Total Knee Arthroplasty

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Procedure Description

Total Knee Arthroplasty (TKA), commonly known as knee replacement surgery, is a procedure designed to alleviate pain and restore function in severely affected knee joints. The surgery is recommended for patients suffering from chronic knee pain, typically caused by osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. In TKA, the damaged portions of the knee joint are removed and replaced with prosthetic components made of metal alloys, high-grade plastics, and polymers that replicate the natural movement of the knee.

The surgical process involves making an incision over the knee to access the damaged joint area. Surgeons then remove the damaged cartilage and a small amount of bone from the femur, tibia, and patella (kneecap). These surfaces are then reshaped to fit the artificial joint components, which are secured in place using a special bone cement or press-fit technique. The components are carefully aligned to ensure proper movement and balance, enabling the patient to regain function and mobility.

TKA has become one of the most common orthopedic procedures worldwide, with a high success rate and significant advancements over the years. Innovations such as minimally invasive techniques, computer-assisted surgery, and customized implants have improved the precision of the procedure and outcomes for patients. However, it is crucial for candidates to undergo thorough evaluation and preparation to ensure they are suitable for the surgery.

Procedure Duration

The duration of Total Knee Arthroplasty varies based on the technique used and the patient's overall health. Typically, the procedure itself takes around 1 to 2 hours. However, additional time is required for anesthesia administration, positioning of the patient, and initial recovery in the operating room. The entire hospital stay for TKA can range from 1 to 5 days, depending on the patient's recovery rate, the type of anesthesia used, and whether any complications arise.

The recovery process is divided into several phases, beginning with the immediate postoperative phase. In this phase, pain management, wound care, and blood clot prevention are critical components of care. Within a few hours to a day after surgery, patients are encouraged to begin physical therapy to enhance mobility and reduce stiffness. Early movement is essential to prevent joint stiffness and to aid the healing process.

Rehabilitation continues for several weeks to months following surgery, focusing on regaining strength, balance, and range of motion. Patients often start with supervised physical therapy and then transition to home exercises. Most patients can expect to return to routine activities and experience significant pain relief within 6 weeks to 3 months, but complete recovery may take up to a year.

Benefits of Total Knee Arthroplasty

  • Pain Relief: TKA significantly reduces chronic knee pain caused by arthritis and joint damage, enhancing the quality of life.
  • Improved Mobility and Function: Post-surgery, patients often regain a greater range of motion and are able to walk, climb stairs, and perform daily activities with ease.
  • High Success Rate: Most patients experience positive outcomes, with implants lasting between 15 to 20 years or more.
  • Customizable Implants and Techniques: With advancements in technology, implants can be customized to fit the patient's unique anatomy, resulting in better outcomes.
  • Enhanced Quality of Life: Beyond physical benefits, patients often experience improved mental well-being, confidence, and independence due to increased mobility and decreased pain.

Potential Destinations for Total Knee Arthroplasty

  • India: India is known for offering high-quality orthopedic procedures at affordable prices. Many hospitals are equipped with state-of-the-art technology and experienced surgeons who are well-versed in minimally invasive TKA techniques. The lower cost of living in India makes it an attractive destination for medical tourists seeking cost-effective treatment without compromising quality.
  • Thailand: Thailand is a popular destination for medical tourism due to its internationally accredited hospitals and skilled medical staff. The country offers advanced surgical procedures, including robotic-assisted TKA, at competitive rates. Additionally, Thailand's hospitality and picturesque locations make the recovery period more comfortable for international patients.
  • Turkey: Turkey boasts modern medical facilities and orthopedic specialists trained in the latest knee replacement techniques. The country offers comprehensive medical packages for TKA, including preoperative consultations, surgery, postoperative care, and accommodation for patients and their companions. The strategic location between Europe and Asia makes Turkey easily accessible for many international travelers.
  • Mexico: Mexico is a preferred destination for North American patients seeking TKA due to its proximity, cost-effective care, and availability of English-speaking healthcare providers. The country has numerous hospitals that specialize in orthopedic procedures and cater to the needs of international patients, offering quality care and shorter waiting times compared to some countries.
  • United Arab Emirates (UAE): The UAE has emerged as a hub for medical tourism, offering advanced medical care with internationally trained surgeons and modern healthcare facilities. The country's focus on medical innovation includes using the latest techniques for TKA, such as patient-specific instruments and rapid recovery protocols. The UAE's strategic location also makes it a prime destination for medical tourists from Europe, Asia, and Africa.

Risks & Considerations of Total Knee Arthroplasty

  • Infection: There is a risk of infection following TKA, which may require antibiotics or further surgery if not managed promptly. Patients are given preventive antibiotics to minimize this risk.
  • Blood Clots: The formation of blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism) is a possible complication. Preventative measures include medications, compression devices, and early mobilization.
  • Implant Loosening or Wear: Over time, the prosthetic components may wear down or become loose, potentially necessitating revision surgery.
  • Nerve or Blood Vessel Injury: Although rare, there is a risk of damage to surrounding nerves or blood vessels during surgery, leading to numbness, weakness, or circulation problems.
  • Persistent Pain or Stiffness: Some patients may continue to experience knee pain or stiffness even after surgery, requiring further interventions such as physical therapy or, in some cases, revision surgery.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for Total Knee Arthroplasty, it is important to research thoroughly and choose a reputable healthcare provider. Look for orthopedic surgeons with extensive experience in knee replacement procedures and who have a track record of positive patient outcomes. Consider hospitals that are internationally accredited and equipped with advanced technology, offering minimally invasive and robotic-assisted techniques.

Additionally, it is wise to look into patient reviews, success rates, and the support services provided during preoperative and postoperative care. Choose a facility that offers comprehensive care packages, including consultations, surgery, physical therapy, and follow-up visits to ensure a smooth recovery process.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

Orthopedics Stem Cell

Knee

Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.

Shoulder

Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.

Ankle

If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.

Back Pain

Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.

Anti-Aging Stem Cell

Hair Loss

Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

Facial Anti-Aging

Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

Fertility Stem Cell

Endometrial PRP

The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

Low Ovarian Reserve (PRP)

The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

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