Total Knee Replacement: Step-by-Step Patient Guide

By Dr. Sajeev Shekhar, Orthopaedic Surgeon

Knee pain can make even simple activities like walking, climbing stairs, or getting out of a chair extremely difficult. When medications, physiotherapy, and injections no longer provide relief, Total Knee Replacement (TKR) may be the most effective solution.

At Infinity Multispeciality Hospital, we focus on safe, advanced, and patient-centric knee replacement procedures to help you return to an active and pain-free life.

This guide explains the entire journey — step by step.

What is Total Knee Replacement?

Total Knee Replacement is a surgical procedure in which the damaged cartilage and bone of the knee joint are removed and replaced with artificial implants (prosthesis). The goal is to:

• Relieve chronic pain

• Correct deformity

• Restore mobility

• Improve quality of life

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Who Needs Knee Replacement?

You may be a candidate if you have:

• Severe osteoarthritis or rheumatoid arthritis

• Persistent knee pain even at rest

• Difficulty walking or climbing stairs

• Knee stiffness and swelling

• Failure of non-surgical treatments

A detailed clinical examination and imaging tests help determine whether surgery is necessary.

Step-by-Step Process of Total Knee Replacement

Step 1: Pre-Surgery Evaluation

Before surgery, we conduct:

• Physical examination

• X-rays or MRI scans

• Blood tests and medical fitness assessment

• Discussion of medical history

Patients receive detailed counseling about the procedure, recovery timeline, and expected outcomes.

Step 2: Preparing for Surgery

You may be advised to:

• Stop certain medications temporarily

• Begin pre-surgery strengthening exercises

• Arrange support at home for post-operative care

Proper preparation improves recovery outcomes.

Step 3: The Surgical Procedure

• The surgery usually takes 1–2 hours.

• Damaged bone and cartilage are removed.

• High-quality artificial implants are placed to recreate the knee joint surface.

• The incision is carefully closed.

Modern surgical techniques ensure precision, reduced blood loss, and faster recovery.

Step 4: Immediate Post-Surgery Care

• Patients are monitored in recovery.

• Pain management is provided.

• Physiotherapy begins within 24 hours in most cases.

• Standing and walking with support usually starts early.

Early movement is key to successful recovery.

Step 5: Rehabilitation & Recovery

Recovery typically involves:

• Hospital stay: 3–5 days (depending on patient condition)

• Walking with walker support initially

• Regular physiotherapy sessions

• Gradual return to normal activities within 4–6 weeks

• Full recovery may take 3–6 months

Consistent physiotherapy plays a crucial role in regaining strength and flexibility.

Benefits of Total Knee Replacement

✔ Significant pain relief✔ Improved joint function✔ Better mobility✔ Enhanced quality of life✔ Long-lasting results (implants may last 15–20 years or more)

s Knee Replacement Safe?

Total Knee Replacement is a commonly performed and highly successful surgery worldwide. With proper evaluation, advanced surgical techniques, and post-operative care, complications are rare.

At Infinity Multispeciality Hospital, we follow strict safety protocols and personalized care plans to ensure optimal outcomes.

When Should You Consult an Orthopaedic Surgeon?

If knee pain is limiting your daily activities or affecting your sleep, it’s time to consult a specialist. Early evaluation helps prevent further joint damage and improves surgical outcomes if needed.

To know whether knee replacement is right for you, schedule a consultation with

Dr. Sajeev Shekhar

Orthopaedic Surgeon

Infinity Multispeciality Hospital Goregaon (W)