Total Knee Replacement, also known as Total Knee Arthroplasty, is a surgical procedure used to treat severe damage or degeneration of the knee joint. During the procedure, damaged portions of the knee joint are removed and replaced with artificial components designed to restore joint function.
For patients whose knee pain, stiffness, and limited mobility significantly affect daily life and have not improved adequately with non-surgical treatment, knee replacement may be considered after a detailed orthopaedic evaluation.
The knee is a complex joint formed by the lower end of the thigh bone (femur), upper end of the shin bone (tibia), and kneecap (patella). Smooth cartilage normally allows these structures to move against each other with minimal friction. Conditions such as advanced osteoarthritis can progressively damage this cartilage. As the joint becomes damaged, patients may experience pain, stiffness, swelling, difficulty walking, and reduced knee movement. During total knee replacement, the damaged surfaces of the knee are surgically replaced with prosthetic components. The objective is to reduce pain and improve the function of the knee.
Not every patient with knee pain requires knee replacement. The decision depends on the severity of the condition, symptoms, examination findings, imaging, response to previous treatment, and overall health.
Knee replacement may be considered when a patient has:
A detailed consultation is important before deciding whether surgery is appropriate.
Osteoarthritis: Osteoarthritis is one of the most common reasons for total knee replacement. Progressive cartilage deterioration can cause pain, stiffness, and reduced joint movement.
Rheumatoid Arthritis: Inflammatory arthritis can damage the knee joint and may eventually lead to significant pain and functional limitations.
Post-Traumatic Arthritis: Previous fractures or significant knee injuries can sometimes result in long-term joint damage and arthritis.
Severe Joint Degeneration: Advanced degeneration of the knee may cause persistent symptoms and interfere substantially
with everyday activities.
You may consider consulting an orthopaedic surgeon if you experience:
These symptoms can have several causes, so proper diagnosis is essential.
Experiencing persistent knee pain, stiffness, or difficulty walking? Consult Dr. Dhruva Angachekar, an experienced orthopaedic surgeon in Mumbai, for a detailed evaluation and personalised guidance on total knee replacement and other suitable treatment options.
Total knee replacement generally involves several important stages.
Pre-Surgical Evaluation : The doctor evaluates your symptoms, medical history, knee movement, physical condition, and available diagnostic imaging.
Surgical Planning : Based on the clinical and imaging assessment, the appropriate surgical approach and implant options are discussed.
Removal of Damaged Joint Surfaces : During surgery, damaged portions of the knee joint are carefully removed.
Recovery is an important part of knee replacement treatment.
Patients are generally encouraged to begin appropriate movement and rehabilitation as advised by their treating team. Physiotherapy can help improve:
The pace of recovery varies from patient to patient and depends on factors such as age, overall health, muscle strength, pre-existing conditions, and adherence to rehabilitation.
A structured rehabilitation programme can play an important role in recovery.
Depending on the individual case, rehabilitation may include:
For appropriately selected patients, total knee replacement can help with:
Results vary between individuals, and recovery requires appropriate post-operative care and rehabilitation.
Knee replacement is not automatically recommended simply because a patient has knee arthritis. Doctors generally consider factors such as:
An orthopaedic consultation helps determine whether surgery or another treatment approach is
appropriate.
Depending on the severity and cause of knee symptoms, treatment may include non-surgical options such as:
The appropriate treatment depends on the individual diagnosis.
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Total knee replacement is a surgical procedure in which damaged surfaces of the knee joint are
replaced with artificial components to improve joint function and relieve pain.
It may be considered when significant knee pain and functional limitations persist despite
appropriate non-surgical treatment and the knee has substantial damage.
Yes. Total knee replacement is a major orthopaedic surgical procedure and requires appropriate
pre-operative assessment, surgery, and post-operative rehabilitation.
Recovery varies between individuals. Mobility generally improves progressively with appropriate
rehabilitation, but the overall recovery timeline depends on individual health and other factors.
Rehabilitation and physiotherapy are commonly an important part of recovery. Your treating
team will recommend an appropriate programme based on your condition.
Specialized orthopedic care for joint replacement, sports injuries, arthroscopy, and deformity correction.