Knee Replacement Surgery in India

Knee replacement surgery is often advised to people who suffer from degradation of the knee bone joint. It results in chronic pain. The pain is so severe that the patients are able to experience it even in resting state. The treatment is very popular in India. It is availed by thousands of patients. Indian orthopedic hospitals are well equipped with the technology used for this procedure.

How can Lyfboat assist you getting knee replacement Treatment in India?

Lyfboat is a free to use platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer for knee replacement surgery. In some cases we are able to reduce the cost by upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

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Knee Replacement
Knee replacement is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability.
SpecialtyOrthopedics
Body LocationKnee
Alternate NameKnee arthroplasty
Procedure TypeSurgical
Hospitals View Hospitals
Surgeons View Surgeons
Cost View Cost

Top Knee Replacement Hospitals in India

Knee replacement hospitals are located in all major Indian cities. These hospitals are well-equipped with state-of-the-art facilities and medical staff. These staffs are aware of new technologies to achieve the best outcomes. That’s why hundreds of patients travel to India for surgery. The responsibility does not end with the successful surgery of the knee patient. The medical staff also ensures that the patient recovers well after the procedure.

Medanta the Medicity, Gurgaon, India

Medanta the Medicity

Medanta hospital is focused at providing a customised solution for knee replacement while ensuring patient safety. The surgeons use trabecular metal implants.


Available Services: Unilateral, Bilateral, Cementless Implants

Medanta the Medicity – by ,Febryary 22, 2018
5 / 5
Columbia Asia Yeshwantpur, Bangalore, India

Columbia Asia Yeshwantpur, Bengaluru

The Department of Knee replacement at Columbia Asia Referral Hospital offers diagnostic and therapeutic services for the management of disorders of knee bones and knee joints. Knee replacement surgery is performed with extremely successful outcomes in a dedicated operating room. Orthopedic surgeons are part of the trauma team that is available round the clock to treat polytrauma patients. The department is supported by a high end radiological suite with X-ray, Image intensification and high-speed CT and MRI. Physiotherapy and rehabilitation services are available to restore the health and functional abilities of people after joint replacement, sports injuries, fractures and knee ligament injuries.


Available Services: Total – Unilateral, Total – Bilateral (single setting), Revision Knee Arthoplasty, Meniscus tear repair

Max Super Specialty Hospital Saket, New Delhi, India

Max Super Specialty Hospital Saket

Max Institute of Musculoskeletal Sciences offer comprehensive care for several Orthopaedic afflictions including knee problems. The hospital is equipped with a wide array of specialities ranging from Sports Medicine, Paediatric Orthopaedic Services, Arthritis Diagnosis as well as Treatment and Pain Management.


Available Services: Computer Assisted joint Replacement Surgery, Arthroscopic Surgery, Total Knee Replacement Surgery, Traumatic Orthopaedic Surgery

Fortis Hospital, New Delhi and Gurgaon, India

Fortis Hospital

The Orthopaedic department of fortis hospital specialises in arthroscopy, dealing with trauma recovery and complicated knee replacement. The hospital offer dedicated treatments in all minor and major osteoarthritic issues with an efficient line-up of leading orthopaedic doctors from around the country.


Available Services: Unilateral Knee Replacement, Bilateral Knee Replacement

Global Hospitals, Hyderabad, India

Global Hospital

With comprehensive and joint care, Gleneagles Global Hospitals helps in restoring your sense of mobility. Gleneagles Global Hospitals have well equipped wards with global standard amenities to treat knee problems. The knee replacement team works in collaboration with the imaging department to help in accurate diagnosis and planning a customized treatment. Bringing together a team of highly qualified orthopaedic specialists to treat knee and joint problems, the Institute of Orthopaedics, Joint Replacement & Sports Medicine at Gleneagles Global Hospitals provides the following diagnostic tests and treatments:


Available Services: Arthroscopy, Total Knee Replacement, ACL Reconstruction

BLK Super Speciality Hospital, New Delhi, India

BLK Super Speciality Hospital

BLK Centre for joint Replacement specializes in the treatment of joint related diseases. It is at par with international standards.


