Knee Replacement Surgery in India: A Guide for International Patients
Knee Replacement Surgery in India: A Guide for International Patients
Preparing for Your Knee Replacement Surgery
Ensuring optimal health before your knee replacement surgery can improve recovery and overall outcomes. If you have underlying health conditions such as diabetes or high blood pressure, managing them effectively is crucial. Additionally, a dental check-up before surgery is advisable to prevent infections caused by bacteria entering the bloodstream.
Pre-Surgery Exercises
Your orthopedic surgeon may recommend specific exercises to strengthen the quadriceps (front thigh muscles), as they tend to weaken due to arthritis. Stronger muscles will aid in a faster and smoother recovery. Exercises that involve lifting your leg against gravity are particularly beneficial.
Pre-Admission Clinic
Before your surgery, you will be required to attend a pre-admission clinic for routine tests and assessments. These may include:
- Blood tests to check for anemia and kidney function
- MRSA swab to detect bacterial infections
- Urine sample to rule out infections
- Electrocardiogram (ECG) to assess heart health
You will also discuss your medications with the healthcare team to determine if any adjustments are needed before surgery.
Consultation with Specialists
You may meet with a physiotherapist or occupational therapist to discuss post-surgery exercises and home care arrangements. If additional home assistance is required, it should be arranged in advance.
Hospital Admission and Surgery Process
Day of Admission
Most patients are admitted on the day of surgery. You will be required to sign a consent form, giving permission for the procedure. Your knee will be marked for surgery, and you may be asked to contribute data to the National Joint Registry (NJR), which tracks knee and hip replacement outcomes worldwide.
Anesthesia Options
Knee replacement surgery in India is performed under spinal or epidural anesthesia, which numbs the lower body while keeping you awake. Alternatively, general anesthesia may be used, often combined with a nerve block to minimize post-operative pain.
Surgical Procedure
The surgery typically lasts between 45 minutes to two hours, depending on complexity. Advanced techniques, including minimally invasive surgery, are increasingly used in India’s leading hospitals to promote faster recovery.
Recovery and Post-Surgery Care
Hospital Stay & Immediate Care
Most patients stay in the hospital for 1 to 4 days post-surgery. In the recovery room, you will receive fluids and pain management through:
- Patient-controlled analgesia (PCA) – allowing you to control pain relief
- Painkilling injections or tablets
- Oxygen therapy, if required
If necessary, blood loss may be managed through auto-transfusion or a blood transfusion.
Pain and Mobility
Pain is usually more intense on the second or third day post-surgery as anesthesia wears off. Painkillers will be provided to help you move and perform necessary exercises.
You will be encouraged to start moving within 12–18 hours of surgery as part of an Enhanced Recovery Programme (ERP), designed to reduce complications and speed up discharge.
Physiotherapy & Walking Assistance
A physiotherapist will assist you in standing and walking using crutches or a walking frame. Patients with spinal anesthesia should be cautious during the first 24–48 hours due to temporary numbness in the leg.
If necessary, a cricket pad splint (temporary brace) may be used for additional support.
Going Home and Rehabilitation
Most patients can be discharged within 4 days, depending on their progress. Before leaving, a physiotherapist or occupational therapist will guide you on:
- Getting dressed and taking a shower
- Managing household tasks safely
- Using crutches or a walking aid
Follow-Up Appointments & Wound Care
You will need a follow-up appointment six weeks after surgery to monitor healing. If stitches or clips are used, they will be removed at a hospital visit, by a visiting nurse, or at your GP’s clinic.
Returning to Work
- Sedentary jobs: You may return to work in 6–8 weeks
- Standing/manual jobs: Recovery may take 10–12 weeks
- Heavy labor: Consult your employer about lighter duties, as excessive strain can damage the new joint
Long-Term Care for Your Knee Replacement
Managing Stiffness and Pain
- Knee stiffness can occur post-surgery. Try placing your foot on a low step and leaning into your knee to improve flexibility.
- Pain from bruising is common for up to 6 months, but it should gradually subside. Consult your doctor if pain persists.
Preventing Swelling
- Swelling in the knee, ankle, and foot may last up to 3 months. Use ice packs (wrapped in cloth) for 20 minutes and elevate your leg to reduce swelling.
- Avoid prolonged sitting – walk around for at least 5 minutes every hour to improve circulation.
Preventing Infection
Watch for signs of infection, such as:
- Oozing pus or sores around the wound
- Increased pain or redness
- Unpleasant odor from the surgical site
If you notice any of these symptoms, contact your doctor immediately. Additionally, take care of your feet to prevent infections from ingrown toenails.
Resuming Daily Activities
- Walking: Start with crutches or a walking stick. Most patients can walk without assistance within 6 weeks.
- Stairs: Step up with the unoperated leg first and step down with the operated leg first.
- Household tasks: Light chores like dusting are manageable, but avoid heavy tasks like vacuuming for at least 3 months.
- Driving: Usually possible after 6 weeks, but confirm with your doctor and insurance provider.
Exercise After Knee Replacement
Regular exercise helps maintain mobility and joint health. Recommended activities include:
- Cycling – Excellent for strengthening muscles
- Swimming – Low-impact and beneficial for joint mobility
- Walking – Helps restore movement and prevent stiffness
- Recreational sports – Golf, tennis, and skiing may be resumed gradually, depending on fitness levels
Avoid contact sports, as they can weaken the cement and loosen joint components.
Final Advice for International Patients
India is a leading destination for knee replacement surgery due to world-class hospitals, advanced medical technology, and affordable costs. To ensure a smooth experience:
- Choose a reputed hospital and experienced orthopedic surgeon
- Arrange for medical visas, travel, and accommodation in advance
- Plan for post-surgery rehabilitation before returning home
- Follow all doctor’s recommendations for a successful recovery
For more information or to schedule a consultation, contact Safartibbi.com, your trusted medical travel partner.
Here are five FAQs tailored for international patients considering knee replacement surgery in India through Safartibbi.com:
