Q. How WalkFoundation will help me?
A. Walk Foundation will help you get treatment done at location nearest to you, and help you select the right surgeon the surgery. WalkFoundation assists you in getting the required financial assistance from banks for the joint replacement surgery and treatment. WalkFoundation is a platform created to provide an end to end solution to your joint replacement surgery.
Q. Where can I get the treatment done?
A. We have WalkFoundation centers in district places near you wherein you can get the treatment done. Feel Free to call on our Toll Free no.1800-200-5262 to get the assistance on the same. According to your location our call center representative will guide you on the nearest centre.
Q. What about the Patient’s Privacy?
A. We at Walk foundation respect patients’ privacy and do not share patients’ information with anyone.
Q. How do I get assured personalized, Value for money services from WalkFoundation?
A. WalkFoundation is a CSR initiative by Biorad Medisys Pvt Ltd to provide a better quality life to the people around the world. The assurance of service comes from our knowledge and expertise over the years in delivering innovative joint replacement solutions.
Q. What are the facilities that will be included in the package?
A. Kindly go through the link Schemes and Packages for details of packages best suited to your requirement.
Q. What is Total knee replacement surgery?
A. Joint Replacement Surgery is one of the most important orthopedic procedures today. The most common causes of joint diseases are osteoarthritis and rheumatoid arthritis. Joint Replacement Surgery is considered for people with severely damaged joints, whose condition cannot be alleviated, to enable them to walking again.
Joint Replacement Surgery helps
- Relieve Pain
- Improve Joint Motion
- Correct Deformity
- Improve functions like walking, standing, dressing, bathing, etc...
There are numerous types of joint replacement surgeries and each patient being different , your doctor is the best to advise you on the same. The decision for surgery is made based on; your age, how strong your bones are, the shape and condition of your joint, your general health, your weight and activity level.
In knee replacement surgery, the damaged bone and cartilage are replaced with metal and plastic surfaces that are shaped to restore knee movement and function. The new artificial knee is called prosthesis or an Implant. Stainless steel, cobalt, chrome alloys or titanium may be used for these components. Durable, wear resistant polyethylene (plastic) is used for the weight-bearing surface. Bone cement may be used to anchor the prosthesis into the bone.
Q. How do I know I need a Total Knee Joint Replacement Surgery?
A. If you have knee deformities or severe X-ray changes, or advanced symptoms of arthritis, you require a total knee replacement surgery.
Symptoms of advanced knee arthritis are pain, crepitus (Crepitus is the medical term for a crunching sensation in the knee as it is bent back and forth). This is usually a constant problem that occurs every time the knee is bent in people with cartilage issues due to arthritis or running), stiffness, limping, muscle weakness, limitation of motion, and swelling. Total Knee replacement surgery is generally delayed by the doctors in favour of less invasive procedures. But, if you have difficulty in performing everyday activities such as walking, routine work, getting dressed, you do require knee replacement surgery.
Total knee replacement surgery offers great relief from joint pain and it restores normal activities in life.
Q. How common is total knee replacement surgery?
A. Knee replacement is a routine surgery performed on over 650,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience a significant improvement in knee pain and function.
Q. How old is the average patient for knee joint replacement surgery?
A. The average knee joint replacement patient is around 50-75 years old; however patients of all ages have received knee implants. Young patients may require joint replacement surgery in case of accident/ trauma etc.
Q. How is the knee replacement surgery done?
A. Knee replacement surgery starts with an incision over the knee that exposes the joint. Special precision guides and instruments are used to remove the damaged surfaces and shape the ends of the bones to accept the implants.
The implants are then secured to the bones. When the surgeon is satisfied with the fit and function of the implants, the incision is closed. The surgery may take 1-2 hrs to complete, which varies from patient to patient.
A bandage is applied and a special drain is usually inserted into the wound to drain the fluid that naturally develops at the surgical site. You would then be taken to the recovery room, where you would be closely monitored.
When you regain consciousness, you would be taken to the hospital room, where a nurse would be with you. You would also be given pain killers and the knee might remain swollen for a few days.
Q. How is the knee rehabilitation done?
A. A total knee replacement rehabilitation program begins after the surgery. To help regain strength, balance and range of movement in your knee, a specifically designed rehabilitation programme is started when you are back in the hospital room
- The physio therapist will help you perform appropriate exercises. About 24 hours after surgery, you will probably be asked to stand. Within the next 24 hours, you will probably begin to walk a few steps with the help of a walker.
- You can expect to stay in the hospital for about five to six days after your surgery. You may or may not be transferred to a rehabilitation facility for a few more days, as determined by your surgeon.
- Your bandages and sutures will usually be removed before you leave the hospital. At home, you will need to continue your exercises.
Q. When can I return to normal activities after knee joint replacement surgery?
A. Most patients start walking with the cane within six weeks of the surgery. Few patients also start driving within seven to eight weeks after surgery.