Available Services: Unilateral Knee Replacement, Bilateral Knee Replacement

Knee Replacement Cost in India

The knee replacement cost in India depends on several factors. The type of procedure carried out by the doctor is the most important factor. Type of prosthesis used during the procedure is the second most important factor. There are different types of knee replacement prosthesis. It differs from each other on the basis of the material used to create them.

The knee replacement prosthesis is usually made up of an alloy. These are created using titanium and cobalt-chromium. Sometimes, even ceramic knee implants are used. These implants wear off less quickly as compare to the alloy implants. As a result, they are not required to be replaced for at least 20 years.

The cost can depend on several factors:

  • Treatment procedure
  • Technology used
  • types of implant used
  • Severity
  • Location
  • Pre- and after care
  • Services included
  • Other treatments performed in conjunction

Partial knee replacement cost in India is around $4800, while it costs above $30000 in the US. The cost of both knee replacement is around $7800 in India. Typically, ACL reconstruction cost varies between $3500 and $5000 in India. Meanwhile, the same procedure can cost as much as $20000 in the US.

Top Knee Replacement Surgeons in India

Indian Knee replacement doctors are renowned globally for their surgical expertise and skills. They have years of experience in conducting knee replacement. They also are equipped with the knowledge to conduct the orthopedic surgeries. The surgery includes total knee arthroplasty and unilateral knee replacement.

They have so far successfully treated thousands of patients from abroad. The success rate of the surgery in the country is one of the highest in the world. A huge credit goes to the highly experienced knee replacement specialists in India

The top specialists for knee replacement work as independent professionals. They are associated with some of the top orthopedic hospitals in the country. An osteoarthritis patient from abroad can directly get in touch with the specialist. They can contact an orthopedic hospital of their choice. It helps seek consultation from one of the best doctors.

Some famous knee replacement surgeons in India:

Dr. Sanjiv Kumar Singh Marya

Dr. Sanjiv Kumar Singh Marya Orthopedics

Chairman, Bone and Joint Institute at Medanta The Medicity

Qualifications : M.Ch. (Orthopaedics), DNB (Orthopaedics), M.S. (Orthopaedics), M.B.B.S.

Specialization & Expertise : Knee Replacement Surgeries

Achievements and Awards :

  • 35+ years of experience. Performed more than 15,000 Joint Replacements.
  • Awarded with prestigeous AO Trauma Fellowship in Switzerland.
  • Stellar academic record with Best Post Graduate and Graduate awards.
  • Fellowship of International College of Surgeons, USA.
  • Fellowship of the Royal College of Surgeons of England.

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Dr. Ashok Rajgopal

Dr. Ashok Rajgopal Orthopedics

Chairman, Bone and Joint Institute at Fortis Research Memorial Institute

Qualifications : MS, M.Ch.Orth, F.R.C.S. (Edinburgh), M.B.B.S.

Specialization & Expertise : Knee Arthroplasty, Knee Replacement

Achievements and Awards :

  • Awarded the Padmashri on the eve of our 65th Republic Day on 25th Jan, 2014
  • 33+ years of experience in orthopedics.
  • Impeccable expertise in the most advanced cement less implants such as Trabecular Metal implants.
  • First Indian orthopaedic surgeon who has carried virtual total knee replacement employing patient-specific instruments.
  • Dr B C Roy awardee
  • Dr. Rajgopal has been awarded the Honorary FRCS by the Royal College of Surgeons on 11th Mar, 2011

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Dr. Ramneek Mahajan

Dr. Ramneek Mahajan Orthopedics

Director (Orthopaedics & Joint Replacement) & Head of Unit-1 at Max Smart Super Specialty Hospital

Qualifications : MS, M Ch (Orthopedics), Fellowship in Joint Replacement from Singapore General Hospital, Singapore, Puettlingen Hospital, Germany and The Prince Charles Hospital, Brisbane, Australia

Specialization & Expertise : Knee Replacement, Revision Knee Replacement, Knee Arthroscopy

Achievements and Awards :

  • 15+ years experience handling Knee Replacement cases.
  • Presented various important papers related to orthopedics.
  • Part of numerous faculty presentations in India.
  • Performed approximately 2500 Joint Replacements and more than 10000 other Orthopedic & Spine surgeries.

