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International Patient CareBest Hospital for Total Knee Replacement Unilateral with Advanced Orthopedic Care
At Medicover Hospitals, our orthopaedic team, with qualifications like MS and DNB, performs Total Knee Replacement Unilateral using the robotic surgical approach. This technique ensures smaller incisions and reduced blood loss, contributing to a shorter hospital stay for patients across India.
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What is Total Knee Replacement Unilateral?
Total Knee Replacement Unilateral is a surgical procedure where only one knee joint is replaced. The knee joint (articulation between the femur, tibia, and patella) is involved. This surgery involves removing damaged cartilage and bone. An artificial joint (prosthesis) is then implanted to restore function and relieve pain.
This surgery is often needed for severe osteoarthritis or rheumatoid arthritis affecting one knee. It is also done for knee injuries or deformities. If untreated, these conditions can cause chronic pain and mobility issues. Modern surgical approaches include minimally invasive techniques and computer-assisted surgery. These methods aim to improve recovery and outcomes. Please consult with a healthcare professional for personalised advice.
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Complete Guide To Total Knee Replacement Unilateral
Everything you need to know about the procedure, preparation, and recovery
Total Knee Replacement Unilateral Surgery Indications
Total Knee Replacement Unilateral Surgery is recommended when knee pain and dysfunction severely affect daily activities. Doctors suggest this procedure when conservative treatments no longer provide relief.
Severe Osteoarthritis
Patients experience persistent knee pain and stiffness, especially in the morning or after sitting. X-rays show significant joint space narrowing and bone spurs. When medications and physical therapy fail, surgery is considered.
Rheumatoid Arthritis
Chronic inflammation leads to swelling, warmth, and tenderness in the knee. Blood tests reveal elevated inflammatory markers. Surgery is advised when disease-modifying drugs and lifestyle changes do not control symptoms.
Post-Traumatic Arthritis
Following a knee injury, patients may have ongoing pain and swelling. Imaging shows joint degeneration or deformity. When pain persists despite rehabilitation and medication, surgery becomes necessary.
Knee Deformity
Patients notice visible bowing or knock-knees, causing uneven weight distribution and pain. Physical examination confirms misalignment. Surgery is recommended when bracing and exercises fail to correct the deformity.
Failed Previous Knee Surgery
Patients continue to experience pain and instability after prior knee surgeries. Imaging may show prosthetic loosening or misalignment. Revision surgery is considered when non-surgical interventions are ineffective.
How to Prepare for Total Knee Replacement Unilateral?
Proper preparation for a Total Knee Replacement Unilateral is crucial to ensure a smooth procedure and recovery. It helps in minimizing complications and aids in a quicker return to daily activities.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting Guidelines: Fast for at least 8 hours before the surgery if general anaesthesia is planned.
- Pre-Surgery Exercises: Engage in recommended exercises to strengthen the muscles around the knee.
- Clothing Choice: Wear loose, comfortable clothing on the day of surgery for ease of movement.
- Transportation Arrangement: Arrange for someone to drive you home post-surgery as you will not be able to drive.
- Medication List: Bring a list of all medications you are taking, including dosages, to the hospital.
- Home Preparation: Prepare your home with necessary aids like a walker or crutches for post-surgery mobility.
- Pre-Surgery Bathing: Follow any specific bathing instructions given by your healthcare provider to reduce infection risk.
Total Knee Replacement Unilateral Surgery (Step-by-Step)
This procedure is performed by orthopedic surgeons. It typically lasts 1-2 hours and is usually done under regional anaesthesia, though general anaesthesia may be used in some cases.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort. The surgical area is sterilised.
- Incision: A 6-10 inch incision is made over the knee to access the joint. The surgeon carefully exposes the knee joint.
- Removal of Damaged Tissue: The surgeon uses instruments like a curette to remove damaged cartilage and bone from the femur and tibia. This prepares the area for the implant.
- Implant Placement: Metal components are positioned on the ends of the femur and tibia. A polyethylene spacer is inserted between them to allow smooth movement.
