Robotic Knee Replacement Surgery Cost In India
The estimated cost of knee replacement surgery In India usually starts $4000 however, it may go up to as much as $8000. it depends on the hospital charges and the fee charged by the orthopedic surgeon.
Stay In Hospital 3-4 Days outside of the Hospital 3-4 weeks
Knee replacement surgery, also known as knee arthroplasty, is a procedure that involves replacing a damaged, worn or diseased knee joint with an artificial joint, usually made of metal and plastic components. This surgery is typically recommended for people with knee pain and limited mobility caused by conditions such as osteoarthritis, rheumatoid arthritis, and other forms of arthritis, as well as knee injuries and knee deformities.
The goal of knee replacement surgery is to relieve pain, improve joint function, and increase mobility. The surgery is usually performed under general anesthesia and typically takes 1-2 hours. After the procedure, patients will need to use crutches or a walker for a few weeks, and physical therapy is usually necessary to help regain strength and mobility in the knee.
Reasons for the procedure
Knee replacement surgery is a treatment for pain and disability in the knee. The most common condition that results in the need for knee replacement surgery is osteoarthritis.
Osteoarthritis is characterized by the breakdown of joint cartilage. Damage to the cartilage and bones limits movement and may cause pain. People with severe degenerative joint disease may be unable to do normal activities that involve bending at the knee, such as walking or climbing stairs, because they are painful. The knee may swell or “give-way” because the joint is not stable.
Other forms of arthritis, such as rheumatoid arthritis and arthritis that results from a knee injury, may also lead to degeneration of the knee joint. In addition, fractures, torn cartilage, and/or torn ligaments may lead to irreversible damage to the knee joint.
If medical treatments are not satisfactory, knee replacement surgery may be an effective treatment. Some medical treatments for degenerative joint disease may include, but are not limited to, the following:
- Anti-inflammatory medications
- Glucosamine and chondroitin sulfate
- Pain medications
- Limiting painful activities
- Assistive devices for walking (such as a cane)
- Physical therapy
- Cortisone injections into the knee joint
- Viscosupplementation injections (to add lubrication into the joint to make joint movement less painful)
- Weight loss (for obese persons)
There may be other reasons for your doctor to recommend a knee replacement surgery.
Symptoms of knee replacement Surgery
- Difficulty in performing basic activities.
- Decrease in the Range of Motion.
- Difficulty in Climbing Stairs.
- Your pain persists or recurs over time.
- Medication and using a cane aren’t delivering enough relief.
- You feel pain in rainy weather.
- The pain prevents you from sleeping.
- You feel a decrease in knee motion or the degree to which you’re able to bend your knee.
- Your knees are stiff or swollen.
- You have difficulty walking or climbing stairs.
- You have difficulty getting in and out of chairs and bathtubs.
- You experience morning stiffness that typically lasts less than 30 minutes (as opposed to stiffness lasting longer than 45 minutes, a sign of an inflammatory condition called rheumatoid arthritis)
- You feel a “grating” of your joint
- You’ve had a previous injury to the anterior cruciate ligament (ACL) of your knee.
Type of Knee Replacement Surgery
There are several types of knee replacement surgeries, including:
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Total knee replacement (TKR): This is the most common type of knee replacement surgery, and involves replacing the entire knee joint, including the thighbone (femur), shinbone (tibia), and kneecap (patella), with artificial components.
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Partial knee replacement (PKR): This type of knee replacement surgery involves replacing only a portion of the knee joint, typically just one compartment of the knee, rather than the entire joint. PKR is typically recommended for people with early-stage arthritis that has not yet affected the entire knee joint.
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Unicompartmental knee replacement (UKR): This type of knee replacement is similar to a partial knee replacement and involves replacing only one part of the knee joint, typically just the inner or outer compartment.
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Revision knee replacement: This type of knee replacement surgery is performed when a previous knee replacement has failed or is no longer functioning properly.
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Robotic-assisted knee replacement: This is a newer type of knee replacement that uses robotic technology to help the surgeon plan and perform the procedure. The surgeon uses a computer system to create a 3D model of the patient’s knee, which is used to guide the placement of the artificial components.
