Knee Replacement Surgery In India

What is Knee Replacement?

Knee replacement/arthroplasty is a procedure that replaces the knee joint with implants and restores normal joint function in knees that have been damaged by direct or indirect injuries, disease, or conditions such as osteoarthritis. 

The following are the different types of Knee replacement surgeries that can be performed depending on the patient’s condition.
Knee replacement surgery is a method to replace a damaged or worn knee joint with an artificial joint. The medical term for this type of surgery is ‘arthroplasty’. Knee replacement surgery (arthroplasty) aims to relieve knee pain and improve movement. There are two types of knee surgery, depending on the condition of the knee:

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Total knee replacement: This may be necessary if the whole of the knee joint is damaged.
Partial (Half) knee replacement: This is also known as ‘unicompartmental’ or ‘unicondylar’ knee replacement. This is carried out if only one part of the knee joint needs to be replaced.

The types of knee replacement surgery?

Knee replacement surgery is of several types depending upon the severity of knee damage,

1. Total Knee Replacement Surgery (TKR):

This is the most common type of knee replacement surgery, and it involves replacing the entire knee joint with a prosthetic.

2. Partial Knee Replacement Surgery (PKR):

This type of surgery only replaces the damaged portion of the knee joint, preserving healthy bone and tissue.

3. Customized Knee Replacement Surgery:

This type of surgery involves creating a personalized prosthetic to fit the patient’s specific anatomy and provide a more natural feel.

4. Revision Knee Replacement Surgery:

This type of surgery is performed when a previous knee replacement has failed, and a new prosthetic must be implanted.

What are the advantages of knee replacement?

The advantages of Knee Replacement are the following:

• Long-lasting implants that may last for up to 20 years.
• Better assistance to the patient in carrying out daily activities without suffering from severe pain.
• Improved quality of life of the patients.
• Improved knee movement and the ability to walk long distances with no or minimal pain.
• Resume normal daily activities within 6 months and fully recover in a year.
• Relief from joint pain

Why should you not delay surgery?

Surgery is the only solution to give you relief from your pain and constrained lifestyle. If you anyhow have to do it, why live with the sufferings. Orthopedic surgeons typically recommend the surgery when other ways of pain management stop working for you.
Rather than living with a constrained and painful life, you should choose the right technique which can address your concerns and priorities and get it done sooner. You will eventually like your decision when you feel the relief and liberty from your constraints.

What are the indications of knee replacement?

Knee Replacement is only considered when there are one or more of the following conditions:

• Arthritis
• Knee pain or stiffness prevents you from doing things like walking, climbing stairs, or getting in and out of chairs. It may be difficult to walk more than a few blocks without experiencing significant pain, necessitating the use of a cane or walker.
• Experiencing moderate or severe knee pain while resting every day.
• Knee swelling and inflammation that does not improve with rest or medication
• Knee deformity– a bowing in or out of the knee
• Other treatments, such as anti-inflammatory medications, cortisone injections, lubricating injections, physical therapy, or other surgeries, have failed to significantly improve the condition.

Different types of advanced knee replacement surgery techniques in India

Besides conventional total knee replacement surgery, ortho surgeons have started performing knee replacement with the following advanced techniques which gives more precision and avoids any possibility of alignment mistakes.

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Advanced Computer Assisted Surgery for Knee replacement in India

Computer Navigation is the most up-to-date infrared-based real-time tool for total knee replacement surgery. By providing real-time visual information about the accuracy of the bone cuts, implant positioning, ligament balancing, and final alignment of the limb during surgery, navigation helps to reduce errors.

How Does Computer Navigation Work?

The surgeon uses infrared markers and trackers to mark the patient’s own bony landmarks during knee replacement surgery. The data is captured by the navigation system’s infrared cameras, which produce a real-time 3D model of the patient’s knee joint.
Furthermore, software algorithms are used to accurately locate landmarks that are critical for implant positioning but cannot be seen by the naked eye or approximated with conventional instruments (hip center and ankle center).
Finally, each step of the surgery is monitored in real-time, allowing for fine-tuning of errors of up to 0.5 degrees and 0.5 mm. As a result, every patient’s knee is implanted with 100 percent accuracy.

