Q. Do I need a knee replacement?
A. It depends on the extent of pain and difficulty in walking. Advice is given after analysing X-ray find-ings. It is you who are suffering from pain and you are as much a part of the decision making as your doctor.
Q. Do I need computer-assisted or navigation / MIS for my knee replacement?
A. For routine knee replacement, available jigs are extremely good and accurate. Only in cases of com-plex deformities of thigh and leg bone that computer-aided assistance may be required. Computer navigation is an evolving technology and needs time to achieve perfection in all cases. While long incisions were made earlier, nowadays we utilize smaller incisions with the help of MIS jigs.
Q. Can I get both knees operated at the same time?
A. It depends on how badly both knees are affected and how sound is your medical status. Knee re-placement for both knees can be performed in one sitting if fitness is good
Q. Is knee replacement painful?
A. There are modern methods available for pain relief, such as continuous epidural anaesthesia, patient-controlled anaesthesia (PCA) and a mix of certain drugs that can control pain very effectively. Applying cold compresses around the knee also helps in reducing swelling and pain.
Q. Can I get full bending (flexion) of the knee after surgery?
A. There are reports in the media that some knee implants are capable of giving high flexion or full bending of the knee. The degree of movement achieved depends on your mobility status before surgery, your weight, and good technique of surgery. Surgery is likely to increase your knee movements partially. Implants can only absorb high stress associated with full movement.
Q. Can I sit cross-legged on the floor?
A. Knee replacement implants are bonded to the bone with bone cement. Even though most patients can sit cross-legged, it is not recommended. Preventing excessive stress on the bond increases the life of implant significantly.
Q. Do I need physiotherapy?
A. Physiotherapy is important in achieving early mobility and good knee movement. Physiotherapy starts immediately after surgery. You may need physiotherapy for 4 weeks. This can be organized at your home or a nearby clinic.
Q. How frequently do I need to visit the hospital?
A. You are required to visit the hospital 15 days after surgery for stitch removal. After that, you may be asked to return in 10 days to track your progress. Subsequent visits are required only after 3 months, 6 months and 1 year of surgery - unless medical condition dictates otherwise.
Q. Is knee replacement detected by a metal detector?
A. Yes. You should collect a credit card shaped certificate from the orthopaedic office certifying that you’ve had a knee replacement. This can be shown to the security staff.