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  • Pune, India
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Auther : Vidya Jagtap Date : 2021-03-22 09:51:16

Category : Procedure


Knee-Replacement FAQ

Are you looking for Total Knee Replacement Surgery FAQs? Find Answers to Common Questions About Knee Replacement on HMSDESK. Get details about Total Knee Replacement Cost, Recovery, Surgery Risks, hospitals, and Surgeons.


What preparation should one do before knee replacement surgery?

 Plan early. Indeed, even before you set a date, consider what activity will mean for your life. Things might be unpleasant after joint trade for at any rate half a month. Get ready presently to make the medical procedure go easily and to accelerate your recuperation.

Move and lose it. If conceivable, attempt to improve shape before your medical procedure. You'll recuperate all the more rapidly in case you're truly fit. Ask your doctor which exercises you ought to do before the operation. Working your arms and chest area, for instance, will make it simpler for you to get around on braces or a walker. In case you're heavy, plan to drop some weight to help the weight on your knees.

Stop smoking. If you use cigarettes or other tobacco items, stop or cut down. Smoking eases back your recuperation and makes your injuries take more time to mend. It additionally raises your odds of entanglements and disease during and after the medical procedure. 

Practice. Before a medical procedure, become familiar with the active recuperation practices you'll require later. Give them a shot. If you become accustomed to them now, they'll be simpler to do later. If you'll require braces or a walker, test-drive those, as well.

Scribble it down. Odds are, you'll be requested similar clinical and protection data on and on in the coming weeks. Convey a helpful rundown of: 

  • All your medicine and enhancements 
  • Any ailments you have 
  • Your protection strategy and participation numbers 
  • Your primary care physicians' names and telephone numbers 
  • People to contact in a crisis 

Line up assistance. You will require it while you recuperate. On the off chance that you live all alone, enroll a family member or dear companion to remain with you for some time. Request that a neighbor takes out the trash or acquire the mail. Freeze additional suppers or stock up your storeroom before you head to the medical clinic.

Prepare your home. Move things in your home so it'll be simpler to get around when you're less portable. You may have to set up a brief room on the primary floor. Clear your lobbies to prepare for supports or a walker. Consider introducing security rails in the washroom. Keep all you require - from your telephone to your espresso creator – inside simple reach. 

Follow orders. Your primary care physician will train you on what to do in a couple of days before the medical procedure. They may have you stop a few medications, particularly ones that can cause you to drain really during a medical procedure. Imprint point-by-point orders on a schedule so you will not fail to remember.

How much does knee replacement surgery in Pune usually cost? 

Different hospitals in Pune have different criteria of cost but the cost of the medical procedure ranges between Rs. 1.5-3 lacs relying upon the seriousness of the knee harm.

For example: 

knee replacement surgery charges at Sahyadri hospital, Hadapsar

Variant: General ward Rs. 150000.00

 Variant: Semi Private ward Rs. 170000.00

 Variant: Private Ward - Non Ac Rs. 180000.00

 Variant: Private Ward - Ac Rs. 190000.00

 Variant: Deluxe Room Rs. 220000.00

Knee Replacement Surgery by Gokhale Hospital

Location: 996, Tilak Road, Shukrawar Peth

Variant: Unilateral - Private Ward - Non Ac ( Partially Knee Replacement) Rs. 125000.00

 Variant: Unilateral - Private Ward - Ac ( Partially knee replacement ) Rs. 128000.00

 Variant: Unilateral - Private Ward ( Non Ac ) Rs. 150000.00

 Variant: Unilateral - Private Ward ( Ac ) Rs. 153000.00

Who's the best Ortho surgeon in India specializing in knee replacement surgery?

India is known for its medical care. There are many cities in India where the best facility for knee replacement surgery is provided. The hospitals are well equipped with the latest technologies and certified doctors. Various doctors and hospitals who are known for providing the best care are:

 Dr. Ashok Rajgopal – Top Total Knee Replacement Surgeon in India

Dr. SKS Marya 

And many more…

Few hospitals are :

  • Sakra World Hospital.
  • Hosmat Hospital.
  • Bangalore Pediatric Orthopaedic Centre.
  • Ramakrishna Super Speciality Hospital.
  • Mahaveer Orthopedic Clinic.
  • Apollo Spectra Hospitals.
  • Chincha Orthopaedic Center.
  • Pediatric Orthopaedics India.

