Knee Replacement
Knee Replacement Surgeon
If you are suffering from hip, knee, or any other joint pain and are looking for the best care, Om Hip and Knee Specialty Orthopedic and Physiotherapy Clinic have the best knee replacement surgeon. provide complete, personalized evaluation and treatment for patients with the most severely damaged hips and knees. We use state-of-the-art, most advanced treatments for joint reconstruction for each individual to enable them to enjoy a Healthy life. Advances in technology and better materials and designs have led to hip, knee, and joint replacements surgeon that allow speedier healing and last for years.
We treat patients for knee replacement surgery in pcmc, pune in all over Maharashtra, India. In case you need a first opinion or a second opinion, please feel free to get in touch with us.
Total Hip & Best Knee Replacement Surgeon in Pune
Dr. Aniket Patil is the best Hip and best knee joint replacement surgeon in Pune and PCMC. In this procedure, the knee is replaced with an artificial joint. It requires major surgery and hospitalization. The surgeon replaces the damaged portions of the knee with plastic and metal parts.
The repayment of Same-Day-Both-Knee Surgery is that it takes you half the time to fully recover from the knee surgery. Although you are out of bed and walking on the second day after surgery. And climbing stairs 5 days after surgery, it takes approximately 3 months to fully recover from this surgery. Have complete freedom to do what you like.
What Is Knee Replacement Surgery Procedure?
A Best knee replacement surgeon in Pune provides you a Total Knee Replacement / Total Knee Arthroplasty surgery which is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities. Total Knee replacement surgery in pcmc is required for patients with severe knee osteoarthritis [wear and tear]. If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down. Total Knee replacement relieves knee pain and increases your activity level. In this surgery worn-out parts of bones and cushions in the knee are excised and replaced by artificial materials [metal alloy and plastic].
Knee replacement surgery in pune was first performed in 1968. Since then, improvements in surgical materials and techniques have greatly increased its effectiveness.
Whether you have just begun exploring treatment options or have already decided to have total knee replacement surgery, the following information will help you understand more about this valuable procedure.
Advantages of knee replacement surgery
Some advantages of knee replacement surgery include:
- Pain relief: Knee replacement surgery can effectively relieve chronic pain caused by conditions such as osteoarthritis, rheumatoid arthritis, or other degenerative joint diseases. By replacing damaged joint surfaces with artificial components, knee replacement surgery can reduce or eliminate pain, allowing individuals to resume normal activities and enjoy a better quality of life.
- Improved mobility and function: Knee replacement surgery can restore mobility and function to a knee joint that has been severely damaged by arthritis or other conditions. This can enable individuals to regain the ability to walk, climb stairs, participate in physical activities, and engage in daily tasks that may have been difficult or impossible due to knee pain and dysfunction.
- Enhanced quality of life: Knee replacement surgery can have a significant positive impact on an individual’s overall quality of life. By relieving pain, improving mobility, and restoring function, knee replacement surgery can help individuals return to their normal activities, hobbies, and social life, leading to improved physical, emotional, and mental well-being.
- Long-term durability: Modern knee replacement implants are designed to be durable and long-lasting, with the potential to provide pain relief and improved function for many years. This can allow individuals to enjoy the benefits of knee replacement surgery for an extended period of time and potentially avoid or delay the need for additional surgeries.
- Customization: Knee replacement surgery can be tailored to each individual’s unique anatomy and condition. Surgeons can choose from a variety of implant designs, materials, and techniques to customize the surgery to meet the specific needs of the patient, resulting in improved outcomes and patient satisfaction.
- Minimally invasive options: Advancements in surgical techniques have led to minimally invasive approaches for knee replacement surgery, which can result in smaller incisions, less tissue damage, reduced blood loss, and faster recovery times compared to traditional open surgeries.
- Rehabilitation and post-operative support: Following knee replacement surgery, patients typically undergo a rehabilitation program to aid in their recovery and maximize their outcomes. Rehabilitation may include physical therapy, occupational therapy, and other supportive measures to help patients regain strength, flexibility, and functional abilities.
It’s important to note that knee replacement surgery, like any surgical procedure, does come with risks and potential complications. Each individual’s situation is unique, and the decision to undergo knee replacement surgery should be made in consultation with a qualified healthcare professional after careful evaluation of the potential benefits and risks based on the individual’s specific condition and overall health.
Knee Joint
The knee is the joint where the bones of the lower and upper legs meet. The knee joint replacement surgeon moves like a hinge, allowing you to sit, squat, walk or jump. The knee consists of three bones:
- Femur – the upper leg bone, or thigh bone.
- Tibia – the bone at the front of the lower leg, or shin bone.
- Patella – the thick, triangular bone that sits over the other bones at the front of the knee, or kneecap.
The ends of the bones are covered with a layer of cartilage, a slick, elastic material that absorbs shock and allows the bones to glide easily against one another as they move.Between the tibia and femur bone are two crescent-shaped pads [cushion] of connective tissue that reduce friction and disperse the weight of the body across the joint. They are:
- The lateral meniscus.
