 06, 2025 by Dr. Jeevan Rajput

Total knee replacement (TKR) surgery is a common procedure aimed at relieving pain and restoring function in individuals suffering from severe knee arthritis or damage. It involves replacing damaged or diseased knee joints with artificial components. This blog will explore the indications for surgery, the procedure itself, recovery, and the benefits of undergoing total knee replacement.

Understanding Total Knee Replacement

Total knee replacement is typically recommended for individuals whose knee joints have deteriorated due to conditions such as:

  • Osteoarthritis: The most common form of arthritis that results in the breakdown of cartilage, leading to pain and stiffness.
  • Rheumatoid Arthritis: An autoimmune disorder that causes inflammation and can damage joint tissues.
  • Post-Traumatic Arthritis: Arthritis that develops after an injury or fracture to the knee.
  • Avascular Necrosis: A condition where blood supply to the knee is disrupted, causing bone death.

Indications for Surgery

You may be a candidate for total knee replacement if you experience:

  • Severe knee pain that limits daily activities
  • Stiffness that hinders movement
  • Swelling and inflammation that don’t improve with medication or physical therapy
  • Difficulty walking, climbing stairs, or standing up
  • Inadequate relief from other treatments, such as medication, injections, or physical therapy

The Procedure

  1. Preoperative Preparations:

    • Consultation: Your orthopedic surgeon will conduct a thorough evaluation, including physical examinations and imaging tests like X-rays or MRIs.
    • Discussion of Risks and Benefits: It’s crucial to understand the potential risks and benefits of the surgery.
    • Preoperative Therapy: You may be advised to undergo physical therapy to strengthen the muscles around the knee.
  2. Surgical Process:

    • Anesthesia: The procedure is usually performed under general anesthesia or spinal anesthesia.
    • Incision: The surgeon makes an incision in the front of the knee to access the joint.
    • Removal of Damaged Tissue: The damaged cartilage and bone are removed from the femur (thigh bone), tibia (shin bone), and sometimes the patella (kneecap).
    • Placement of Implants: The surgeon places metal and plastic components to form the new knee joint. The prosthesis is designed to mimic the natural motion of the knee.
    • Closing the Incision: The incision is closed with sutures or staples, and a sterile dressing is applied.
  3. Duration: The entire procedure typically lasts 1.5 to 3 hours, depending on the complexity.

Recovery Process

  1. Postoperative Care:

    • Hospital Stay: Most patients stay in the hospital for 1 to 3 days post-surgery for monitoring and initial rehabilitation.
    • Pain Management: Pain relief methods, including medications, will be provided.
  2. Rehabilitation:

    • Physical Therapy: A structured rehabilitation program usually begins within a day or two of surgery to restore mobility and strength. Exercises will focus on regaining range of motion and gradually increasing activity levels.
    • Assistive Devices: Patients may use crutches, walkers, or knee braces to aid mobility during recovery.
  3. At Home:

    • Continued Exercises: Patients should continue prescribed exercises at home to strengthen the knee and improve flexibility.
    • Follow-Up Appointments: Regular follow-ups with the orthopedic surgeon are essential to monitor progress and address any concerns.

Benefits of Total Knee Replacement

  • Pain Relief: The most significant benefit is the reduction or elimination of pain, allowing for improved quality of life.
  • Improved Mobility: Patients often experience a greater range of motion and increased mobility, allowing them to return to daily activities and hobbies.
  • Enhanced Quality of Life: With reduced pain and improved function, individuals can engage in social activities, exercise, and spend time with family more comfortably.
  • Long-Lasting Results: Modern knee implants are designed to last for many years, often 15 years or more, with proper care.

Risks and Considerations

While total knee replacement is generally safe, like any surgery, it carries potential risks, including:

  • Infection
  • Blood clots
  • Nerve or blood vessel damage
  • Stiffness or persistent pain
  • Implant failure

It's essential to discuss these risks with your surgeon and follow all pre- and postoperative instructions to minimize complications.

Conclusion

Total knee replacement surgery can significantly improve the quality of life for individuals suffering from severe knee pain and dysfunction. By understanding the procedure, recovery process, and benefits, patients can make informed decisions about their treatment options. If you're considering total knee replacement, consult a qualified orthopedic surgeon to discuss your condition and explore the best path forward for your health and well-being.