orthopedic

Knee Replacement Surgery has become one of the most successful and reliable orthopaedic procedures for people suffering from severe knee pain, stiffness, or mobility issues. Whether caused by osteoarthritis, rheumatoid arthritis, injury, or age-related wear and tear, knee problems can affect daily life, making even simple activities like walking or climbing stairs painful. This blog will help you understand what Knee Replacement Surgery is, how it works, its types, risks, recovery timeline, and why choosing a specialised center like Kolekar Hospital ensures better outcomes.

What Is Knee Replacement Surgery?

Knee Replacement Surgery, also known as knee arthroplasty, is a procedure where damaged knee joint surfaces are removed and replaced with artificial implants (prostheses). These artificial parts recreate the natural movement of the knee, reduce pain, and restore mobility.

It is recommended when:

  • Pain persists even after medications, physiotherapy, or injections
  • Joint deformity like bow legs or knock knees develops
  • Knee stiffness affects basic activities
  • X-rays show significant joint damage
  • Pain affects sleep and daily routines

Knee Replacement Surgery offers long-term relief and can significantly improve the quality of life for patients suffering from chronic knee conditions.

Who Needs Knee Replacement Surgery?

Most candidates for Knee Replacement Surgery fall into these categories:

1. Osteoarthritis

This is the most common reason. The protective cartilage in the knee wears away, leading to bone-on-bone friction.

2. Rheumatoid Arthritis

An autoimmune condition causing chronic inflammation and severe joint damage.

3. Post-Traumatic Arthritis

Injury-related cartilage or ligament damage eventually leads to arthritis.

4. Knee Deformities

Excessive bending of the knee, bowing, or misalignment can worsen pain.

5. Failed Previous Surgeries

Patients who have had unsuccessful knee procedures may require revision Knee Replacement Surgery.

Types of Knee Replacement Surgery

Understanding the types helps patients and families make informed decisions.

1. Total Knee Replacement (TKR)

The entire knee joint is replaced with prosthetic components.

Recommended for:

  • Advanced arthritis
  • Severe joint degeneration
  • Patients with deformity or long-term knee damage

2. Partial Knee Replacement (PKR)

Only the damaged portion of the knee, medial, lateral, or patellofemoral, is replaced.

Benefits include:

  • Smaller incision
  • Faster recovery
  • Less bone removal

3. Robotic Knee Replacement Surgery

Robotic-assisted tools help the surgeon perform the procedure with greater accuracy, improving implant fit and longevity.

4. Revision Knee Replacement

Used when a previous implant wears out, loosens, or fails due to infection or trauma.

How Knee Replacement Surgery Is Performed: Step-by-Step Procedure

The process begins with preoperative evaluation and ends with rehabilitation. Here is a detailed overview of the procedure:

1. Preoperative Assessment

  • X-rays, CT scans, or MRI
  • Blood tests
  • Heart evaluation
  • Discussion about anesthesia options
  • Pre-surgery physiotherapy

2. Anesthesia

Patients receive either:

  • Spinal anesthesia
  • General anesthesia
    The type depends on the patient’s health and preference.

3. Incision and Exposure

A surgical incision is made over the knee to access the joint.

4. Removal of Damaged Tissue

The surgeon removes damaged cartilage, worn-out bone, and any irregular surfaces.

5. Implant Placement

Prosthetic components made from metal and polyethylene are fixed on the thigh bone, shin bone, and kneecap.

6. Alignment and Balancing

Proper alignment is crucial for smooth knee movement and implant longevity.

7. Closure and Dressing

The incision is closed with sutures or staples, followed by sterile dressing.

8. Postoperative Monitoring

Patients are shifted to a recovery room where vital signs are observed.

Components Used in Knee Replacement Surgery

ComponentMaterial UsedFunction
Femoral ComponentMetal (Cobalt-Chromium)Replaces thigh bone surface
Tibial ComponentMetal + PolyethyleneReplaces shin bone surface
Patellar ComponentPolyethyleneReplaces knee cap surface
SpacerPolyethyleneEnsures gliding movement

Benefits of Knee Replacement Surgery

Patients undergoing Knee Replacement Surgery can expect:

  • Long-term relief from knee pain
  • Increased mobility and flexibility
  • Ability to walk comfortably
  • Improved knee alignment and stability
  • Better quality of life
  • High success rate (over 95% in most cases)

For many people, Knee Replacement Surgery restores the ability to participate in daily activities, travel, or even resume low-impact exercises.

