Consult the orthopaedic team at Kamineni Hospitals, LB Nagar, if you have:

• Severe knee pain not controlled by medicines, injections or physiotherapy
• Advanced knee arthritis confirmed on X-ray (Grade 3 or Grade 4)
• Pain on walking, climbing stairs or getting up from a chair
• Knee deformity causing visible bowing or knock-knee alignment
• Knee stiffness is preventing daily activities despite conservative treatment
• Failed non-surgical management over three to six months

Types of Knee Replacement Performed

Total Knee Replacement (TKR)

All three knee compartments are resurfaced with a metal and polyethylene implant. Recommended for Grade 3–4 osteoarthritis affecting the full joint surface where pain has not responded to non-surgical management.

Partial Knee Replacement (Unicompartmental)

Only the damaged compartment — medial, lateral or patellofemoral — is replaced. Suitable for younger, more active patients with isolated single-compartment arthritis and intact ligaments. Smaller incision and faster functional recovery compared to total replacement.

Bilateral Knee Replacement

Both knees are replaced — either simultaneously during one anaesthesia or in a staged approach over separate admissions. Bilateral simultaneous replacement is considered for suitable patients with advanced arthritis in both knees after thorough cardiac and anaesthesia fitness evaluation.

Revision Knee Replacement

Re-surgery for failed, worn or infected primary knee implants, or for patients with persistent stiffness, instability or loosening after a previous knee replacement. Requires detailed pre-operative planning including CT scan and implant-specific assessment.

The Knee Replacement Journey at Kamineni Hospitals, LB Nagar

Pre-Operative Assessment

Evaluation includes weight-bearing bilateral knee X-rays for alignment and deformity grading, MRI for ligament and cartilage assessment where needed, blood tests, infection markers, cardiac fitness with ECG and echo, and anaesthesia review. Implant sizing and surgical approach are planned pre-operatively.

Surgical Procedure

Damaged bone and cartilage are removed from the femur, tibia and patella. Metal components are fixed to resurfaced bone ends and a polyethylene spacer is placed between them. Cemented or cementless fixation is used based on bone quality and patient age. Procedure duration is approximately 60 to 90 minutes.

Post-Operative Recovery

Walking begins on day one with physiotherapy support. Discharge is planned between day three and five based on mobility progress. Knee bending and strengthening exercises start within 24 hours of surgery. Most patients return to independent daily activity within six to twelve weeks.

Physiotherapy and Rehabilitation

Post-surgical rehabilitation at Kamineni Hospitals, LB Nagar is coordinated by the physiotherapy team from day one. The programme covers pain management, knee mobilisation, quadriceps and hamstring strengthening, gait retraining and a structured home exercise plan. Physiotherapy milestones include stair climbing, full weight-bearing and return to activity. Duration and intensity are tailored based on surgery type and patient recovery.

Diagnostic Workup Before Surgery

• Weight-bearing X-Ray both knees: joint space, alignment and deformity grading
• MRI Knee: cartilage loss, ligament integrity and soft tissue evaluation
• CT Scan: complex deformity mapping and implant sizing
• Blood tests: haemoglobin, infection markers and clotting profile
• ECG and Echocardiogram: cardiac fitness before major joint surgery