- Alignment and Fixation: The surgeon checks the alignment and movement of the knee. Instruments like a harmonic scalpel may be used to ensure precision. The components are fixed in place using bone cement or screws.
- Closure: The incision is closed with sutures or staples. A sterile bandage is applied. The patient is moved to recovery for monitoring.
Who Performs Total Knee Replacement Unilateral Surgery?
This surgery is performed by orthopaedic surgeons who specialise in joint replacement procedures. They have expertise in managing joint disorders and performing surgeries to improve mobility and relieve pain.
Recovery After Total Knee Replacement Unilateral Surgery
Recovery from total knee replacement unilateral surgery involves gradual healing and rehabilitation. Patients can expect to regain mobility and strength over time with proper care and physiotherapy.
Day 1-3:
- Hospital stay for monitoring and pain management.
- Begin gentle physiotherapy exercises as advised by your physiotherapist.
- Diet: Soft foods like curd, dal-rice, and soups to ease digestion.
Day 4-7:
- Continue physiotherapy exercises to improve joint movement.
- Gradually increase walking with support.
- Diet: Include protein-rich foods like moong dal and khichdi for healing.
Week 2-4:
- Focus on strengthening exercises and increasing walking duration.
- Begin to reduce the use of walking aids as comfort allows.
- Diet: Balanced meals with vegetables, fruits, and lean proteins.
Month 1-3:
- Increase activity levels and continue physiotherapy.
- Most patients can resume work or school by the end of this phase, depending on job demands.
- Diet: Maintain a healthy diet to support recovery and overall health.
When to Seek Urgent Help:
- Severe pain or swelling in the knee.
- Fever or signs of infection at the surgical site.
- Sudden inability to move the knee.
- Calf pain or swelling, which could indicate a blood clot.
Benefits of Total Knee Replacement Unilateral Surgery
Total knee replacement unilateral surgery can significantly improve the quality of life for those with severe knee issues.
- Pain Relief: Reduces chronic knee pain, allowing for more comfortable movement.
- Improved Mobility: Enhances the ability to walk and perform daily activities.
- Better Joint Function: Restores knee function, making it easier to bend and straighten the knee.
- Long-lasting Results: Provides durable relief, often lasting many years.
Risks and Complications of Total Knee Replacement Unilateral Surgery
While the surgery can be beneficial, it is important to be aware of potential risks and complications.
- Infection: Risk of infection at the surgical site.
- Blood Clots: Possibility of blood clots forming in the legs.
- Implant Loosening: The knee implant may loosen over time.
- Nerve Damage: Potential for nerve injury during surgery.
- Allergic Reactions: Reaction to the materials used in the implant.
What is the Cost of Total Knee Replacement Unilateral Surgery?
The cost of Total Knee Replacement Unilateral Surgery at Medicover Hospitals ranges from Rs. 90,000 to Rs. 3,00,000. The price varies depending on the ward category chosen, such as outpatient, general, or deluxe suites.
We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. A cashless facility is also available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Total Knee Replacement Unilateral surgery cost at Medicover Hospitals?
The cost ranges from Rs. 90,000 to Rs. 3,00,000 across Medicover Hospitals depending on the facility type and services provided.
2. Is Total Knee Replacement Unilateral surgery covered under health insurance at Medicover?
Yes, it is often covered by CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I need physiotherapy after knee replacement?
Yes, physiotherapy is crucial for recovery and regaining mobility. It usually starts a day after surgery and continues for several weeks.
4. Can I kneel after a total knee replacement?
Kneeling may be uncomfortable after surgery, but many patients can do it with time. Consult your doctor for personalized advice.
5. How soon can I walk after knee replacement?
Most patients start walking with assistance the day after surgery. Full recovery can take several weeks with regular physiotherapy.
6. What foods help recovery after knee surgery?
Consume protein-rich foods like dal-rice, curd, and khichdi. These help in tissue repair and provide energy for recovery.
7. Are there complications specific to knee replacement?
Infection and blood clots are potential complications. Regular follow-ups and adhering to post-operative care reduce these risks.
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