Total Knee Replacement at Apollo Hospitals, Gurugram
Overview
Total knee replacement is an operation that removes damaged surfaces from the knee joint and replaces them with durable artificial components. It may help people with severe knee damage who have persistent pain, stiffness, reduced mobility, or difficulty performing everyday activities despite appropriate non-surgical treatment.
Apollo Hospitals, Gurugram is one of the best hospitals for Total Knee Replacement, offering experienced orthopaedic care, advanced surgical planning, modern operating facilities, rehabilitation support, and patient-focused services. A multidisciplinary team evaluates each patient carefully and develops a treatment plan based on their health, mobility, and personal goals.
Book a consultation at Apollo Hospitals, Gurugram to discuss whether total knee replacement may be suitable for you.
Why is Total Knee Replacement Necessary?
Total knee replacement may be considered when structural damage causes disabling symptoms and other treatments no longer provide adequate relief.
Conditions That May Require Total Knee Replacement
Several joint conditions can cause damage severe enough to require surgery:
- Osteoarthritis: Age-related wear of protective cartilage causes the bones within the knee to rub together, leading to pain and stiffness.
- Rheumatoid arthritis: This autoimmune disease makes the immune system attack the joint lining, causing inflammation and progressive damage.
- Post-traumatic arthritis: A previous fracture, ligament injury, or other knee trauma may eventually damage cartilage and alter joint alignment.
- Severe knee deformity: Bow-legged or knock-kneed alignment can place uneven pressure on the joint and impair movement.
- Osteonecrosis: Reduced blood supply can cause an area of bone near the knee joint to weaken or collapse.
Signs and Symptoms to Watch For
An orthopaedic assessment may be appropriate when symptoms regularly affect daily life:
- Persistent pain: Knee pain may continue during walking, rest, or sleep despite medicines and activity changes.
- Restricted mobility: Standing, climbing stairs, entering a vehicle, or walking short distances may become difficult.
- Joint stiffness: Reduced bending or straightening can make routine movements uncomfortable and inefficient.
- Swelling: Ongoing inflammation may make the knee enlarged, tender, or warm.
- Instability: The knee may feel as though it will give way, increasing concern about falls.
- Visible deformity: Progressive changes in alignment may become noticeable while standing or walking.
When Other Treatments Are No Longer Enough
Surgery is generally considered after options such as physiotherapy, weight management, suitable pain medicines, activity modification, walking aids, or injections have not restored acceptable comfort and function. The decision depends on symptom severity, examination findings, imaging results, general health, and the patient’s goals rather than age alone.
Types of Total Knee Replacement
The surgical approach and implant plan are selected after individual assessment:
- Primary replacement: This is the first operation to replace the damaged joint surfaces with artificial components.
- Cruciate-retaining replacement: The posterior cruciate ligament may be preserved when it remains healthy and supports suitable knee stability.
- Posterior-stabilised replacement: An implant design provides stability when the posterior cruciate ligament cannot be retained.
- Fixed-bearing replacement: A firmly positioned plastic insert creates the smooth bearing surface between metal components.
- Revision replacement: A previous implant is removed or changed because of wear, loosening, infection, instability, or another problem.
Legal and Ethical Requirements in India
Before surgery, the patient or legally authorised representative must provide informed consent after receiving an understandable explanation of the procedure, alternatives, expected benefits, material risks, implant considerations, anaesthesia, and likely recovery. Apollo Hospitals, Gurugram follows applicable Indian healthcare requirements for consent, records, patient privacy, blood safety, and responsible implant documentation.
Consult an orthopaedic specialist at Apollo Hospitals, Gurugram for an individual evaluation of your knee symptoms.
Risks of Delaying Total Knee Replacement
Not every patient needs immediate surgery, but prolonged delay after a specialist recommends replacement may allow pain and disability to progress.
- Increasing stiffness: Loss of joint movement can make rehabilitation and everyday activities more challenging.
- Muscle weakness: Reduced activity may weaken the thigh and surrounding muscles that support balance and walking.
- Worsening deformity: Continued uneven loading can increase bow-legged or knock-kneed alignment in some patients.
- Reduced independence: Difficulty walking or using stairs may increase reliance on family members or mobility aids.
- Fall risk: Pain, instability, and weak muscles can contribute to poor balance and accidental falls.
- General deconditioning: Long periods of inactivity may reduce stamina and adversely affect weight, sleep, or overall wellbeing.
Appropriate timing should be decided with an orthopaedic surgeon after balancing symptoms, health conditions, and surgical readiness.
Schedule an assessment at Apollo Hospitals, Gurugram if knee pain is limiting your mobility or independence.
Benefits of Total Knee Replacement
For appropriately selected patients, total knee replacement can provide meaningful improvements in comfort and function:
- Pain relief: Replacing severely damaged joint surfaces can substantially reduce arthritis-related knee pain.
- Improved movement: Better joint function may make walking, standing, and stair use easier.
- Greater independence: Improved mobility can support personal care, household tasks, and social participation.
