Effective Solution for Severe Knee Joint Damage
Knee pain keeps getting worse; there is more difficulty in walking, climbing stairs, or standing for long periods; and medications, injections, or physical therapy are ineffective.
All these issues are common in patients with severely and irreversibly damaged knee problems. In most cases, protective cartilage has been significantly worn out, which causes pain, joint stiffness, and swelling. It is often due to advanced degenerative conditions of the knee joint.
Total knee replacement surgery is considered an effective solution for advanced-stage knee joint damage. Replacement of damaged joint surfaces with artificial components can restore smoother movement, better alignment, and enhanced function, addressing the root cause of the pain.
Total knee replacement, or TKR, is a major surgery that replaces the damaged joint surfaces with artificial components known as implants. These new artificial components are designed in a personalised manner to take up natural knee joint functions while relieving the pain caused by degenerated cartilaginous pads and joint bones.
This knee replacement option is more suitable for patients with widespread and severe joint damage. It does not treat only selected components (most damaged ones) of the knee like a partial knee replacement. In this procedure, all the joint structures are remodeled, providing long-term relief.
Several non-surgical options exist for the management of early-stage knee disorders, including medication, weight loss, physical therapy, and joint injections. But when knee damage develops and affects more than one component, these solutions may no longer be effective. Even as you sleep or relax, you may feel constant pain, and doing even the most basic daily tasks may become a real challenge. At this point, your orthopedic specialist may recommend knee replacement surgery. Based on your imaging test and blood test report, your doctor may take a call to consider a total knee replacement if there is widespread damage and inflammation. Moreover, the patient’s lifestyle, activity needs, and personal preferences may also affect the final treatment plan.
The following are the conditions that may badly impact the knee joint health, necessitating total knee replacement:
A detailed clinical evaluation and imaging studies are used to confirm whether total knee replacement is appropriate.
There are several components of a total knee implant (artificial joint or prosthesis), and each has a specific function:
Implant selection mainly depends on the following factors:
The following are the techniques used for total knee replacement, depending on patient needs and type of damage:
The choice of technique is determined by the type of joint deformity, bone structure, and surgical planning.
The following factors make an individual eligible for total knee replacement:
Functional limitation, joint condition, and age determine your eligibility for total knee replacement.
The surgery is usually completed between one and two hours. The damaged bone and cartilage are taken out during the procedure, and bone cement or press-fit techniques are used to fix the implants. Before closing, the alignment and stability of the joint are checked.
The patient may expect the following outcomes after the surgery:
Improved mobility with support and guided exercises
Increased strength, better walking endurance
Return to most daily activities with significant pain relief
#Robotic Joint Replacement and Arthroscopic
Dr. Ishwar Bohra is currently the Senior Director at BLK-Max Hospital with over 24 years of experience in Joint Replacement and Arthroscopic.
To restore natural knee movements in the long term, we employ the most biocompatible and durable implants that offer stability, durability, and comfort.
Our specialists are experts at performing robotic joint replacements for maximal tissue preservation using smaller incisions, enabling the patient to experience less pain and faster recovery.
Our advanced operation theaters and high patient safety standards help our surgeons to provide the most effective and practical surgical planning that aids in accurate implant positioning and alignment.
We follow globally accepted infection control protocols to ensure maximal patient safety before, during, and after the surgery.
We provide technology-driven rehabilitation and structured physical therapy support at our advanced physiotherapy unit to improve mobility, strength, and overall post-surgical knee performance of the patient.
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Savitri DeviA: It is a long-term solution, though implants may eventually wear out over time.
A: Most patients begin assisted walking within 1–2 days.
A: In selected patients, bilateral knee replacement may be considered after careful evaluation.
