Total Knee Replacement

Total knee replacement is performed to treat and to restore the function of painful, disabled knee joints. The affected knee joints are replaced by artificial knee joints, a combination of metal and plastic. These are available in various designs. The metal meets the end of the bones and a plastic spacer acts as a buffer between them.

Details of Procedures:

Total knee replacement is recommended when severe knee pain:

  • Disrupts night sleep
  • Is insensitive to other treatments
  • Limits usual activities

The pain and limited function of the knee could be because of:

  • Osteoarthritis or rheumatoid arthritis
  • Avascular necrosis
  • Accidental injuries to knee joints

Facts and figures

Risk and Complications

  • Loosening of the prosthesis from the bone
  • Infection
  • Bleeding
  • Excessive scarring
  • Medicinal or anesthesia reaction



Preoperative Preparation

  • Complete physical examination
  • Blood and urinalysis
  • ECG and x-ray chest for the patient above 50 years
  • Consult with the surgeon week prior and get the correct medicinal prescriptions.
  • Inform the surgeon about smoking and alcohol habits.
  • Visit a physiotherapist to understand the post-surgery rehabilitation program and using crutches.
  • Plan for leave from work and domestic help at home.
  • Don’t consume anything after midnight before surgery.
  • Medical tourists are advised to wear comfortable clothes and to select a handicap-accessible hotel room  for recovery after getting a discharge from hospital

Post operative care

  • Patients need to wear special compression stockings to improve blood flow in legs for proper healing.
  • Starlight activities using crutches or a walker from the first day after surgery, and physiotherapy 48 hours later.
  • Carry out exercises regularly as per instructed by the physiotherapist for the best results.
  • Normal recovery after surgery is seen within 7 to 10 days.

The patient will get discharged from the hospital only after the following criteria are met:

  • Able to bend the knee at a 900 angle
  • Get out of bed without any support
  • Able to extend knee straight out
  • Can walk using crutches or walker
  • Carry on prescribed home exercises.

Dos, Don’ts and Precautions

  • Strictly follow the diet regime
  • Take prescribed medicines as per schedule
  • Exercise regularly as advised by the physiotherapist
  • Early mobilization will help strengthen the knee muscles
  • Don’t bathe until the sutures or staples are removed.