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Large Joint (hip & knee) Disease

Large Joint Disease refers to the condition of the joints (hip & knee), their surrounding structure including muscles, bones, the cartilage, and the lubricant cushioning these joints and how they function. Joint (hip & knee) pain is a discomfort caused in the joints and their surrounding structure which hampers one’s mobility.

Total Knee Replacement (TKR)

Total knee replacement surgery is also called as arthroplasty and this procedure involves removing parts of the damaged knee and replacing them with artificial knee prosthesis. Your orthopedic joint replacement surgeon will remove the damaged and diseased portions at the end of the femur (thigh bone) and top of tibia (shin bone) and replace them with artificial implants made of metal or plastic. Each bone is shaped to exactly fit the prosthesis. Components are then attached to the thigh bone, shin and knee cap, most commonly using surgical cement.

The need for TKR may arise due to

Knee Osteoarthritis

Knee Osteoarthritis is an age-related ‘wear and tear’ type of condition affecting the bones. It generally affects persons aged 50 years or more, but may also affect younger individuals. In this type of arthritis, the cartilage that cushions the bones of the knee softens and wears away. The edges of the bones then rub against one another, causing knee pain and stiffness. Osteoarthritis happens when the cartilage and the cushion between the knee joints deteriorate.

Rheumatoid Arthritis

Rheumatoid arthritis is caused due to the inflammation of the synovial membrane surrounding the joint which gradually damages the cartilage.

Post-traumatic Arthritis

Post-traumatic Arthritis is caused due to any serious knee injury. The bone fracture or tearing of the ligaments due to any such injury damages the cartilage causing pain and difficulty in mobility.

Symptoms of Arthritis

Joint stiffness and soreness

Grating sensation

Bone spurs

Loss of flexibility

Joint pain during activity

Cracking sound upon movement

Debunk Myths

Click each box to bust
each myth.

Myth

There is nothing much you can do for joint pains.

Fact

If treated early on, you can get significant relief from joint pain.

Myth

Implanting artificial joints (hip & knee) will lead to adverse side effects.

Fact

If performed by a competent orthopedic surgeon, followed by close monitoring post-surgery, there will be less chances of side effects.

Myth

Knee replacement has a high risk of failure.

Fact

When done by experienced specialists, knee replacement offers long term solution to knee pain.

Myth

Knee replacement is painful, especially post-surgery.

Fact

Minor pain in the knee after surgery is normal which gets healed gradually.

Treatment of Knee Osteoarthritis

Patients with mild to moderate knee osteoarthritis should participate in a regular exercise program. Besides surgical, non-surgical treatments these include lifestyle modification, physical therapy, assistive devices, and medications. However, depending on the severity, your doctor will suggest the best line of treatment for knee osteoarthritis.

A surgical procedure where the bone is cut or reshaped for realignment.

It includes replacing some or all of the component surfaces of the knee joint with artificial implants.

Total Knee Replacement (TKR)

Knee replacement, also known as knee arthroplasty, is a surgical procedure done to replace the weight-bearing surfaces of the knee joint to relieve pain and disability. It involves removing the diseased knee joint surgically and replacing it with an artificial joint (prosthesis) made of metal alloys, high-grade plastics, and polymers.

Patient Success Stories

Inspiring messages from people who re-shaped their lives after undergoing treatment.

Before deciding to undergo knee replacement, Mrs. Vyas suffered from joint pain for nearly 7 to 8 years of her life. In this video, she shares how the joint pain restricted her mobility even within the home, and how after surgery she is now free from pain and is able to travel freely anywhere.

Sushilaben Vyas,
73 years old

Doctors Speak

Dr. Bakul Arora,
Joint Replacement Surgeon

Dr. Arora has advice for patients who have fear of knee replacement surgery and shares tips on how they can overcome those fears. He addresses many more frequently asked questions on joint pain in this video.