Knee replacement surgery is usually performed on patients aged around 55 or above, after years of enduring knee pain followed by limited mobility. Also known as arthroplasty, total knee replacement surgery is among the most common joint surgeries in the world. It allows patients to not only get rid of knee pain caused by arthritis, injury, or some other joint disease or trauma but also improves mobility.
Many prospective candidates for surgery are curious to know about knee replacement surgery cost. In India, the average knee replacement surgery cost ranges from ₹1.5 lakh to ₹2.3 lakh, according to a report by The Hindu. Since the government placed a cap on knee implant prices, knee replacement surgery cost has reduced drastically and the procedure now become more affordable. Apart from the cost of implants, the knee replacement surgery cost also depends on the hospital charges and the fee charged by the surgeon.
During the surgery, the orthopedic surgeon replaces the damaged part of the knee with an artificial part made of metal or plastic. The artificial joint is then attached to the thigh bone, shin and kneecap with a special material called the acrylic cement. A total knee replacement usually requires between one and a half to three hours of operative time. Post-surgery, it generally takes 8-12 weeks to complete the rehab process and start returning to the pre-surgery daily regime.
Possible risks and complications from Total Knee Replacement Procedure
1. Complications from anesthesia
Modern anesthesia is usually safe, but it can cause side effects and negative reactions. The most common side effects include vomiting, dizziness, shivering, sore throat, aches and pains, discomfort and drowsiness.
2. Blood clots
Orthopaedic procedures like total knee replacements are particularly likely to cause blood clots. Blood clots typically occur within two weeks of surgery, but they can also take place within a few hours or even in the operating room. Clots caused by Deep Vein Thrombosis could delay your release from the hospital by a few days.
A miniscule percentage of patients are reported to develop an infection within 90 days of surgery. Your doctor will also likely prescribe antibiotics before, during, and after the operation to help prevent infection.
4. Complications from a transfusion
In some instances, a blood transfusion is necessary following the total knee replacement procedure. If you receive a blood transfusion, there’s a small risk that you will become unwell due to an incompatible blood match during the transfusion.
5. Allergy to metal components
Some patients may suffer a reaction to the metal used in the artificial knee joint. The metal material used in implants are commonly made from titanium or cobalt-chromium-based alloy. If you have a metal allergy, then make sure to tell your surgeon about the allergy well before the surgery.
6. Wound and bleeding complications
Wounds may occasionally be slow to heal and bleeding complications can occur for several days following surgery. The medical staff will monitor the wound during the time you are there. Blood thinners can contribute to complications. The surgeon might need to reopen the wound and drain out the fluid.
7. Artery injuries
Because the major arteries of the leg are directly behind the knee, there’s a small chance that these vessels could be damaged. A vascular surgeon can usually repair the arteries if there is damage.
8. Prosthesis problems and implant failure
Another thing that could go wrong with total knee replacement surgery is improper placement or a malfunction of the implant. Talk to your surgeon about this possibility.
Total knee replacement recovery process and the crucial role of Physiotherapy
● Before surgery, patients should discuss with their doctor about the knee replacement surgery cost and opt for the most skilled surgeon and the affordable surgery option.
● After surgery is performed, patients are rehabilitated in a recovery room, where vital organs are frequently monitored. When stabilized, patients are brought back to their ward.
● Your specialist will most likely prescribe intravenous painkillers. After you are released from the hospital, oral painkillers will be prescribed.
● Physiotherapy is an extremely important part of rehabilitation and requires full participation by the patient for perfect outcome. Patients can begin physiotherapy exercises 48 hours after surgery.
● Knee immobilizers are used in order to stabilize the knee while undergoing physiotherapy, walking, and sleeping.
● A medical device that can help speed recovery is the continuous passive motion (CPM) machine. The CPM machine is first put on the operated leg. The machine then constantly rotates the knee through various degrees of range of motion for hours while the patient can relax. This can help to improve circulation and limit the risk of scarring and contracture of the knee tissues.
● After a few days, patients can start walking using a walker or crutches. Eventually, patients will learn to walk up and down the stairs. The physio will teach exercises to strengthen thigh and calf muscles.
● Patients will need to continue exercising the muscles around the replaced joint to prevent scarring (and contracture) and maintain muscle strength for the purposes of joint stability. These exercises will reduce recovery time and lead to maximum strength and stability.
● The wound will be monitored by the doctor for healing. Patients also should observe warning signs of infection, including abnormal redness, increasing warmth, swelling, or unusual pain. It is crucial to report any injury to the joint to the doctor immediately.
● Athletic activities are usually limited to those that do not risk injuring the replaced joint. Sports that involve running or contact are avoided, in favour of leisure sports, such as golf, and swimming. Swimming is the perfect form of exercise, since it improves muscle strength and endurance without exerting any pressure or stress on the replaced joint.
At HCAH, we have a team of trained and experienced physiotherapists who are best equipped to provide word-class treatment to deal with total knee replacement recovery with customised plans suited for your individual needs. From helping you regain mobility to suggesting exercises that would strengthen your muscles; our professional physiotherapist will help you with total knee replacement recovery in lesser time. You can get more details on physiotherapy at home by calling our toll-free number 1800-102-4224.