Knee Replacement surgery or Knee Arthroplasty is a surgical drill of replacing a damaged, worn or diseased knee joint with an artificial joint(made from metal and plastic components) to relieve pain, disability and provide continued motion of the knee. Knee Replacement is mostly performed for osteoarthritis. Adults of any age can be considered for a knee replacement, although most are carried out on people between the ages of 60 and 80. Read more at: http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html

1. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 1
Knee Replacement Surgery
Introduction:
Knee Replacement surgery, also known as Knee Arthroplasty is a
surgical drill that involves replacing a damaged, worn or diseased
knee joint with an artificial joint(made from metal and plastic
components) to relieve pain, disability and provide continued
motion of the knee.
Knee Replacement is mostly performed for osteoarthritis on
patients with severe deformity from advanced rheumatoid arthritis,
trauma or long standing osteoarthritis.
Adults of any age can be considered for a knee replacement,
although most are carried out on people between the ages of 60
and 80, more people are now receiving this surgery at a younger
age.
More than 90 percent of patients who have knee replacement
surgery experience less pain and greater mobility in their knee
after the procedure.

2. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 2
Symptoms that shows when a Knee
Replacement is needed
Patients whose knee joints have been damaged by progressive
arthritis, trauma, or any other rare destructive diseases of the
joint, such that your mobility is reduced and you experience pain
even while resting requires knee replacement. The most prevalent
reason for knee replacement is severe osteoarthritis of the knees
and should be considered when conventional treatments have
been exhausted.
Other conditions that need knee Replacement
include:
 Rheumatoid arthritis
 Haemophilia
 Gout
 Disorders that cause unusual bone growth (bone dysplasias)
 Death of bone in the knee joint following blood supply
problems (avascular necrosis)
 knee injury
 knee deformity with pain and loss of cartilage
 Your knee pain is so severe that it interferes with your quality
of life and sleep
 Everyday tasks, such as shopping or getting out of the bath,
are difficult or impossible
 You’re feeling depressed because of the pain and lack of
mobility
 You can’t work or have a normal social life

3. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 3
What is involved with the preoperative
evaluation for knee replacement?
 Before going for a surgery, the joints adjoining the diseased
knee (hip and ankle) are carefully evaluated. This is
important to make certain optimal outcome and recovery
from the surgery.
 In addition, all medications that the patient is taking are
reviewed. Blood-thinning medications may have to be
adjusted or discontinued prior to surgery.
 Routine blood tests of liver and kidney function and urine
tests are evaluated for signs of anemia, infection, or
abnormal metabolism.
 Chest X-ray and EKG are performed to exclude significant
heart and lung disease that may prohibit surgery or
anesthesia.
 Finally, a knee replacement surgery is less likely to have
good long-term outcome if the patient’s weight is greater
than 200 pounds or 90 kgs. Excess body weight simply puts
the replaced knee joint at an increased risk of loosening
and/or dislocation and delays recovery time.
Staying active can strengthen the muscles around your knee and
will aid your recovery. Continue exercising such as walking and
swimming in the weeks and months before your operation. You
can be referred to a physiotherapist, who will give you helpful
exercises.

4. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 4
Types of knee replacement surgery
Types of Knee Replacement surgery, depending on the condition
of the knee:
 Total knee replacement (TKR)
– Both sides of your knee joint are replaced
 Partial (half) knee replacement (PKR)
– Only one side of knee joint is replaced with a shorter
hospital stay and recovery period
Alternative surgery
There are alternative surgeries for knee replacement, but their
results are not good in the long run.
Alternatives surgeries include:
 Arthroscopic washout and debridement
 Osteotomy
 Mosaicplasty
What are the risks of undergoing a knee
replacement?
Knee replacement is a common surgical procedure where most
people don’t experience complications. However, as with any
other surgery, there are risks as well as benefits of Knee
Replacement.

5. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 5
Complications may include:
 Deep vein thrombosis (DVT)
 Fractures
 Loss of motion
 Instability
 Infection
 Unexpected bleeding into the knee joint
 Ligament, artery or nerve damage in the area around the
knee joint
 Persistent pain the in the knee
Recovering from knee replacement surgery
Knee replacement surgery mostly requires 1 ½ to 3 hours of
operative time. Immediately after surgery, patient is taken to a
recovery room, where vital organs are frequently monitored. After
being stabilized, patient is returned to his/her hospital room.
Urination can be difficult in the immediate postoperative period,
and this can be aggravated by pain medications, to avoid such
condition a catheter is inserted into the urethra allowing free
passage of urine until the patient becomes more mobile.
You’ll usually be hospitalized for three to five days after Knee
Replacement Surgery, but recovery time can vary depending on
the individual and type of surgery carried out.
Many people can stop using walking aids within six weeks after
surgery, and can start driving after eight to 12 weeks.
Full recovery can take up to 2 years. A very small amount of
people will continue to experience some pain even after two
years.

6. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 6
Does patient continue to improve as an
outpatient after discharge from the hospital with
recommended exercises?
For an ideal result after knee replacement surgery, it is important
to opt for an outpatient physical-therapy program along with
home exercises. Patients need to continue exercising the
muscles around the replaced joint to prevent scarring and
maintain muscle strength for the purposes of stability of new joint.
These exercises after surgery will reduce recovery time and lead
to maximum strength and stability.
Sports activities like running is avoided in favor of leisure sports
such as golf and swimming.
Swimming improves muscle strength and endurance without
exerting any pressure or stress on the replaced joint.
Why Choose Jyotinursinghome for Knee
Replacement?
Choose a Knee Specialist who performs knee replacement
regularly and can discuss their results with you.
This is even more important if you’re having a second or
subsequent knee replacement (revision knee replacement), which
is more difficult to perform.
Jyotinursinghome is an NABH (PRE Entry Level) Accredited & an
ISO 9001:2015 Certified Hospital.

7. http://www.jyotinursinghome.com/knee-replacement-in-jaipur.html
Page 7
State of Art infrastructure specialty centre for Orthopedics & Joint
Replacements.
First Hospital to recognize the needs of Emergency & Trauma
Care.
Modern Diagnostic & Latest Treatment facilities at affordable cost.
100 bed capacity, the ever growing need for high quality patient
care
Dr. J.P. Maheshwari consultant orthopaedic doctor/surgeon in
Jaipur and director Jyoti Nursing Home, Jaipur has been
regularly getting training at AIIMS Delhi. He has done certification
course in Joint Replacement at AIIMS Delhi & has been putting to
use the knowledge gained for the benefit of patients at Jyoti
Nursing Home, Jaipur.
After doing his MBBS in 1996 and MS in 2000 from SMS Medical
College Jaipur, he has been working as an orthopaedic consultant
at Jyoti Nursing Home, VKIA, Jaipur for last 17 years.
Joint Replacement has been his special field of interest.
His academic achievements include specializing in all the
complex orthopedic surgeries (Knee & Hip Replacement), hand
surgery and Arthroscopies.
He has been awarded with various fellowships both on national
and international platforms.
He has performed a total of more than 15000+ successful
orthopedic surgeries.