When pain killers, injections and
physiotherapy fail to manage knee pains, orthopaedic surgeons usually recommend
total knee replacement (TKR) surgery. However, patients staring at the prospect
of undergoing TKR due to osteoarthritis, now have the option to postpone the
surgery for a decade.
The implant effectively replaces
the worn-out cartilage, which is the tissue that cushions the two bones in the
knee joint. Due to wear and tear, the cartilage beaks down, causing bones to
rub against each other. The rubbing causes severe pain and swelling, making it
impossible for patients to walk. At this stage, doctors recommend total knee
replacement.
A relatively new procedure,
minimally invasive knee resurfacing surgery (MIKRS), promises better management
of failed knees. MIKRS involves inserting a chromium-cobalt implant in between
the knee joints after making a 5-7 cm incision.
“Instead of total knee
replacement, patients now have the option of minimally invasive surgery. We
conducted a surgery on a 45-year-old woman Lakshmi Devi, and she has recovered
well. This surgery will be a great alternative for total knee replacement,”
said Dr. Prabhat Lakkireddi, Orthopaedic Surgeon, Apollo
Hospitals . He added that total knee
replacement involves a lot of bone cutting, use of bone cement, blood loss and
a significant post-operative recovery time. However, patients opting for MIKRS
need not face the above factors, he said.
“Several international studies
have indicated that the implant will last for 10 years. This surgery will cost
patients between Rs. 1 and 1.2 lakh, while total knee replacement will cost
over Rs. 2 lakh. The patient can be discharged in a day or two,” Dr. Prabhat
said.
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