Manipal – Replacement – Bilateral Knee Replacement with implant

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Sometimes the cartilage wears away in both knees, and there is a need to implant prosthesis in both knees. This is termed a Bilateral Total Knee Replacement. It can be performed in a single instance or in stages. A simultaneous procedure means to replace both knees on the same day, under one anesthesia. This takes place in the same surgical event, within one hospital stay and is followed by a single rehabilitation period. The staged procedure means that both knee replacements take place as two separate surgical events. Surgeries are performed several months apart one from the other, requiring two hospital stays, two anesthesias and two rehabilitation periods. However, the simultaneous procedure is not available to every patient with problems in both knees, because it implies a high stress for the cardiovascular system. Only patients in a good health condition are appropriate candidates, and special emphasis should be made for an adequate patient selection. Also the initial rehabilitation is slightly more difficult .

 

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The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments. It may also help to restore motion of knees and straighten the limbs.
Bilateral Total Knee Replacement
Sometimes the cartilage wears away in both knees, and there is a need to implant prosthesis in both knees. This is termed a Bilateral Total Knee Replacement. It can be performed in a single instance or in stages. A simultaneous procedure means to replace both knees on the same day, under one anesthesia. This takes place in the same surgical event, within one hospital stay and is followed by a single rehabilitation period. The staged procedure means that both knee replacements take place as two separate surgical events. Surgeries are performed several months apart one from the other, requiring two hospital stays, two anesthesias and two rehabilitation periods. However, the simultaneous procedure is not available to every patient with problems in both knees, because it implies a high stress for the cardiovascular system. Only patients in a good health condition are appropriate candidates, and special emphasis should be made for an adequate patient selection. Also the initial rehabilitation is slightly more difficult .
Reasons for Knee Replacement
Knee replacement surgery is a treatment for pain and disability in the knee(s). The most common condition that results in the need for knee replacement surgery is osteoarthritis.
Osteoarthritis is characterized by the breakdown of joint cartilage. Damage to the cartilage and bones limits movement and may cause pain. People with severe degenerative joint disease may be unable to do normal activities that involve bending at the knee, such as walking or climbing stairs, because they are painful. The knee may swell or “give-way” because the joint is not stable.
Other forms of arthritis, such as rheumatoid arthritis and arthritis resulting from a knee injury, may also lead to degeneration of the knee joint. In addition, fractures, torn cartilage, and/or torn ligaments may lead to irreversible damage to the knee joint.
If medical treatments are not satisfactory, knee replacement surgery may be an effective treatment. Some medical treatments for degenerative joint disease may include, but are not limited to, the following:
  • Anti-inflammatory medications.
  • Glucosamine and chondroitin sulfate.
  • Pain medications.
  • Limiting painful activities.
  • Assistive devices for walking (such as a cane).
  • Physical therapy.
  • Cortisone injections into the knee joint.
  • Viscosupplementation injections (to add lubrication into the joint to make joint movement less painful).
  • Weight loss (for obese persons).

There may be other reasons for your doctor to recommend a knee replacement surgery.

Procedure
Knee replacement requires a stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.
Knee replacement surgery is most often performed while you are asleep under general anesthesia. Your anesthesiologist will discuss this with you in advance.
Generally, knee replacement surgery follows this process:
  • You will be asked to remove clothing and will be given a gown to wear.
  • An intravenous (IV) line may be started in your arm or hand.
  • You will be positioned on the operating table.
  • A urinary catheter may be inserted.
  • If there is excessive hair at the surgical site, it may be clipped off.
  • The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
  • The skin over the surgical site will be cleansed with an antiseptic solution.
  • The doctor will make an incision in the knee area.
  • The doctor will remove the damaged surfaces of the knee joint and resurface the knee joint with the prosthesis.
  • The knee prosthesis is made up of metal and plastic. The most common type of artificial knee prosthesis is a cemented prosthesis. Uncemented prostheses are not commonly used anymore. A cemented prosthesis attaches to the bone with surgical cement. An uncemented prosthesis attaches to the bone with a porous surface onto which the bone grows to attach to the prosthesis. Sometimes, a combination of the two types is used to replace a knee.

The prosthesis is generally comprised ofthree components: the tibial component (to resurface the top of the tibia, or shin bone); the femoral [thigh bone] component (to resurface the end of the thighbone; and the patellar component (to resurface the bottom of the kneecap that rubs against the thighbone).

  • The incision will be closed with stitches or surgical staples.
  • A drain may be placed in the incision site to remove fluid.
  • A sterile bandage or dressing will be applied.

The Estimate Includes:
1. Bed charges
2. Clinical Lab Charges
3. Professional Charges
4. Nursing Charges
5. Dietary Charges for the patient and an attendant
6. Operation Theatre charges
7. Anesthetist charges
8. Procedure charges
9. Implants
10 Meet & Greet at the Airport.

The Estimate Excludes:
1. Stay outside the hospital, cost of the same is not included in the above estimate and is payable on actual.
2. Any outpatient consultations and medicines which are required during the follow-up will not be a part of the estimate.
3. The estimate cost is for the number of days indicated above, if situation demands to extend stay in hospital, the additional days stay would be charged accordingly.
4. Special Investigations referred by other departments or if situation demands any additional investigation would be charged accordingly.
5. Cost for the evaluation is not included in the above mentioned estimation

Additional information

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