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Knee Replacement Surgery

The aim of complete knee replacement surgery is to alleviate pain in the knee and improve the function of the knee by resurfacing the bones that meet at the joint of the knee. At the end of the femur (thigh-bone) and the top of the tibia (shin-bone), the surgeon removes weakened parts of bone and replaces them with prosthetic components. The back of the patella, or kneecap, is also resurfaced by such procedures.

Usually, the actual procedure takes 2 hours per knee. Knee replacement surgery is a procedure that replaces an artificial joint for a weakened or worn knee joint. ‘arthroplasty’ is the medical term for this form of surgery. The goal of knee replacement (arthroplasty) surgery is to alleviate pain in the knee and improve mobility. Depending on the state of the knee, there are two forms of knee surgery:

  • Total replacement of the knee: This could be appropriate if the knee joint is weakened in its entirety.
  • Partial (half) replacement of knee: This is often referred to as ‘unicompartmental’ or ‘unicondylar’ replacement of the knee. This is carried out whenever there is a need to repair just one portion of the knee joint.
  • Bilateral knee replacement: both knees are replaced at the same time

People undergo knee replacement surgery in most cases because they have Osteoarthritis . A very widely done procedure is complete knee replacement. In India, surgeons conduct around 700,000 of them per year.

Knee Replacement in Ahmedabad,Gujarat

What happens during the Knee Replacement Surgery/Procedure?

In order to shape the remaining bone to fit the knee implant, a total knee replacement (TKR) is a complicated operation that involves an orthopedic surgeon to make appropriate measurements and extract the diseased parts of the bone skillfully. During the operation, to create an extremely realistic artificial joint, the surgeon creates the artificial knee inside your leg, one part at a time.

For a total knee replacement, read on to find out what will happen to you when you reach the operating room.

The hip is a joint of the ball and socket where the femur’s head articulates with the pelvic bone’s cuplike acetabulum. The acetabulum fits securely around the femur’s head. Usually, the ball is retained in the socket by very tight ligaments that form a full sleeve around the joint (the joint capsule). There is a delicate lining on the capsule (the synovium). Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

A layer of smooth cartilage, which is a very soft white material, protects the head of the femur. The socket is lined with cartilage as well. This cartilage cushions the joint and causes very little pressure for the bones to pass on each other. Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

As the cartilage does not appear on x-rays, an x-ray of the hip joint typically reveals a “space” between the ball and the socket.

Step 1: Making the knee incision

To gain entry to the patella, the surgeon makes an incision in the front of the knee, most generally referred to as the kneecap. The incision is normally around 8 to 10 inches long in a conventional knee replacement. The incision is usually around 4 to 6 inches long in minimally invasive knee surgery. The jury is still out on whether the pros of the bigger scar outweigh the drawbacks of a smaller surgical area or not. Speak to your doctor on this is the best treatment for you.                 

Step 2: Rotating the patella (kneecap)

Your kneecap, called the patella, is the first part of your knee which is revealed. The surgeon rotates the patella outside the knee region as soon as the knee is open. This enables the surgeon to see the area required for the surgical procedure to be performed.

Step 3: Preparing the femur (thighbone)

Your femur, also known as the thighbone, is the first bone the surgeon can resurface. When your knee joint has been opened and uncovered by the surgeon, he or she can weigh the bones carefully and make accurate cuts using special instruments. The bone and cartilage damaged from the end of the femur is cut away. To suit the first part of the artificial knee, the femoral section, the end of your femur is cut and resurfaced.

Step 4: Implanting the femoral component

At the end of your femur, the surgeon attaches the metal femoral part and uses bone cement to lock it into place.

Step 5: Preparing the tibia (shinbone)

Your tibia, or shinbone, is the next bone that your surgeon can resurface. In order to suit the metal and plastic tibial parts, the surgeon removes weakened bone and cartilage from the top of the tibia and then forms the bone.

Step 6: Implanting the tibial component

The lower portion of the implant, called the tibial tray, is applied to the tibia using bone cement and sealed into place. The surgeon may snap in a polyethylene (medical-grade plastic) insert to sit between the tibial tray and the femoral portion once the tray is in place, and serve as a sort of buffer. When you bend and flex your knee, this insert will provide your body with support.

