Total knee replacement surgery

Total knee replacement surgery

Knee joint replacement surgery in Turkey It is a suitable option for patients with joint damage associated with chronic pain and movement problems, the operation aims to relieve pain and improve the quality of life.

 Knee joint replacement surgery

Total Knee Replacement is one of the most common orthopedic surgeries that is performed frequently, by replacing the damaged knee joint with an artificial joint that replaces the natural joint and performs its function.

This procedure helps relieve pain and restore joint function and normal range of motion in people with a damaged joint.

People of all ages may need this surgery, but the vast majority of patients are over 50 years old due to joint overload and degenerative joint disease (osteoarthritis).

Overview of the knee joint

The knee joint is one of the largest and most powerful joints in the body, and it is necessary to perform a wide range of movements, such as walking, jumping, and sitting in certain positions.

The joint consists mainly of three bones: the femur, the patella, and the shinbone (tibia). These bones are connected by cartilage, ligaments, and tendons.

As a result of excessive use of the joint (as it contributes to most of the body’s movements), this joint is subject to many diseases and traumatic injuries that affect its function. Knee pain is one of the most prominent complaints that prompt patients to consult an orthopedic doctor.

Symptoms that appear when the knee joint is injured are: swelling and redness around the knee, imbalance of the foot, hearing a bone pop when moving the joint, joint stiffness.

In cases of severe injury to the knee joint, which manifests as severe pain that does not respond to drug treatments or through limiting the range of movement of the joint, then the operation to completely change the knee joint can be resorted to.

Anatomy of the normal knee joint in humans
An image showing the normal knee joint in humans

 When is the knee replacement surgery performed?

 The most common reason for knee replacement surgery is degenerative arthritis (osteoarthritis), the most common type of arthritis. This disease causes degenerative changes that erode the cartilage and subsequently cause a change in the shape of the bone.

These changes usually develop slowly and worsen over time, as the patient feels increasing pain and stiffness that may develop into a dysfunction that manifests as a weakness in the ability to move, which prevents the patient from carrying out his daily activities such as walking and climbing stairs.

Severe pain and inability to accomplish daily tasks requires surgery to improve the person's life and rid him of the pain he suffers from.

There are other reasons for knee replacement surgery, including:

  • Rheumatoid arthritis (rheumatism)
  • Congenital anomalies that impede movement
  • gout
  • The bones in the knee joint die due to ischemia
  • Diseases that lead to abnormal growth of the knee bones
Degenerative knee osteoarthritis (arthrosis of the knee)
Picture showing osteoarthritis of the knee

Preparation before total knee replacement surgery

The first step is to conduct a comprehensive assessment of your health and conduct several medical examinations before undergoing surgery to ensure that you are fully prepared for it.

Tell your doctor about the types of medications you are taking, as some medications must be adjusted before the operation.

If you suffer from chronic diseases such as heart disease, you may be asked to undergo an evaluation with a specialist cardiologist before undergoing knee replacement surgery.

Tell your family members or friends of your intention to have the operation because you may need some help during the recovery journey after the operation.

It is preferable to make some modifications at home to facilitate activities during the recovery phase, such as using the toilet seat equipped with arms in addition to the fixed shower chair, removing upholstery and wires, and installing arms along the stairs.

In the hospital, and before starting the operation, intravenous antibiotics are given to prevent infection following the prosthetic joint.

How to perform knee joint replacement surgery in Turkey

The operation takes one to two hours, during which the patient is under general or regional anesthesia (the patient remains awake but does not feel any pain).

During the operation, the surgeon puts the knee in a flexed position and an incision is made in front and below the knee to reach the patella bone. The surgeon sets aside the patella in order to reach the damaged articular surfaces of the femur and tibia. The end of each of these bones is carefully cut.

A flat metal plate and a piece of plastic are placed at the end of the tibia, and a curved metal plate is attached to the end of the femur, thus forming an artificial joint between the ends of both bones.

This procedure has a high success rate and is considered fairly safe, especially if it is performed by an experienced orthopedic surgeon.

After the knee joint replacement surgery is completed, you will be transferred to the recovery room, where you will remain there for a few hours until the effect of the anesthesia wears off. After that, you will be transferred to a special room for observation, or you can go home directly.

This operation can be performed by modern, minimally invasive methods such as the use of Robot to replace the knee joint This technique is characterized by its accuracy and safety, in addition to being one of the most promising and modern treatment methods in modern surgical medicine.

you may Contact us To request more details about the knee replacement operation, we guide you in the center Bimaristan For elite rheumatologists and orthopedists in Turkey.

Before and after total knee joint replacement surgery
Comparison between before and after knee replacement surgery

Post knee joint replacement surgery

Post-operative pain is normal and part of the recovery journey, the doctor and medical staff will work to alleviate the post-operative pain.

Certain pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics, as well as blood-thinning medications are prescribed to prevent the risk of clots forming due to stasis from immobility during recovery.

Play the physical treatment A major role in accelerating recovery after knee replacement surgery is done by practicing leg strengthening exercises and restoring the knee's natural range of motion.

You can stop using crutches and walking aids and return to your daily activities up to 6 weeks after the operation. Pain and swelling may take up to 3 months longer after the end of the surgery.

Radiograph of the artificial knee joint
This image shows the artificial knee joint on an X-ray

Success rate of total knee joint replacement in Turkey

Knee joint replacement surgery has a high success rate and gives satisfactory results for the patient. According to the American Association of Orthopedic Surgeons, 95% of people who underwent a total knee replacement felt significant improvement.

Tips after knee replacement surgery

  • Continue to take painkillers to relieve pain, if present
  • Use walking aids such as crutches and a wheelchair after surgery
  • Gradually begin to reduce reliance on crutches when you feel able to move independently
  • Continue to do exercises that prevent stiffness in the knee joint
  • Wear comfortable shoes when going out
  • Avoid sitting in a cross-legged position for the first six weeks after the replacement operation
  • It is not recommended to place a supportive pillow under the knee while sleeping to avoid bending the knee
  • Do not kneel on the joint that was operated on 

 Knee replacement surgery side effects

Knee replacement surgery is considered a relatively safe operation and is not associated with complications in most cases, but any medical procedure is not without the possibility of some complications, including:

  • Prosthetic joint infection
  • Stiffness in the artificial knee joint
  • knee pain
  • blood clot
  • Malfunction of the industrial part

Duration of a complete knee replacement surgery

Normally, the knee replacement surgery takes about 60 to 90 minutes if it is performed properly without any complications.

knee joint replacement surgery price

The cost of knee replacement surgery depends on many factors, including the surgical techniques used, the quality of the implants, and the hospital in which the operation is performed. The cost of knee joint replacement surgery in Turkey is often about $5,000.


Sources:

  1. NHS
  2. Update
  3. Webmd

common questions

Usually, a person regains their ability to move without the assistance of a chair or crutches 3 weeks after a knee prosthesis.
Pain and discomfort may take up to a year after the replacement of the damaged joint for the body to get used to the artificial joint, but not necessarily that long.
According to studies, 85% to 90% of people who underwent an operation to replace the natural knee joint with an artificial joint needed 10 to 15 years before needing to repeat the operation.
Replacement of the damaged joint is the most appropriate operation for the treatment of chronic pain following osteoarthritis of the knee joint.
 There are some alternative methods that are being made to treat and relieve chronic pain caused by joint degeneration, such as physical therapy or stem cell transplantation in order to treat degeneration of the knee joint.

If you are planning treatment in Turkey
Talk here now