- Corrected alignment: Surgery can improve certain deformities caused by uneven joint damage.
- Enhanced stability: Balanced soft tissues and suitable implant positioning may create a more dependable knee.
- Better quality of life: Reduced pain may support sleep, confidence, and participation in approved low-impact activities.
Results vary according to general health, the condition of the knee, implant factors, rehabilitation participation, and realistic expectations.
Why Choose Apollo Hospitals, Gurugram for Total Knee Replacement?
Apollo Hospitals, Gurugram brings specialist expertise and coordinated support together for each stage of care:
- Experienced orthopaedic team: Specialists assess knee damage, treatment history, health risks, and functional needs before recommending surgery.
- Advanced evaluation: Clinical examination and appropriate imaging support accurate diagnosis, alignment assessment, and surgical planning.
- Modern surgical facilities: Equipped operating theatres support precise procedures, anaesthesia monitoring, and established infection-control practices.
- Multidisciplinary care: Orthopaedic surgeons work with anaesthesiologists, physicians, nurses, pain specialists, and physiotherapists as required.
- Personalised rehabilitation: Therapy plans are adjusted to mobility, muscle strength, home circumstances, and recovery progress.
- Patient safety focus: Preoperative screening, blood-clot prevention, wound monitoring, and discharge education are incorporated into care.
- Continuity of support: Follow-up appointments allow the team to review healing, movement, pain control, and implant function.
- Patient trust: Clear communication helps patients and families understand choices, practical expectations, and responsibilities during recovery.
Preparation for Total Knee Replacement
Medical Assessment
Your care team will check whether you are medically ready for anaesthesia and surgery.
- Share health details: Report medical conditions, allergies, previous operations, infections, and reactions to anaesthesia.
- Complete requested tests: Blood tests, urine testing, heart assessment, or chest imaging may be advised based on clinical need.
- Manage existing conditions: Blood pressure, diabetes, anaemia, and heart or lung problems should be optimised before admission.
- Address infection: Tell the team about fever, skin sores, dental infection, or urinary symptoms before surgery.
Medicines and Supplements
Medication changes must be made only under guidance from the treating team.
- Provide a current list: Include prescriptions, non-prescription medicines, vitamins, herbal remedies, and supplements.
- Discuss blood thinners: The surgeon and prescribing doctor will advise whether and when these medicines should be paused.
- Review diabetes treatment: Ask for specific instructions about tablets or insulin while fasting.
- Avoid self-medication: Do not start painkillers or supplements without checking for bleeding or anaesthetic interactions.
Physical Preparation
Safe activity before surgery can support strength and postoperative participation.
- Follow prescribed exercises: Gentle strengthening may prepare the thigh and upper body for mobility aids.
- Stop tobacco use: Quitting can support wound healing and reduce breathing-related complications.
- Eat balanced meals: Adequate protein and nutrients support tissue repair unless dietary restrictions apply.
- Discuss weight concerns: Individual advice may reduce strain without delaying necessary care unsafely.
Home and Support Planning
Arrange a safe environment before leaving for the hospital.
- Remove trip hazards: Clear loose rugs, cables, and clutter from frequently used walking routes.
- Prepare essentials: Keep medicines, clothing, water, and daily-use items within easy reach.
- Arrange assistance: Plan help with transport, meals, bathing, and household tasks during early recovery.
- Check mobility equipment: Obtain only the walker, raised seat, or other aids recommended by the therapy team.
Admission Instructions
Follow the hospital’s directions closely on the day before and day of surgery.
- Observe fasting advice: Stop food and fluids at the exact times specified by the anaesthesia team.
- Use advised skin preparation: Bathe as directed without shaving the surgical area yourself.
- Bring essential records: Carry identification, reports, imaging, prescriptions, and insurance or payment documents.
- Leave valuables home: Bring only necessary personal items and secure removable dental or hearing devices appropriately.
Recovery After Total Knee Replacement
Hospital Recovery
Monitoring and supported movement usually begin soon after the procedure when clinically safe.
- Control discomfort: Take prescribed pain relief and report inadequate control or troublesome side effects.
- Begin mobilisation: Stand and walk with professional assistance according to your condition and anaesthetic recovery.
- Prevent blood clots: Use prescribed medicines, leg exercises, compression devices, and early movement as advised.
- Practise daily tasks: Therapists may teach safe transfers, walking, stair techniques, and use of mobility aids.
Wound and Medicine Care
Correct wound care supports healing and helps identify problems early.
- Keep the dressing protected: Follow instructions about bathing, dressing changes, and keeping the wound dry.
- Take medicines correctly: Complete only the prescribed course and do not change doses independently.
- Monitor the incision: Check for increasing redness, drainage, separation, or swelling rather than repeatedly touching it.
- Attend review visits: Follow-up enables assessment of healing and timely removal of clips or sutures when required.
Physiotherapy and Activity
Consistent rehabilitation is central to restoring useful movement and strength.
