Total Knee replacement ( TKR) is indicated for End stage knee arthritis. Its roughly estimated that > 60% of people above the age of 60 require TKR. However the actual people who undergo this procedure are far less.
Advantages of TKR
The idea is to remain independent and mobile as one grows old. This ensures a good health with control of Hypertension, Diabetes and good psychosocial interaction. It has been proven time and again that a person restricted to bed or with limited mobility besides having many medical problems also suffers from depression and low self esteem.
Basic Protocol
Before undergoing this procedure a complete medical examination is done. This includes complete cardiac, renal check up with ECG, ECHO etc are done. An associated medical condition like hypertension or diabetes is never a contraindication. However such patients require extra care. It is advisable to plan for TKR in a Hospital with ICU/ CCU back up. Its been a case many patients to cut costs chose small nursing homes/ hospitals which do not have necessary medical/ cardiac back up.
Costs involved
It might range from 1.25 to 1.5 lacs per knee. A simultaneous bilateral TKR is little less, however this is subjected to medical fitness that patient can undergo this.
Post op care
The patient is mobile on 2nd post op day. The Hospital stay ranges from 5-7 days. The sutures are out by two weeks. Initially walking aids are used but later these can be discarded once good control is achieved
For more queries regarding Total knee or Hip replacement contact Dr. Harinder Batth, M.S ( PGI)..Mob-9888003333, Website – chandigarhortho.com , bonesetter.org