Doctors for Total Knee Replacement Surgery in Pune

Total knee replacement (TKR), also known as total knee arthroplasty, is a surgical procedure that involves replacing the joint surface at the top of the shin bone (tibia) and the end of the thigh bone (femur). This surgery is generally recommended for patients who suffer from severe knee arthritis or injuries and require the replacement of all three compartments of the knee. Patients for TKR should consult with an orthopaedic surgeon to determine if this procedure is the most appropriate treatment option for their condition. During a knee replacement surgery, damaged or diseased parts of the knee joint are removed by the surgeon and replaced with artificial implants that are usually made of a combination of metal, plastic, or ceramic materials. These implants can last anywhere from 10 to 20 years or more. Following a personalized exercise plan and physiotherapy regimen prescribed by the doctor is crucial for successful postoperative recovery, regaining maximum knee function and range of motion, and relieving pain and stiffness.

There are three main types of total knee replacement surgery. These include:

• Traditional Total Knee Replacement Surgery : During a traditional total knee replacement, the surgeon makes an incision that is typically 8-12 inches long to access the knee joint. The damaged or diseased knee joint components are removed, and an artificial implant is inserted in their place. This type of surgery often requires a hospital stay of several days and a more extended recovery period.
• Partial Knee Replacement Surgery : This surgery involves replacing only the damaged part of the knee joint with an artificial joint, leaving the healthy parts of the knee intact. It is suitable for patients who have damage in only a portion of the knee joint, usually the inside part. A smaller incision is required for this type of surgery compared to total knee replacement, making it less invasive.
• Minimally Invasive Total Knee Replacement Surgery: This type of surgery is similar to traditional total knee replacement surgery, but it uses smaller incisions and specialised instruments. The surgeon uses state-of-the-art technology to access the knee joint, remove the damaged parts, and replace them with an artificial joint.

In conclusion, the type of total knee replacement surgery that a patient receives depends on several factors, including the patient's condition, the extent of the damage, and the surgeon's preference. The surgeon will discuss the advantages and disadvantages of each option with the patient and help them choose the best option.

Before undergoing total knee replacement surgery, several tests and diagnoses are conducted to determine if the surgery is necessary and to ensure that the patient is an appropriate candidate.

• Physical Examination : A physical examination of the knee is the first step in diagnosing the extent of knee damage. During the physical examination, the doctor will assess the knee by looking for signs of swelling, tenderness, and range of motion.
• X-rays : X-rays are a common diagnostic tool used to assess the extent of damage to the knee joint before knee replacement surgery. The x-rays will show the condition of the bones and cartilage in the knee joint.
• MRI (Magnetic Resonance Imaging) Scan : An MRI scan produces detailed images of the knee joint, allowing a doctor to see the extent of damage to the ligaments, tendons, muscles, and cartilage.
• Blood Tests : Blood tests are conducted to check for any underlying illness or infection that may affect the surgical result.
• Knee Joint Aspiration : In some cases, the doctor will remove fluid from the knee joint with a needle to check for any underlying infection.
• Physical Therapy Assessment : The patient will undergo a physical therapy assessment to determine if they can undergo knee replacement surgery.
• Medical History: The doctor will review the patient's medical history, including past surgeries, medications, and overall health.

In conclusion, before undergoing total knee replacement surgery, several tests and diagnoses are conducted to ensure that the surgery is necessary and that the patient is an appropriate candidate. The results of these tests will help the medical team develop an appropriate treatment plan.

During a total knee replacement (TKR), the entire joint surface at the distal end of the thigh bone (femur) and the joint surface at the proximal end of the shin bone (tibia) are replaced. The surgery typically takes 1.5 to 2 hours to complete and involves several steps. These steps may include removing damaged cartilage and bone, preparing the remaining bone to fit the prosthetic components, and placing the prosthetic components in their proper positions. The surgeon will then check the range of motion and stability of the new knee joint and may use stitches or staples to close the incision. After the surgery, the patient will be closely monitored and may undergo physical therapy to aid in the recovery process.The surgery involves the following steps:

• Anaesthesia : During the knee replacement surgery, the patient may receive either general anesthesia to induce a deep sleep or regional anesthesia to numb the affected area and provide pain relief.
• Incision : The surgeon typically makes an incision on the front of the knee, which is usually between 8 to 10 inches long. In some cases, a smaller incision of 3 to 4 inches may be used for minimally invasive knee replacement surgery.
• Resection of damaged tissue : The surgeon retracts the skin and muscle to expose the knee joint. The damaged bone and cartilage are then removed from the tibia, femur, and patella using specialized surgical instruments.
• Preparation of the bone: The remaining bone surfaces are shaped and smoothed to prepare them for the implant. The surgeon uses a saw to remove the ends of the tibia and femur and ensure a proper fit for the implant.
• Implant placement : The artificial knee implant is then attached to the remaining bone using cement, screws, or a press-fit technique.
• Resection of the patella : The back of the patella may also be resurfaced with plastic to allow for smooth movement.
• Wound closure : Once the knee implant has been positioned correctly by the surgeon, the incision site is typically closed using either sutures or staples, and a sterile dressing is applied to the area.

