Total Knee Replacement- Minimally Invasive

Who Is The Right Candidate For Total Knee Replacement?

TKR is a significant procedure and may not be suitable for everyone. The eligibility for this surgery depends on various factors such as:

• Knee Inflammation: If there’s persistent inflammation in your knee that doesn’t improve with rest or medications.
• Deformed Knee: A visible deformity in the knee might indicate the need for surgery.
• Failed Other Treatments: If other treatments like physiotherapy, use of anti-inflammatory medicines, restriction of activities, and use of walking supports have not helped. 
• Quality of Life: If your knee condition hinders your quality of life, making everyday tasks like walking or climbing stairs difficult, TKR can be a viable option.

Remember, it’s crucial to discuss your conditions thoroughly with your doctor to understand if TKR is the right choice for you.

What Are The Benefits Of Total Knee Replacement?

TKR can feel like a daunting prospect, but there are many advantages to the procedure. A successful operation can offer:

• A significant reduction or even complete elimination of knee pain can drastically improve your daily life.
• Post-surgery gives you an improved range of motion and function in your knee joint more freely and naturally.
• An increased activity level allows you to return to normal activities and hobbies that your knee pain may have previously inhibited.
• Enhanced independence and restored personal mobility, allowing you to move around confidently without the assistance of others.
• A healthier lifestyle, as increased strength, stability, and exercise ability contribute to maintaining a healthy weight.
• Improved overall quality of life means less pain, better sleep, more activity, and an overall happier outlook on lifestyle.

How To Prepare For Total Knee Replacement?

Getting ready for TKR involves more than just marking the date on your calendar. There are several key steps you’ll need to take:

• Attend a pre-operative education class to understand the details of the surgery, hospital stay, and recovery process.
• Quit smoking, as it increases the risk of complications during and after surgery.
• Lose weight, if necessary, as carrying extra weight puts additional stress on your new joint.
• Engage in exercises to strengthen the muscles around your knee. This can aid recovery post-surgery.
• Arranging for some help at home for the first few weeks after surgery to assist you with daily tasks is beneficial.

What Are The Recovery Tips and Precautions To Follow After Total Knee Replacement?

Recovering from a total knee replacement requires dedicated care. Here are some tips for a smoother recovery:

• Follow the physical therapy plan to regain strength and range of motion.
• Use assistive devices like walkers or canes for additional support as directed by your doctor.
• Avoid bending the knee past 90 degrees for the first 6 weeks post-surgery.
• Keep from crossing your legs at the knees and twisting the knee joint.
• Maintain a healthy weight to reduce stress on your new joint.
• Engage in low-impact activities like walking, swimming, and cycling, which are generally safe and excellent for recovery.

Potential Risks Or Complications Associated With Total Knee Replacement

While TKR is generally safe, it’s important to be aware of potential risks and complications.

• Infection: There is a small chance of infection post-surgery. It’s essential to follow all prescribed medications and wound care instructions rigorously.
• Blood Clots in Leg Veins: Blood clots can form in the legs; prevent this by moving your legs regularly, using prescribed compression devices, or taking blood-thinning medication if necessary.
• Nerve Damage: While uncommon, there may be a risk of nerve damage leading to numbness or weakness in the leg.
• Implant Loosening or Wear Over Time: This may require further surgery over time. Hence, regular check-ups can identify any issues with your implant.
• Stiffness or Limited Range of Motion: Some may experience limited movement post-surgery; physical therapy can help overcome this.
• Fracture Around the Implant: Although rare, a fracture may occur around the implant; careful movement and adherence to post-operative precautions reduce this risk.

Thoroughly discuss any concerns you may have with your orthopaedic surgeon, ensuring prolonged implant life and improved mobility.

What Is The Cost Of Total Knee Replacement In India?

The cost of TKR in India can range widely. This variation is due to several factors that may affect the overall cost of the treatment:

• The Choice of the Hospital: Different hospitals have diverse pricing arrangements depending on the services provided. Hospitals in metropolitan areas might have a higher price compared to those located in smaller towns. 
• Surgeon’s Experience and Reputation: Highly renowned and experienced surgeons may charge a higher fee for their services. Their vast knowledge and expertise contribute to the successful execution of the surgery.
• Type of Prosthesis: The cost can also be influenced by the type of implant used in the surgery. High-quality implants may be more costly but provide better results and longevity. 
• Pre-operative and Post-operative Care: The costs related to the preparation for surgery and recovery period, such as physiotherapy, medications, diagnostic tests, and follow-up visits, also contribute to the total cost.

Is Total Knee Replacement Covered Under Insurance?

In India, TKR is typically covered under most private insurance plans and government schemes like CGHS (Central Government Health Scheme) and ECHS (Ex-Serviceman Contributory Health Scheme). However, the extent of coverage may depend on specific plan provisions and conditions. 

Your insurance plan might cover hospitalisation, surgeon fees, the cost of implants, and physical therapy post-surgery. However, there might be exclusions, such as costs incurred if surgery is deemed elective or unnecessary by the insurance company or costs associated with complications arising due to negligence or not following post-operative instructions correctly.

Remember that while most insurance plans cover a significant portion of the cost, there might still be out-of-pocket expenses. These could include deductibles, co-pays, or any costs exceeding the coverage limit. It is crucial to review your specific insurance plan details and get pre-approval from your insurance company before scheduling your TKR surgery.