Does Not Include
The cost quoted above is indicative and should not be taken as the final cost of the surgery. The final cost can be ascertained after the surgeon has evaluated the patient. The cost in Indian Rupees can vary based on exchange rate.
Knee Replacement Cost in India starts from US $ 3900 for a single knee and $7,500 for both knees and varies with the type of implant, technique of surgery, your medical history and condition, surgeon, hospital and the city where you choose to get the surgery done.
Factors that affect Knee Replacement cost in India
Orthopedic Surgeon’s Fees
An important expense when it comes to your Knee Replacement cost in India is going to be your orthopedic surgeon’s fees. IndiCure hand-picks an experienced, skilled, board-certified surgeons who are capable of delivering successful knee replacement surgeries. Although, the price tag may vary depending on the experience of the surgeon.
Type of Implant and Surgical Approach
A significant portion of the overall cost of a Knee Replacement arises from the cost of the knee implant. This includes the material the implant is made up of. The other factor is the use of any customized surgical instruments or specialized computer technology. With the hopes of improving patient care, new techniques and technologies are often introduced to the surgical process. Such innovative advancements in the surgical approach can increase costs.
Having your Knee Replacement in an accredited surgical facility by skilled and qualified medical staff is a critical factor. Moreover, the geographical location of this facility also affects the initial quote. But, IndiCure provides you with a projected estimate that will be all inclusive and affordable.
The surgery-related expenses include the pre- and post-surgical expenses. The pre-surgical expenses are associated with the candidacy and the medical history of the patient. This also includes the routine medical exams and tests to ensure you’re a good fit for the surgery. Post-surgical expenses can include prescription medications, physical therapy, rehabilitation stay, and follow-up consultations.
We at IndiCure, understand that you travel with a budget in mind and do not like to be greeted by surprises after arrival in India. We thus club all these expenses and give you the package cost that is inclusive and affordable at the same time.
Your case manager shall give you an estimated cost of your surgery after discussing your medical reports with the surgeon. The final cost, however, shall be confirmed after your consultation with the surgeon.
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Best Orthopedic Surgeons in India
Dr. IPS Oberoi
Dr. I P S Oberoi is an expert in Primary and Revision Joint replacement surgeries of Hip, Hip, Shoulder, Elbow, and Ankle joints.
Dr. Mudit Khanna
Dr. Mudit Khanna is a Mumbai-based orthopedic surgeon who specializes in arthroplasty and arthroscopy.
Dr. Yash Gulati
Dr. Yash Gulati was the first to introduce the concept of gyroscope-based computer navigation for Hip replacement in India.
Best Orthopedic Hospitals in India
Wockhardt Hospitals is the branch of the leading Wockhardt pharmaceutical company in India. The company is more than four decades old and is present in more than 20 countries around the globe. Wockhardt has 9 hospitals in India in Mumbai, Nagpur, Rajkot, Nashik, and Surat.
Artemis Health Institute, a premium multi-specialty hospital is a healthcare venture launched by the promoters of the Apollo Tyres Group. Established in 2007, Artemis was the first hospital in Haryana to get NABH accreditation within 3 years of start-up.
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What is Knee Replacement Surgery ?
Simple actions like walking or climbing stairs may be difficult to perform if your knee is significantly injured by arthritis or injury. It’s possible that you’ll start to feel pain while sitting or lying down.
If nonsurgical treatments such as medicines and the use of walking aids are no longer effective, knee replacement surgery may be an option. Joint replacement surgery is a safe and effective way to ease pain, correct leg deformities, and get back to your daily routine.
The first knee replacement operation was done in 1968. Improvements in surgical materials and methods have vastly improved its effectiveness since then. Knee replacements are one of medicine’s most successful treatments. More than 750,000 knee replacements are performed in the United States every year, according to the Agency for Healthcare Research and Quality.
Anatomy of the Knee
The knee is the body’s largest joint, and having healthy knees is necessary for most daily tasks.
The lower end of the thighbone (femur), the upper end of the shinbone (tibia), and the kneecap make up the knee (patella). Articular cartilage covers the ends of these three bones, a smooth tissue that protects the bones while allowing them to move freely within the joint.
Between the femur and the tibia lie the menisci. These C-shaped wedges cushion the joint by acting as “shock absorbers.”
The femur and tibia are held together by large ligaments that give stability. The knees are supported by the lengthy thigh muscles. A thin covering called the synovial membrane covers the remaining surfaces of the knee.