But, there are some precautions to be taken even after you have fully recovered. One should not put excessive strain on the knee with activities like jogging, skiing, high impact aerobics and other sports which can put strain on the knee joint.
Q. What precautions do I need to take after knee replacement surgery?
A. Though this is not an exhaustive list of the precautions, these are the general guidelines to be followed after the surgery. The surgeon and the physiotherapist will guide you in details about the do's and don'ts after the surgery)
- Avoid lifting heavy weights and excessive climbing of stairs
- Maintain appropriate weight
- Avoid "impact loading" sports such as jogging, downhill skiing and high impact aerobics, twisting or impact stresses.
- Consult your surgeon before beginning any new sport or activity
- excessive bending when weight bearing, like climbing steep stairs
- do not lift or push heavy objects
- Do not kneel
- Avoid low seating surfaces and chairs.
Q. What is the life of a replaced knee?
A. The longevity of the prosthetic varies with every patient depending upon physical condition, activity level; weight as well as the accuracy of implant placement during surgery and it may last to 15-20 years.
Though total knee replacement has become a common and predictable surgery, with very high success rates, it should be kept in mind that there is no guarantee that a prosthetic joint will last the rest of patient's life.
Q. Do I need to take antibiotics after dental and other procedures after the joint replacement?
A. Your total joint replacement is an immune compromised area in your body. Your immune system and white blood cells have a difficult time clearing bacteria from joint replacements. Therefore, it is best to avoid and reduce the risk of any possible infection. To do this, it is commonly recommended that for dental procedures, particularly those involving a dental abscess, and for other procedures that are at risk for putting bacteria into the blood stream, that a patient be given antibiotics around the time of these procedures. The greatest risk for infection to occur after these procedures is within the first two years.
Q. What is the average cost of knee replacement in India?
A. The cost of knee replacement in India is around Rs. 2 Lac which is a fraction of what you would have to shell out for same services in USA/ UK. The price varies with the city and the facility you choose to stay. Please contact us to know options best suited for you.
Q. How knee replacement is done?
A. Total knee replacement is a procedure utilized to resurface an arthritic knee joint. Unlike total hip replacement, where a large segment of bone is removed, in total knee replacement it is simply the arthritic surfaces of the bone that are trimmed and then resurfaced with metal (femoral side) and plastic(tibial side) Implants. In that regard, this is very similar to Hip Resurfacing. The ligaments that join between the femur and the tibia on the outer portions are maintained.
Q. How long does the operation take?
A. A primary total knee replacement takes between about an hour to 90 minutes. Anesthetic induction time is about 30 minutes. Extubation and shifting takes another 15 minutes. A difficult knee may take about two hours.
Q. What anesthesia will I receive?
A. You can have the operation done under general anesthesia (fully unconscious) or a regional anesthesia (spinal or epidural) in which you will be sedated but not knocked out. Regional anesthesia is a safe mode for diabetics and elderly people.
Q. How the postoperative pain is controlled?
A. Post operative pain is controlled by blocking the nerves which carry the pain sensation This is achieved by injecting medication into the epidural space after putting a catheter around the spinal cord. This is called epidural analgesia.
Q. When can I walk after knee replacement?
A. You can do so within 24 – 48 hrs after the operation with help of physiotherapist
Q. How long should a patient remain in hospital after a knee replacement?
A. After a total knee replacement, one week's hospitalization is required. This is to ensure that the patient is pain free and is confident to stand up and walk. After a bilateral total knee replacement the patient will remain for a week after the second operation, so that makes two weeks of admission in hospital.
Q. For how long will I 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 aid.
Q. When can the patient go back to work?
A. This depends on the nature of the job. A sedentary or desk top person can start work after a month. If the job involves a lot of time to be invested standing or walking, then it may take about two months.
Q. Can I travel overseas after the operation?
A. In the case of overseas patients, you can do so after 2 weeks. You need to spend only a week in the hospital for your recovery and the balance can be spent in a resort nearby. This is to ensure that you have recovered fully well after the operation and are fit to travel. An x ray is taken in the post op period and again after a month to evaluate recovery.
Q. When Can I drive a car after surgery?
A. As you may require using an aid for about a month to six weeks, it is inadvisable to drive a car six weeks post-surgery.
Q. Can both knees be operated simultaneously?
A. If you are healthy without co-morbidity and can stand up to anesthesia, then both knees can be operated simultaneously(Bilateral TKR). Otherwise second knee shall be operated after 5 days post surgery the first knee and you have enough time to recuperate. Many elderly patients'health condition requiresequential (after5 days) knee replacement.
Q. Will an implant set off a metal detector?
A. Since knee implants are made of metal, there's a chance they could set off metal detectors. You will be provided with a certificate to keep in your wallet explaining that you have had a knee implant which can be shown to the officials.