total-knee-replacement

Total Knee Replacement (TKR)

Restoring mobility and relieving pain at Grammont Shoulder & Knee Clinic At Grammont Shoulder & Knee Clinic, Dr Rahul Singh (MS, DNB, MRCS) offers advanced bone preserving Total Knee Replacement (TKR) for patients with severe knee arthritis or irreparable joint damage. TKR is a highly successful procedure that replaces worn joint surfaces with durable implants, relieving pain and restoring function so patients can return to everyday activities with confidence.

What is Total Knee Replacement?

Total Knee Replacement is a surgical procedure in which the diseased or damaged surfaces of the knee joint are removed and replaced with artificial components (prostheses) made from metal and medical-grade polyethylene. The goal is to eliminate bone-on-bone pain, correct deformity, and restore a stable, well-aligned, and pain-free knee.

Who is a candidate?

TKR is typically recommended for patients who have:

  • Severe osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis
  • Constant pain limiting daily activities and sleep despite conservative treatments
  • Significant loss of mobility or knee deformity (bowleg/knock-knee)
  • Failed non-surgical care such as physiotherapy, medications, injections, or bracing

A thorough clinical evaluation, X-rays, and sometimes MRI help Dr Rahul Singh determine whether TKR is the most suitable option.

The procedure — what to expect

  • Anaesthesia: Usually spinal with sedation or general anaesthesia.
  • Surgery time: Typically 60–90 minutes depending on complexity.
  • Technique: Through a small incision, damaged bone and cartilage are removed and the femoral, tibial, and patellar surfaces are precisely prepared. Implants are positioned using alignment guides or computer-assisted techniques as needed.
  • Hospital stay: Most patients stay 3–4 days under supervised postoperative care with pain control and early mobilization.

Benefits of modern TKR

  • Predictable and substantial pain relief
  • Improved mobility and quality of life
  • Long-lasting implants with excellent survival rates in appropriately selected patients
  • Correction of deformity and improved walking ability
Recovery & rehabilitation

Recovery is progressive and structured

  • Immediate: Mobilisation begins on the day of or the day after surgery with assisted walking and physiotherapy.
  • First 2 weeks: Focus on pain control, wound care, knee bending exercises, and walking with support.
  • 4–6 weeks: Most patients walk independently and resume light daily activities; driving may be possible (depending on which leg and brake response).
  • 3 months: Significant improvement in pain and function; many return to low-impact activities.
  • 6–12 months: Full recovery with continued strengthening and range-of-motion gains.

Risks & considerations

TKR is a generally safe procedure, but as with any surgery, risks include infection, blood clots, stiffness, implant loosening, neurovascular injury, and persistent pain. Dr Rahul Singh will discuss individualized risk factors and strategies to minimise them during your consultation.

Why choose Grammont Shoulder & Knee Clinic?

Specialist care focused on shoulder and knee disorders

Evidence-based surgical technique and patient-focused rehabilitation

Personalised surgical planning and implant selection

Close follow-up and comprehensive physiotherapy support

Is TKR right for you?

If knee pain is limiting your life despite conservative therapy, a consultation can clarify options. Dr Rahul Singh will perform a detailed assessment, explain expected outcomes, and tailor a treatment plan that suits your health goals.

Schedule a consultation at Grammont Shoulder & Knee Clinic to discuss whether Total Knee Replacement is the best choice for your knee health.