It’s important to note that not all types of knee replacement surgeries are appropriate for all patients, and the best type of knee replacement will depend on the patient’s individual needs and conditions. Your doctor can help you determine the type of knee replacement that would be best suited to your needs.
Benefits of Knee replacement?
The benefits of knee replacement surgery include:
Pain relief: One of the main benefits of knee replacement surgery is relief from pain. Most people experience a significant reduction in knee pain after the procedure, and many are able to return to their normal daily activities without pain.
Improved mobility: Knee replacement surgery can also improve joint mobility and function, allowing people to walk, climb stairs, and engage in other physical activities with greater ease.
Better quality of life: With less pain and increased mobility, many people who have undergone knee replacement surgery report a better quality of life, with improved mood and increased participation in social and recreational activities.
Increased independence: Knee replacement surgery can also increase independence, allowing people to perform daily tasks such as shopping, cooking, and bathing without assistance.
Delayed joint degeneration: In some cases, knee replacement surgery can help to delay or prevent the progression of joint degeneration, preserving joint function for a longer period of time.
Reduced need for pain medications: By reducing pain and improving mobility, knee replacement surgery can also reduce the need for pain medications, which can have side effects and potentially harmful long-term effects.
It’s important to note that the benefits of knee replacement surgery can vary from person to person, and that not everyone will experience the same outcome. Your doctor can help you determine if knee replacement surgery is the right option for you, and what you can expect from the procedure in terms of pain relief and improved function.
Risks of Knee Replacement surgery?
Like any surgical procedure, knee replacement surgery carries certain risks and potential complications, including:
Infection: There is a risk of infection at the surgical site, which may require additional treatment and antibiotics.
Blood clots: There is also a risk of developing blood clots in the legs or lungs after knee replacement surgery, which can be life-threatening.
Implant failure: In some cases, the artificial joint may loosen, wear out, or break, requiring revision surgery to replace the implant.
Nerve or blood vessel damage: There is a risk of damaging nerves or blood vessels during the procedure, which can lead to numbness, tingling, or loss of circulation.
Stiffness: Some people may experience stiffness in the knee joint after surgery, which can limit mobility and range of motion.
Pain: While knee replacement surgery is typically performed to relieve pain, some people may experience persistent pain or discomfort after the procedure.
Reactions to anesthesia: As with any surgical procedure, there is a risk of adverse reactions to the anesthesia used during the procedure.
It’s important to discuss the risks and potential complications of knee replacement surgery with your doctor, as well as your expectations for the outcome of the procedure. Your doctor can help you determine if knee replacement surgery is the right option for you, and what you can expect in terms of risks and potential complications.
Before the procedure
- Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
- You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is not clear.
- In addition to a complete medical history, your doctor may perform a complete physical examination to ensure you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests.
- Notify your doctor if you are sensitive to or are allergic to any medications, latex, tape, and anesthetic agents (local and general).
- Notify your doctor of all medications (prescribed and over-the-counter) and herbal supplements that you are taking.
- Notify your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
- If you are pregnant or suspect that you are pregnant, you should notify your doctor.
- You will be asked to fast for eight hours before the procedure, generally after midnight.
- You may receive a sedative prior to the procedure to help you relax.
- You may meet with a physical therapist prior to your surgery to discuss rehabilitation.
- Arrange for someone to help around the house for a week or two after you are discharged from the hospital.
- Based on your medical condition, your doctor may request other specific preparation.
During Procedure
Knee replacement requires a stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.
Knee replacement surgery is most often performed while you are asleep under general anesthesia. Your anesthesiologist will discuss this with you in advance.
Generally, knee replacement surgery follows this process:
- You will be asked to remove clothing and will be given a gown to wear.
- An intravenous (IV) line may be started in your arm or hand.
- You will be positioned on the operating table.
- A urinary catheter may be inserted.
- If there is excessive hair at the surgical site, it may be clipped off.
- The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
- The skin over the surgical site will be cleansed with an antiseptic solution.
- The doctor will make an incision in the knee area.
