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Total Knee Replacement Procedure Explained - Dr. Kashyap Solanki, Orthopaedic Surgeon, Andheri, Mumbai.

Knee pain can significantly affect daily life, limiting mobility and causing discomfort. When conservative treatments no longer provide relief, a surgical option known as knee replacement becomes a viable solution. This procedure involves replacing damaged parts of the knee joint with artificial components to restore function and reduce pain. This article will walk you through the essential knee replacement steps, providing clear and practical information to help you understand what to expect.

X-ray image of a knee with a metal implant, showing a full prosthetic joint replacement. Bones and implant are clearly visible.
Total Knee Replacement

What Are the Knee Replacement Steps?


Knee replacement surgery is a carefully planned process that involves several key steps. Understanding these steps can help ease anxiety and prepare you for the journey ahead.


  1. Preoperative Assessment

Before surgery, a thorough evaluation is conducted. This includes physical exams, imaging tests like X-rays or MRIs, and discussions about your medical history. The goal is to ensure you are a suitable candidate and to plan the surgery precisely.


  • Anesthesia Administration

On the day of surgery, anesthesia is administered to keep you comfortable. This may be general anesthesia, where you are asleep, or regional anesthesia, which numbs the lower body.


  • Incision and Exposure

The surgeon makes an incision over the knee to access the joint. The size and location of the incision depend on the surgical technique used.


  • Removal of Damaged Tissue

Damaged cartilage and bone are carefully removed from the surface of the femur (thigh bone), tibia (shin bone), and sometimes the patella (kneecap).


  • Preparation of Bone Surfaces

The bone surfaces are shaped to fit the artificial components precisely. This step is crucial for the proper alignment and function of the new joint.


  • Implantation of Prosthetic Components

The artificial knee parts, usually made of metal and plastic, are implanted. These components mimic the natural movement of the knee.


  • Checking Alignment and Movement

The surgeon checks the alignment and range of motion to ensure the knee functions correctly.


  • Closure and Dressing

The incision is closed with sutures or staples, and a sterile dressing is applied.


Preparing for Surgery: What You Need to Know


Preparation is key to a successful knee replacement surgery. Here are some practical tips to help you get ready:


  • Medical Optimization: Manage any existing health conditions such as diabetes or hypertension. Inform your doctor about all medications and supplements you take.

  • Physical Conditioning: Engage in light exercises to strengthen muscles around the knee. This can aid recovery.

  • Home Setup: Arrange your living space to minimize the need for bending or reaching. Place essential items within easy reach.

  • Support System: Arrange for someone to assist you during the initial recovery period.

  • Pre-Surgery Instructions: Follow fasting guidelines and medication instructions provided by your healthcare team.


Being well-prepared can reduce complications and promote a smoother recovery.



How Long Does a Total Knee Replacement Procedure Take?


The duration of the surgery varies depending on individual factors, but typically, the procedure lasts between 1 to 2 hours. This timeframe includes:


  • Anesthesia administration

  • Surgical steps from incision to closure

  • Initial recovery in the operating room


After surgery, patients usually spend a few hours in the recovery room for monitoring before being transferred to a hospital room. The length of hospital stay can range from 2 to 4 days, depending on recovery progress.


Understanding the time commitment helps in planning your schedule and arranging post-operative care.


What to Expect During Recovery and Rehabilitation


Recovery after knee replacement surgery is a gradual process that involves pain management, physical therapy, and lifestyle adjustments.


  • Pain Management: Medications are prescribed to control pain and inflammation.

  • Physical Therapy: Starting soon after surgery, therapy focuses on restoring movement and strengthening muscles.

  • Mobility Aids: Use of walkers or crutches may be necessary initially.

  • Wound Care: Keeping the surgical site clean and dry is essential to prevent infection.

  • Follow-Up Visits: Regular check-ups monitor healing and implant function.


Most patients can resume normal activities within 3 to 6 weeks, but full recovery may take several months. Staying committed to rehabilitation exercises is crucial for optimal outcomes.


Benefits and Risks of Knee Replacement Surgery


Knee replacement surgery offers significant benefits but also carries some risks. Being informed helps in making the right decision.


Benefits

  • Relief from chronic knee pain

  • Improved joint function and mobility

  • Enhanced quality of life

  • Long-lasting results with modern implants


Risks

  • Infection at the surgical site

  • Blood clots

  • Implant loosening or wear over time

  • Nerve or blood vessel damage


Discussing these factors with your surgeon ensures you have realistic expectations and understand the importance of post-surgical care.


Final Thoughts on Knee Replacement Steps


Choosing to undergo a total knee replacement procedure is a significant decision that can transform your life. By understanding the knee replacement steps, preparing adequately, and committing to recovery, you can achieve the best possible outcome. Always consult with your healthcare provider to address any concerns and tailor the process to your individual needs. With the right approach, you can look forward to a more active and pain-free future.


 

Orthopaedic Surgeon – Andheri, Mumbai


Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.


With over four decades of distinguished orthopaedic practice, Dr. Prabhu Solanki stands as one of Mumbai’s most experienced and respected orthopaedic surgeons. Having treated more than 40,000 patients and performed over 10,000 surgeries, his clinical outcomes and dedication have earned him widespread recognition — not just in Mumbai, but across India and abroad.


Dr. Solanki’s reputation for precision, ethical care, and long-term results has brought him patients from all over India, as well as international patients seeking high-quality orthopaedic treatment and surgical expertise in Mumbai.


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