Knee Replacement has a versatile treatments which were being provided by multispeciality hospitals located at kharghar Navi Mumbai localitiy with all the advance technologies and experienced doctors and surgeons

1. Submitted by
Kharghar Medicity Hospital
Total Knee Replacement (TKR)
Treatment

2. Introducing Total Knee replacement
surgery
 TKR(Total Knee Replacement) has crucial but
significant fundamental procedures who has been
peformed due to damaged knees from Degenerative
changes and sports injuries
 TKR performed on an average the age ratio in
between 50 or more then 50 years old.
 TKR has a authenticate permissions who has the
potential , active , improve functions of knee and to
relieve pain.
 There are different equipments to get done TKR
which includes tourniquet , nitrogen tank , foot holders
,ESU
 Basic instruments used for complete KR : Basic
orthopedic drill set , power drill , gauges , total knee
speciality instruments sets , power oscillating saw ,

3. Evolution of TKR(Total knee
Replacement)
 First it was introduced in Fergusson in the year 1860
as Resection arthroplasty
 Versneuil performed first (IA)Interposition Arthroplasty
 First Artificial implants were tried when molds were
placed in the femoral condyle in the year 1940
 The first combined femoral and tibial articular surface
replacement appeared as simple hingers in the year
1950
 Frank Gunstone evolved the concept of metal on
plastic knee replacement in the year 1971
 John Insall has designed the protocol for current total
knee replacement which has replacement of all three
surfaces : femur , tibia and patella in the year 1973.

4. Initiating the Knee surgery
The Incision :
•This replacement procedure includes middle and front of the knee with the
knee possessd at the flexion
•The next approach comes is medial parapatellar approach
•Intermediate side of the knee is then exposed by removing the anteromedial
knee capsule and medial collateral ligament from the ltibia by using curved
osteotome.
•After this the leg is extended and patella is everted then a lateral
patellofemoral plicae is removed with mayo scissors

5. Several preparations
 TIBIAL PREPARATION :
 The Ancle is positioned and secured against the
lower portion of the leg proximal to the malleolus
 The Tibia resection is assisted and guided by
securing with the pins after it is positioned
andcentered on the proximal tibia.
 Continuation of Tibial Preparation :
 Extraa Medullary Tibial Resection
 Tibial Sizing

6.  PATELLAR PREPARATION :
 On initial basis the patella is laterally retracted
with the articular surface facing in the upward
position.
 Calipers are being used to determine the size of
patella along with the amount of bone that will be
removed
 The cutting of patella is then placed to ensure the
appropriate cut of the patellar apex.
 The appropriate size saw is then used to make
the patellar cut.
 The patellar peg holding guide is then properly
placed on the resected patella and the peg holes
then drilled.

7. Finishing Total Knee
Replacement
 Trial Reduction
 With the use of Mallet and Femoral Impactor the
appropriate femoral trial is placed on the distal femur.
 Tibial trial insert is then snapped into the place of trial
base.
 The knee is then put through the series motion to
confirm normal moments
 Implant Insertion
 The femoral impactor and mallet is being used the
femoral implant
 Tibial polythylene insert is seated and locked into placed
on metal base
 Cement is hardened with the leg placed in 35 degrees of
flexion.

8. About us
 Super Speciality Services
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 24 hours Services
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 Link :http://www.khargharmedicityhospital.com