Total Knee Replacement Surgery in Delhi

Introduction

Total knee replacement (TKR) surgery, also known as knee arthroplasty, replaces damaged bone and cartilage in the knee with prosthetic parts. It is often needed because of osteoarthritis or injuries. Orthopedic surgery, which includes TKR, is a field that has seen a lot of new and exciting developments. TKR is considered the best option for people suffering from severe arthritis that affects both sides of their knee joint. For those seeking expert care, total knee replacement surgery in Delhi offers advanced treatment options and better outcomes.

Benefits of Total Knee Replacement

One of the main causes of disability in adults over 65 is osteoarthritis (OA) of the knee. When engaging in regular daily activities, patients with OA experience noticeably more pain and functional impairments, which lowers their quality of life and causes them to become less productive. While there are numerous conservative treatment options for mild-to-moderate osteoarthritis (OA), total knee arthroplasty (TKA) is the most effective treatment for end-stage arthritis of the knee.

TKA produces positive outcomes in terms of functional recovery overall, good survival rates, and the ability to resume daily activities. Meeting the functional requirements of TKA patients is still a major surgical objective.

Why is Total Knee Replacement Done? 

Arthritis can affect the knee joint in several ways. Degenerative joint disease osteoarthritis, which primarily affects middle-aged and older adults, can lead to the degradation of adjacent bone and joint cartilage in the knees. Rheumatoid arthritis can produce pain and stiffness due to inflammation of the synovial membrane and an overabundance of synovial fluid. Injury-related arthritis, or traumatic arthritis, can harm the knee's cartilage.

A knee replacement, sometimes referred to as a total knee replacement or knee arthroplasty, is a surgical procedure used to restore the surface of an arthritis-damaged knee. The kneecap and the ends of the bones that make up the knee joint are covered in metal and plastic components. If a patient has a serious knee injury or severe arthritis, this surgery might be considered.

Resurfacing damaged knee joint components and relieving severe knee pain that is not responsive to conservative measures are the two main objectives of knee replacement surgery.

If you have severe symptoms that don't go away after trying nonsurgical treatments,  your doctor may suggest knee replacement. These symptoms are:

• Joint pain
• Limited mobility (trouble moving your knee)
• Stiffness
• Swelling

How is Total Knee Replacement Performed?

• Before the knee replacement surgery certain tests are done to analyze the condition and cause of your condition, including blood tests, knee X-ray,magnetic resonance imaging (MRI) or a computed tomography (CT) scan.
• On the day of the surgery you will be  given general anesthesia or regional anesthesia.
• The surgery will take one to two hours for completion.
• The damaged cartilage and bone is removed.
• The  prosthetic knee joint is placed.
• A plastic spacer is inserted that recreates the smooth cushion of your cartilage that was damaged or removed.
• The patella (kneecap) is reshaped to fit the new prosthetic knee joint.
• The incisions are closed.

Total Knee Replacement Rehabilitation

Rehabilitation from knee replacement takes around 12 weeks. Many can walk without an assistive device after 3 weeks and drive after 4–6 weeks. However, Recovery timeline varies by individual and surgeon protocols.

Day 1:

• Rehabilitation starts immediately after surgery.
• Some may be discharged the same day; others stay in the hospital.
• Physical therapist (PT) helps with standing and walking using assistive devices (walkers, crutches, canes).
• PT provides home exercises.
• Criteria for discharge: stable vital signs, manageable pain, ability to navigate stairs, etc.

First Week:

• Focus on gait training, increasing range of motion, and strength.
• Pain management includes medication, ice packs, and leg elevation.
• Follow PT's exercise plan daily.
• Showering guidelines depend on dressings used.

By Week 3:

• Continue exercises to improve mobility and range of motion.
• Many transition to using a cane or no assistive device.
• Alternate between sitting and walking to avoid stiffness.
• Most no longer need prescription pain medication.

Weeks 4 to 6:

• Significant improvement in knee bending, strength, and reduced swelling.
• PT may recommend longer walks and specific exercises.
• Return to work, driving, and travel, usually within this period (consult with surgeon).
• Exercises include toe and heel raises, hip abductions.

Weeks 7 to 11:

• Continue physical therapy for mobility, range of motion, and strength.
• PT modifies exercises (e.g., stationary bike, mini squats, leg balances, step ups).
• Committing to rehab is crucial for a successful recovery.

Week 12:

• Continue exercises and avoid high-impact activities.
• Enjoy activities like golf, dancing, and cycling.
• Significant reduction in pain and full range of motion.

Week 13 and Beyond:

• Continued improvement and reduction in pain.
• Full recovery to most activities can take up to 3 months, with maximum strength achieved in 6 months to a year.

Why Should You Choose Dr. Ishwar Bohra for Total Knee Replacement Surgery?

Renowned orthopedic surgeon Dr. Ishwar Bohra has extensive experience performing joint replacement surgeries. He is regarded as a renowned knee replacement surgeon in India due to his high level of skill and success rate. His patients express great satisfaction with the care they received as well as relief from their pain and immobility. The fact that his patients are now living independently is proof of his unmatched skill.

For thorough and considerate joint care, meet Dr. Ishwar Bohra, the top knee replacement surgeon in Delhi, if you want to restore independence for yourself or your loved ones. Make an appointment for your consultation right away!

FAQs

Q1: What is a total knee replacement surgery?
A:Total knee replacement surgery, or knee arthroplasty, replaces a damaged knee joint with an artificial implant to relieve pain and improve function. It is commonly performed for severe arthritis or injury to restore mobility and enhance quality of life.

Q2: Which is ideal for replacing a knee?
A: The most popular material for knee implants is a metal-on-plastic structure. Upon closer inspection, the most commonly used metal is cobalt-chromium. This is a result of its extreme durability and biocompatibility. Polyethylene is the preferred plastic when compared to other materials.

Q3: Is a total knee replacement a serious operation?
A: Yes, a total knee replacement is a serious operation, involving the replacement of a damaged knee joint with an artificial implant. However, it is a common and generally safe procedure with the goal of relieving pain and improving mobility.