 

Where can I find knee replacement surgery procedure data? 

There are the various source where data related to knee replacement procedure can be found are like the internet, magazine, research gate, Pubmed or if the patient is in touch with any Orthopaedic doctor then he/she can ask him about the procedure.

 

Is knee replacement surgery the solution for a severe backache? 

Quite possibly the most well-known purpose behind lower back agony following knee or hip substitution is because, since the medical procedure, your leg length is lopsided. What I mean by this is that you feel lopsided because of the way that one leg is longer than the other.

What is knee replacement surgery? 

Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.

Various types of arthritis may affect the knee joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the knees. Rheumatoid arthritis, which causes inflammation of the synovial membrane and results in excessive synovial fluid, can lead to pain and stiffness. Traumatic arthritis, arthritis due to injury, may cause damage to the cartilage of the knee.

The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.

What are some knee replacement surgery tips and tricks? 

Get a physiotherapist 

Getting your knee to work appropriately post a medical procedure is testing, yet a decent physiotherapist will help you. Your physio will help get your knee to twist (flex) and fix (expand) and diminish post-operation growing with kneading treatment. If conceivable, utilize a physio that additionally offers hydrotherapy, as practicing in a warm pool is a lot simpler and less excruciating. Preferably, find a physio before the medical procedure and book your meetings to begin when you leave the clinic. You will presumably have to have in any event two physio meetings seven days for 12 weeks post a medical procedure – perhaps significantly more. Your specialist will give you the endowment of another knee. Your physio will ensure you boost knee work and get the most ideal result from your medical procedure post-operation. 

Practice R.I.C.E

Post-operation, your knee (and perhaps the entire of your lower leg and foot) will be wounded and swollen. This is ordinary. Try to do all that could be within reach to diminish the expanding, by rehearsing R.I.C.E. 

Post a medical procedure, you need to exercise and move around however much your knee can endure, but at the same time it's truly essential to rest your knee adequately in the middle. While resting, ensure you hoist your leg and ideally ice it simultaneously. 

To have any effect on the growth, you need to ice your knee consistently. Preferably up to 5 times each day, however with a break of two hours between every application. This is especially significant quickly post a medical procedure. The ideal chance to ice is for 20 minutes. Doing activities can bother the knee and result in really growing, so ensure you have an ice pack good to go to utilize following working out. 

To be powerful, when icing, you should ensure that your knee is higher than your hip, in any case, icing will not make a big deal about an effect. This ensures that all the overabundance liquid can deplete into your lymph hubs which are in your crotch. 

The most effortless approach to do this is with a Game Ready System. This cools and packs the knee simultaneously so is extremely viable at lessening the expansion. You can employ one and have it conveyed to your home for when you emerge from the emergency clinic. It's certainly justified regardless of the speculation, as it gets astounding outcomes, and quick. 

Prop up your knee so it rests over the level of your heart. In the daytime, lie on your couch or bed and spot a heap of pads/cushions under your lower leg/foot. Around evening time, raise the foot of your bed (circa.10cm) by tucking a couple of covers/towels under the sleeping cushion. This will naturally lift your leg and implies that the liquid in your knee/leg can deplete away during the night while you're resting. 

Deal with the agony 

Taking agony executioners is the best way to overcome the post usable torment. On the off chance that you don't care for 'popping pills' your intuition will be to attempt to fall off the torment executioners at the earliest opportunity, yet this can be counter-beneficial. You'll feel such a lot better during your recovery (especially quickly post-operation) on the off chance that you monitor the agony. That implies taking the torment executioners routinely (for example at regular intervals). Preferably don't trust that the agony will kick in before you take them. Dealing with the agony in this manner will keep you as versatile as could be expected, empower you to do your knee practices without an excess of inconvenience, and assist you with getting a decent night's rest, which is altogether truly significant for a fruitful recuperation. 

