What are the components of a knee replacement prosthesis?
- Femoral component- this part of the prosthesis represents the thigh portion and is made up of metal. It covers the end of the thigh bone.
- Tibial component- this part represents the shin bone which is made up of metal and UHMWPE material i.e. medical-grade plastic. This portion of the prosthesis covers the tip of the tibia.
- Patella or the knee cap- this portion of the prosthesis is made up of polythene and this is the largest part of the prosthesis.
When to opt for the knee replacement treatment option?
- Pain around the knee joint
- Difficulty while sitting or standing.
- Joint swelling
- Joint deformities
- Pain or deformities in knee joint
- Rheumatoid arthritis
Why does knee replacement treatment need to be done?
When a patient’s knee is damaged or diseased by any knee injury in the past or it is damaged by arthritis and the patient is unable to perform regular activities like walking or difficulty while standing after sitting at one place for a longer time, your doctor will definitely suggest you go for this surgical treatment option. Before that, your doc will evaluate your response with respect to all other nonsurgical treatment options like medications or walking with support and if this becomes no longer helpful, you should go for knee replacement surgery.
What are the types of knee replacement?
- Total knee replacement surgery – in case of severe arthritis, both the knees of the patients can be replaced by an open surgical procedure. Nowadays computer-assisted prosthetic alignment can be done before the actual surgical procedure which can also increase surgical precision and help in availing improved outcomes.
- Unicondylar knee replacement- this is a minimally invasive procedure that can be done if half of the joint gets worn out. This is more economical in nature. As this is a more conservative operative procedure, the post-operative recovery is faster.
What are the precautions you should take before undergoing knee replacement surgery?
- Consult all your queries related to the procedure with your surgeons and clear your doubts.
- Make sure you inform all your past and present medical history to your doctor.
- If you are prone to some allergic reactions or you are taking any herbal supplements, you need to mention that too.
- If you are under any medications especially on blood thinners like aspirin or some NSAIDs like ibuprofen, naproxen you should inform your doc and stop or adjust the dosage of those medications before surgery according to your physician’s advice.
- If you are anemic, you should start having iron supplements before you go for surgery.
- Women on OCP(Oral contraceptive pill) should stop taking pills at least before one month of surgery.
After getting confirmation from the lab reports and medical examination that you are undergoing total knee replacement surgery, your surgeon or medical personnel will guide you and your family about the Dos and Don’ts before surgery. You should also discuss whether a complete or partial knee replacement surgery will be necessary for you or not to imp[rove the function of the knee joint or to alleviate the joint pain you are suffering from.
What are the post-operative instructions you need to follow?
- Avoid vigorous cardio training or weight lifting.
- Heavy physical activities
- Use of Indian commode
- Avoid sitting on the floor with cross leg posture
What is the expected result of a knee replacement surgical procedure?
The surgical outcome can vary from person to person. You should discuss your expectations from the surgery with your surgeon before the surgery. After undergoing the knee replacement surgery patients can get relief from the pain and can resume their daily activities without any limitation. If the patient is having any leg deformity and you want to for the correction of that, you should consult with your orthopedic surgeon.
What is the procedure after getting a knee replacement surgery done?
- The patient is transferred to the post-operative observation room
- The bandage is tied over the knee
- A surgical drain is placed at the operated knee which is coming out of the bandage. This is done to remove any amount of collected blood and to reduce the chances of infection.
- An IV line is used to administer liquids or antibiotics over the next few days.
- IV channel is placed at the patient’s arm for blood transfusion during surgery if needed.
- A urinary catheter is placed in the case of elder patients to help in urine discharge.
Your medical personnel will monitor you for one night completely in the observation room. After the evaluation of all your test results i.e ECG, breathing rate, pulse rate, pulse pressure, your doc will give permission of shifting the patients into their respected room.
What is the post-operative management of such patients?
To get your previous mobility back after the knee replacement surgery, you need to go for physiotherapy in a systematic manner.
- You should start with in-bed exercise within 24 hours of the surgical procedure.
- After 24 hours of surgery, the drains should be removed and dressing size will be reduced and you can try at the bedside with one leg supported.
- After 2-3 days of surgery, you should stand and try a slow walk to the toilet with assistance.
- At this time you should use the western toilet with a high seat.
- After almost 14 days all the stitches are removed
- After 21 days you should start walking with some walking assistance or with a stick.
- And 4-6 weeks after the surgery the patient can start climbing the stairs with support.
- After 12 weeks postoperatively, you can start driving but you should do it with precautions like wearing a knee cap.
What are the FAQs you should ask your surgeon about after knee replacement surgery?
- What are all the medications you have to take?
- Will there be any follow-up visits?
- When can you resume your work and regular lifestyle?
- When can you start doing exercises?
- How to do the postoperative wound management and when the stitches will be removed?
What are some FAQs you should ask your surgeon about the knee replacement procedure?
- What is the success rate of knee replacement surgeries done by your surgeon?
- Will the new knee prosthesis start acting right after the replacement?
After how many days the patient can get discharged from the hospital?
The patient can get discharged after 5 days of surgery.
How much time can a patient expect that prosthesis to work properly?
The knee replacement prosthesis can work efficiently for up to 15 years.
How to choose doctors if you want to go for a knee replacement surgical procedure?
- You can go through the reviews of those who have already been through knee replacement surgical procedures in multiple medical forums and if you are worried about some negative review, you can always consult with your doctor about the matter.
- Look for the experience of orthopedic surgeons and positive patient stories.
- You can also look for the success rate of knee replacement surgery done by your surgeon.
Who are the best doctors for performing knee replacement surgery?
Well-experienced and board-certified general surgeons and orthopedic surgeons can perform the procedure. And make sure to check the accreditation of the hospital from where you are getting your knee replacement surgery done.
Why should you go for knee replacement surgery in India?
Along with the high-quality lifestyle here in India, you will get well-experienced and skilled surgeons who are comfortable with the best and latest available technology. You will get personalized care from trained medical personnel. Hence it ensures shorter hospital stays and quicker recovery.
Any botched-up case of knee replacement surgery in India?
To date no such cases have been reported as here in India, surgeons are way more skilled and experienced. But to avoid these kinds of cases, you should choose your surgeon carefully.
Do you feel that the cost is way out of your budget? Are you looking for insurance?
In India, the majority of health insurance coverage is for serious ailments. That’s why the chances of getting coverage for the procedure are higher. You can consult with your financial advisor related to the matter and explore the possibilities along with your surgeon. Though nowadays EMI facilities are available in some financial agencies. Even after that, you are feeling it’s difficult for you to avail yourself of the insurance, you can always ask your doctor to write one letter to your insurer describing the importance of this surgery on your health. If your insurance company provides coverage also, it will bear a partial amount of its budget. So make sure you read the details and go for it. Even if your insurance company bears it now, you might have to pay a higher premium for later.
Takeaway- if your orthopedic surgeon is suggesting you go for a knee replacement surgical procedure, you should go for it without any hesitation. Even after this, you are confused about your next step, you can always reach us.
We are always there to help you out.