In a healthy knee, this membrane releases a fluid that lubricates the cartilage, lowering friction to practically zero. Normally, all of these elements function together in unison. However, a disease or injury can throw this balance off, leading to pain, muscle weakening, and decreased function.
Causes of Knee Pain
Arthritis is the most common cause of chronic knee pain and impairment. Despite the fact that there are numerous varieties of arthritis, the three most common causes of knee pain are osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.
Osteoarthritis is the commonest and age-related disease causing wear and tear of the knee joint. It usually occurs over 50 years of age, where the cartilage cushioning the joint bones can wear away and bones soften causing easier and faster attrition of bone with symptoms like pain, stiffness and swelling.
Rheumatoid arthritis is an autoimmune inflammatory arthritis where the synovial membrane surrounding the joints gets inflamed and thick. This in turn damages the cartilage and the underlying bone causing pain, stiffness, swelling and deformity.
Post-traumatic arthritis is caused due to serious knee injury. Fractures and ligament tears can damage the articular cartilage causing knee pain and limited motion.
Other Treatment Options
Treatment alternatives to Knee Replacement include:
- Nonsurgical treatment for osteoarthritis/arthritis includes:
- Physical therapy
- Analgesics and anti-inflammatory medications and suitable drugs in cases of infections of the joints
- Knee bracing or shoe inserts which help in knee alignment and balancing of weight on the knee joints.
- Visco-supplementation injections for lubricating the joint to make the joint movement less painful.
- Nonsurgical treatment for osteoarthritis/arthritis includes:
- Alternative Treatment Options- Ayurveda is an ancient Indian medical practise that dates back over 3,000 years. Internal cleansing is the first step in Ayurveda treatment, followed by a particular diet, herbal treatments, massage therapy, yoga, and meditation.There are various Ayurveda treatment options available to completely cure knee pain. Talk to your case manager and he/she shall be able to help you.
- Surgical alternatives include:
- Arthroscopy is a minimally invasive procedure where small incisions can be done to repair the damage with arthroscopy.
- Osteotomy is a surgical procedure where the involved leg bone is cut, realigned, and allowed to heal. It is useful for patients older than 60 with inflammatory arthritis.
- Partial knee replacement involves replacing only the part of the knee joint that is damaged or arthritic.
Knee Replacement Surgery in India
Because only the surface of the bones are replaced, a knee replacement (also known as knee arthroplasty) is more correctly referred to as a knee “resurfacing.”
A knee replacement technique consists of four essential steps:
- Get the bone ready. Damaged cartilage on the end surfaces of femur and tibia, as well as a tiny piece of underlying bone, are removed.
- Place the metal implants in their proper places. Metal components are used to replace the lost cartilage and bone, re-creating the joint’s surface. Metal pieces can be cemented or “pressed-fit” into the bone.
- The patella should be resurfaced. With a plastic button, the undersurface of the patella (kneecap) is sliced and resurfaced. Depending on the situation, some surgeons do not resurface the patella.
When is Knee Replacement Surgery required ?
You, your family, your primary care doctor, and your orthopedic surgeon should all work together to make the decision to have knee replacement surgery.
Your doctor may recommend knee replacement surgery for a variety of reasons. The following are common characteristics of people who benefit from knee replacement surgery :
- Knee discomfort or stiffness that 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 substantial discomfort, necessitating the use of a cane or walker.
- Moderate or severe knee discomfort while even while resting throughout the day
- Knee edema and inflammation that does not improve with rest or medicine
- Knee deformity (knee bending inward or outward)
- Other non-surgical therapies, such as anti-inflammatory medicines, cortisone injections, lubricating injections, physical therapy, or other procedures, have failed to significantly improve the condition.
Patients with bent knee deformities, such as the one depicted in this photo, will benefit from total knee replacement.
Knee replacement surgery does not have any age or weight restrictions.
Surgery is recommended based on a patient’s discomfort and handicap, not their age. The majority of patients who get total knee replacements are between the ages of 50 and 80, but orthopedic surgeons assess each patient individually. Knee replacements have been successfully performed on patients of all ages, from teenagers with juvenile arthritis to the elderly with degenerative arthritis.
