Knee Replacement

Knee Replacement surgery, also known as Knee Arthroplasty is a surgical drill that involves replacing a damaged, worn or diseased knee joint with an artificial joint(made from metal and plastic components) to relieve pain, disability and provide continued motion of the knee.
Knee Replacement is mostly performed for osteoarthritis on patients with severe deformity from advanced rheumatoid arthritis, trauma or long standing osteoarthritis.
Adults of any age can be considered for a knee replacement, although most are carried out on people between the ages of 60 and 80, more people are now receiving this surgery at a younger age.

Symptoms that shows when a Knee Replacement is needed

Patients whose knee joints have been damaged by progressive arthritis, trauma, or any other rare destructive diseases of the joint, such that your mobility is reduced and you experience pain even while resting requires knee replacement. The most prevalent reason for knee replacement is severe osteoarthritis of the knees and should be considered when conventional treatments have been exhausted.

Other conditions that need knee Replacement include:

  • Rheumatoid arthritis
  • Haemophilia
  • Gout
  • Disorders that cause unusual bone growth (bone dysplasias)
  • Death of bone in the knee joint following blood supply problems (avascular necrosis)
  • knee injury
  • knee deformity with pain and loss of cartilage
  • Your knee pain is so severe that it interferes with your quality of life and sleep
  • Everyday tasks, such as shopping or getting out of the bath, are difficult or impossible
  • You’re feeling depressed because of the pain and lack of mobility
  • You can’t work or have a normal social life

Why Choose Jyotinursinghome for Knee Replacement?

Choose a Knee Specialist who performs knee replacement regularly and can discuss their results with you.

This is even more important if you’re having a second or subsequent knee replacement (revision knee replacement), which is more difficult to perform.

Jyotinursinghome is an NABH (PRE Entry Level) Accredited & an ISO 9001:2015 Certified Hospital.

State of Art infrastructure specialty centre for Orthopedics & Joint Replacements.

First Hospital to recognize the needs of Emergency & Trauma Care.

Modern Diagnostic & Latest Treatment facilities at affordable cost.

100 bed capacity, the ever growing need for high quality patient care

Dr. J.P. Maheshwari consultant orthopaedic doctor/surgeon in Jaipur and director Jyoti Nursing Home, Jaipur has been regularly getting training at AIIMS Delhi. He has done certification course in Joint Replacement at AIIMS Delhi & has been putting to use the knowledge gained for the benefit of patients at Jyoti Nursing Home, Jaipur.

After doing his MBBS in 1996 and MS in 2000 from SMS Medical College Jaipur, he has been working as an orthopaedic consultant at Jyoti Nursing Home, VKIA, Jaipur for last 17 years.

Joint Replacement has been his special field of interest.

His academic achievements include specializing in all the complex orthopedic surgeries (Knee & Hip Replacement), hand surgery and Arthroscopies.

He has been awarded with various fellowships both on national and international platforms.

He has performed a total of more than 15000+ successful orthopedic surgeries.

What is involved with the preoperative evaluation for knee replacement?

  • Before going for a surgery, the joints adjoining the diseased knee (hip and ankle) are carefully evaluated. This is important to make certain optimal outcome and recovery from the surgery.
  • In addition, all medications that the patient is taking are reviewed. Blood-thinning medications 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 prohibit 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 or 90 kgs. Excess body weight simply puts the replaced knee joint at an increased risk of loosening and/or dislocation and delays recovery time.

Staying active can strengthen the muscles around your knee and will aid your recovery. Continue exercising such as walking and swimming in the weeks and months before your operation. You can be referred to a physiotherapist, who will give you helpful exercises.

Types of knee replacement surgery

Types of Knee Replacement surgery, depending on the condition of the knee:

  • Total knee replacement (TKR)

    – both sides of your knee joint are replaced

  • Partial (half) knee replacement (PKR)

    – only one side of knee joint is replaced with a shorter hospital stay and recovery period

Alternative surgery

There are alternative surgeries for knee replacement, but their results are not good in the long run.

Alternatives surgeries include:

  • Arthroscopic washout and debridement
  • Osteotomy
  • Mosaicplasty

What are the risks of undergoing a knee replacement?

Knee replacement is a common surgical procedure where most people don’t experience complications. However, as with any other surgery, there are risks as well as benefits of Knee Replacement.

Complications may include:

  • Deep vein thrombosis (DVT)
  • Fractures
  • Loss of motion
  • Instability
  • Infection
  • Unexpected bleeding into the knee joint
  • Ligament, artery or nerve damage in the area around the knee joint
  • Persistent pain the in the knee

Recovering from knee replacement surgery

Knee replacement surgery mostly requires 1 ½ to 3 hours of operative time. Immediately after surgery, patient is taken to a recovery room, where vital organs are frequently monitored. After being stabilized, patient is returned to his/her hospital room.

Urination can be difficult in the immediate postoperative period, and this can be aggravated by pain medications, to avoid such condition a catheter is inserted into the urethra allowing free passage of urine until the patient becomes more mobile.

You’ll usually be hospitalized for three to five days after Knee Replacement Surgery, but recovery time can vary depending on the individual and type of surgery carried out.

Many people can stop using walking aids within six weeks after surgery, and can start driving after eight to 12 weeks.

Full recovery can take up to 2 years. A very small amount of people will continue to experience some pain even after two years.

Does patient continue to improve as an outpatient after discharge from the hospital with recommended exercises?

For an ideal result after knee replacement surgery, it is important to opt for an outpatient physical-therapy program along with home exercises. Patients need to continue exercising the muscles around the replaced joint to prevent scarring and maintain muscle strength for the purposes of stability of new joint. These exercises after surgery will reduce recovery time and lead to maximum strength and stability.

Sports activities like running is avoided in favor of leisure sports such as golf and swimming.

Swimming improves muscle strength and endurance without exerting any pressure or stress on the replaced joint.