Knee Replacement

What is Knee Replacement?

In simple terms, Knee replacement is a surgical procedure most often performed to relieve the pain and disability and restricted mobility arising out of degenerative arthritis. Major causes of debilitating pain include meniscus tears, osteoarthritis, rheumatoid arthritis, post trauma, ligament tears, and cartilage defects.

The most common reason for knee replacement surgery is to repair joint damage caused by osteoarthritis or rheumatoid arthritis. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. They may also experience moderate or severe knee pain at rest.

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Painless Knee Replacement at Anand Orthopedic Hospital

painless knee replacement
Sounds unbelievable! But that is what Anand Orthopedic Hospital is globally recognized for. Anand orthopedic Hospital has been carrying out Painless Knee Replacement Surgeries for years now. Patients at Anand Orthopedic do not go through the traumatic post-op pain thanks to the use of high end technology, the highly rated skills of its surgical team and of course analgesics. Patients from around the world land up at Anand Orthopedic for Knee replacement based on its success record and the credibility of Dr Atit Kantawala and Dr Dhaval Bhatia.
Also, at Anand Orthopedic Hospital, TKR (Total Knee Replacement) takes about 25 mins, is minimally invasive and which can be rightfully termed as the quickest surgery possible.. It is medically proved that the lesser time the patient spends in OT, lesser is the tissue trauma and quicker is the healing. Majority of patients in Anand orthopedic hospital are on their feet the very next day with encouragement to walk under the supervision of well trained and dedicated team of Physios. No artificial exercising or workout is carried out. On the 4th day patients are given staircase climbing training to ensure maximum flexion of muscles and also as a confidence building measure.
At Anand Orthopedic Hospital the patients are treated under highly sterile conditions in Class 100 OTs that match the strictest infection control standards. Anand Orthopedic has also pioneered the use of Surgical Space Suit worn by our surgeons during the surgery to rule out the minutest possibility of an infection. Negative Air pressure in the OTs makes sure that the air outside the complex making the OT completely sterile.

Salient Features of Department of Knee Replacement

salient feature of knee replacement department

  • Painless Knee Replacement (Total & Partial)
  • Minimally Invasive Knee Surgery
  • Quick Knee Surgery – 25 mins. in the OT
  • Good Flexion of the knee
  • Use of superior quality implants (prosthesis)
  • Quick Post – Surgical Mobilization
  • Knee Revision Surgery
  • Dedicated team of Physiotherapists

Different types of Knee Replacement surgeries

different types of knee replacementYes, primarily there are two kinds of Knee replacement surgeries TKR (Total Knee Replacement) and UKR (Unicondylar / Partial Knee Replacement). Knee Replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee joint. This is termed as Implant or Prosthesis.

Knee Revision Surgery

Knee revision surgery, which is also known as revision total knee arthroplasty, is a procedure in which the previously implanted artificial knee joint, or prosthesis is removed. It is replaced with a new prosthesis. Knee revision surgery may also involve the use of bone grafts. The bone graft may be an auto graft, which means that the bone is taken from another site in the patient’s own body; or an allograft, which means that the bone tissue comes from another donor.

Reasons for Knee Revision Surgery

A knee joint may malfunction or fail due to one or many reasons, some of them may be:

  • Infection
  • Aseptic Loosening
  • Wear of plastic
  • Mal-alignment
  • Unstable Joint

Partial Knee Replacement (PKR)

Partial knee replacement, also called ‘unicompartmental knee arthroplasty or unicondylar knee arthroplasty’ is a surgery that may be considered for treatment of osteoarthritis of the knee joint where the complete knee joint does not require replacement. Traditionally, patients have undergone total knee replacement for severe arthritis of the knee joint. In a total knee replacement, all cartilage is removed from the knee joint, and a single metal and plastic implant (prosthesis) is substituted.

Conditions for Partial Knee Replacement

The partial knee surgery may be possible if the arthritis in the knee is confined to a limited area. If the arthritis is widespread, then the partial knee replacement is not the solution. . In addition, the partial knee surgery is recommended in patients who are:

Total Knee Replacement (TKR)

tkr
In a Total Knee Replacement procedure, the surgeon removes damaged cartilage and bone from the surface of knee joint and replaces them with metal and plastic. In Total Knee Replacement, the surgeon replaces three parts of the knee joint.
The two parts of the prosthesis are placed onto the ends of the femur, tibia, and under surface of the patella using special bone cement. Usually, metal is used on the end of the femur, and plastic is used on the tibia and patella for the new knee surface. However, surgeons are now using newer surfaces, including metal on metal or ceramic on ceramic.

Situations when TKR is helpful

  • Pain that limits activities such as walking, climbing stairs and getting in and out of chairs, or even moderate or severe knee pain at rest.
  • Restricted knee function or mobility, such as chronic knee stiffness and swelling that prevents one from bending and straightening the knee.
  • Failure of other methods to improve symptoms, for example, resting, weight loss, physical therapy, a cane or other walking aid, medications, braces and surgery, but they’ve failed.
  • Knee deformity, such as a joint that bows in or out.

What to expect post TKR surgery?

expect tkrAt Anand Orthopedic Hospital, under the expertise and guidance of Dr. Atitkantawala and Dr Dhaval Bhatia the results of a Total Knee Replacement are excellent. The operation relieves pain in patients, and they need no help walking after full recovery.

Reasons for Failure of Total Knee Replacement (TKR)

Like any other mechanical prosthesis (implant), knee implant also has a failure / malfunction possibility. There are several reasons which attribute to failure of a prosthesis (implant). Some of the major ones are:

  • Infection
  • Aseptic Loosening of the joint
  • Plastic Wear
  • Mal-alignment or Instability of the joint

Quality of the Implant

At Anand Orthopedic Hospital we ensure that the patients are treated under highly sterile conditions. Our Class 100 OTs match the strictest infection control standards, we have pioneered the use of Surgical Space Suit which is worn by our surgeons during the surgery to rule out the minutest possibility of an infection. Negative Air pressure in the OTs makes sure that the air outside the complex making the OT completely sterile.

What is Knee Revision Surgery?

Knee revision surgery, which is also known as revision total knee arthroplasty, is a procedure in which the previously implanted artificial knee joint, or prosthesis is removed. It is replaced with a new prosthesis. Knee revision surgery may also involve the use of bone grafts. The bone graft may be an auto graft, which means that the bone is taken from another site in the patient’s own body; or an allograft, which means that the bone tissue comes from a donor other than the patient.