There are 3 techniques used for the knee replacement surgery:
Traditional Knee Replacement: This procedure is done under general anaesthesia. An 8-12 inch vertical incision is made in the front of the knee. The surgeon then prepares the bone to remove the damaged bone and cartilage surfaces at the end of tibia and femur.The cartilage and bone that are removed are replaced with artificial metal components made of alloys or high grade polymers. The metal components are cemented to the underlying bone for proper fit. The lower surface of the kneecap (patella) is removed and resurfaced. A spacer is inserted between the metal components for smooth gliding between the surfaces. The surgery takes about 2-3 hours. Rehabilitation is advised after the surgery as guided by the surgeon.
Minimally Invasive Knee Replacement: Unlike traditional knee replacement surgery, the minimally invasive knee replacement is less invasive performed using smaller incisions of 4-6 inch. The artificial implants used are the same as used in traditional replacement. However, the bones are prepared using specially designed surgical equipment for proper placement of the implants. This technique is less invasive with less damage and disruption of the adjacent structures that results in reduced postoperative pain, smaller scars and early recovery.
Computer Navigated Knee Replacement: Computer navigation Knee Replacement using NAV3 technology is the most advanced and revolutionary surgical procedure that is being performed in India with great success. This technique improves the accuracy of the prosthetic implantation with further minimizing the need for surgical exposure resulting in less scarring, faster recovery and thus improving the short and long term performance of the knee joint.
How is Knee Replacement Surgery done?
General anesthesia (putting you to sleep) and spinal, epidural, or regional nerve block anesthesia are the most common types of anesthesia (you are awake but your body is numb from the waist down). Your anesthesia experts will advise which form of anesthesia is ideal for you.
The surgery normally takes between two and three hours. To reestablish the alignment and functionality of your knee, your orthopedic surgeon will remove the damaged cartilage and bone and then place new metal and plastic implants.
The surgeon makes a vertical incision in the front of the knee. The surgeon then prepares the bone to remove the damaged bone and cartilage surfaces at the end of tibia and femur.
The cartilage and bone that are removed are replaced with artificial metal components made of alloys or high grade polymers. The metal components are cemented to the underlying bone for proper fit.
The lower surface of the kneecap (patella) is removed and resurfaced. A spacer is inserted between the metal components for smooth gliding between the surfaces.
What is the Recovery after Knee Replacement Surgery like?
You will have some discomfort after the surgery. This is a common thing during the healing process. Your doctor and nurses will attempt to lessen your pain, allowing you to recover more quickly from surgery.
Medications are frequently provided for short-term pain management. Nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and local anesthetics are among the medications available to assist control pain.
Foot and ankle movement is suggested immediately after surgery to help reduce leg swelling and blood clots by increasing blood flow in your leg muscles.
Hours after surgery, most patients can begin exercising their knee. Soon after your operation, a physical therapist will give you specialized exercises to strengthen your leg and restore knee movement, allowing you to walk and do other regular everyday activities. Your surgeon may also employ a knee support that slowly moves your knee while you are in bed to recover movement in your knee and leg.
What Results Can I Expect from Knee Replacement Surgery?
The results of knee replacement surgery are very gratifying. The patient is relieved of the knee pain completely and is able to enjoy an active lifestyle.
You would not be advised to do certain high impact activities like jogging and jumping for a few weeks by the surgeon. An elderly patient above 80 is able to do the activities of daily living which were painful or not possible earlier.
Metal detectors, which are necessary for security in airports and some businesses, may be triggered by your new knee. If the alarm goes off, tell the security worker about your knee replacement. We shall give you a letter that states that you have had a knee replacement and have an implant in the knee, which can be shown to the security.
Questions to Ask
We at IndiCure completely understand your concerns and it is always our endeavor to provide the best outcome for every patient. Following is the list of questions you must ask before you embark on your journey for Knee Replacement surgery in India.
- Is it time for a Knee Replacement?
- Is the orthopedic surgeon board certified?
- How experienced is the Surgeon?
- Which language does the surgeon speak?
- Is the treatment done in a well-equipped facility?
- Should minimally invasive knee replacement surgery be considered?
- Can you give me any information on outcomes and complication rates?
- How much pain can I expect, and how will it be managed in the hospital and after I go home?
- Is physical therapy necessary after surgery?
- What about the risks involved?
- Does the surgeon use a certified anesthetist?
- How long will the recovery period be?