After a total knee replacement surgery, patients are typically taken to a recovery room where they are monitored for pain management and any complications. As soon as possible, patients begin physical therapy and rehabilitation to help restore mobility, strength, and range of motion in the knee joint. The length of hospital stay can vary depending on the individual's recovery progress, but it usually ranges from a few days to a week. The doctor may prescribe pain medication, anti-inflammatory drugs, and blood thinners to manage discomfort and prevent blood clots.

Total knee replacement surgery, also known as knee arthroplasty, is a surgical procedure to replace a damaged or worn-out knee joint with an artificial component. There are several benefits of total knee replacement surgery, including:

• Pain relief : The primary benefit of knee replacement surgery is to alleviate persistent pain in the knee joint.
• Improved mobility : Knee replacement surgery can help restore function and movement in the affected knee. Patients are typically able to walk and perform daily activities with less difficulty and less pain after the surgery.
• Increased independence : Many people who undergo knee replacement surgery are able to resume activities they were unable to do before surgery, such as climbing stairs or participating in sports.
• Better quality of life : By reducing pain and improving mobility, knee replacement surgery can help improve a patient's overall quality of life.
• Long-lasting results : Knee replacement surgery is a long-term solution that can provide lasting relief and improvement for years to come.
• Decreased need for pain medication : After knee replacement surgery, patients often experience significant reductions in pain and may require less medication to manage their symptoms.
• Improved mental health : The relief of chronic pain and restored mobility and independence can have positive effects on a patient's mental health, including decreased depression and anxiety.
• Reduced risk of long-term joint damage : By taking the pressure off the damaged knee joint, knee replacement surgery can help prevent further deterioration of the joint and reduce the risk of other complications such as cartilage damage and bone loss.

Overall, knee replacement surgery can provide significant benefits for individuals with severe knee pain and limited mobility.

Total knee replacement (TKR) surgery is generally considered to be a safe and effective treatment option. However, as with any surgical procedure, there are potential risks and side effects that patients should be aware of before deciding whether or not to undergo the surgery. Like any surgery, total knee replacement surgery carries certain risks and potential side effects. Some common side effects and risks of this surgery include:

• Pain and swelling around the knee : Postsurgical pain and swelling are common after knee replacement surgery. However, these side effects typically improve within a few weeks.
• Infection : Infections can occur after surgery, and they can be serious. Patients are at risk of developing an infection during and after surgery, and it can cause a fever, pain, and swelling.
• Blood clots : Blood clots are a risk after any surgery. The symptoms of blood clots include warmth, redness, and pain in the leg.
• Nerve damage : Nerve damage can occur during surgery, which may result in weakness or loss of sensation in the leg.
• Stiffness : Stiffness can develop in the knee, which can limit mobility and require additional rehabilitation.
• Loosening or dislocation of the implant : There is a risk that the implant may loosen or shift, which would require additional surgery to correct.
• Allergic reactions : There is a chance of an allergic reaction to the materials used in the implant.
• Difficulty with some activities: While many people can return to normal activities after surgery, there are some activities that may be difficult or require modifications.
• Reaction to anesthesia: Patients may have an allergic reaction to anesthesia, which can cause breathing problems, a drop in blood pressure, or other complications.

It is important to discuss the risks and potential side effects of total knee replacement surgery with a qualified healthcare professional and to carefully consider the benefits and risks of the procedure before going ahead.

Here are some steps that can help in recovering after total knee replacement surgery:

• Follow the doctor's postoperative instructions: After knee replacement surgery, the doctor will provide detailed postoperative instructions, including wound care, medications, pain management, and exercise regimen. It's essential to follow these instructions as closely as possible to avoid complications and ensure a smooth recovery.
• Manage pain and swelling : Managing pain and swelling is crucial after undergoing knee replacement surgery. Pain medication can effectively alleviate discomfort and swelling. Applying ice to the knee and elevating the leg can also aid in reducing swelling.
• Start physical therapy: Physical therapy plays a vital role in the recovery process after knee replacement surgery. A therapist will assist the patient in performing exercises aimed at enhancing knee mobility, flexibility, and strength. It's crucial to collaborate closely with the therapist and adhere to the recommended exercise routine.
• Use assistive devices: In the early stages of recovery, assistive devices such as crutches, walkers, and canes may be necessary to support walking and reduce the pressure on the knee. Using these devices can help to prevent falls and accidents while the knee is still healing.
• Gradually increase activity level: It's important to gradually increase physical activity as the knee heals. Starting with gentle walking and progressing to more strenuous exercises over time, patients can regain strength and mobility in the knee.
• Maintain a healthy lifestyle : A healthy diet and lifestyle can promote healing and support recovery after knee replacement surgery. Eating a balanced diet, staying hydrated, getting enough sleep, and avoiding smoking can all help to support the healing process.

In conclusion, recovering from total knee replacement surgery requires patience, commitment, and dedication. By following the doctor's instructions, working with a physical therapist, using assistive devices, gradually increasing activity, and maintaining a healthy lifestyle, patients can successfully recover and return to their regular activities.