Knee Joint Replacement Injury Treatment Recovery

What Happens When You Need Knee Joint Replacement Surgery?

Knee joint replacement surgery is a medical procedure where a damaged or diseased knee joint is replaced with an artificial joint, also known as a prosthesis. The need for knee replacement typically arises due to conditions like osteoarthritis, rheumatoid arthritis, or injury, leading to severe pain, stiffness, and loss of mobility. ( vid- kya hai ghutne ka arthritis)

Symptoms Indicating Knee Replacement Need:

• Chronic knee pain that persists even with rest or after taking medications ( vid- knee replacement kab karana chahiye)
• Difficulty bending or straightening the knee
• Swelling and tenderness around the knee joint
• Limited range of motion or instability
• Pain during everyday activities such as walking, climbing stairs, or standing up
• Inability to bear weight or walk for long periods (vid- how do  i know that I have arthritis)

What is Knee Joint Replacement Surgery?

Knee joint replacement surgery involves the removal of the damaged parts of the knee joint and replacing them with a prosthetic joint made of metal, plastic, or ceramic materials. The surgery can either be:

• Total Knee Replacement (TKR): The entire knee joint is replaced, including the femur, tibia, and patella. (vid- technique of knee replacement)
• Partial Knee Replacement (PKR): Only the damaged part of the knee is replaced while preserving the healthy sections. ( vid- surgical options for knee arthritis)

Does Knee Replacement Require Surgery?

Knee replacement surgery is typically recommended for individuals with severe knee arthritis or other conditions that cause significant pain and functional impairment. It is advised when conservative treatments like physical therapy, medication, weight management, and lifestyle modifications have failed to provide relief.

What Are the Symptoms That Lead to Knee Replacement?

Symptoms that indicate the need for knee joint replacement surgery include:

• Chronic knee pain that interferes with normal activities
• Severe knee stiffness that limits the ability to move the joint
• Swelling that doesn’t improve with rest or medications
• Difficulty walking or standing for long periods
• A feeling of instability or the knee “giving way”
• Inability to perform everyday tasks, such as climbing stairs or walking long distances

Does Knee Replacement Surgery Lead to Better Quality of Life?

Knee replacement surgery can significantly improve the quality of life for individuals suffering from chronic knee pain and functional limitations. Most patients experience:

• Relief from chronic pain
• Improved range of motion
• Enhanced ability to perform daily activities
• Reduced reliance on pain medications
• Increased mobility and independence

While knee replacement doesn’t restore the joint to its original state, it substantially improves comfort and functionality.

( vid- Benefits of knee replacement)

Treatment Procedure for Knee Replacement Surgery

The procedure for knee replacement surgery typically involves:

Pre-Operative Assessment:

• Physical Examination: The doctor assesses your knee’s range of motion, stability, and overall health. The stage of arthritis has to be determined to know the best surgical or non-surgical treatment plan for the patient. (vid- stages and level of knee arthritis)
• Diagnostic Tests: X-rays, MRIs, and blood tests may be conducted to evaluate the condition of your knee and determine the best treatment approach.

Surgical Procedure:

The surgery is performed under general or regional anesthesia. The surgeon removes the damaged parts of the knee joint and replaces them with an artificial prosthesis made of metal, plastic, or ceramic materials.

Post-Operative Care:

• After surgery, you will be monitored, and pain management will be provided.
• Early physical therapy will begin to restore mobility and strength.
• Crutches or walkers may be necessary to assist during recovery.

Home Remedies for Knee Pain Relief Before Surgery

Before opting for surgery, some home remedies can help alleviate knee pain: 

• Easy exercises (vid- ghutne ke dard keliye kare ye vyayam)
• Topical application of ointment for pain relief temporarily
• Oral medications for very short duration for pain alleviation

Can some knee injections help to give relief- 

For patients where it is not bone on bone arthritis, smaller procedures too bring wonderful results for slowing down the degenerative changes. PRP and intraarticular injections can help, if decisions are taken carefully to choose what is best for the condition. ( vid new- knee injection and PRP)

Physiotherapy to Improve Knee Function

Physiotherapy plays a vital role in both pre- and post-surgery recovery. It helps in strengthening the muscles around the knee joint, improving flexibility, and promoting healing. After surgery, physiotherapy is essential for regaining mobility and restoring knee function.