Benefits of Computer Assisted Knee Replacement

• The prosthesis is better balanced and positioned
• Prosthesis placement and alignment are more precise
• Better functioning knee
• The patient is able to resume an active lifestyle sooner than expected
• There is no room for human error
• Maximizes longevity of the implant
• Reduces the risk of blood loss and pulmonary embolism
• Faster recovery and resumption of normal activities

PINLESS Computer Navigated Knee Replacement in india

The PINLESS Computer Navigation Technology guides the surgeon’s cuts by providing real-time 3-D imaging. It also ensures that the cuts are precise. This allows the surgeon to place the implants and align the leg with precision. Technique errors that would otherwise go unnoticed can now be quickly identified and corrected.
As a result, PINLESS Computer Navigation is used during total knee replacement to ensure proper implant positioning. This is a huge help for patients undergoing knee replacement who have deformities around their knees.
Joint replacement surgery is a field that is constantly evolving in order to improve outcomes and reliability. The PINLESS Computer Navigation System for Total Knee Replacements is one of these recent developments.
This technology is precise, aids in achieving perfection ensure zero error in the placement of the implanted artificial knee, and is cost-effective.

Robotic-Arm Assisted Knee Replacement in india

Robotic Knee Replacement Surgery is a cutting-edge and sophisticated surgical procedure for replacing a knee joint.
This procedure makes use of robotic-arm assisted technology, which gives the orthopedic and joint replacement surgeon a personalized surgical plan based on the patient’s anatomy.

Advantages of Robotic Knee Replacement

• Small incision
• Minimally invasive procedure creating less scarring
• Less postoperative pain
• Soft tissue damage is reduced compared to traditional joint replacements.
• Implant wear and loosening are reduced as the risk of implant and bone rubbing is reduced.
• A shorter hospital stay allows for a faster recovery.
• It only necessitates a few days in the hospital and a few days of recovery.
• A faster recovery means a quicker return to normal activities.

Knee replacement surgery cost in India

The knee replacement cost in India is anywhere between $2,800 to $5,500. As compared to many western countries, the knee replacement cost in India is quite low.
The knee joint replacement cost usually depends on which type of knee replacement is done. The various types of knee replacement costs in India are shown in the table below.

Types of Knee Replacement Surgery

Unilateral Total Knee Replacement

Cost in Dollars $2,319 – $3,558

Unilateral Total Knee Replacement

Cost in Dollars $3,774 – $6,137

Bilateral Total Knee Replacement

Cost in Dollars $3,774 – $6,137

Partial Knee Replacement

Cost in Dollars $2,152 – $3,156

Revision Knee Replacement

Cost in Dollars $4,093 – $6,757

What is the success rate of knee replacement in India?

Due to the relative reliability of the surgery and the effectiveness, this is a very popular surgery. Patients between the age group of 50-80 years generally opt for the surgery to relieve them from prolonged joint stiffness and restricted mobility.
However, we have seen a gradual increase in the number of young patients suffering from osteoarthritis who opt for surgery.
85% of the knee implants are functional 20 years post-surgery, while 90% of the implants last over 10 years. About 95% of our patients have experienced immediate pain relief after the surgery and improvement in mobility.
With the improvement in technology and greater availability of a variety of implants in sizes and for a specific gender, the accuracy and success rate of total knee replacement surgery in India has ominously increased.

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 Marengo Asia Hospital

Number of beds: 110
ICU Beds:                 31
Airport Distance: 19 KMs

About Hospital:

• Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
• W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
• The hospital has treated more than 25,000 people In 2018.
  

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

Brief About:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

Fortis Memorial Research Institute

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

Brief About:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

Max Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

Brief About:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

BLK-Max Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

Brief About:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

Medanta The Medicity Hospital

Number of beds:  1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief About:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

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Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:  20kms

About Hospital:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

Jaypee Hospital, Noida

Number of beds:   525
ICU Beds :               150
Airport Distance: 32 KMs

About Hospital:

• The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
• Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
• This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

Manipal Hospital Dwarka New Delhi

Number of beds:  480
ICU Beds:                 118
Airport Distance: 8 Km
About Hospital:

• Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.
• The world-class medical centre is a part of Manipal Education and Medical Group (MEMG), one of India’s forerunner healthcare groups.
• These Hospitals as an entity came into existence in 1991 with the launch of a hospital in Bangalore. Today, the group has 15 hospitals in India and an international presence with a hospital in Malaysia.

Fortis Escorts Hospital New Delhi

Number of beds:  310
ICU Beds:                 158
Airport Distance: 19 KMs

About Hospital:

• It was established in 1988 and is JCI accredited.
• Fortis Escorts Heart Institute is a premier multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care.
• The 310-beded hospital is a globally renowned centre boasting admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery.

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