Preparation for the Surgery
Prepare to answer questions about your:
- Medical history and exams
- Urinary evaluations
- Previous surgeries
- Current medication review
- History of smoking, drugs, or alcohol
- Surgical expectations
- Social Planning
- Home Planning
Having been home a few days now I can get my thoughts together and give my heartfelt thanks for the support and encouragement I got from IndiCure. Obviously, there was a certain amount of trepidation going to what has a reputation of being a third world country for a major operation like knee replacement, having received the type of treatment which I would think only the Royal family would receive in this country I wonder which is the third world country. From the organization arranged by your good self to absolutely first-class attention at the hospital and the service of doctors and his wonderful team all of whom spoke English, the nursing was one to one and my well-being was their only concern.
The operation has been a complete success. I am so happy with the results. The friendliness from everyone from consultant to ancillary workers was amazing.
Procedure: Bilateral knee joint replacement
My Knee joint replacement surgery in India has given me a second chance to live life independently and on my own terms. I had become completely dependent and bed ridden because of the extreme pain and found it even difficult to go to the wash room.
IndiCure has really helped me in this journey and I am very thankful to them. The surgeon and nursing staff especially were very nice. Good work done.
Procedure: Knee joint replacement surgery
I am extremely delighted with the services provided by IndiCure. They have arranged everything so meticulously and have been there to guide and help me at each step.
Procedure: ACL Repair surgery
I am so thankful to IndiCure and their associate clinic for giving me my healthy life back. I had such bad back pain and pain in the left leg which had made my life miserable. My business was getting hampered; my life was so disturbed because of this pain all the time.
Thanks to IndiCure and the entire staff, they are very professional and at the same time caring in their approach. I am completely satisfied with the results of my spine surgery in India.
Procedure: Lumbar spondylosis (L4-L5) with pain to radiating to left leg
Frequently Asked Questions
There is absolutely no catch. The Knee replacement surgery cost in India and for that matter, medical treatment in India is much less because of the following reasons:
Low cost of endowment in India – Qualified doctors, surgeons, nursing staff, lower investments costs, subsidies by government to private healthcare sector are more as compared to other countries
An exchange rate regime, which is favorable to India (indicative rates only, may not be currently applicable)
1 USD= 75 Indian rupees
1 GBP= 100 Indian rupees
1 Euro= 85 Indian rupees
Yes, Knee replacement surgery is a major surgery that is usually advised only after other therapies, such as physiotherapy or steroid injections, have failed to relieve pain or improve mobility. If you have severe pain, swelling, and stiffness in your knee joint, and your mobility is limited, you may be advised knee replacement surgery.
Yes, there are 2 variations of TKR.
Removal of the posterior cruciate ligament (posterior-stabilized)- When the knee bends, the posterior cruciate ligament, a big ligament in the back of the knee, offers support. During the TKR procedure, the surgeon will remove this ligament if it can’t support an artificial knee. Special implant components (a cam and post) stabilise the knee and provide flexion in its place.
Preservation of the posterior cruciate ligament (cruciate-retaining)- The surgeon may leave the posterior cruciate ligament intact when implanting the prosthesis if it can support an artificial knee. The artificial joint utilised is called a “cruciate-retaining” joint because it contains a groove that accepts and maintains the ligament, allowing it to continue to provide knee stability.
Discuss with your doctor about which one is the better option for you.
Unfortunately, even when arthritis is severe, some people may not be able to get a knee replacement.
This could be due to the following reasons:
- There are deep or long-lasting open sores (ulcers) in the skin behind your knee, increasing your risk of infection.
- Your thigh muscles (quadriceps) are very weak and may not be able to support your new knee joint.
You would look for other alternatives like Ayurveda treatment which offer long term relief from knee pain and other disabilities.
Quadriceps Sparing Approach is a minimally invasive technique to perform knee replacement.
During the procedure, the surgeon lifts the kneecap to the side and cuts away the arthritic bone without cutting through the quadriceps tendon after making a small incision. As the name implies, the quadriceps-sparing procedure is less invasive than the traditional knee replacement surgery. It reduces the amount of damage to the quadriceps muscle as much as feasible.
Because access to the joint is gained from beneath (sub) the vastus muscle, this method is also known as “subvastus” (the largest part of the quadriceps muscle group).
Midvastus is another version of a quadriceps-sparing strategy. It likewise avoids cutting the quadriceps tendon, but instead of passing under the vastus muscle to totally spare it, the muscle is split along a natural line across the middle in this surgical method.
Although the subvastus and midvastus techniques take longer to conduct, they result in a quicker recovery. This is because the underlying thigh muscle receives little to no stress, making it easier to walk sooner after the operation.
