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Knee Replacement Surgery Cost in India

total knee replacement

  • 2020-11-25

The cost of knee replacement surgery in India ranges from $2,000 to $5,000. Knee replacement surgery cost in India has reduced highly.

The most common causes of pain and wear and tear of the knee joint leading to a total knee replacement can be attributed to osteoarthritis. Similarly, rheumatoid arthritis, psoriatic arthritis also form the contributing factors that may lead to a Total Knee Replacement. Conditions that are an absolute contraindication for knee replacement such as Osteoarthritis, Rheumatoid arthritis, Trauma, Meniscus tear, Damage to the synovial joint, Degenerative changes in the knee joint, Can also be done to correct mild valgus and virus deformities, Injury to Joint.

The decision for a knee replacement is taken only after all the other non-surgical treatment methods have been tried out and proved to be unsuccessful. Procedure and risk associated with knee replacement surgery. Physiotherapy plays a very crucial role in the post-operative phase of the patient. The transition of the patient from mild exercises to walking is lengthy and time-consuming. A continuous passive motion machine is used during the physiotherapy sessions. This surgery is generally done on patients aged 55 or more. In India, the cost of a knee replacement surgery is approximately between 1.5 lakh to 3.5 lakh. The prices for total knee replacement surgery in India are comparatively low if compared with the western countries. The cost of the Indian currency is low as compared to USD and pounds or euros. Similarly with the growth in the number of quality hospitals providing similar surgeries cost-effectively becomes a major point to stay ahead in the competition.

Total Knee Replacement is also known as knee arthroplasty. This is a surgical procedure in which the diseased and damaged knee joint is replaced with artificial material. Thus an artificial knee joint is placed in the knee cavity. The knee joint is the type of hinge joint that enables motion at the junction of the thigh and the lower leg. The knee joint consists of the lower end of the femur, the upper end of the tibia, and the patella. These three bones are covered by smooth articular cartilage which helps in the movement of the joint. The menisci are wedge-shaped that act as cushioning agents of the joints. They also work as the shock absorber of the joint. The synovial membrane covers all the surfaces. But in diseases disrupting the harmony of this joint leads to pain, weakness in the muscle, and loss of function.

The most common causes of pain and wear and tear of the knee joint leading to a total knee replacement can be attributed to osteoarthritis. Similarly, rheumatoid arthritis, psoriatic arthritis also form the contributing factors that may lead to a Total Knee Replacement.

Other major causes may include pain, forceful trauma to the knee joint, ligament tears, defects in the cartilage. Knee replacement surgery can be done and categorized into 2 types.

Traditional total knee replacement

It is the most common surgery and involves a 7 to 10-inch incision. A hospital stay of 3-5 days and a recovery period lasting for over a month are sufficient.

Minimally Invasive Knee Replacement

This surgery requires a 3 to 6-inch incision and avoids trauma to the tendons and muscles in front of the thigh. It results in reduced tissue damage and less pain. The recovery period required for this procedure is also less and gives better motion due to smaller scar tissue formation.

The Surgical procedure can also be categorized as

1. Partial Knee replacement. Patients with osteoarthritis are just one compartment of the knee leading to pain that can be treated with a partial knee replacement.

 

2. Total Knee Replacement. Osteoarthritis that causes severe pain and destruction of the knee joint and even loss of function of the joint needs to be treated with a total knee replacement.

It depends on the physical condition of the patient and the evaluation of the physician and the surgeon to decide which procedure may prove most helpful for the patient.

History of Total Knee Replacement.

The development of the first knee replacement surgeries can be dated back to a German surgeon named Themistocles Glock in 1860. He is said to have used an ivory hinge.

However, John Charnley's total hip arthroplasty that took place in 1961 is the inspiration for today's total knee replacement procedures.

Indications for a Total Knee Replacement

As mentioned earlier following can be stated as indications for a total knee replacement.

