Things You Should Know About Total Knee Replacement (TKR) - Insights from Dr. Kashyap Solanki – Orthopaedic Surgeon, Andheri East, Mumbai

Total Knee Replacement (TKR) has transformed the lives of millions suffering from chronic knee pain. As an orthopaedic surgeon, I often find patients come with both hope and anxiety about the procedure. Here are key things every patient should know before deciding on TKR.

1. TKR Is Not the First Step in Treatment

TKR is typically recommended after all conservative measures—like physiotherapy, weight loss, medications, and injections—fail to provide relief. It is a well-considered decision, not an immediate one.

2. It's Most Effective for Osteoarthritis

The most common reason for TKR is osteoarthritis, particularly when joint cartilage is severely damaged. Patients with inflammatory arthritis or post-traumatic arthritis can also benefit under appropriate indications.

3. Pain Relief Is the Primary Goal

Many patients assume a new knee will feel like a natural one. While TKR dramatically reduces pain and improves mobility, it's important to understand that it may not feel completely "normal"—especially in the early months.

4. Preoperative Fitness Matters

Patients with better muscle tone, controlled diabetes, healthy weight, and active lifestyles tend to recover faster. A few sessions of prehabilitation (exercise before surgery) can make a big difference.

5. The Implant Can Last 15–20 Years or More

Modern implants, when correctly positioned and cared for, can last decades. However, younger or very active patients might eventually need a revision surgery.

6. Recovery Needs Commitment

TKR is not a quick fix. Postoperative physiotherapy is vital for regaining strength and movement. Most patients can walk with support within a few days and return to routine activities in 6–12 weeks.

7. Complications Are Rare but Real

Though TKR is highly successful, it's still a major surgery. Possible risks include infection, blood clots, stiffness, and in rare cases, implant loosening or persistent pain. Choosing an experienced surgical team and following postoperative advice lowers these risks.

8. Not All Knee Replacements Are the Same

Depending on the condition, a patient may undergo:

• Total Knee Replacement (TKR)

• Unicondylar (Partial) Knee Replacement

• Bilateral Knee Replacement (both knees, either staged or simultaneous)

The choice depends on factors like age, activity level, bone quality, and severity of damage.

9. Expectations Must Be Realistic

You can walk, climb stairs, drive, and even dance after a successful TKR. However, running, jumping, and high-impact sports are discouraged to protect the implant.

10. Your Surgeon Is Your Partner

Discuss all your doubts. Ask about the type of implant, recovery timeline, pain control plan, and how to prepare for surgery. A transparent doctor-patient relationship is key to a smooth journey.

Final Word

TKR is one of the most rewarding surgeries in orthopaedics, often giving patients a new lease on life. With proper preparation, guidance, and rehabilitation, most people regain independence and enjoy pain-free movement for years.

Dr. Kashyap Solanki is a dedicated Orthopaedic Surgeon based in Andheri East, Mumbai, with a strong focus on and other joint preservation and replacement procedures. With years of experience in treating degenerative knee conditions, Dr. Solanki specializes in minimally invasive TKR, aiming to restore mobility and improve quality of life with minimal downtime. His approach combines advanced surgical techniques with compassionate, patient-centric care.

He is committed to educating patients, setting realistic expectations, and guiding them through every step of the treatment and recovery journey.

📍 Clinic Location: Amardeep Nursing Home - Andheri East, Mumbai

📞 Call to Book: +918108171797

🌐 Website: www.drkashyapsolanki.in

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