Knee Replacement Surgery
Knee Replacement surgery in India, Knee joint is made up of the lower end of the femur which hinges on the upper end of the tibia and patella or knee cap which slides around the groove formed by the femoral condyles. Total knee replacement surgery is a procedure in which a painful or poorly functioning knee is replaced with artificial components.
The surgery began by making an incision on the front edge of your knee. After separating the muscles and the ligaments around your knee. Your surgeon will incise the knee capsule to gain access to the inside of the joint, using specialized tools your surgeon will remove the damaged bone and cartilage on the end of the femur and tibia, and in most cases also remove the underside of the patella. Your surgeon will then prepare the remaining bone to receive your new prosthetic knee. The generally consist of a femoral, a tibia, and a patellar component. Once the ends of the bone are prepared. Your surgeon will cement the new prosthesis into a position. Before your incision is closed an X-Ray will be taken to ensure that the new-component of your knee are positioned correctly. Your surgeon will close the incision with stitches and staple and temporarily leave a drain in place to remove excess of fluid.
Meniscal Replacement Surgery
Meniscus is a C-shaped cartilage that acts as a cushion in the knee joint and prevents friction and wear and tear of the knee joints. Once the meniscus is damaged it may lead to persistent pain, swelling, and can pre-dispose to arthritis. In such case the only treatment is to undergo Meniscal replacement surgery where the damaged meniscus is removed and the side is prepared to receive a new meniscal implant which is derived from a deceased donor. The whole procedure is performed arthroscopically under the general anaesthesia. The other non-surgical treatment options include Ice application, elastic bandage, elevation, and physical therapy.
The meniscus is a C-shaped cartilage ring, that acts like a cushion between the shin bone and the thigh bone, each of your knees has two menisci, one on the inside ,medial aspect and the other one outside (Lateral aspect) of your knee part. Apart from the cushiony effect the menisci also provide stability to the knee. The menisci tear is a common knee injury that usually occurs secondarily to trauma and is common to athlete or elderly. A damaged meniscus pre-disposes to persistent pain, swelling, and arthritis. Treatment of the meniscal tear depends on its type, severity and location of the tear, non-surgical options may include ice application, rest, elastic bandage, elevation, and physical therapy.
The goal of meniscal surgery transplant is to reduce pain and prevent arthritis changes. The surgery is performed under general anaesthesia. The procedure is usually performed with the help of an arthroscope which is used to visualise internal structures of the knee. The cartilage used for transplantation is derived from a deceased donor. For the surgery a surgical incision is made over the upper part of the knee in the damaged meniscus. The damaged meniscus is removed and the side is prepared to receive a new meniscal implant on the proper side under the arthroscopically guidance. The new meniscus is then sutured to the surrounding tissue for which an additional small incision is required. Screener or other fixation instruments are used to secure the meniscus in place. Post-operative care include wearing a knee brace to support the implant for the first one to 2 weeks. Also required to use crutches to avoid any press/pressure on the knee.
What is a Total Knee Replacement?
A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. The thighbone (or femur) abuts the large bone of the lower leg (tibia) at the knee joint. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic piece with a metal stem. Depending on the condition of the kneecap portion of the knee joint, a plastic “button” may also be added under the kneecap surface. The artificial components of a total knee replacement are referred to as the prosthesis.
Total knee replacement or a Knee replacement joint is a condition where the ailing, injured or damaged knee is replaced by artificial or metal prosthesis. Knee replacement is preferred to the people whose knee joint is severely destroyed and suffering from severe pain causing impaired function of the movement.
A total knee replacement joint involves a surgery where the knee joint is replaced with the artificial material. The knee joint constitutes of lower end of the femur which hinges on the upper end of the tibia and patella or knee cap which slides around the groove formed by the femoral condyles. During the surgery the end of the femur bone as well as lower leg bone (Tibia) is removed and replaced with a metal prosthesis.
Best knee replacement surgery in India, totally depends upon the artificial material used to replace the knee joint. When considering the best knee replacement surgery a patient as well the surgeon needs to understand certain criteria while choosing the implant which are like Implant which is most durable having longest track record, and knowing the design and trends of implants used at present time, also using the implants suggested by the patients and evaluating its appropriate use in patients.
The posterior cruciate ligament is a tissue that normally stabilizes each side of the knee joint so that the lower leg cannot slide backward in relation to the thighbone. In total knee replacement surgery, this ligament is either retained, sacrificed, or substituted by a polyethylene post. Each of these various designs of total knee replacement has its own particular benefits and risks.
Knee Replacement Cost in India
Knee replacement costs in India widely vary by the type of the material/metal used in the replacement. For example- implants made up of cobalt chromium can cost an average of 50,000-60,000 INR, whereas material like titanium and oxidised zirconium prosthesis used during total replacement surgery costs around 70,000-80,000 INR. Knee Replacement surgery in India, Some other factors which can contribute to the price of knee replacement surgery includes unilateral or bilateral knee joint replacement, Number of days to be stayed in the hospital, type of hospital (Public/private) and condition of the patient.
Total Knee Replacement facts
- Patients with severe destruction of the knee joint associated with progressive pain and impaired function maybe candidates for total knee replacement.
- Osteoarthritis is the most common reason for knee replacement operation in the U.S.
- Risks of total knee replacement surgery have been identified.
- Physical therapy is an essential part of rehabilitation after total knee replacement.
- Patients with artificial joints are recommended to take antibiotics before, during, and after any elective invasive procedures (including dental work).
