Dr Anurag Awasthi

Sr. Consultant Orthopedic Surgeon

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Artemis Hospital, Sec 51, Gurgaon

Columbia Asia Hospital, Sec 23, Gurgaon

Patient Testimonial in Hindi


       Xray - Bilateral Total Knee Replacement Surgery

Knee Pain & Arthritis

Knee pain persisting for more than 6 weeks, or associated with difficulty in stair climbing or squatting/ cross leg sitting, may be due to Knee Arthritis.

During early Arthritis, patients find it difficult to sit on the floor, or complain of pain on climbing stairs. Most such cases can be managed effectively, with exercises, lifestyle modification, and physiotherapy.


As Arthritis progresses, patients feel that they are able to perform less activity over the years. However, they are still manage to carry out their daily routine activities, without help.           

In Advanced Arthritis, patients often observe bowing of legs (see pic), with pain after walking for 15- 20 min, or sometimes even at rest. Such patients often have near complete loss of cartilage from the joints. X Ray assessment will show near complete loss of joint space, with osteophyte formation. In Advanced Arthritis, physiotherapy and injections are of limited value. Such patients eventually need a Partial or Total Knee Replacement Surgery.

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       Single Knee Replacement Surgery                                                        Both Knee Replacement Surgery

Knee Replacement Surgery


                   Rt Knee Advanced Arthritis                                               Rt Total Knee Replacement - STRYKER SCORPIO 

 Knee Replacement is a commonly performed surgery for advanced degenerative or inflammatory arthritis of knee joints.

Arthritis develops secondary to loss of articular cartilage in the knee joint. There are three compartments, which may be affected in isolation, or together. Medial compartment arthritis is common in degenerative pathology. Lateral compartment arthritis is common in Rheumatoid patients. Patellofemoral arthritis leads to predominant pain in the front of the knee joint, and may be co-existent with medial or lateral compartment involvement.

Involvement of any two compartments in the knee arthritis, requires a total knee replacement (TKR or TKA). Involvement of a single compartment may justify the use of unicondylar knee replacement (UKA).   


Do I Need A Knee Replacement ?

Knee replacement is required for advanced arthritis of the knee joint, producing painful limitation of movements and restriction in activities of daily living.
Knee replacement as a solution should be offered only after supervised physiotherapy trials,  have failed. 

 What Are the different types of knee replacement, and which one do I Need ?

Knee replacement can be total or unicondylar, depending on the number of compartments involved. Among the total knee replacement, there are two popular designs- Cruciate Retaining, and Posterior Stabilized. The decision for the design is best taken by the operating orthopedic surgeon based on the integrity of ligaments. Patella resurfacing as a routine is a debatable subject. 

Personalized or patient specific Knee Replacement is the latest in technology. Helps the surgeon to get the most accurate result, and Implant longevity for the patient.

If I have pain in both the knees, should I go for surgery of both at the same time ?

Bilateral knee replacement in the same sitting, can be performed if both the knee joints are damaged to the same extent, however the medical condition of patient, and bone quality must be kept in consideration.

When can I resume work after a knee replacement ?

After a unilateral knee replacement, most patients can resume community ambulation within approximately 4 weeks, and start office after 6 - 8 weeks. In a Bilateral Knee replacement, patients attain community ambulation status after an average of 10-12 weeks (approximately 3 months).
In our practice, most of the patients are able to walk without support approximately 3 weeks after surgery.

What are the risks involved in a knee replacement surgery ?
The most significant risks include Infection, Deep vein thrombosis,and Aseptic loosening of implants. The risks correlate with the co-morbid medical condition, and must be discussed with the patient before surgery.

What is the Approximate cost for Single/ Both Knee Replacement Surgery ?
The approximate cost for a single knee replacement surgery is 2 lac - 2.75 lac (INR).
Cost for a Both knee replacement surgery done under same anesthesia is approx. 4 lac - 5 lac (INR)
Cost of surgery package varies according to the 1) Accomodation,   2) Implant Category.
While performing a Knee Replacement Surgery, it is important to minimize the risk of Infection, and ensure availability of support services like ICU  and Blood bank, should the need arise. Patients with additional risk factors like Diabetes Mellitus, or Cardiac Illness need special tests for Anesthesia check, leading to increased cost.