Rest soundly 

Post a medical procedure, it's very basic to experience difficulty resting. The tips underneath might help. 

Take your torment executioners not long before you head to sleep and during the evening. Attempt to time when you take your torment executioners during the day so you can take one not long before you head to sleep. This ought to ideally allow you four hours rest. You'll likely awaken in torment in the early hours of the morning, so have a solitary portion of torment executioners close to your bed and accept them when the torment kicks in. This ought to ideally give you an additional four hours. 

Lay down with a cushion between your knees. Finding an open to resting position post a medical procedure can be interesting. On the off chance that you're accustomed to dozing on your side, at that point take a stab at laying down with a cushion between your knees. This gives some extra insurance and cushioning for your knee and maybe more agreeable. NB. In case you're accustomed to resting on your back, don't be enticed to put a cushion under your knee as this will obstruct your recuperation as it will keep your knee from completely expanding. 

Purchase a lightweight duvet. Post-operation, your knee/foot may be delicate to contact and the heaviness of your current sheet material awkward and difficult. Having a truly lightweight duvet can help. Siberian goose down is awesome. It's so light, you can barely feel it, yet comfortable and warm. Expensive, yet unquestionably justified, despite any trouble. 

Evade obstruction 

Taking agony executioners will make you blocked up, so preferably attempt to forestall it before it occurs. The cures beneath will help, yet don't attempt them all simultaneously! 

Psyllium Husks. These are a characteristic type of fiber and taking two containers before each feast will assist with keeping things moving. You can get them from Health Food Stores (for example Holland and Barratt) or on the web. 

Senna tea. Senna is a spice and a magnificent non-solution purgative. You can get it as free leaves or teabags from most wellbeing food shops (for example Neal's Yard). Simply mix like a typical tea. 

Prune juice. You can weaken it with water to make it more acceptable. Accessible from wellbeing food stores and most huge stores. 

Syrup of figs. Contains figs and senna and comparable in taste to prune juice. Take two 5ml spoons not long before hitting the hay. Accessible from most physicists. 

NB Some of the above cures may communicate with different medications that you may be taking, so read the directions/contraindications cautiously before attempting any of them. 

Do your knee practice consistently?

What you accomplish in the first fourteen days post a medical procedure in quite a while of knee twist (flex) will decide the scope of development you'll have in your knee in the long haul. So practicing consistently quickly post a medical procedure is truly significant. Your specialist will mention to you what level of knee twist (flex) you should focus on. 

You will likewise have to focus on a 0-degree expansion to get a straight leg. Your physio or specialist will clarify what this implies and resembles. Accomplishing this can be extreme, especially if your leg wasn't straight before the medical procedure. It can require up to 12+ weeks, however, your physio will help you by extending your leg, utilizing loads, and back rub treatment. 

To perceive any genuine advantage, you'll need to do your knee practices routinely. That implies each day – and preferably more than once every day – in any event, when you don't want to do them, which will be more often than not. You'll presumably moment that you level as far as your advancement and think that it's difficult to remain spurred and stay focused on doing the knee practices consistently after that. Even though you'll be enticed, do whatever it takes not to surrender. Attempt to picture what you need to do in three/six months (for example cycling, climbing, or moving) when your knee is completely useful and you're liberated from torment. 

Limit scarring 

Having a knee medical procedure will imply that you will have a serious large scar. It will blur and get smooth with time. When your lines have come out/or disintegrated and the injury is completely recuperated you'll have to routinely rub your scar to decrease the redness and separate any knots and knocks. Bio-oil is phenomenal for this (accessible from most physicists and a few grocery stores). Utilizing the right-back rub procedure is significant. When in doubt, rub across the scar in a flat development, not lengthways, and work the knocks. Your physio will show you the right strategy. Attempt to focus on doing this every day. Over the long run, your scar will gradually start to blur and start to look a lot better.

How successful is knee replacement surgery in India?

The success rate of the knee replacement surgical procedure in India is almost close to 100%. There are very few cases recorded that posed complications post the surgery, but none of the complications was prolonged.

Roughly 85 percent of fake knees embedded are in working mode even following 20 years. In a dominant part of cases, individuals between the ages of 50 to 80 go through knee substitution medical procedures to have a sound existence again and help from persistent agony. 

