Total knee replacement


The following are few of the scores of success stories from our hospital.


The total cost of the procedure depends on the age, condition, implant selected and preferred accommodation of the patient. The costs estimates shown below include all the costs incurred towards stay charges (approx.5 days), operation theater charges, surgeon charges, anesthetist charges, medicines used in the theater and implant charges.

Expenses incurred towards blood are not included in the below estimates. Expenses incurred towards unforeseen systemic complications (blood pressure, diabetes, epilepsy, asthma etc)or admission or transfer to ICU setup are not included in the estimates.

Types of Implant
 Brands  Unilateral/One  Bilateral/Both together
 Metal Backed Simple
Smith and nephew
Zimmer/Johnson and johnson
 1,00,000/-  1,95,000/-
 High flex knee
Smith and nephew
Zimmer/Johnson and johnson
 1,09,000/-  2,05,000/-            
 Long lasting  Knee
Smith and nephew/johnson&johnson
 1,95,000/-  3,90,000/-


Question : How long should a patient remain in hospital after a knee replacement?

A. After a single total knee replacement, 4-5 days of stay is sufficient. This is to for pain relief and mobilization. For sequential bilateral  knee replacement eight days is allowed. For simultaneous bilateral replacements, you will get 6 days.

Question : When can the patient stand up after a knee replacement?

A. You can do so within 24 – 48 hrs after the operation.

Question : Do I operate on both knees simultaneously?

A. If you are young & fit, then both knees can be done in one sitting (Bilateral simultaneous TKR). An approximate cut off age for bilateral simultaneous knee replacements is 65 years.

Question : For how long will you have to use a walker?

A. You may need a walker for about 15 days and a cane or crutches for another fortnight. Then you can walk without any aids.

Question : What prosthesis do I use?

A. We use imported prostheses. These are

·         Genesis metal & Oxinium, ( Smith & Nephew )

·         NexGen from Zimmer, LPS  flex fixed

·         PFC from Depuy (Johnson & Johnson)

·         Scorpio NRG knee (Stryker)

Question : When will the patient be pain free after surgery?

A. Post-operative pain is controlled to tolerable levels by excellent multi modal anesthesia with regional blocks and analgesics. Two to three weeks of pain medication are required in most people.

Question : What kind of physical activity can I do after the operation?

A. You can walk as much as you want. Routine house hold activities, traveling, climbing stairs, sitting cross legged are all allowed. Non-impact sports like walking, golf are allowed.

Question : When can the patient go back to work?

A. This depends on the nature of the job. In a sedentary or desk top job it would be possible after a month to six weeks. If the job requires a lot of standing and walking, then two months are required.

Question : Can I travel overseas after the operation?

A. You can do so after three weeks.

Question : How much bend can I get in the knees post-operatively?

A. Post op bending achieved is dependent on the pre op bend, body mass index, prosthesis & rehabilitation. With the High Flexion knee, you can get about 155 degrees. Standard knee implants allow about 110 degrees of bending.

Question : What is a Bilateral Total Knee Replacement?

A. When the cartilage has worn away in both knees, artificial knees (prostheses) can relieve pain. Surgery to resurface both knees is termed bilateral Total Knee Replacements.

Question : What is a Simultaneous Bilateral Total Knee Replacement?

A. A simultaneous procedure means that both knees are replaced on the same day, under one anesthesia. This takes place as a single surgery, within one hospital stay and is followed by a single rehabilitation period.

Question : What is a Sequential or staggered bilateral total Knee Replacement?

A. A staged or sequential procedure means that the two operations are performed as two separate events. Surgeries are typically performed several days or months apart.

Question : Who should have a Bilateral Total Knee Replacement?

A. The most common reason for Bilateral Total Knee Replacements is symptomatic severe arthritis in both knees.

Question : What are the advantages of a simultaneous total Knee Replacement?

A. The advantages of  a simultaneous procedure include: only one surgical event, single anesthesia, shorter overall hospital stay, and the possibility of faster rehabilitation.

Question : What are the results in terms of function and relieve of pain?

A. In both type of procedures, simultaneous and staged, results are excellent and equivalent in terms of relieve of pain and daily activities. Patients should expect a greater than 95% chance of success at 15 years.