- The medial meniscus.
The bones are held together by a joint capsule, which consists of two distinct layers an outer layer of dense connective tissue and an inner membrane, called the synovium, which secretes a fluid to lubricate the joint.Two groups of muscles support the knee. They are:
- Hamstrings muscles on the back of the thigh, which run from the hip to just below the knee and work to bend the knee.
- Quadriceps four muscles on the front of the thigh that run from the hip to the knee and straighten the knee from a bent position.
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Knee Joint Pain Osteoarthritis
What is Osteoarthritis of Knee Joint pain?
Degeneration of joint cartilage [cushion] and the underlying bone. The most common cause of chronic knee pain and disability is arthritis.
Common causes of knee arthritis :
- Osteoarthritis
- Rheumatoid arthritis
- Arthritis following injuries
Osteoarthritis usually occurs after the age of 50-55. The cartilage becomes soft and undergoes wear and tear. The bones then rub against one another causing knee pain and stiffness.
Rheumatoid Arthritis is a disease in which the synovial membrane becomes thickened and inflamed which damages the cartilage and eventually causes cartilage loss, pain, and stiffness. Post Traumatic Arthritis can follow a serious knee injury like a fracture or severe tears of the knee’s ligaments.
Best Knee Replacement Surgery in Pune
The Indication of Best Knee Replacement Surgeon:
The total knee replacement surgery decision should be a cooperative one between you, your family, and the orthopedic surgeon.
- Knee pain that limits your activities of daily living, including walking, stairs climbing, and getting in and out of chairs. It may be very difficult to walk for 50 to 100 feet and may require support.
- Resting knee joint pain. Severe knee pain throughout the day.
- Chronic knee pain not relieved with non-operative treatment [like oral painkillers, local gel application, braces]
- Bowing deformity of Knee joint
- Restricted knee movement or stiffness in knee joint
Single or Both Knee Total Knee Replacement Surgery:
Simultaneous Bilateral Total Knee Replacement – A Simultaneous procedure means to replace both knees on the same day, under one anesthesia. It includes undergoing anesthesia only once, fewer days in the hospital, and only one rehabilitation that lets you resume normal activities sooner than two separate ones. Simultaneous knee replacement surgery is also a good option if the condition of your both knee joints is so poor that replacing only one joint would still leave you unable to function during physical therapy, thereby slowing your recovery.
Staged Bilateral Total Knee Replacement – The Staged procedure means that both knee replacements take place as two separate surgical events. Surgeries are performed several months apart from one from the other, requiring two hospital stays, two anesthesias and two rehabilitation periods. People with age over 80 years and those with cardiovascular or lung disease are usually offered staged procedures. If you have any significant medical risks, you are probably better off having two separate operations.
Pre-operative [Before Surgery] Preparation:
- Medical Evaluation
- Physical examination with an orthopedic surgeon and physician several weeks before the Single or both knee Total Knee Replacement.
- Investigations: X-Ray, Blood investigations, ECG, 2D ECHO, Urine tests
- Dental Check-up.
- Cardiology check-up.
- Additional medical conditions assessment.
- Arrangement for blood transfusion.
- Medication modification: Medicines like blood thinners should be adjusted or stopped as per physician advice.
Total knee replacement surgery procedure
Total knee replacement surgery procedure, also known as total knee arthroplasty (TKA), is a surgical procedure in which a damaged or arthritic knee joint is replaced with an artificial implant to relieve pain and improve function. Here is a general overview of the total knee replacement surgery procedure:
1. Preoperative Assessment:
- Before surgery, the patient undergoes a thorough medical evaluation, including physical examination, imaging tests (X-rays, MRI), and blood tests.
- The surgeon assesses the severity of knee joint damage and determines the need for surgery.
2. Anesthesia:
- The patient is given either general anesthesia, where they are asleep throughout the procedure, or regional anesthesia, such as spinal or epidural anesthesia, where only the lower part of the body is numbed.
3. Incision:
- The surgeon makes an incision on the front of the knee, exposing the damaged joint.
4. Bone Preparation:
- The damaged ends of the thigh (femur) and shin (tibia) bones are removed using precision instruments, leaving behind healthy bone.
5. Implant Placement:
- Metal components are attached to the newly prepared bone surfaces using bone cement or through a press-fit technique.
- A plastic spacer is placed between the metal components to create a smooth gliding surface.
6. Patellar Resurfacing (Optional):
- The undersurface of the kneecap (patella) may be resurfaced with a plastic component if deemed necessary.
7. Wound Closure:
- The surgeon closes the incision with stitches or staples.
8. Postoperative Care:
- The patient is moved to the recovery room and monitored closely.
- Physical therapy is initiated soon after surgery to promote joint mobility and strengthen the surrounding muscles.
9. Hospital Stay:
- The length of hospital stay varies, but most patients stay for a few days, depending on their overall health and progress.
10. Rehabilitation:
- Physical therapy continues after discharge to help the patient regain strength, flexibility, and function.