- Perform assigned exercises: Practise bending, straightening, and muscle activation at the recommended frequency.
- Increase activity gradually: Short, regular walks are generally safer than sudden strenuous activity.
- Use aids correctly: Continue the walker or stick until your therapist confirms that progression is safe.
- Avoid high-impact strain: Do not run, jump, or twist forcefully unless specifically cleared by the surgeon.
Returning to Daily Activities
Progress depends on healing, balance, strength, and the demands of each activity.
- Driving: Resume only after medical clearance and when you can control the vehicle safely without impairing medicines.
- Work: Return timing differs between desk-based duties and physically demanding occupations.
- Sleep and rest: Use advised positions while avoiding unsupported pressure or twisting at the knee.
- Long-term activity: Walking, swimming, and cycling may be suitable after approval and adequate recovery.
Warning Signs Requiring Urgent Medical Attention
Contact the hospital promptly or seek emergency care for concerning symptoms:
- Possible infection: Fever, worsening wound redness, pus-like discharge, or rapidly increasing pain requires assessment.
- Possible blood clot: New calf pain, marked one-sided leg swelling, warmth, or tenderness needs urgent review.
- Breathing symptoms: Sudden breathlessness, chest pain, coughing blood, or fainting requires emergency attention.
- Circulation or nerve changes: A cold or pale foot, new numbness, or inability to move the foot needs immediate evaluation.
Take the Next Step Towards Total Knee Replacement Care
Apollo Hospitals, Gurugram is one of the best hospitals for Total Knee Replacement, with specialist assessment, advanced care facilities, coordinated rehabilitation, and clear patient guidance. An early consultation can clarify the cause of symptoms and whether surgery or continued non-surgical care is appropriate.
Bring the following documents to help the specialist understand your health history:
- Medical records: Carry previous consultation notes, discharge summaries, and details of past operations.
- Imaging: Bring recent knee X-rays, scans, and written radiology reports if available.
- Medicine list: Include current doses, allergies, supplements, and any blood-thinning treatment.
- Health information: Bring recent test results and records concerning diabetes, heart disease, or other ongoing conditions.
- Identification and coverage: Carry valid identification and relevant insurance, employer, or payment documents.
Book your consultation with Apollo Hospitals, Gurugram and take an informed step towards safer movement and improved knee function.
Frequently Asked Questions About Total Knee Replacement
What are the risks of total knee replacement?
Possible risks include infection, blood clots, bleeding, stiffness, persistent pain, nerve or blood-vessel injury, implant wear, loosening, instability, and anaesthesia-related complications. Some problems may require further treatment or revision surgery. The care team reduces risk through medical screening, sterile surgical practices, clot-prevention measures, careful monitoring, and guided rehabilitation. Your personal risk depends on your health, medicines, knee condition, and type of procedure.
How do I know whether I need total knee replacement?
You may be considered for surgery when severe knee pain, stiffness, deformity, or reduced mobility persist despite suitable non-surgical care and substantially interfere with daily life. An orthopaedic surgeon will review your symptoms, examination findings, X-rays, previous treatments, health conditions, and expectations. No single symptom or scan decides eligibility. The recommendation is individual and should follow a balanced discussion of alternatives, benefits, limitations, and risks.
How can I schedule a consultation at Apollo Hospitals, Gurugram?
You can contact Apollo Hospitals, Gurugram through its official appointment channels and request an orthopaedic consultation for knee pain or replacement assessment. Keep your identification, medical records, imaging, medicine list, and insurance information ready. During the appointment, explain how symptoms affect walking, sleep, work, and daily tasks. The specialist may request updated tests before discussing treatment choices and a suitable timeline.
Which specialists are involved in total knee replacement care?
Care is led by an orthopaedic surgeon with support from an anaesthesiologist, who manages anaesthesia and perioperative safety. Depending on individual needs, physicians may help optimise existing health conditions, while nurses support monitoring and wound care. Physiotherapists guide movement, strengthening, walking, and home exercises. Pain specialists, dietitians, or other clinicians may also contribute when specific medical or recovery needs require their expertise.
How long does recovery after total knee replacement take?
Recovery is gradual and differs for every patient. Supported walking often begins in the hospital, followed by regular exercises and progressive daily activity after discharge. Many routine tasks return over several weeks, while strength, flexibility, confidence, and endurance may continue improving for months. Age, preoperative fitness, other illnesses, wound healing, pain control, and participation in physiotherapy all influence timing. Your surgeon and therapist will provide personalised milestones.
Medical Disclaimer: This content is for general educational purposes and does not replace diagnosis, treatment, or personalised advice from a qualified healthcare professional. Eligibility, surgical risks, implant selection, hospital stay, and recovery vary by individual; seek urgent medical care for severe or sudden symptoms.
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The information provided on this page is intended for general informational and educational purposes only. While we make reasonable efforts to ensure that the information is accurate, reliable, and regularly reviewed, it should not be considered a substitute for professional medical advice, diagnosis, or treatment.
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