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Dr. Pradeep Sharma

Dr. Pradeep Sharma Orthopedics

Director & Head – BLK Centre for Orthopaedics, Joint Reconstruction & Spine Surgery at BLK Super Speciality Hospital, New Delhi

Qualifications :MS (Ortho), MCh. (Ortho)

Specialization & Expertise : Knee Replacement Surgery

Achievements and Awards :

  • 35+ years of experience in Knee Replacement.
  • Arthroplasty Fellowships from Sindelfingen, Germany and Sentinal Hospital, Los Angeles, U.S.A.
  • Paediatric Orthopaedics from Alder Hey Children’s Hospital, Liverpool, U.K.
  • Trauma Fellowship, Switzerland
  • Adult Reconstruction Surgery from Royal Liverpool Hospital & Joint Replacements Queen Mary Hospital, U.K.
  • Mentor to many young arthroplasty surgeons

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Why do you need knee replacement?

Knee replacement surgery is a complex and a major procedure that involves a long recovery period. So the knee surgeons first make a thorough assessment of the affected knee or knees. Then they decide whether surgery is the only option for relief from pain. This treatment is recommended only after other methods of knee pain control fail to work. Physical exercises, physiotherapy, weight loss, and medications are some pre-surgery methods. Some of the common reasons that warrant the need for knee replacement treatment include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout
  • Knee injury
  • Necrosis
  • Unusual bone growth
  • Knee deformity
  • Haemophilia

Who are the best candidate for knee replacement surgery?

The best candidate for the knee surgery includes patients who suffer from:

  • Damaged social life
  • Chronic knee pain, stiffness and swelling
  • Restricted movement because of extreme pain
  • Depression because of inability to work, conduct daily activities and move around

What are the different types of knee replacement surgery?

There are several different surgical methods and knee joints available in India. The orthopedic surgeon should help patients to choose the best option for the knee surgery. The four main types of knee replacement surgery are following:

Total knee replacement

Total knee replacement surgery may involve following procedures:

  1. Replacing the joint surfaces at the end of patient’s femur (thigh bone)
  2. Replacing the joint surfaces at the top of patient’s tibia (shin bone)
  3. Replacing the under-surface of patient’s patella (kneecap) with a smooth plastic dome

Surgeons prefer to preserve the natural patella if possible. but sometimes they make a decision during the operation. If the patient had a patellectomy earlier to remove patella, this won’t stop him or her having a total knee replacement surgery, but it may affect the type of prosthesis the surgeon uses.

Either new parts are cemented or the surface of the component facing the bone is coated to encourage bone to grow into it. It forms a natural bond. Using a mobile plastic bearing is another technique. It isn’t firmly fixed to the metal parts. This may help to reduce wear on patient’s new joint. But it doesn’t provide better long-term results.

Partial (Unicompartmental) knee replacement

There are following Knee compartments:

  • inner (medial),
  • outer (lateral),
  • kneecap (patellofemoral).

If arthritis affects only one side of the knee, it may be possible to have a partial knee replacement (half replacement). This surgery involves less interference with the knee. The recovery process is quicker than total knee replacement.

Minimally invasive surgical techniques are used in the partial knee replacement. It can be carried out through a smaller cut in comparison to total knee replacement.

The patient needs to have strong, healthy ligaments in the knee to undergo this procedure. People who have partial knee replacement treatment are more likely to have the knee revision surgery than people who have a total knee replacement. About 10% patients need further surgery after 10 years. Therefore, the orthopedic surgeon may prefer total knee replacement to patients.