Risks and Possible Complications of Knee Replacement Surgery

Although Knee Replacement Surgery is safe, like any major procedure, there are potential risks. Understanding them helps patients stay alert during recovery.

1. Infection

Deep or superficial wound infections may require antibiotics or additional surgery.

2. Blood Clots (DVT)

Clots can form in the leg veins, especially during the initial days of recovery.

3. Implant Loosening

Rare but possible if the implant wears out over time.

4. Nerve or Blood Vessel Injury

Though rare, nearby nerves or blood vessels may get affected.

5. Stiffness in the Knee

Patients may experience limited knee movement if physiotherapy is delayed.

6. Allergic Reaction to Metals

Some patients may experience irritation from implant materials.

7. Persistent Pain

A small percentage of patients may continue to feel pain despite successful surgery.

Recovery After Knee Replacement Surgery

Recovery is a combination of rest, physiotherapy, lifestyle modifications, and regular follow-ups.

Day 1–3

  • Mild walking with support
  • Pain and swelling management
  • Leg exercises guided by physiotherapists

Week 1–4

  • Increased walking distance
  • Improved knee bending
  • Transition from walker to stick
  • Reduced pain medications

Month 1–3

  • Strengthening exercises
  • Better balance and stability
  • Return to routine activities

Month 3–12

  • Most patients walk comfortably
  • Implant adjusts to natural movement
  • Resuming light sports like swimming or cycling (only after doctor approval)

Expected Recovery Timeline After Knee Replacement Surgery

Time PeriodPatient Progress
1–2 WeeksWalking with support, reduced swelling
3–6 WeeksAble to walk comfortably, increased mobility
2–3 MonthsImproved knee strength, return to normal routine
6–12 MonthsFull recovery, implant functioning optimally

Life After Knee Replacement Surgery

Most patients experience a dramatic improvement in lifestyle after Knee Replacement Surgery. With proper care, the artificial knee can last 15–20 years or more.

Things Patients Can Do

  • Walking
  • Swimming
  • Climbing stairs
  • Cycling
  • Yoga (with modifications)

Things to Avoid

  • High-impact sports
  • Heavy weight lifting
  • Running or jumping
  • Twisting motions

Cost of Knee Replacement Surgery

The cost of Knee Replacement Surgery varies based on:

  • Type of implant
  • Surgeon’s expertise
  • Hospital facilities
  • Type of surgery (Total/Partial/Robotic)
  • Diagnostic tests
  • Post-operative physiotherapy

Kolekar Hospital offers advanced knee care with transparent pricing and personalised treatment plans.

Why Choose Kolekar Hospital for Knee Replacement Surgery?

Kolekar Hospital is known for offering specialised orthopaedic care with advanced technology and expert surgeons. Here’s why patients trust us:

  • Experienced knee replacement specialists
  • High-quality implants with long lifespan
  • Robotic and minimally invasive surgical options
  • Excellent physiotherapy and rehabilitation support
  • Advanced infection control systems
  • Personalised treatment plans
  • High success rate and patient satisfaction

Our multidisciplinary team ensures that every patient receives complete support from diagnosis to rehabilitation.

Frequently Asked Questions (FAQs)

1. How long does Knee Replacement Surgery take?

Usually 1–2 hours depending on the type of surgery.

2. When can patients walk after Knee Replacement Surgery?

Most patients begin walking with support within 24 hours.

3. How painful is the recovery?

Mild to moderate pain is expected initially and is well managed with medication and physiotherapy.

4. Is Knee Replacement Surgery safe for senior citizens?

Yes, it is safe when performed with proper evaluation and monitoring.

5. How long does the implant last?

Most implants last 15–20 years or more with proper care.

Conclusion

Knee Replacement Surgery is a life-changing procedure for individuals struggling with chronic knee pain, joint damage, or mobility limitations. With proper evaluation, expert surgical care, and structured rehabilitation, patients can return to an active, pain-free lifestyle. If you or a loved one is considering Knee Replacement Surgery, Kolekar Hospital offers reliable, advanced, and personalised care for the best outcomes.

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