Total Knee Replacement
Total knee replacement surgery is one of the most successful procedures performed worldwide. It involves the replacement of the diseased or damaged knee joint with an artificial material called prosthesis. Mahi Clinic provides knee replacement in Chennai with the best knee replacement specialist and knee replacement surgeon for severe knee pain treatment for all ages in Tamil Nadu, India.
indications for Total knee replacement surgery
- Chronic knee pain, stiffness and disability
- Osteoarthritis
- Rheumatoid arthritis
- Post-traumatic arthritis
- Fractures of the bones surrounding the knee
- Severely damaged knee due to an injury
- Torn knee ligaments that may damage the articular cartilage over time
- Failed nonsurgical treatments like medications, physical therapy and walking supports
Benefits of Total knee replacement
- Safe and effective procedure to relieve pain & stiffness of knee joint
- Increase mobility
- Corrects leg deformity
- Helps to resume normal daily activities
- Restores the alignment and function of knee
- Improves the quality of life because everyday activities and exercise become easier
Total knee replacement surgery procedure
The procedure is performed by an orthopaedic surgeon under general or regional anesthesia. It involves the removal of the end of the femur bone and its replacement with a metal shell. The end of the bone of the lower leg i.e. tibia is removed and replaced with a channeled plastic piece with a metal stem. In addition to the replacement of parts of bones of the upper and lower leg, depending on the condition of the kneecap portion of the knee joint, a plastic “button” may also be added under the kneecap surface. The posterior cruciate ligament is either retained, sacrificed, or substituted by a polyethylene post.
The procedure itself takes approximately 1 to 2 hours.
Single and Double Joint Total knee replacement surgery
Total knee replacement surgery can be performed on single or both knee joints depending upon the damage of the joints and patient’s age and overall health. The procedure for a single joint replacement remains the same while bilateral can be performed in the following ways:
- Simultaneous bilateral knee replacement is one surgery for both joints in single sitting under one anesthesia
Benefits of Simultaneous Bilateral Total knee replacement-
Low cost: The cost of bilateral replacement is approximately 20% cheaper when compared to combining two separate single total knee replacement surgeries.
Reduced length of hospital stays: Approximately 7 days in both knee replacement and 10 days when a single procedure is performed for both knees separately. - Avoids readmission in the hospital for second knee replacement surgery
- Reduced exposure to anesthetic medications and associated complications
- Simultaneous rehabilitation of both the knees can be done at the same time
- Quicker recovery
- Avoids the need of heel raise in slippers of non-operated side limb for limb length discrepancy
Prognosis of Total knee replacement
Although most of the patients experience a remarkable decrease in the pain and increased the mobility of the knee joint, still some risks and complications may occur after total knee replacement. To have an improved quality of life after surgery, the patient should religiously follow the instructions and perform rehabilitation exercises as advised by the surgeon and physical therapist. In case of any unusual symptoms, the patient should immediately report to their physician.
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