Knee Replacement Surgery

Knee replacement, or knee arthroplasty, is a surgery that can help relieve pain and improve mobility by replacing damaged knee joint surfaces. It’s mainly used for conditions like osteoarthritis, rheumatoid arthritis,, and psoriatic arthritis. In more complex cases, surgery can be riskier, but it’s not typically needed for osteoporosis. If you’re considering this procedure, it’s a good idea to consult Dr. Kewal Gangrade, the Top Orthopedic Doctor in Bhopal. one of the top orthopedic doctors in Bhopal. Knee replacement can be partial or total, depending on how much of the knee joint is damaged. The surgery replaces the damaged surfaces with metal and plastic components, helping you move more easily and pain-free.

 
 

Knee Pain Treatments

One of the crucial but less frequent treatments, reducing joint weight, can significantly alleviate pain during activities.

Strengthening the muscles surrounding the knee joint can alleviate strain on the knee and prevent muscle atrophy, maintaining functionality.

The effectiveness of knee arthroscopy in treating arthritis remains a topic of debate, though it may offer relief for certain symptoms.

It may be necessary to restrict some activities, while new, low-impact exercise techniques may prove beneficial.

Prescription and over-the-counter anti-inflammatory medications (NSAIDs) aid in managing both pain and inflammation.

Although this option isn’t suitable for most patients as an alternative to knee replacement, it can benefit younger individuals with mild arthritis.

Using a cane in the hand opposite the affected knee or walking poles can reduce strain on the arthritic joint.

Cortisone injections can alleviate inflammation and pain by reducing inflammation within the joint.

In this surgical procedure, the cartilage of the knee joint is removed and replaced with a metal and plastic implant. Knee replacement surgery is one of the most commonly performed orthopedic surgical procedures.

Patient undergoing physical therapy with a knee rehabilitation device.

Deteriorated knee

 

Our joints are what connect our bones and let us move around. They’re made of tissues that respond to muscle activity, but after a while, these tissues take a lot of wear and tear. Synovial fluid helps reduce friction, but even with that, constant movement causes some damage over time. Usually, your joints can heal themselves, but if the stress becomes too much, it can lead to permanent damage. Swelling is often a sign of this, especially with degenerative knee joint disease.

If chronic knee pain is bothering you, or if surgery is something you’re considering, you might want to reach out to Dr. Kewal Gangrade, one of Bhopal’s leading knee replacement surgeons. If you’re dealing with discomfort during activities, stiffness, knee soreness, limited movement, or even a feeling like your knee might “give out,” it’s a sign to get it checked out. In more severe cases, you could even notice deformities like bow legs or knock-knees. Don’t wait too long to see a specialist! If you are also troubled by your chronic knee pain or are thinking of getting surgery done, then you can consult Dr. Kewal Gangrade, the Leading Knee Replacement Surgeon in Bhopal.

Diagram of a healthy knee joint compared to a knee joint with osteoarthritis. The healthy knee joint has smooth cartilage and a normal joint space. The knee joint with osteoarthritis has rough, worn cartilage and a narrowed joint space.
Comparison of a healthy knee joint and an osteoarthritic knee joint.

“KNEEO Technique” For
Knee Replacements

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Inflammation of the knee

Knee arthritis is what happens when the cartilage in your knee starts wearing down. On an X-ray, you can see it as less space between the bones. When that cartilage starts to break down, your knee gets stiff, and it’s harder to move. You might notice it catching or clicking, and the pain usually gets worse when you’re on your feet—whether it’s walking, standing, or climbing stairs. In more serious cases, it might hurt even when you’re sitting still. The pain usually comes from deep inside the knee, but it can spread to the front or back, and you might even notice your knee looking a little different because of the cartilage loss.