Preparation for Knee Replacement Surgery

Before undergoing knee replacement surgery, your doctor will provide specific instructions, including:

• Physical Examination:  The doctor will assess your knee’s range of motion, stability, and overall health.
• Diagnostic Tests: X-rays, MRIs, and blood tests may be conducted to get a clear picture of the knee’s condition.
• Medications: You may need to stop certain medications (like blood thinners) before surgery to reduce the risk of bleeding.
• Fasting:You may be instructed to refrain from eating or drinking after midnight before the surgery.
• Pre-Surgery Physiotherapy:

Strengthening exercises and range of motion improvement may be recommended to help you recover faster after surgery.

Post-Operative Protocol for Knee Replacement Surgery

After surgery, the following guidelines are generally advised:

• Pain Management: Pain is managed with medications prescribed by your doctor.
• Physical Therapy: Rehabilitation exercises will start early to improve strength and mobility.
• Wound Care: Keep the surgical site clean and dry to avoid infection.
• Mobility Aids: Crutches or walkers may be needed initially for support.
• Weight-Bearing Restrictions: Your doctor may advise limiting weight on the knee during the early recovery phase.

Risks and Complications Associated with Knee Replacement Surgery

While knee replacement surgery is generally safe, there are some potential risks:

• Infection at the surgical site
• Blood clots
• Nerve or blood vessel injury
• Persistent pain or discomfort
• Stiffness or limited range of motion
• Implant-related issues, such as loosening or wear over time

Knee Replacement Surgery Cost in India

The cost of knee joint replacement surgery in India varies depending on several factors, including:

• Type of Procedure: A total knee replacement generally costs more than a partial knee replacement.
• Hospital Choice: The cost can vary between government hospitals, private hospitals, and specialized orthopedic centers.
• Surgeon’s Experience: Highly experienced surgeons charge more for their services.
• Prosthetic Type: The choice of prosthetic materials (metal, plastic, or ceramic) can influence the cost.
• Insurance Coverage: If you have insurance, it can significantly reduce your out-of-pocket expenses.

In India, the cost typically ranges between INR 1,00,000 and INR 3,50,000, depending on these factors.

Qualities of a Top Knee Replacement Surgeon

A skilled knee replacement surgeon should have the following qualities:

• Board Certification: Certified and specialized in orthopedic surgery.
• Experience: Expertise in performing knee replacement surgeries with a high success rate.
• Patient Care: Compassionate approach to patient concerns and a thorough understanding of the procedure.
• Reputation: Associated with reputable hospitals or clinics.
• Personalized Treatment: Ability to tailor the treatment to each patient’s specific needs.

How to Choose the Best Knee Replacement Surgeon?

Selecting the right knee replacement surgeon is crucial for achieving the best results. Here are some tips:

• Seek Referrals: Ask family, friends, or healthcare providers for recommendations. Compare reviews to find the best surgeon.
• Check Reviews: Look for online reviews or testimonials about the surgeon’s expertise and care.
• Verify Credentials: Ensure the surgeon is board-certified and specializes in knee replacement surgeries.
• Evaluate Experience: Choose a surgeon with a proven track record in knee replacement surgeries.
• Hospital Reputation: Research the hospital where the surgery will take place. Opt for hospitals with high patient satisfaction.
• Consultation: Schedule a consultation to discuss your concerns and determine if the surgeon is a good fit.

By following these guidelines, you can ensure that you select the best knee replacement surgeon, improving your chances of a successful surgery and a faster recovery.