Knee Replacement Surgery Time
Total knee replacement or a Knee replacement surgery time lasts for around one to three hours where the orthopaedic surgeon performs a surgery on the ailing Knee where the knee joint is replaced with a metal implant. Knee replacement surgery provides a dramatic improvement in the pain caused due to the damaged knee joint. The Knee replacement surgery time depends upon the condition of the patient, type of the procedure whether it is partial replacement or total knee replacement surgery.
Partial Knee Replacement Cost
Partial Knee replacement in India is a procedure where the surgery is performed on the knee joint when a patient is suffering from osteoarthritis with a smaller incision and less loss of blood and bone, Partial knee replacement cost generally ranges between 1. 5 Lakh to 2.5 lakh which also depends on various factors like the type of the material that will be used, type of hospital and stay, doctors fee and experience, condition of the patient for recovery, Number of days to be stayed in the hospital.
Joint Replacement Surgery
Joint replacement surgery is performed in the people who are suffering from osteoarthritis or whose knee joint is completely damaged and unable to move experiencing tremendous pain. Knee joint I is composed of two important joints that bears the whole body weight, the lower end constitutes the femur and the upper end of the tibia both of which hinges around the patella or knee cap helping the joint slide around the groove formed by the femoral condyles.
Joint replacement surgery involves making an incision on the front edge of your knee, accessing the damaged parts and removing them carefully by separating the muscles and the ligaments around your knee. The surgeon with the help of specialized tools remove the damaged bone and cartilage on the end of the femur and tibia, and in most cases also remove the underside of the patella. After the removal of the damaged parts the surgeon will carefully introduce your new prosthetic knee, which generally consist of a tibia, femoral, and a patellar component. Your surgeon will cement the new prosthesis into a position, an X-ray will be taken in order to ensure the metal prosthesis is in place and you will be taken into the recovery room after that.
Meniscal Surgery Transplant
A meniscal transplant surgery is a procedure where the damaged meniscus is replaced by a donor cartilage. Meniscus is a C-shaped cushiony cartilage that prevents friction and wear and tear of the knee joints by providing cushion like effect.
A damaged meniscus may lead to persistent pain, swelling, and can pre-dispose to arthritis. In such case Meniscal transplant surgery is the best treatment option to overcome the pain. The whole procedure is performed arthroscopically under the general anaesthesia.
Best Knee Replacement Surgery is something every suffering patient would like to have, there are various factors when compiled together can lead to best knee replacement surgery. The factors one should consider before going for a knee replacement surgery include selecting a good implant which is most durable and having a longest track record, after all it is an artificial metal implant which will be embedded in your body for life long. Selecting a good orthopadician who has immense experience in providing a best knee replacement surgery is another factor along with the facilities and care provided in the hospital.
Hip Replacement Surgery in India
Hip replacement surgery is a procedure where the damaged hip joint is replaced by the artificial metal or plastic prosthesis. The replacement of this joint becomes necessary because of the tremendous pain caused due to the damage that may lead to difficulty in walking and any movement. Hip joint is made up of two important elements of the skeletal system called the femoral head which constitutes the upper part and the lower part of the joint is made up of acetabulum which is the socket part of the pelvis. Hip joint is a type of ball and socket joint, where the ball represents the head of femur and socket makes the acetabulum.
Total hip replacement is done to achieve pain relief and improve the function of the hip joint enabling a person to walk. The surgery is a complex procedure that takes around 1-3 hours for the whole procedure to be completed. During the procedure the femoral head is removed and replaced by a metal shaft and the acetabulum is restructured with a hollow metal prosthesis. Once the surgery is completed the surgeon performs a check to see that the acetabulum component and femoral component are in fully place by performing an X- Ray which helps verify if this joint is properly positioned or not. The cost of Single hip replacement surgery is around 1.5-3 lakh, and for and for bilateral hip replacement surgery where both the hips are replaced it may cost double ranging from 3-6 lakh. There are also procedures which can cure the pain and inability to walk due to damaged hip joint which include the following:
Minimally Invasive Hip Replacement
This is a type of surgery which involves minimal invasion of the hip joint where a small incision is made causing lesser loss of blood and bone and helping in faster recovery. This also has an advantage of costing which is cheaper when compared to the total hip replacement surgery.
Hip resurfacing is a type of procedure which involves removal of the femoral head and introduction of a hip stem down the shaft into the femur bone. This procedure is quite safe and effective procedure. This procedure on the other hand helps preserve the femoral neck unlike in total hip replacement surgery. Hip resurfacing involves minimal removal of the bone around the femoral head in order to shape it accordingly to fit tightly inside the hip.
What is involved with the preoperative evaluation for total knee replacement?
Knee Replacement surgery in India, Before surgery, the joints adjacent to the diseased knee (hip and ankle) are carefully evaluated. This is important to ensure optimal outcome and recovery from the surgery. Replacing a knee joint that is adjacent to a severely damaged joint may not yield significant improvement in function as the nearby joint may become more painful if it is abnormal. Furthermore, all medications that the patient is taking are reviewed. Blood-thinning medications such as warfarin (Coumadin) and anti-inflammatory medications such as aspirin may have to be adjusted or discontinued prior to surgery.
Routine blood tests of liver and kidney function and urine tests are evaluated for signs of anemia, infection, or abnormal metabolism. Chest X-ray and EKG are performed to exclude significant heart and lung disease that may preclude surgery or anesthesia. Finally, a knee replacement surgery is less likely to have good long-term outcome if the patient’s weight is greater than 200 pounds. Excess body weight simply puts the replaced knee at an increased risk of loosening and/or dislocation and makes recovery more difficult.