Early arthritis of the Knee Joint can be managed with exercises, weight reduction, medicines & physiotherapy. But if the arthritis is in advanced stage where the patient is having difficulty in walking, carrying out activities of daily living or having pain even at rest then knee replacement is needed. Further if there is deformity in the legs or patient is having instability while walking then also Knee replacement is needed.
Total Knee Replacement involves replacing / resurfacing the damaged cartilage at the end of bones by cementing the bone and applying artificial metal knee components. The ACL, and both menisci are cut but PCL is preserved (CR KNEE) or cut (PS KNEE) depending upon its status. Rest soft tissues are preserved.
If the patient is having problem in both his knees and is medically fit after being examined by the physician & anesthetist, then both the knees can be replaced together. 99 percent of patients undergo simultaneous both knee replacement safely and successfully.
I perform Total knee Replacement using RAPID RECOVERY KNEE REPLACEMENT PROGRAM which involves MIS (Minimally Invasive Technique) with latest implants, best pain control techniques, early mobilization and minimal blood loss and soft tissue trauma leading to quick recovery. 90 % patients are made to walk from the same day or the next day with the help of a walker. By the time patient is discharged (usually 4-5 days) he/she can ambulate on his own with the help of a walker. Gradually with exercises and physiotherapy, patient progresses to walking with a cane and then without any support in 3-6 weeks. Usually by 2 months a Knee Replacement patient can start doing household chores like cooking, can go for walks, driving. The person can lead an almost normal life by 4-5 months. Patients are allowed sports like swimming, cycling, or playing golf but should avoid physical sports like football, basketball, running etc.
There's no one-size-fits-all answer for deciding when to have surgery. Your orthopedic surgeon or other doctors will help you determine when surgery is the most appropriate next step. Key considerations include whether you're in pain, if you're experiencing instability or decreased mobility, and whether the injury or condition is affecting your quality of life.
With just about any orthopedic surgical procedure, including joint replacement surgery and revision surgery (replacing a worn-out artificial joint from a previous surgery), you'll have some pain and swelling. Your doctor and clinical team will work with you to effectively manage your pain and ensure you're healing as expected.
Many factors determine how long it will take for you to fully recover and see the benefits of orthopedic surgery. For some patients, recovery takes a few weeks. For others, it can take several months. Depending on your overall health, the condition for which you were treated and the type of surgery performed, you may be able to go home the same day or the day after surgery even if you had total joint replacement surgery.
In most cases, you'll be discharged to your home. In-home nursing care or outpatient physical therapy will maximize the benefits of your surgery. A small group of patients may need to spend a few days at a skilled nursing facility before they can return home. Talk to your orthopedic surgeon to learn more about what your individual recovery plan may look like.
While the goal of surgery is to restore function and get you moving without pain, there are usually some limitations after orthopedic surgery. Talk to your orthopedic surgeon about realistic expectations after surgery.
An orthopedic doctor specializes in diagnosing and treating musculoskeletal disorders such as muscle strains, arthritis of the hip and knee, fractures, ankle sprains, shoulder tendonitis, bursitis, and more. There are orthopedic doctors who do not do surgery and focus on patient management through non-surgical treatments. An orthopedic surgeon is a medical doctor who can provide non-surgical treatments, as well as perform surgery on bones, joints, ligaments, and tendons to treat patients. Many are also trained and capable of performing highly advanced, minimally advanced arthroscopic surgery.
Some insurance companies require a doctor's referral to approve physiotherapy claims, while others do not. Always verify the requirements with your insurance provider before starting treatment.
Joint replacement surgery is a procedure in which a damaged joint is replaced with an artificial one. Joint replacements are most commonly performed on the hip and knee but can also be performed on the shoulder, elbow, wrist, finger, and ankle.
People who need a joint replacement typically have persistent pain that does not respond to conservative treatments, such as medications or physical therapy. In some cases, X-rays may show evidence of bone damage due to wear and tear from long-term use of the joint. If you or a loved one suffers from these symptoms, speak with an orthopedic surgeon about joint replacement.
Recovery time depends on many factors, including age, health status prior to surgery/injury, and the type of procedure performed. Orthopedic surgeries that are minimally invasive usually allow patients to have a faster recovery, provided they stick to their physical therapy and rehabilitation program.
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