Step 7: Re-adjusting the patella

In order to ensure a correct fit with the rest of your implant, the surgeon will need to flatten the patella and fit it with an additional plastic part before returning the patella to its normal location. If required, the plastic fragment is cemented into the underlying bone.

Step 8: Finalizing the procedure

To ensure that the implant is functioning properly, and that alignment, sizing, and positioning is sufficient, the surgeon will bend and flex the knee. The surgeon will close the incision with stitches or staples to complete the operation, and then bandage it and brace you for recovery. In a continuous passive motion (CPM) unit, you will leave the operation room with your leg, which will gently bend and flex your new knee for you as you lie down.

To sum up under the combination of general anesthesia, peripheral nerve blocks, and spinal (epidural) anesthesia, most knee replacement surgery is carried out. To minimize the risk of infection, you will also receive at least one dose of antibiotics.

The surgeon will remove bone and diseased cartilage from where your thigh bone (femur) and shin bone (tibia) meet at the joint of your knee during the operation.

Those surfaces are then replaced by an implant of metal. The backside of the kneecap is usually replaced by a piece of special plastic and, eventually, this same plastic material is inserted between the two metal pieces.

This again provides smooth surfaces to both bones of your knee joint so that they can stretch and bend more easily and painlessly.

After Knee Replacement surgery

• After a complete knee replacement, most patients spend 2–3 nights in the hospital.
• The doctor will prescribe medicine for the pain and watch you for any complications.
• A physical therapist will begin assisting with the following shortly after the operation:
• Therapy for weight-bearing, like standing and walking
• To help you adapt to your new knee, a combination of physical and occupational therapy
• At home, you will need to continue these exercises.
• You would be able to go home when you are able to perform such activities, such as getting out of bed alone and using the toilet.
• After the treatment, you can continue to use a cane or walker for a limited period of time.

Total knee replacement recovery

After you leave the hospital, the rest of your treatment and rehabilitation will be at home. Some individuals require treatment or assistance from home health.

For further recovery, the doctor would most likely recommend physical therapy at a nearby clinic. This clinic’s physical therapist will recommend activities you should perform at home.

Each recover differently, but by the end of 4 weeks, most individuals are able to return to driving.

Before having surgery, it might be a good idea to ready your home for your return. Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

What is the cost of Total knee replacement Surgery at Gujarat in India?

Depending on where you undergo the operation and your general health at the time, costs will vary.

If you have other problems that are not connected to your knees, the treatment and cost can also be affected by them.

You should also consider extra costs when calculating the expense of the treatment for:

  • Your stay in the hospital
  • In-hospital physical therapy
  • Therapy during your at-home recovery
  • Follow-up and maintenance appointments
  • Having assistance at home
  • Costs of Transportation

You’ll just need to know how much the insurance is going to cover and how much from your own pocket you’re going to need to pay. Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

Knee replacement pain management

After your knee replacement, you’ll experience pain for a while but your doctor will give you medicine to help with this.

It’s important to let your doctor know how well your medicine works for you and whether there are any side affects you might have.

 

What are the Complications involved in Knee replacement Surgery?

Complications may be found in all surgery. There could be a chance of the following after knee replacement surgery:

  • Infection Infections
  • Clots of blood
  • Except when surgery is successful, persistent pain
  • Rigidity

Our patients do not undergo complications and are very glad that their knee has been replaced. To ensure the risks are as minimal as possible, our healthcare team will collaborate with you. Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

What are you going to take away from this operation?

Total knee replacement surgery in India is a commonly performed surgical procedure that can benefit certain patients who have tried other, non-surgical treatment methods (including using knee braces or shoe inserts, as well as medication) without success. The surgery involves replacing all three of the knee’s compartments with prosthetic (artificial) parts, with the goal of relieving pain and improving function. A very frequently done procedure is knee replacement surgery.

Many people are willing to engage in sports they used to do such as walking, bicycling, golf, tennis, and swimming, following surgery and rehabilitation.

As in every surgery there is always an element of risk, this procedure is considered safe, and most patients experience pain relief and greater mobility.

For several, knee surgery may enhance their capacity and quality of life to work from day to day. Explains Dr. Pranjel Pipara the best ACL Surgeon/Orthopedic Surgeon in Gujarat,India

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