- Patients are given guidelines for activities and exercises to perform at home.
11. Follow-up:
- Regular follow-up appointments are scheduled to monitor the progress of the joint replacement and address any concerns.
Potential Risks and Complications:
- Infection
- Blood clots
- Nerve or blood vessel damage
- Implant failure
- Persistent pain or stiffness
It’s important to note that every patient’s experience may vary, and the details of the procedure can be adjusted based on individual factors. The decision to undergo total knee replacement surgery procedure is made collaboratively between the patient and the orthopedic surgeon after careful consideration of various factors.
Best Total Knee Replacement Surgeon in Pune
Admission to Hospital: Patient will be admitted one day before surgery.
Anesthesia
- General Anaesthesia – Patient will be sleeping throughout the procedure.
- Spinal (epidural) Anaesthesia– It anesthetizes your body from the waist down.
In Epidural anesthesia thin plastic tube is inserted in the lower back, through which calculated dose of medication is injected during surgery, making only the legs numb below the waist. It is safe for the elderly, those who have high blood pressure or heart trouble & during surgery it helps reduce bleeding. After the surgery, it can be continued as epidural analgesia, eliminating the need for sedatives and allow early exercises.
Our Experienced Surgeons
Antibiotics
Intravenous antibiotics are started just before surgery and continued for about 2 to 3 days after surgery.
Surgery
Surgical time is about 90 to 110 minutes. Along with surgical time, pre-operative preparation, anesthesia and recovery stay will keep patient in an operation room for 3 to 4 hour. In this surgery, the damaged cartilage and bone surface will be removed saw, then position a new metal and plastic joint surfaces to restore the alignment and function of your knee.
Components of the Artificial Joint:
- Femoral component– Made of a highly polished strong metal.
- Tibial component– Made of durable plastic held in a metal tray.
- Patellar component– Plastic.
Bone cement:
Used to fix these components to bone.
After surgery:
The patient will have a large dressing on the knee to protect the wound. Various drains will siphon off blood from the operation site to prevent it from collecting inside the wound which will be removed 24 hours after surgery. Your wound dressing will be changed regularly until it’s healed over. If required blood transfusion will be done as per reports and examination.
Our physiotherapist in Pune will help you to get up and walk about as quickly as possible. Generally, you’ll be helped to stand within 12-24 hours after your operation. Walking with a frame or crutches is encouraged. Most people can walk independently with sticks after about 1 to 2 weeks but this can vary depending on the individual.
Generally, one knee Total Knee Replacement patients are discharged after 3 to 4 days of surgery and in the case of both knees Total Knee Replacement patients are discharged after 5 to 6 days. Discharge to home is generally assessed by a recovery of the patient.
During your stay in the hospital, a physiotherapist will teach you exercises to help strengthen your knee. You can usually begin these the day after your operation. It’s important to follow the physiotherapist’s advice to avoid complications or dislocation of your new joint. It’s normal to experience initial discomfort while walking and exercising, and your legs and feet may be swollen.
Wound Care– The stitches or staples will be removed about two weeks after surgery.
Possible Complications of Surgery:
Because of modern advanced medicine, the complication rate of Total Knee Replacement surgery is less. Some of them are :
- Infection: Can be avoided with modern well-equipped operation room complex, antibiotics, etc..
- Wound healing problem
- A blood clot in leg vein: Prevented by exercises, blood thinning medication, anti DVT stockings
- Medical complications: Heart attack, stroke, etc.
Your Recovery At Home
Total best Knee Replacement surgeon in pune is a major operation and muscles and tissues surrounding your new knee will take time to heal. You feel extremely tired at first.
Follow the advice of the surgical team. Best Knee joint Replacement Surgeon In Pune The exercises your physiotherapist gives you are an important part of your recovery. It’s essential to continue with them once you’re at home.
Your rehabilitation will be monitored by a physiotherapist. You should be able to stop using your crutches or walking frame and resume normal leisure activities six weeks after surgery. However, it may take up to three months for pain and swelling to settle down. You should be able to resume most normal light activities of daily living within three to six weeks following surgery. Some discomfort with activity, and at night, is common for several weeks.
Even after you have recovered, it’s to avoid extreme movements or sports where there’s a risk of falling, such as skiing or mountain biking. Your doctor or a physiotherapist can advise you.
Diet:
Some loss of appetite is common for a few days after surgery. A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Be sure to drink plenty of fluids.
Care After Total Knee Replacement:
- Continue to take prescribed painkillers or anti-inflammatories to help manage pain and swelling for the initial 3 to 4 weeks after surgery.
- Use your walking aids but aim to gradually decrease the amount you rely on them as your leg feels stronger.
- keep up your exercises to help prevent stiffness and do not force your best knee replacement surgeon
- Do not sit with your legs crossed for six weeks after your operation.
- Raise your leg when lying in bed and use ice packs to help with swelling.
- Resume sitting, standing, walking up, and downstairs.
- Light sporting activities like swimming/ golf/ driving are permitted after 3 months.
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