Joint replacement is a surgical procedure to remove and replace the damaged surfaces and worn-out joints with a prosthesis comprising metal balls, biocompatible bolts, and ceramics. The surgery aims to relieve joint pain, restore knee joint stability and mobility in performing an array of motions. Dr. Savadekar, a renowned joint replacement surgeon in Dadar, Mumbai, recommends joint replacement to patients witnessing severe pain, lost joint mobility, and no response to conservative approaches that include medications, injections, physical therapy, or other treatments.
The surgery aims to relieve pain and restore the alignment and function of your joint.
The joint replacement surgery can be done to various joints, for example, shoulder, ankle, hip, knee, elbow, with the following surgeries.
However, most patients visit our center for knee joint replacement surgery in Dadar, Mumbai because the knee is the relay station of the entire body weight. In addition, certain conditions such as arthritis, fracture, drying of bursae, or other conditions may lead to severe pain and restricted mobility in knee joints. Therefore Unicompartmental Knee Surgery and Total Knee surgery are two kinds of joint replacement surgeries that aim to mitigate the condition causing pain, replace the joint with prosthetics, and mimic the natural knee joint functions.
Partial knee replacement is usually recommended to osteoarthritis patients who undergo severe knee pain, with chances of pain escalation in the future.
Arthritis is a medical condition in which joints become inflamed and cause pain, swelling (inflammation), and stiffness in joints. Osteoarthritis is a very common type of knee arthritis that causes joint cartilage degeneration. As a result, the joints undergo friction, become inflamed and cause pain. It is common among older people.
Normally, in a knee joint, articular cartilage helps in the joint’s smooth movement. But in arthritic knee conditions, the cartilage wears and becomes thin. On the contrary, the bones swell and become thicker on joint edges, forming bone spurs. In addition, the inflamed joints with lost cushioning lead to bones friction and restrict joint mobility.
Dr. Savadekar diagnoses osteoarthritis on the following basis:
Arthritis can be treated with both conservative and surgical approaches. However, the choice of treatment depends on the following factors:
The surgery is an option when:
Unicompartmental or partial knee replacement is a MISS minimally invasive surgery that aims to replace the partially damaged part of the knee with an implant that helps the femur bone( thigh bone) in knee joint) glide over tibia(lower knee-long bone to joint) bone easily. The knee can be divided into three major compartments: patellofemoral compartment between kneecap and thighbone; the medial compartment, or inner knee part; and lateral compartment, or outer portion of the knee joint.
Traditionally, partial knee replacement is indicated in patients with severe knee osteoarthritis. In a total knee replacement, all the worn out or damaged knee joint surfaces, including the damaged or inflamed femur bone, are cut and replaced with ball socket implant artificial implant parts. On the contrary, partial knee replacement removes and replaces the partially damaged cartilage and trims the bone spurs of arthritis knee confined to a single compartment of your knee. The doctor recommends this surgery if Non-surgical treatment such as medications, steroidial injections, or physical therapy fails to give substantial relief.
The partial knee replacement MISS surgery is done in the following steps:
Our joint replacement surgeon in Mumbai will advise upon the following postoperative partial knee replacement care:
The possible risks and complications of unicompartmental knee replacement include:
The advantages of unicompartmental knee replacement over total knee replacement include:
The Total Knee joint replacement in Mumbai is recommended in severe knee arthritis with lost knee mobility.
Typically in partial knee replacement, the worn-out cartilage and bony edges are trimmed and replaced with prosthetics. However, in Total Knee replacement surgery, a part of the broken and inflamed femur is cut, shaped, and docked with a metal cap. The tibia is also cut into lamina to fix a plate prothetic. The Total Knee replacement is an option only when the knee is severely afflicted with osteoarthritis such that there are massive joint mobility issues and the knee is not responding to prior knee arthritis treatment.
Total knee replacement or total knee arthroplasty is a surgical procedure that completely removes worn-out or damaged knee joint surfaces and restores knee mobility. The surgery aims at the following three parts:
Total knee replacement surgery is commonly indicated as a definitive surgical solution to severe osteoarthritis knee. Dr. Savadekar advises total knee replacement if you have the following conditions:
The total knee replacement surgery aims to relieve chronic knee pain and restore its alignment and functions.
Following is the step-wise procedure of TKR:
Rehabilitation begins immediately after the surgery. The doctor will first give some knee immobilizer to strengthen the artificial joint, stabilizing it. After that, however, you will be able to walk with crutches or walkers. The surgeon may also affix a Continuous Passive Machine (CPM) machine to the knee joint. The CPM machine attached to the artificial joint will make the joint perform a controlled range of motions. Later, your physical therapist will teach home exercises to strengthen knee joint, thigh, and calf muscles, restoring complete artificial knee mobility.
Total Knee replacement surgery is very common a highly recommended to older adults for it offers a versatile range of benefits. In India, it has more than 90% success rates; still, as in every surgery, total knee replacement surgery in Mumbai also involves certain risks and complications. They are as:
If you see any of the complications mentioned above, you can reach out to our doctor without any delay.