Frequently Asked Questions
1. Why is the cost of knee replacement surgery in India so less? Is there a catch?
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
2. Is knee replacement a major surgery?
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.
3. Are there any variations of performing knee replacement?
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.
4. Which is a better option for me?
Discuss with your doctor about which one is the better option for you.
5. My surgeon says I can't have a knee replacement? Why is it so?
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.
6. What is Quadriceps Sparing Approach for knee replacement?
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.
7. What is the advantage of Quadriceps Sparing Approach for knee replacement?
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.
8. Can I choose to undergo Quadriceps Sparing Approach for my knee replacement?
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.
9. What is the lateral approach to knee replacement?
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.
10. What are the advantages of minimally invasive knee replacement?
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.
11. Are there any long term benefits of minimally invasive knee replacement?
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.
12. How do I know if I am a candidate for minimally invasive knee replacement?
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.
13. Can I get both knee joint replacement surgeries done at the same time?
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.
14. What can I do to protect my new knees after knee replacement?
- 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.
15. What should I do to make my knee replacement successful?
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.
16. Are there any special instructions for sitting and kneeling after knee replacement?
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.
17. Are there any special instructions for sleeping after knee replacement?
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.
18. I want to get my total knee replacement in India. Where do I begin from?
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
19. How do I ensure good quality services and results for my surgery?
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.
20. What about rehabilitation after the knee replacement surgery in India? How long should I continue to do exercises?
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.
21. Are there chances of my body rejecting the artificial parts?
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.
22. Will the implant set off metal detectors since it is made of metal? Would it not cause problems when I go back home after the knee replacement surgery in India at the airport?
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.
23. Is Knee replacement surgery the only alternative for my disabling pain?
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.