How much does knee replacement surgery in India usually cost?

 Knee substitution medical procedure cost in India differs appropriately. It costs USD 4000 to USD 6000 for a solitary knee and USD 8400 to USD 12000 for the two knees. The cost likewise incorporates the sort and material of embed utilized, kind of medical procedure, specialist's experience, clinic charges followed by recovery measure.

How long does knee replacement surgery take?

The procedure takes 1 to 3 hours: Your surgeon cuts the front of your knee to expose your kneecap. This is then moved to the side so the surgeon can get to the knee joint behind it. The damaged ends of your thigh bone and shin bone are cut away.

What preparation should one do before knee replacement surgery?

Plan early. Indeed, even before you set a date, consider what activity will mean for your life. Things might be unpleasant after joint trade for at any rate half a month. Get ready presently to make the medical procedure go easily and to accelerate your recuperation.

Move and lose it. In the event that conceivable, attempt to improve shape before your medical procedure. You'll recuperate all the more rapidly in case you're truly fit. Ask your doctor which exercises you ought to do before the operation. Working your arms and chest area, for instance, will make it simpler for you to get around on braces or a walker. In case you're heavy, plan to drop some weight to help the weight on your knees.

Stop smoking. In the event that you use cigarettes or other tobacco items, stop or cut down. Smoking eases back your recuperation and makes your injuries take more time to mend. It additionally raises your odds of entanglements and disease during and after the medical procedure.

Practice. Prior to the medical procedure, become familiar with the active recuperation practices you'll require later. Give them a shot. In the event that you become accustomed to them now, they'll be simpler to do later. In the event that you'll require braces or a walker, test-drive those, as well.

Scribble it down. Odds are, you'll be requested similar clinical and protection data on and on in the coming weeks. Convey a helpful rundown of:

  • All your medicine and enhancements
  • Any ailments you have
  • Your protection strategy and participation numbers
  • Your primary care physicians' names and telephone numbers
  • People to contact in a crisis

Line up assistance. You will require it while you recuperate. On the off chance that you live all alone, enroll a family member or dear companion to remain with you for some time. Request that a neighbor takes out the trash or acquire the mail. Freeze additional suppers or stock up your storeroom before you head to the medical clinic.

Prepare your home. Move things in your home so it'll be simpler to get around when you're less portable. You may have to set up a brief room on the primary floor. Clear your lobbies to prepare for supports or a walker. Consider introducing security rails in the washroom. Keep all you require - from your telephone to your espresso creator – inside simple reach.

Follow orders. Your primary care physician will train you on what to do in a couple of days before a medical procedure. They may have you stop a few medications, particularly ones that can cause you to drain really during a medical procedure. Imprint point-by-point orders on a schedule so you will not fail to remember.

Who's the best Ortho surgeon in India specializing in knee replacement surgery?

India is known for its medical care. There are many cities in India where the best facility for knee replacement surgery is provided. The hospitals are well equipped with the latest technologies and certified doctors. Various doctors and hospitals who are known for providing the best care are:

Top Total Knee Replacement Surgeon in India

Dr. SKS Marya

Dr. Ashok Rajgopal

And many more… 

Few hospitals are :

  • Sakra World Hospital.
  • Hosmat Hospital.
  • Bangalore Pediatric Orthopaedic Centre.
  • Ramakrishna Super Speciality Hospital.
  • Mahaveer Orthopedic Clinic.
  • Apollo Spectra Hospitals.
  • Chincha Orthopaedic Center.
  • Pediatric Orthopaedics India.

Where can I find knee replacement surgery procedure data?

There are the various source where data related to knee replacement procedure can be found are like the internet, magazine, research gate, or if the patient is in touch with any Orthopaedic doctor then he/she can ask him about the procedure. 

Is knee replacement surgery the solution for a severe backache? 

Quite possibly the most well-known purpose behind lower back agony following knee or hip substitution is on the grounds that, since the medical procedure, your leg length is lopsided. What I mean by this is that you feel lopsided because of the way that one leg is longer than the other. 

What is knee replacement surgery? 

Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.

Various types of arthritis may affect the knee joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the knees. Rheumatoid arthritis, which causes inflammation of the synovial membrane and results in excessive synovial fluid, can lead to pain and stiffness. Traumatic arthritis, arthritis due to injury, may cause damage to the cartilage of the knee.

The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.

What are some knee replacement surgery tips and tricks?

Get a physiotherapist 

Getting your knee to work appropriately post a medical procedure is testing, yet a decent physiotherapist will help you. Your physio will help get your knee to twist (flex) and fix (expand) and furthermore diminish post-operation growing with kneading treatment. In the event that conceivable, utilize a physio that additionally offers hydrotherapy, as practicing in a warm pool is a lot simpler and less excruciating. Preferably, find a physio before the medical procedure and book your meetings to begin when you leave the clinic. You will presumably have to have in any event two physio meetings seven days for 12 weeks post a medical procedure – perhaps significantly more. Your specialist will give you the endowment of another knee. Your physio will ensure you boost knee work and get the most ideal result from your medical procedure post-operation. 

Practice R.I.C.E

Post-operation, your knee (and perhaps the entire of your lower leg and foot) will be wounded and swollen. This is totally ordinary. Try to do all that could be within reach to diminish the expanding, by rehearsing R.I.C.E. 

 

Post a medical procedure, you need to exercise and move around however much your knee can endure, but at the same time it's truly essential to rest your knee adequately in the middle. While resting, ensure you hoist your leg and ideally ice it simultaneously. 

 

To have any effect on the growth, you need to ice your knee consistently. Preferably up to 5 times each day, however with a break of two hours between every application. This is especially significant quickly post a medical procedure. The ideal chance to ice is for 20 minutes. Doing activities can bother the knee and result in really growing, so ensure you have an ice pack good to go to utilize following working out. 

To be powerful, when icing, you should ensure that your knee is higher than your hip, in any case, icing will not make a big deal about an effect. This ensures that all the overabundance liquid can deplete into your lymph hubs which are in your crotch. 

The most effortless approach to do this is with a Game Ready System. This cools and packs the knee simultaneously so is extremely viable at lessening the expansion. You can employ one and have it conveyed to your home for when you emerge from the emergency clinic. It's certainly justified regardless of the speculation, as it gets astounding outcomes, and quick. 

 

Prop up your knee so it rests over the level of your heart. In the daytime, lie on your couch or bed and spot a heap of pads/cushions under your lower leg/foot. Around evening time, raise the foot of your bed (circa.10cm) by tucking a couple of covers/towels under the sleeping cushion. This will naturally lift your leg and implies that the liquid in your knee/leg can deplete away during the night while you're resting. 

Deal with the agony 

Taking agony executioners is the best way to overcome the post usable torment. On the off chance that you don't care for 'popping pills' your intuition will be to attempt to fall off the torment executioners at the earliest opportunity, yet this can be counter-beneficial. You'll feel such a lot better during your recovery (especially quickly post-operation) on the off chance that you monitor the agony. That implies taking the torment executioners routinely (for example at regular intervals). Preferably don't trust that the agony will kick in before you take them. Dealing with the agony in this manner will keep you as versatile as could be expected, empower you to do your knee practices without an excess of inconvenience, and furthermore assist you with getting a decent night's rest, which is altogether truly significant for a fruitful recuperation. 

Rest soundly 

Post a medical procedure, it's very basic to experience difficulty resting. The tips underneath might help. 

Take your torment executioners not long before you head to sleep and during the evening. Attempt to time when you take your torment executioners during the day so you can take one not long before you head to sleep. This ought to ideally allow you four hours rest. You'll likely awaken in torment in the early hours of the morning, so have a solitary portion of torment executioners close to your bed and accept them when the torment kicks in. This ought to ideally give you an additional four hours. 

Lay down with a cushion between your knees. Finding an open to resting position post a medical procedure can be interesting. On the off chance that you're accustomed to dozing on your side, at that point take a stab at laying down with a cushion between your knees. This gives some extra insurance and cushioning for your knee and maybe more agreeable. NB. In case you're accustomed to resting on your back, don't be enticed to put a cushion under your knee as this will obstruct your recuperation as it will keep your knee from completely expanding. 