- The doctor will remove the damaged surfaces of the knee joint and resurface the knee joint with the prosthesis. The knee prosthesis is made up of metal and plastic. The most common type of artificial knee prosthesis is a cemented prosthesis. Uncemented prostheses are not commonly used anymore. A cemented prosthesis attaches to the bone with surgical cement. An uncemented prosthesis attaches to the bone with a porous surface onto which the bone grows to attach to the prosthesis. Sometimes, a combination of the 2 types is used to replace a knee.
- The prosthesis is generally comprised of 3 components: the tibial component (to resurface the top of the tibia, or shin bone); the femoral [thigh bone] component (to resurface the end of the thighbone; and the patellar component (to resurface the bottom of the kneecap that rubs against the thighbone).
- The incision will be closed with stitches or surgical staples.
- A drain may be placed in the incision site to remove fluid.
- A sterile bandage or dressing will be applied.
After the procedure
You’ll be taken to a recovery room for one to two hours. You’ll then be moved to your hospital room, where you’ll likely stay for a couple of days. Medications prescribed by your doctor should help control pain.
During the hospital stay, you’ll be encouraged to move your foot and ankle, which increases blood flow to your leg muscles and helps prevent swelling and blood clots. You’ll likely receive blood thinners and wear support hose or compression boots to further protect against swelling and clotting.
You’ll be asked to do frequent breathing exercises and gradually increase your activity level.
The day after surgery, a physical therapist will show you how to exercise your new knee. After you leave the hospital, you’ll continue physical therapy at home or at a center.
Do your exercises regularly, as instructed. For the best recovery, follow all of your care team’s instructions concerning wound care, diet and exercise.
Result
For most people, knee replacement provides pain relief, improved mobility and a better quality of life. And most knee replacements can be expected to last more than 15 years.
Three to six weeks after surgery, you generally can resume most daily activities, such as shopping and light housekeeping. Driving is also possible at around three weeks if you can bend your knee far enough to sit in a car, if you have enough muscle control to operate the brakes and accelerator, and if you’re not still taking narcotic pain medications.
After recovery, you can engage in various low-impact activities, such as walking, swimming, golfing or biking. But you should avoid higher impact activities — such as jogging, skiing, tennis and sports that involve contact or jumping. Talk to your doctor about your limitations.
Frequently Asked Questions About Knee Replacement Surgery
Q. Is knee replacement surgery successful in India?
A. Knee replacement surgery is beneficial in relieving pain and restoring your lost disabilities. It has a 95% success rate.
Q. What is the best age for knee replacement surgery?
A. Generally speaking, joint replacements are performed on patients between 60 and 80 years of age, and most are women. But those older or younger are not automatically precluded.
Q. What is the alternative to knee replacement surgery?
A. The first alternative to knee surgery most physicians try is lifestyle modification. This may include weight loss; avoiding activities such as running and twisting, which can aggravate the knee injury; modifying exercise to no- and low-impact; and other changes in your daily routine to reduce stress on your knee
Q. What happens if you don’t have knee replacement?
A. A report published today in the Journal of Bone and Joint Surgery found that delaying surgery can deprive patients of the surgery’s full benefits. But when surgery is done too soon, patients put themselves at risk and may wind up needing another replacement.
Q. When should a person undergo knee replacement surgery?
A. Doctor will be able to decide if you are a candidate for the surgery or not. The decision will be based on the patient’s history, examination, X-rays and response to conservative treatment.
Q. What are the good positions for knee & what positions should be avoided?
A. Patient is advised to do straightening of the knee (extension) as well as bending the knee (flexion) on daily basis. A good way to work on :
- Extension: is to place a towel roll underneath the ankle while lying down.
- Flexion: is to sit on a chair or stationary bicycle and bend your knee.
Best Knee Replacement Surgeons In India
Dr Hemant Sharma
Trauma & Orthopedic Surgery, MBBS, 24 Years Experience Gurgaon, India
Dr IPS Oberoi
MBBS, MS, MCh 25 years of experience Gurgaon , India
Dr Subhash Janghid
Head of Department , DNB, MS, MBBS 16 Years of Experience Gurgaon, India
