Dr Abhishek Singh

Knee Replacement

Knee Replacement

Knee replacement is a highly effective surgical procedure designed to relieve chronic knee pain and restore joint function for individuals suffering from severe arthritis or joint damage. During the surgery, damaged cartilage and bone are replaced with artificial components that mimic the natural movement of the knee, improving mobility and quality of life. With advancements in medical technology and surgical precision, knee replacement offers reliable, long-term relief and helps patients return to everyday activities with greater comfort and confidence.

Here’s how it works:

Diagnosis & Evaluation

The orthopedic surgeon evaluates knee pain, stiffness, and mobility. X-rays or MRI scans are used to assess the damage (usually from arthritis or injury).

Pre-Surgical Preparation

The patient undergoes medical tests to ensure they are fit for surgery. Instructions on fasting and stopping certain medications are provided.

Anesthesia Administration

General anesthesia (puts you to sleep) or spinal anesthesia (numbs from the waist down) is given.

Incision

The surgeon makes an incision (cut) in the front of the knee to access the joint.

Removal of Damaged Surfaces

The worn-out or damaged bone and cartilage from the femur (thigh bone), tibia (shin bone), and sometimes patella (kneecap) are removed.

Placement of Implants

Metal components are attached to the ends of the femur and tibia. A plastic spacer is inserted between them to allow smooth joint movement. If needed, the underside of the kneecap is also resurfaced with a plastic implant.

Alignment and Balancing

The surgeon checks the alignment and movement of the new joint to ensure a natural range of motion and stability.

Closing the Incision

The surgical site is closed with stitches or staples. A sterile bandage is applied.

Post-Operative Care

The patient is moved to recovery for monitoring. Pain management, antibiotics, and blood thinners are administered as needed.

Rehabilitation Begins

Physical therapy starts within a day or two to regain movement and strength. Most patients walk with assistance shortly after surgery.

Recovery & Monitoring

Full recovery typically takes 6–12 weeks. Follow-up appointments are scheduled to track healing and implant function.

Knee arthroscopy is commonly used for conditions like

Osteoarthritis

The most prevalent cause, osteoarthritis is a degenerative joint disease that results in the breakdown of cartilage, causing pain, stiffness, and reduced mobility in the knee.

Rheumatoid Arthritis

An autoimmune condition that leads to chronic inflammation of the joint lining, rheumatoid arthritis can cause joint deformity, severe pain, and cartilage erosion over time.

Post-Traumatic Arthritis

This form of arthritis develops after a serious knee injury such as fractures, ligament tears, or meniscal damage. It can lead to joint instability and progressive cartilage loss.

Severe Knee Deformities

Conditions like bow legs (varus) or knock knees (valgus) can worsen over time and lead to joint deterioration, eventually requiring surgical intervention.

Failed Previous Knee Surgeries

Patients with unsuccessful knee surgeries or complications from prior procedures may need knee replacement to correct functional deficits and alleviate persistent pain.

Removing loose fragments of bone or cartilage

Avascular Necrosis When blood supply to the knee bone is disrupted, the bone tissue can die, leading to joint collapse and necessitating replacement to restore function and relieve pain.

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