Purchase a lightweight duvet. Post-operation, your knee/foot may be delicate to contact and the heaviness of your current sheet material awkward and difficult. Having a truly lightweight duvet can help. Siberian goose down is awesome. It's so light, you can barely feel it, yet comfortable and warm. Expensive, yet unquestionably justified, despite any trouble. 

Evade obstruction 

Taking agony executioners will make you blocked up, so preferably attempt to forestall it before it occurs. The cures beneath will help, yet don't attempt them all simultaneously! 

Psyllium Husks. These are a characteristic type of fiber and taking two containers before each feast will assist with keeping things moving. You can get them from Health Food Stores (for example Holland and Barratt) or on the web. 

 

Senna tea. Senna is a spice and a magnificent non-solution purgative. You can get it as free leaves or teabags from most wellbeing food shops (for example Neal's Yard). Simply mix like a typical tea. 

Prune juice. You can weaken it with water to make it more acceptable. Accessible from wellbeing food stores and most huge stores. 

Syrup of figs. Contains figs and senna and comparable in taste to prune juice. Take two 5ml spoons not long prior to hitting the hay. Accessible from most physicists. 

 

NB Some of the above cures may communicate with different medications that you may be taking, so read the directions/contraindications cautiously prior to attempting any of them. 

Do your knee practice consistently? 

What you accomplish in the first fourteen days post a medical procedure in quite a while of knee twist (flex) will decide the scope of development you'll have in your knee in the long haul. So practicing consistently quickly post a medical procedure is truly significant. Your specialist will mention to you what level of knee twist (flex) you should focus on. 

You will likewise have to focus on a 0-degree expansion to get a straight leg. Your physio or specialist will clarify what this implies and resembles. Accomplishing this can be extreme, especially if your leg wasn't straight before the medical procedure. It can require up to 12+ weeks, however, your physio will help you by extending your leg, utilizing loads, and back rub treatment. 

To perceive any genuine advantage, you'll need to do your knee practices routinely. That implies each day – and preferably more than once every day – in any event, when you don't want to do them, which will be more often than not. You'll presumably moment that you level as far as your advancement and think that it's difficult to remain spurred and stay focused on doing the knee practices consistently after that. Despite the fact that you'll be enticed, do whatever it takes not to surrender. Attempt to picture what you need to do in three/six months (for example cycling, climbing, or moving) when your knee is completely useful and you're liberated from torment. 

Limit scarring 

Having a knee medical procedure will imply that you will have a serious large scar. It will blur and get smooth with time. When your lines have come out/or disintegrated and the injury is completely recuperated you'll have to routinely rub your scar to decrease the redness and separate any knots and knocks. Bio-oil is phenomenal for this (accessible from most physicists and a few grocery stores). Utilizing the right-back rub procedure is significant. When in doubt, rub across the scar in a flat development, not lengthways, and work the knocks. Your physio will show you the right strategy. Attempt to focus on doing this every day. Over the long run, your scar will gradually start to blur and start to look a lot better.

How successful is knee replacement surgery in India?

The success rate of the knee replacement surgical procedure in India is almost close to 100%. There are very few cases recorded that posed complications post the surgery, but none of the complications was prolonged.

Roughly 85 percent of fake knees embedded are in working mode even following 20 years. In a dominant part of cases, individuals between the ages of 50 to 80 go through knee substitution medical procedures to have a sound existence again and help from persistent agony.

How much does knee replacement surgery in India usually cost?

Knee substitution medical procedure cost in India differs appropriately. It costs USD 4000 to USD 6000 for a solitary knee and USD 8400 to USD 12000 for the two knees. The cost likewise incorporates the sort and material of embed utilized, kind of medical procedure, specialist's experience, clinic charges followed by recovery measure.

How long does knee replacement surgery take?

The procedure takes 1 to 3 hours: Your surgeon makes a cut down the front of your knee to expose your kneecap. This is then moved to the side so the surgeon can get to the knee joint behind it. The damaged ends of your thigh bone and shin bone are cut away.

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