What is Knee Replacement Surgery?
Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function.
When should I have this type of surgery?
A person would be considered a candidate for knee replacement if there is:
Daily pain
The pain is severe enough to restrict work, recreation and ordinary activities of daily living
Significant stiffness in the knee
Significant instability (constant giving way) of the knee
Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee
Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis
How successful is the Knee Replacement Surgery?
Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds and thousands of Americans back on their feet and allowed them to enjoy their golden years.
How can you prepare yourself before Knee Replacement Surgery?
If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.
If you drink, don't have any alcohol for at least 48 hours before surgery.
Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery.
Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopedic surgeon, along with a surgical clearance.
Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions.
You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray.
Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.
What are different types of Knee Replacement Surgery?
Total Knee Replacement:
Total knee replacement removes all weight-bearing, damaged knee cartilage and bone and replaces it with a man-made metal or plastic prosthetic joint that mechanically replicates the knee function. In total knee replacement, a highly polished strong metal alloy replaces the femur portion of the knee joint; a strong durable polymer tray replaces the tibia portion of the joint, and more plastic replaces the kneecap or patella. Surgery usually takes 1 1/2 to three hours.
Partial Knee Replacement:
Partial knee replacement, or uni compartmental knee replacement, is the choice if only one part or compartment of your knee is severely damaged and requires replacement rather than the entire joint. An implant for either the femur portion, tibia portion or patella portion is surgically inserted through a smaller incision. If two or more compartments of the knee are damaged, the partial knee replacement may not be the best treatment choice. Hospital stays are generally shorter--perhaps even overnight.
Minimally Invasive Knee Replacement:
Newer minimally invasive knee replacement, or MIS, uses specialized surgical techniques that allow a 3- to 5-inch incision rather than the standard 8- to 12-inch incision. The smaller incision provides for recovery with potentially less scar tissue formation, less pain, and a faster healing period. Hospital stays are from one to three days.
Revision Knee Replacement:
Revision knee replacement is for removing and replacing a prosthetic knee joint that is worn out or that has failed. Revision knee replacement surgery can be repeated multiple times, but scar tissue formation from previous knee surgeries can make the procedure increasingly difficult with each replacement event.
Computer Assisted Surgery:
Knee replacement using computer assisted surgery, or CAS, is a computer-driven technology that uses computer guided imagery during surgery. The computer aids the alignment of the knee components during the surgical procedure and renders the alignment more accurate. The high level of accuracy may increase the longevity of the total knee replacement.
Bilateral Knee Replacement:
For those who have both knees equally affected by cartilage damage and decreased mobility, bilateral knee replacement is an option. Both knees undergo any of the above mentioned knee replacement type surgeries at the same time.
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What care is given by hospital after Knee Replacement Surgery?
Usually the first day after knee replacement surgery, you'll begin to work with a physical therapist who will teach you exercise to regain full leg and knee movement.
During your hospital stay, you'll attend physical therapy one to two times a day. An occupational therapist and nurse discharge planner will help you prepare for your return home.
Your doctor may recommend a continuous passive motion (CPM) machine that bends and straightens your knee.
You may be given special elastic stockings to reduce swelling. An anticoagulant medication, such as lovenox, also may be administered to help circulation and prevent blood clots.
What is the time required to recover after Knee Replacement Surgery?
Recovery varies with each person. You will use a walker for approximately 4 weeks after the operation. You can drive a car in 2-4 weeks.
Most people gradually increase their activities and may play golf, doubles tennis, shuffleboard, or bowl in 12 weeks. More active sports, such as singles tennis and jogging are not recommended.
After discharge, there is usually no need for a nursing home. Some patients who live alone may require a short stay at a rehab center for a few days after they leave the hospital. This will depend on how you progress in the hospital, and keep in mind that healing and recovery times vary with each person.
What follow-up is required after Knee Replacement Surgery?
During the first year after surgery, routine follow-up visits are scheduled with your orthopedic surgeon at three weeks, six weeks, three months, six months and 12 months. You'll be asked to return for annual visits to assess the status and function of your implant.
How to increase the life expectancy after Knee Replacement Surgery?
Following things affect the longevity and success of your knee replacement:
Avoiding repetitive heavy lifting
Avoiding excessive stair climbing
Maintaining appropriate weight
Staying healthy and active
Avoiding "impact loading" sports such as jogging, downhill skiing and high impact aerobics
Consulting your surgeon before beginning any new sport or activity
Thinking before you move
Avoiding any physical activities involving quick stop-start motion, twisting or impact stresses
Avoiding excessive bending when weight bearing, like climbing steep stairs
Not lifting or pushing heavy objects
Not kneeling
Avoiding low seating surfaces and chairs
What are the benefits of Knee Replacement Surgery?