The state of your knee and associated tissues will determine whether you are a good candidate for this approach. Talk to your surgeon about it.
Lateral approach is another minimally invasive technique for knee replacement, but is rarely employed. It’s more common in people who have a tendency to bend their knees outward. The surgeon approaches the knee joint from the side, or laterally. Because the lateral technique preserves much of the quadriceps, it is less intrusive than typical surgery and allows patients to return to walking sooner.
The hospital stay is reduced to three to four days, and the recovery time is reduced to four to six weeks with minimally invasive surgery. People who had a PKR reported less pain and were able to resume daily activities more quickly and effectively than those who underwent traditional surgery.
Studies have shown that after a year, no significant differences existed between the patients who underwent traditional surgery and those who underwent minimally invasive procedures. The long term results are the same.
Minimally invasive procedures aren’t right for everyone. Our surgeons thoroughly assess each patient and choose the best treatment option. According to one study, it takes around an hour longer than regular surgery. To discuss your alternatives, speak with your surgeon.
Yes, with newer and advanced surgical techniques, both knee replacement surgeries can be done at the same time. Our surgeons usually replace both the knees at the same time, unless you have any specific medical condition that does not allow that.
- Maintain optimal strength and mobility in your new knee by participating in frequent mild exercise routines.
- To avoid falls and injuries, take extra measures. You may need more surgery if you break a bone in your leg.
- Make that your dentist is aware of your knee replacement. Consult your surgeon to see if antibiotics are required prior to dental operations.
More than 90% of current total knee replacements are still in good working order 15 years following surgery. Following your orthopedic surgeon’s post-surgical instructions and taking precautions to protect your knee replacement and overall health are critical ways you may help your surgery succeed. Also, how carefully you follow your orthopedic surgeon’s recommendations at home during the first few weeks after surgery play a major role in the success of your surgery.
For the first six weeks, avoid sitting with your legs crossed. After three months, when the scar tissue has healed sufficiently, you can try kneeling on a soft surface. Kneeling may never be fully comfortable, but as the scar tissue hardens, it should grow easier.
After knee surgery, you don’t need to sleep in a specific posture. You should not, however, lie with a pillow beneath your knee. While this may feel comfortable, it might cause muscle tension, making it difficult to straighten your knee.
The first step is to send us your medical history, X-ray and other medical reports for the surgeon’s evaluation. You can send these details to email@example.com. You would be assigned a case manager who shall get back to you with the surgeon’s opinion, cost and other necessary details. For more information, please visit our Step-by-step guide
Your case manager would share the surgeon’s opinion as is, his or her detailed profile, details about the hospital where your surgery shall be done, type of implant and other necessary details. You can also choose to speak with the surgeon over phone or have a video consultation with the surgeon. We make sure you get the best quality treatment and best possible results for your surgery in India. To answer more on Medical Tourism related questions read our General FAQs sections.
The rehabilitation will begin the next day itself. Your physical therapist will do a number of exercises to regain your strength and range of motion. You should continue to exercise until your muscles are pain-free and you can walk without a limp. It is a good idea to continue your exercises as a lifetime commitment to keep your muscles strong.
The materials used for total knee replacement include titanium, cobalt chrome, and polyethylene. To date, there is little evidence suggesting any allergic reaction to these materials.
Yes, they usually do. The hospital shall provide you with the letter stating that you have a metal prosthesis fixed inside your knee which shall help you clear through the security checks without facing any problems. You should reach the airport a little early to avoid any inconvenience.
If other non-surgical treatment options like medication, exercises, physiotherapy have failed, knee joint replacement is the best option for your pain. It has become the gold standard for treatment of end stage arthritis owing to its high success rate and good quality of life after the operation. Even the cost is quite affordable. Owing to its many advantages, Knee replacement has almost become a routine surgery performed on over 700,000 people worldwide each year.
However, if for some reason you do not wish to undergo surgery, or you are not a candidate for the surgery, there are other non-surgical and non-conventional treatment options for you in India. Alternative Treatment – Ayurveda is an ancient Indian medical practice that dates back over 3,000 years. Internal cleansing is the first step in Ayurveda treatment, followed by a particular diet, herbal treatments, massage therapy, yoga, and meditation. There are various Ayurveda treatment options available to completely cure knee pain. Talk to your case manager and he/she shall be able to help you.