Patients can undergo this surgery at any age. It offers the opportunity to preserve more bone to younger people which is helpful if he or she needs knee revision surgery later. It is a less stressful operation for older patients. It causes less pain and less bleeding risks. The type of arthritis decides the outcome of the surgery, rather than patient’s age.

Kneecap replacement (patellofemoral arthroplasty)

Arthritis affected under-surface of the kneecap and its groove can be replaced by patellofemoral joint arthroplasty or patellofemoral replacement.

This operation has a higher failure rate than total knee replacement. It may be caused by arthritis progressing to other knee parts of the patient. Some surgeons advise a total knee replacement. Some of them feel that it’s better to preserve the rest of unaffected knee joint. The operation is only suitable for 0.025% people with osteoarthritis.

Revision knee replacement or complex knee replacement

Some people may need a revision knee replacement because of,

  • major bone loss due to fracture or arthritis,
  • the weakness of main knee ligaments,
  • major knee deformity.

Longer stem used in this knee replacement allows the component to be more securely fixed into the bone cavity. To make up for any badly damaged bone, extra pieces of metal and/or plastic may be used. If the patient is having a second or third joint replacement in the same knee, he or she need this replacement

ACL reconstruction

ACL reconstruction is yet another commonly performed orthopedic procedure. It is conducted in patients with torn anterior cruciate ligament (ACL) located in the knee. It is an arthroscopic procedure. The torn ligament is completely removed and replaced with an artificial graft.

To replace damaged ACL, the tissue comes from patient’s own body or from a donor. A donor is a died person who chose to donate all or part of his or her body. Tissue taken from patient’s body is called an autograft. Tissue taken from a donor’s body is called an allograft.

knee arthroscopy is mostly used in this procedure in which a tiny camera is inserted into the knee through a small surgical cut. This tiny camera is connected to a video monitor in the operating room. The surgeon uses the camera to check the ligaments and other tissues of patient’s knee. The surgeon makes other small cuts around patient’s knee and inserts other medical instruments. The surgeon fixes any other damage found and then replaces the ACL.

  • The torn ligament are removed with a shaver or other medical instruments.
  • If the surgeon is using patient’s own tissue to make ACL, he or she will make a larger cut to remove autograft.
  • The surgeon makes tunnels in patient’s bone to bring the new tissue through.
  • The surgeon attaches the new ligament to the bone to hold it in place. The bone tunnels fill in time to time. This holds the new ligament in place.

At the end of the surgery, the surgeon closes the cuts with stitches and cover the area with a dressing. You may be able to view pictures after the procedure of what the doctor saw and what was done during the surgery.

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What knee replacement implant materials are used during surgery?

The knee replacement prosthesis is usually made up of an alloy. These are created using titanium and cobalt-chromium. Sometimes, even ceramic knee implants are used. These implants wear off less quickly as compared to the alloy implants. So they are not required to be replaced for at least 20 years. In ACL reconstruction, Knitted or braided artificial graft is used. The graft is usually made up of polyacetal polyethylene, polyethylene, polyester or silk.

Materials which can be used in knee implants in India are:

Stainless Steel

Stainless steel is not often used in India as knee replacement implants due to limited ability to withstand corrosion in the human body in long-term use. It is mostly being used as temporary implants.

Cobalt-chromium Alloys

Cobalt chrome is one of the metals used widely in India as knee implants. These metals are hard, tough, corrosion resistant and biocompatible. The patients are very less allergic to the use of cobalt-chromium alloys.

Titanium and Titanium Alloys

Implants, where high strength is not necessary, titanium and its alloys are used. Titanium and its alloys have a lower density as compared to other knee implant metals. The elastic nature of titanium and titanium alloys is lower than that of the other knee implants. So the titanium implant acts more like the natural joint and used widely in India. It reduces the risk of some complications like bone resorption and atrophy.

Uncemented knee implants

These implants are designed to attach directly to the bone. It doesn’t use the cement. For fixation, these designs rely on bone growth into the implant surface. Most implant surfaces are textured or coated. It helps the new bone actually grows into the surface of the implant. The surface of the titanium is modified in this by coating the implant with hydroxyapatite. This bioactive surfacing agent will ultimately bond as the bone grows into it.