 

1. Osteoarthritis

2. Rheumatoid arthritis.

3. Trauma

 

4. Meniscus tear.

5. Damage to the synovial joint.

6. Degenerative changes in the knee joint.

7. Can also be done to correct mild valgus and varus deformities.

8. Injury to Joint.

Contraindications for Total Knee Replacement:

Conditions that are an absolute contraindication for knee replacement are as follows.

1. Knee Sepsis.

2. Chronic Osteomyelitis.

3. Active Infection.

4. Severe osteoporosis.

5. Peripheral artery disease.

6. Physical and mental condition that may hamper the healing.

7. Morbid obesity.

8. Psoriasis.

Pre-surgery

The decision for a knee replacement is taken only after all the other non- surgical treatment methods have been tried out and proved to be unsuccessful.

Proper evaluation of the damaged joint along with the adjacent joint is done to test the efficacy of the hip and ankle joint as we. This helps to understand the number of recovery patients. A complete blood count along with other investigations like chest X-Ray as advised, ECG, cross-matching, as advised by the doctor is to be performed. Similarly, knee joint, hip joint, strengthening exercises should be done as advised. Pre-operation counseling to reduce anxiety is very essential. Morbid obesity can put the replacement knee joint at risk of dislocation.

Medications such as warfarin or any other anticoagulants need to be stopped a few days before the surgery

Other risk factors involve the overactivity of the young patients who may need Total knee replacement due to injury or trauma to the joint.

 Procedure

In a total knee replacement surgery, the metal implant is used to replace the femur bone. The condition of the kneecap is evaluated to replace the lower end of the tibia with a metal stem.

The posterior cruciate ligament is the main ligament that helps in stabilizing the knee joint from dislocating sideways. Thus the damage to this joint causes severe pain along with stiffness, and painful movement.

Risks associated:-

 

Just like any other surgery, total knee replacement also involves a few risks which need to be explained to the patient as well beforehand. The general surgical risks may include

1. Surgical Site infection

2. Strokes

3. Blood clots.

4. Deep vein thrombosis.

5. Nerve injuries.

6. Failures of prosthesis etc.

7. Loss of motion- But this may resolve slowly after the physiotherapy.

8. Periprosthetic fractures.

9. Instability

10. Loosening

11. Pulmonary embolism.

12. Implant problems.

Physiotherapy post knee replacement surgery:-

Physiotherapy plays a very crucial role in the post-operative phase of the patient.

The transition of the patient from mild exercises to walking is lengthy and time-consuming.

Proper and timely physiotherapy and exercises help to reduce the recovery time and also increases the joint strength and stability.

Rigorous movements and jerks to the joint should be avoided.

A continuous passive motion machine is used during the physiotherapy sessions.

Total Knee Replacement cost in India:-

With the advent of science and technology, the research on the topic has helped to innovate new and more efficient methods in knee replacement surgeries. As per the statistics, around 1,20,000 cases of knee replacement surgeries take place in India every year.

This surgery is generally done on patients aged 55 or more. In India, the cost of a knee replacement surgery is approximately between 1.5 lakh to 3.5 lakh. The prices for total knee replacement surgery in India are comparatively low if compared with the western countries. The cost of the Indian currency is low as compared to USD and pounds or euros. Similarly with the growth in the number of quality hospitals providing similar surgeries cost-effectively becomes a major point to stay ahead in the competition.

However, it depends on what part is being resurfaced during the surgery and the type of surgery as well as unilateral, bilateral, partial, or total knee replacement.

Conclusion

This is a surgical procedure in which the diseased and damaged knee joint is replaced with artificial material. Thus an artificial knee joint is placed in the knee cavity. The knee joint is the type of hinge joint that enables motion at the junction of the thigh and the lower leg. This surgery is generally done on patients aged 55 or more. It is a costly procedure for poor or middle-class patients. In total knee replacement surgery, the patient should mentally prepare. Proper evaluation of the damaged joint along with the adjacent joint is done to test the efficacy of the hip and ankle joint as we. This helps to understand the number of recovery patients. A complete blood count along with other investigations like chest X-Ray as advised, ECG, cross-matching, as advised by the doctor is to be performed. Similarly, knee joint, hip joint, strengthening exercises should be done as advised.

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