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Total knee replacement, also known as total knee arthroplasty, is a medical procedure where the parts of the
knee joint are replaced with artificial (prosthetic) parts.
A regular knee functions as a pivot joint between the upper leg bone and the lower leg bones (tibia and fibula).
The surfaces where these bones meet become worn out over time, often due to arthritis or other conditions, which can cause pain and swelling.
TKR can be one choice to relieve pain and to re-establish the functioning of a joint knee.
The most well-known reason for knee replacement is that different medical treatments(weight reduction, workout, drugs, injections and bracing) have failed to ease arthritis-associated knee pain.
Surgeries Across 4 Countries
Years of Experience
Happy Patients
MS Orthopedics at Madras Medical College
Dr.Mohan Puttaswamy, with a fellowship from the University of New York is a veteran in Orthopedic surgeries. He is presently working at Fortis Hospital, Bannerghatta road, as an orthopedic surgeon taking care of patients from India and across the world.,
Dr. Mohan K P graduated from Bangalore Medical College in the year 2002 and pursued his MS Orthopedics at Madras Medical College, passing out in 2006 with two gold medals after topping the university for the entire state of Tamil Nadu. He has worked at PESIMSR as Assistant and Associate Professor of Orthopedics, taking care of a large number of trauma patients in teaching set up for four years. He was then selected by the prestigious Harvard University to pursue Fellowship training in Pediatric Orthopedics at Massachusetts General Hospital- the birthplace of modern Anesthesia. He has worked with leaders in Pediatric Orthopedics like Brian Grottkau, Maurice Albright, Saechin Kim, and Gleeson Rebello, thus acquiring the necessary skills in this challenging specialty to take care of the vast problems presenting in Pediatric Orthopedics. His special interests are in deformity correction of the lower extremity, pediatric trauma management, and pediatric hip problems.
Knee replacement (arthroplasty) is a medical procedure to replace the weight-bearing surfaces of the knee joint. Treating sick or damaged knee joints to ease the movement and help you stay dynamic.
Pain after total knee arthroplasty typically lasts for about two weeks after which the patient can manage pain with routine pain medication. Some people feel pain up to about six weeks after surgery. It is not unusual for a patient to have an intermittent increase in pain managed with an occasional ice pack and compression.
It is another common question and makes patients apprehensive. It is not uncommon to have raised temperature around the operated knee for about six months after surgery because of increased blood supply during the healing process. There is localized warmth and should not be confused with fever. One should be concerned if this sensation is associated with fever, malaise, and if there is any discharge from the operated leg.
This sensation of changed sleeping pattern persists for about six weeks after Total Knee Replacement. It is better to be active during the day staying awake with distractions like playing with grandkids, watching television, and light activity. The cause of this could be pain medications and recovery from anesthesia. Talk to your doctor about it, and you might need a mild sedative during your night. It is also comfortable to sleep with a pillow between one’s legs during nights.
Metallic clicks are standard after total knee because the plastic component of the knee cap against the metallic component of the femur (thigh bone) can cause clunky noises. The parts are firmly fixed, and you should not worry about minor noises unless it causes severe pain and difficulty to walk. This noise is more noticed when patients are climbing stairs.
It is honestly a difficult question to answer for the physical therapist as well as the surgeon because the primary determinant of discarding walking aid is- the patients themselves. If recovery has been excellent, with no medical co-morbidities, some transition directly to cane at the time of discharge and discard walking aids by suture removal. It is essential to know one’s strength and gradually reject aids if they are confident. The thumb rule is to wean out of walker by two weeks and avoid using cane by six weeks.
Swelling after joint replacement is a very commonly noticed complaint. It is due to the disruption of lymphatic drainage as well as the lack of calf pump action. Patients will see swelling 2-3 months after surgery, and it is more towards the end of the day. Elevation of legs on pillows at night, performing regular calf pumps at night are all helpful in decreasing the swelling.
One should avoid driving a car for six weeks after total knee arthroplasty. The problems are of reflexes and the ability to shift feet from the accelerator to Brake. Studies have shown that people regain those reflexes by six weeks. One should also be careful when either sitting or driving a two-wheeler after two months after Knee replacement.
Immediately following total knee replacement, your surgeon will opt to give antibiotics for a couple of days. After that, Antibiotics need to be taken only when undergoing an invasive procedure like tooth extraction or cavity filling. There is a small controversy regarding this antibiotic usage, but most Orthopedic surgeons recommend Antibiotics before dental work to be taken 1 hour before the invasive procedure. We use Amoxicillin 1gm orally 1 hour before the procedure.
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