Robotic Total Knee Replacement (TKR) with Imported Implants

Dr. Abhay Chhallani is proud to offer cutting-edge Robotic Total Knee Replacement procedures using high-quality imported implants from renowned manufacturers, Johnson & Johnson and Zimmer. This advanced surgical technique aims to provide effective relief for individuals suffering from arthritis and debilitating knee joint issues. Here, we outline the comprehensive process and advantages of Total Knee Replacement surgery.

Understanding Total Knee Replacement (TKR)

Total Knee Replacement, or arthroplasty, is a surgical intervention designed to address arthritis-related issues in the knee joint. This procedure involves replacing the arthritic knee joint with highly specialised metal and plastic implants. These implants are made from surgical-grade metal alloys, ensuring durability, and a special wear-resistant plastic insert to withstand the test of time. Total Knee Replacement stands as one of the most successful surgical interventions available today.

Before opting for surgery, patients often explore conservative treatments, such as simple analgesics, weight loss, anti-inflammatory medications, activity modification, walking aids, or physical therapy. When these measures fail to provide relief, it may be time to consider Total Knee Replacement.

Who Is a Candidate for Total Knee Replacement?

Total Knee Replacement is typically recommended for patients experiencing:

  • Pain: Persistent and severe knee pain.
  • Limited Mobility: Restrictions in daily routines due to restricted knee mobility.

Advantages of Total Knee Replacement Surgery

The decision to undergo Total Knee Replacement surgery is a collaborative one involving the patient, the surgeon, and their family.

The benefits of this surgery include:

  • Relief from Arthritic Symptoms: This encompasses severe pain that hinders daily activities like walking, shopping, gardening, and more. It also addresses pain that disturbs sleep, deformities in leg alignment, and stiffness.
  • Improved Quality of Life: Older patients and those severely affected by arthritis find a clear solution to alleviate symptoms and discomfort.

Components of a Knee Replacement

A Total Knee Replacement consists of several components:

  • Upper Metal Component: Shaped and sized to fit the lower end of the femur (thigh bone).
  • Flat Metal Tibial Component: Constructed from metal alloys and attached to the upper tibial bone (shin bone).
  • Plastic Insert: Designed to bear significant wear and tear.
  • Patellar Button: Resurfaces the back of the kneecap. Total Knee Replacement Procedure

The procedure is designed to minimise local trauma to the knee joint:

  • The knee joint is exposed using a minimally invasive approach.
  • Damaged portions of the femur and tibia are removed at the appropriate angles using a high-tech intra-operative computerised navigation system or conventional methods.
  • Trial components are inserted to ensure the precision of cuts and the thickness of plastic required between these components.
  • The patella (kneecap) is usually resurfaced.
  • The final components are securely placed, either with or without cement, and the knee's alignment and stability are checked.
  • The knee is carefully closed with sutures, and sterile waterproof dressings and a compression bandage are applied.

Each knee is unique, and Total Knee Replacement accounts for these differences by offering various sizes and, if necessary, additional pieces of metal or bone for cases with significant bone loss.

Preparations Prior to Replacement Surgery

Effective preparation before Total Knee Replacement surgery is essential for optimal results and a smooth recovery:

  • A customized treatment plan will be created for each patient.
  • The hospital will provide fasting and arrival instructions.
  • Patients should abstain from eating or drinking for at least 6 hours before surgery.
  • Discontinue the use of medications that increase bleeding risk, such as aspirin and anti-inflammatory drugs, one week prior to surgery.
  • Reducing or quitting smoking is recommended to enhance surgery outcomes and recovery.
  • Maintain a balanced diet and take a daily multivitamin with iron to support the healing process.
  • Consider weight loss if overweight to reduce stress on the new joint.
  • Address any dental, gum, bladder, or bowel issues to minimise infection risk. Any infections should be reported to the treating doctor before the procedure.

Risks of Knee Surgery

As with any major operation, Total Knee Replacement surgery carries potential risks and complications. Surgical complications may include:

  • Infection.
  • Stiffness of the knee.
  • Bleeding.
  • Blood clots.
  • Damage to local tissues.

Patients are encouraged to discuss any concerns with Dr. Abhay Chhallani or their medical team before undergoing the procedure.

After Your Knee Replacement Surgery

After the surgery, patients will have a drip in their arm for pain medication and antibiotics. Hospitalisation for 4-5 nights may be necessary. Patients may require a walker or crutches following the procedure. Going Home After Replacement Surgery It’s important to arrange for someone to take you home, as driving immediately after a knee replacement is not recommended.

Return to Work

Patients may return to light work duties after 3-4 weeks. However, they should avoid prolonged standing, heavy lifting, bending, and excessive stair climbing for a minimum of 6 weeks.

Under the expert care of Dr. Abhay Chhallani and with imported implants from Johnson & Johnson and Zimmer, Total Knee Replacement offers an effective solution for individuals suffering from knee arthritis, ensuring a more comfortable and active life. If you’re experiencing knee pain or have questions about Total Knee Replacement, contact Dr. Chhallani for a personalised consultation and explore your options.