Dr. Barik's Orthocare Clinic

Meet Our Doctor

Dr. Sanjay Barik

Orthopedic and Joint Replacement Surgeon

Dr. Barik's Orthocare Clinic

Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
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Best Knee Replacement In Nagpur

What is knee Replacement Surgery ?

Knee replacement surgery is an elective surgery necessary for people with significant knee pain due to knee osteoarthritis. Arthritis begins to erode the knee joint, the most complex joint in the body. Osteoarthritis is the most common type of arthritis affecting the knees and begins in middle age and later.

As shown in the diagram below, the articular cartilage gradually wears down, and continued walking puts stress on the joint, which can cause serious damage to the knee joint.

Total knee replacement is a surgical procedure in which a knee joint made of special metal materials and inert plastic is inserted into the damaged part of the knee, similar to the way teeth are covered. These components are highly specialized and designed to work in perfect synchrony with the knee.

knee replacement

Essentially replacing the knee joint with an artificial joint gives people the opportunity to walk, play sports, and continue daily activities that were previously severely limited without the use of drugs.

What is Arthritis :

Arthritis pain can appear suddenly, but it is more likely to develop gradually over time. At first, you may feel pain when you wake up in the morning or after sitting for a long time. Over time, you may find that the pain is affecting your ability to perform daily activities. Walking, climbing stairs, or even sitting can be painful.

You may not be able to bend or straighten your knee like you used to. You may also experience a rumbling or popping sound in your knee when you walk. Arthritis can also cause you to wake up during sleep. Damage to the joint can change the appearance of the knee and cause it to become deformed. There may come a time when you decide you need help.

If your arthritis symptoms do not respond to nonsurgical solutions, or if your pain becomes uncontrollable and intolerable with medications, contact your doctor. The most common knee surgery to treat OA (osteoarthritis) is total knee replacement. In this surgery, the natural knee joint is removed and replaced with an artificial implant. This treatment option is typically offered to patients with advanced knee osteoarthritis.

Understanding Arthritis :

Knee arthritis can make daily life very difficult. There are three types of arthritis that can occur in the knee.

1. Osteoarthritis (OA): This type of arthritis occurs due to wear and tear on the joints over time. It can damage cartilage and cause bone to bone rubbing. Understanding arthritis

2. Rheumatoid arthritis (RA): This type of arthritis is caused by an autoimmune disease that affects various joints throughout the body. The disease is chronic and inflammatory in nature, damaging ligaments and cartilage while softening bones.

3. Post-traumatic arthritis (PA): This type of arthritis occurs after trauma or injury to the knee. It may not develop until many years after the injury.

Total Knee Replacement :

Total knee replacement is a surgical procedure in which only the damaged surfaces of the femur (femur) and shin bone (tibia) are removed, rather than the entire joint. Often, the underside of the patella (patella) is removed and these surfaces are replaced with artificial parts. The new joint consists of a metal shell on the femoral end, a metal plate covered with a plastic depression on the shinbone, and, if necessary, a plastic button on the patella. This is a surgery in which the knee replacement surgeon resurfaces the damaged knee joint to cover the damaged tooth.

Partial Knee Replacement :

If only part of your knee is damaged due to arthritis, a partial knee replacement may be recommended. This applies to younger patients. Recovery is faster and hospital stays are shorter. However, the success of the operation may not last for ten years. At this point, your knee replacement surgeon may recommend a total knee replacement.

Complex Knee Replacement :

Some people have certain knee deformities, such as bowlegs (varus), genu varum (valgus), and even wind-exposed legs. In such cases, the surgeon must have sufficient experience to deal with such cases and must also have extensive experience in reoperation for joint replacement. See photos below.

Do i need a knee replacement ?

Knee Replacement surgery is an elective procedure, your doctor has more than likely treated your condition with physiotherapy, pain medicines, anti-inflammatory drugs, and injections in the knee. You may also have had minor surgeries of your joint in the past. 

You would be considered for knee replacement surgery if :

  • You have daily pain
  • Your pain is severe enough to restrict not only work and recreational activity, but also ordinary activities of
  • daily living such as climbing up stairs.
  • You have significant stiffness of the knee
  • You have significant instability and constant giving away of your knee
  • You have a deformity of the knee causing pain and inability to walk

Continuing life with all these disabilities is possible. However, your unstable joints may cause a fall and lead to fractures around the knees and hips because of osteoporotic bones. Regular consumption of pain medication and anti-inflammatory drugs may also damage your kidneys and cause ulcers in the stomach.

You and your doctor  or Knee Joint Replacement Surgeon will be the best judge of when knee replacement surgery is best for you.

Benefits of Knee Replacement

Once your new joint has fully healed, you can begin to enjoy the benefits of knee replacement.

These include:

  • Dramatic reduction in joint pain. No pain at all is the best outcome.
  • Increased movement and mobility
  • Correction of any deformities
  • Improved quality of life – the ability to return to normal activities
  • Running, jumping, jogging or any other high impact activities are discouraged although one can resume
  • playing golf, swimming, walking, bicycling and other low impact sports.
  • After total knee replacement using a conventional implant, a person should have a good range of motion which will allow him to walk comfortably however squatting is not advised at all. A person who has very good range of motion after knee replacement surgery may be allowed to sit cross legged but this would also depend if a high flexion implant was used for the surgery. Your surgeon will be able to guide you through what activities you should pursue.
  • Considerations for Knee Replacement Surgery

Knee replacement surgery is a life-changing decision that requires careful planning and consideration.

People undergoing knee replacement surgery should consider several factors. The basic steps for knee replacement surgery are very similar, but many factors depend on the patient’s medical history, the surgeon’s experience and preferences, and the type of knee implant used.

People who have had surgery should also have access to support at home after surgery. People who have had total knee replacement surgery take several months to fully heal and will initially need help at home with even basic movements. But with time and proper physical therapy, the muscles around your knee will strengthen and you’ll be able to do things you never thought you could do.

A surgery that brings hope and tangible results to people with chronic pain and disability.

Exercise/Weight Loss : It is important to control your weight after knee replacement surgery. This reduces pressure and strain on your knees. Avoid high-impact sports and regularly participate in low-impact activities to strengthen your knees and give them the exercise they need to stay healthy.