After knee replacement surgery patient is relieved of the pain he/she associated with the knee. Some of the benefits of Knee replacement surgery are:
Pain Relief:
When arthritic joint surfaces are re-surfaced as in the case of a knee replacement; implants made of a combination of metal and high density polyethylene plastic are fixed onto the prepared surfaces. Since the original, arthritis-laden joint surfaces have been removed and replaced with metallic and plastic materials, the original joint pain, caused by the exposed bone, no longer exists. This gives the patient a considerable reduction or even elimination of pain.
Improved Mobility:
When the joint anatomy is rough and irregular secondary to advanced arthritis, the ability of the joint to move smoothly is limited. Frequently, overall range of motion can be severely limited due to joint surface irregularity as well as the presence of excessive fluid production. Total knee replacement can largely restore range of motion.
Improved Quality of Life:
When a person is no longer burdened by chronic, debilitating pain and joint motion has been vastly improved, the quality of life is improved as well. Most patients visiting a surgeon's office for consideration of a knee joint replacement have endured longstanding pain and functional impairment. A successful joint replacement can return the patient to leading a normal life.
What are the major risks after Knee Replacement Surgery?
As with all major surgical procedures, complications can occur. Some of the most common risks following knee replacement surgery are:
Infection
Stiffness
Loosening
Osteolysis
What could be the alternatives to Knee Replacement Surgery?
The following are the alternatives to Knee replacement surgery.
Specialized Braces
Arthroscopy
Cartilage Transplantation
Osteotomy
Uni-compartmental arthroplasty
Arthrodesis or Knee Fusion
Why choose Knee Replacement Surgery India?
India boasts volumes of its excellently maintained healthcare providers by stringent government controls on the policies for control of promotion and advertisement, thus not visible much in news papers, magazines and electronic media. But certainly as good as other regional healthcare providers like Singapore and Thailand.
India is as competitive as Singapore in the quality of healthcare, through it world class facilities of hospitals and clinics, latest machines in healthcare and more over world class renowned surgeons and doctors that it has more in number then any regional healthcare providers.
Due to the high costs of knee replacement surgery in the United States, the waiting lists in the United Kingdom, Australia and Canada and the lack of high tech medical procedures in many third world countries, medical tourism is expected to blossom into a ten billion dollar business world-wide. Recognizing this trend Indian government, large corporations, hospitals, and doctors are flooding the Indian medical tourismmarket with choices, and prices are dropping.
Knee replacement surgery in India is available in following cities:
Mumbai | Hyderabad | Kerala |
Delhi | Pune | Goa |
Bangalore | Nagpur | Jaipur |
Chennai | Gurgaon | Chandigarh |
How much does knee replacement surgery cost in India?
India is the most preferred medical tourism destination as it provides low cost Knee replacement surgery option for national and international medical tourists.
The cost of knee replacement surgery in India is almost ¼ of the cost that in UK, US and other developed countries.
The chart below shows the cost comparison knee replacement surgery in India and other countries.
Procedure
|
USA ($)
|
Singapore($)
|
UK($)
|
India ($)
|
Total Knee Replacement
|
40000
|
10000
|
13000
|
8500
|
Knee replacement (unilateral)
|
32,000
|
25,000
|
38,000
|
3,000
|
Knee replacement (bilateral)
|
54,920
|
20,000
|
56,000
|
5,100
|
Spine surgery with implants
|
13,500
|
13,000
|
13,000
|
6,500
|
Why plan Knee Replacement Surgery in India with Tour2india4health Group?
Tour2india4health Group is one of the leading medical tourism companies in India providing knee replacement surgery in India. You just have to send us a query regarding knee replacement surgery and within 24 hours an assistant will contact you for further details and interaction. From that point everything will be taken care of by that assistant, like arranging VISA, accommodation, appointment with the doctor with round the clock services to make your medical tour hassle free. We provide well qualified and professional doctors, surgeons, physicians, and medical staff who aid you in recovery from your ailment and ensure a safe and healthy journey back home.
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USA | UK | Canada |
Australia | New Zealand | Nigeria |
Kenya | Ethiopia | Uganda |
Tanzania | Zambia | Congo |
Sri Lanka | Bangladesh | Pakistan |
Afghanistan | Nepal | Uzbekhistan |
https://medport.in/cost-of-knee-replacement-surgery-tkr-in-india/
ReplyDeleteTo know more about knee surgery in India you can refer this article.