Tantalum

Tantalum has following biological and physical properties:

  • flexibility,
  • corrosion resistant, and
  • biocompatibility

A new porous substance named Trabecular Metal has been made of tantalum. It contains pores, the size of which makes this material very good for bone in-growth. This metal has an elastic nature which aids bone remodeling.

Polyethylene

In knee replacement, the tibial and patellar components are made of polyethylene. Polyethylene surfaces often suffered from wear in hip implants. The use of Ultra Highly Cross-Linked PolyEthylene or Ultra High Molecular Weight PolyEthylene reduces the minimal wear. It enables the knee implants to last for a much longer time.

Zirconium alloy and all plastic tibial component:

Zirconium alloy is used in India as a new ceramic knee implant. This alloy is combined with an all-plastic tibial component. It replaces the metal tray and plastic insert used in other knee replacement surgeries. It is believed that this new knee could last for 20-25 years that is more than the effectiveness of cobalt chromium alloy and polyethylene implants. The new combination can be lubricated. It results in a smoother and easier articulation through plastic.

Zirconium alloy is biocompatible also. It also eliminates the risk to nickel-allergic patients because this new material contains no nickel.

Oxinium oxidized zirconium:

Oxinium oxidized zirconium is used in India as knee implants since 2001. It is a transformed metal alloy. It has a ceramic bearing surface. It contains zirconium and niobium alloy. These alloys were oxidized to convert the surface of the material into zirconia ceramic. It is two times harder than cobalt-chromium alloys that half the friction. It performs with higher quality and lasts for a longer time.

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What Happens During Knee Replacement Surgery?

The leg of the patient is placed in a position so that the knee is completely exposed in front of the surgeon conducting the procedure. In case of partial knee replacement, the surgeons make an incision around the targeted location. They open apart the knee in case of total knee replacement.

In the partial procedure, the kneecap is moved aside. The damaged part of the joint is cut away and replaced with the suitable prosthesis. The complete knee ball is removed along with the surrounding damaged cartilages in total knee replacement. All the removed joints are replaced with complete knee prosthesis.

The pieces of the artificial knee are joined together to secure everything. The surgeon then moves the joint to check that everything is fine and the artificial joint is moving. As the last step, the incision is sewed back. A typical knee replacement procedure lasts for about two hours. In minimally invasive knee replacement procedure, several small incisions are made instead of a single large cut. This procedure ensures faster recovery and less pain.

What are the Risks and Complications Occur During Knee Replacement Surgery?

Like any other major procedure, knee replacement surgery also has complications. For example, the patient may react to the anesthesia administered before the procedure. This may lead to a headache, nausea, dizziness, drowsiness, pain, shivering and vomiting. Wheezing, stomach problem or injuries to the nerves or arteries may take place in some cases.

Some of the other knee replacement surgery risks and complications include:

  • Postoperative infections
  • Development of a blood clot
  • Complications arising out of blood transfusion
  • Bleeding
  • Damage to arteries
  • Neurovascular damage
  • Loss of motion
  • Implant failure
  • Problem with prosthesis used
  • Knee stiffness

How to Recover After Knee Replacement Surgery?

Recovery after knee replacement surgery is painful and takes a long time. You are carried to the recovery room in a wheelchair immediately after the procedure. You have to stay for few hours there. Next, if everything remains fine, you are transferred to your hospital room.

Typically, you are required to stay in the hospital for a few days following the procedure. The surgeon regularly visits you each day to check your recovery.

You can expect to feel extreme pain during the initial few days after the surgery. The pain subsides in a few weeks’ time. However, it may take at least two to three months before you are able to walk normally without someone’s help or support of crutches or a walker.

You will be asked to move your feet and ankles for improved blood flow. In addition, you will be prescribed a few medicines to manage pain and to make blood thin to prevent the formation of blood clots. You will also be asked to wear compressions boots for a few weeks.

Knee Replacement Video