Total Knee Replacement

Expert total knee replacement at Maiya Hospital, Jayanagar Bangalore. Advanced prosthetic technology, experienced orthopaedic surgeons, comprehensive rehabilitation. Book your consultation today.

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About Total Knee Replacement

Total Knee Replacement (TKR) is a surgical procedure in which a damaged knee joint is replaced with an artificial implant (prosthesis) made of metal alloys and medical-grade polyethylene. The procedure removes diseased cartilage and bone from the knee joint surfaces and replaces them with precisely fitted metal and plastic components that replicate the natural shape and function of the knee. TKR is one of the most successful surgical procedures in orthopaedics — providing lasting pain relief and significantly improved mobility for patients with severe knee arthritis.

Severe, constant knee pain interfering with daily activities, walking, and climbing stairs

Knee stiffness — difficulty bending or straightening the knee fully

Knee swelling and warmth that does not respond to medication

Knee deformity — bowing of the leg (varus or valgus deformity)

Crepitus (grinding sensation) within the knee joint

Failure of conservative treatment (medications, physiotherapy, injections)

Challenges And Treatments

Challenges Encountered

Precise implant alignment is critical for durability and function — our surgeons use computer-assisted or image-guided techniques for optimal component positioning

Patients with significant deformity require complex soft tissue balancing — managed by our experienced joint replacement surgeons

Post-operative stiffness if physiotherapy is not initiated early — our team starts physiotherapy within 24 hours of surgery

Treatment Methods

Cemented total knee replacement — most common, using bone cement for implant fixation

Cementless / press-fit knee replacement — for younger, active patients

Computer-assisted surgery for precise implant alignment

Posterior stabilised or cruciate-retaining implant selection based on patient anatomy

Surgical Procedure

Under spinal or general anaesthesia, an incision is made over the front of the knee. Damaged cartilage and bone surfaces are precisely removed from the femur, tibia, and patella using cutting guides. The metal and polyethylene components are then fixed in place using bone cement (cemented technique). The knee is taken through a range of motion to confirm stability and alignment before closure. A drain may be placed for 24 hours. The procedure typically takes 2–3 hours.

Elimination of debilitating knee arthritis pain — sustained long-term outcome

Restored knee function — walking, stairs, and daily activities within 6–8 weeks

High-quality implants with a 15–20+ year durability record

Structured inpatient and outpatient physiotherapy programme from day 1

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