Knee arthritis is more common in people in their 60s or 70s, but it can show up earlier depending on things like how much you weigh, how active you are, or the shape of your knee. It can be caused by wear and tear, inflammatory conditions like  rheumatoid arthritis, infections, or past injuries. If you’ve had a knee injury before—like a torn ligament or meniscus—that can make you more likely to develop arthritis later, where the bones start rubbing against each other without the cushion of cartilage.

 

How to Treat Knee Arthritis

When you’re dealing with knee problems, we usually start with the easy stuff first—nothing too complicated. If that doesn’t help, we can look into more advanced treatments, like surgery, but that’s not always the go-to. The thing is, what works for one person might not work for someone else. That’s why it’s really important to chat with  Dr. Kewal Gangrade, the top knee replacement doctor in Bhopal. He’ll listen to what you’re dealing with and help you figure out the best treatment for your knee. You’ll have his support every step of the way.

Total Knee Replacement (Technique)

  • Anesthesia: You’ll be completely asleep during the surgery, so you won’t feel a thing. You don’t have to worry about being awake for any part of it.

  • Monitoring: While you’re under, the anesthesiologist will be watching your heart rate, blood pressure, and breathing, just to make sure everything’s going smoothly.

  • Cleaning: Before the surgery starts, they’ll clean your knee with a special antiseptic solution to make sure it’s all sterile and ready.

  • Incision: The surgeon will make a small cut in your knee to get to the joint.

  • Removing Damaged Parts: They’ll remove the damaged areas of your knee and replace them with a prosthesis made of metal and plastic to restore function.

  • Types of Prostheses:

    • The most common is the cemented prosthesis, where they attach the parts to your bone using surgical cement.
    • In some cases, they might use uncemented prostheses, which allow your bone to grow into them.
    • Sometimes they mix both types, depending on your knee.
  • Prosthesis Components:

    • The tibia component goes on top of your shin bone.
    • The femoral component covers the end of your thigh bone.
    • The patellar component covers the underside of your kneecap.
  • Closing Up: After everything’s done, the surgeon will close the incision with stitches or staples.

  • Fluid Drainage: They might insert a small tube to help drain any extra fluid that might collect around your knee during recovery.

Benefits of knee replacement surgery

The benefits of surgery include the alleviation of arthritic symptoms. Among them are.

  • Severe discomfort that prevents you from doing daily tasks like going for walks, shopping, seeing friends, getting in and out of a chair, gardening, etc.
  • You are awakened at night by pain.
  • Deformity: knocked knees or bowlegged knees.
  • Rigidity
  • Pain relief, increased mobility

FAQs

In the initial stages of knee joint arthritis, management typically involves exercises, weight management, medication, and physiotherapy. However, in advanced stages where individuals experience difficulty walking, performing daily activities, or even experiencing pain while at rest, knee replacement surgery becomes necessary. Additionally, if there’s leg deformity or instability during walking, knee replacement is also recommended.

Total Knee Replacement entails the replacement or resurfacing of damaged cartilage at the ends of bones by affixing artificial metal knee components using cement. During the procedure, the anterior cruciate ligament (ACL) and both menisci are typically cut, while the posterior cruciate ligament (PCL) may be preserved or cut based on its condition. Other soft tissues are generally preserved.

If a patient is experiencing issues in both knees and is deemed medically fit following assessments by a physician and anesthetist, it’s feasible to undergo simultaneous replacement of both knees. Approximately 99 percent of patients undergo this procedure safely and effectively.

Dr. Kewal Gangrade, the Top Knee Replacement Surgeon in Bhopal, specializes in total knee replacement using the rapid recovery knee replacement program, which utilizes minimally invasive techniques (MIS) along with state-of-the-art implants and advanced pain management methods. The aim of this approach is to minimize blood loss and soft tissue trauma, allowing for a speedy recovery.

About 90% of patients are able to walk with the aid of a walker on the same day or the next day after surgery. By the time of discharge, usually within 4-5 days, patients can usually ambulate independently with the help of a walker. Through exercise and physiotherapy, patients begin walking with a cane within 3-6 weeks and eventually walk without support.

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