Meril
Total Knee Replacement (TKR) is a well-established surgical solution for patients suffering from severe knee arthritis, especially those who have not found relief through medication or physiotherapy. As the aging population and rising obesity rates contribute to an increased prevalence of knee osteoarthritis, TKR has become a critical intervention. According to the Indian Journal of Orthopaedics, nearly 150,000 knee replacement surgeries are performed annually in India, and this number is expected to rise significantly due to the growing aging population and increasing rates of osteoarthritis and obesity. This trend is likely to continue as more individuals seek surgical solutions to improve mobility and quality of life.
Traditionally, Total Knee Replacement surgeries have been performed using a non-robotic approach. However, recent advancements in medical technology have made robotic-assisted surgeries a preferred choice for many patients due to their precision and faster recovery times.
Dr. Suraj Baghel, Director, K&K SuperSpecialty Hospital
Surgeons' Insights on Knee Replacement Surgery
Dr. Suraj Baghel, Director, K&K SuperSpecialty Hospital emphasized that the primary goal of TKR surgery is always to restore mobility and alleviate pain, particularly for patients suffering from severe knee arthritis or deformities. "In my experience, TKR has a long track record of success. By aligning the knee components accurately during surgery, we can restore joint function and significantly reduce pain. While recovery may take longer compared to robotic methods, it remains an effective option, especially for older patients or those with health conditions like diabetes or hypertension."
Dr. Suraj notes that TKR continues to be highly beneficial for elderly patients or those with comorbidities, and the well-established surgical techniques ensure long-term success in many cases. "In India, where cost-effective healthcare is crucial, non-robotic TKR remains an accessible solution for many families,".
From Pre-Op Planning to Post-Op Recovery"
Dr. Chintan Hegde, Head of Department of Orthopedics and Joint Replacement Surgery, THUNGA GROUP OF HOSPITALS , Mumbai provided insight into the advantages of robotic-assisted TKR, which has revolutionized knee replacement surgery. "Robotic-assisted TKR offers a higher level of precision compared to traditional methods," he explains. "By creating a personalized surgical plan based on the patient's unique anatomy, robotic assistance allows for more accurate alignment of the knee components. This not only results in better outcomes but also leads to reduced pain and a quicker recovery time."
Research shows that robotic-assisted TKR has been shown to reduce the risks of complications such as infections and blood clots, and it can shorten hospital stays. Dr. Chintan highlights that robotic-assisted TKR is particularly favored by younger patients and those who prioritize a faster recovery. Studies, including one published in the Journal of Orthopaedic Surgery and Research in 2018, suggest that robotic-assisted procedures offer improved knee function and alignment in the early stages post-surgery, leading to a quicker return to normal activities. "Additionally, the precision of robotic technology reduces the need for extensive post-operative rehabilitation, which is essential for long-term joint health,".
Dr. Chintan Hegde, Head of Department of Orthopedics and Joint Replacement Surgery, THUNGA GROUP OF HOSPITALS,Mumbai
Trends and the Future of TKR in India
As robotic technologies continue to advance, more hospitals in India especially in metropolitan areas like Delhi, Mumbai, and Bengaluru are adopting robotic-assisted surgeries for TKR. While non-robotic TKR remains a more accessible and affordable option, the demand for precision and faster recovery is pushing the shift towards robotic surgeries.
Despite its advantages, the cost of robotic-assisted surgery remains a significant factor. Robotic TKRs can cost 15-20% more than traditional surgeries, which can be a barrier for many patients. However, as the technology becomes more widespread and affordable, robotic-assisted TKR is expected to become more accessible to a larger portion of the population.
A Personalized Approach to TKR
Both non-robotic and robotic-assisted TKR surgeries offer substantial benefits to patients suffering from knee arthritis. The choice between the two depends on various factors such as the patient's age, overall health, and personal preferences. For older patients or those with significant comorbidities, non-robotic Total Knee Replacement may remain the most viable option. However, for those seeking greater precision and a faster recovery, robotic-assisted TKR is becoming an increasingly popular choice. Both approaches have the potential to restore mobility, improve quality of life, and enhance patient satisfaction, making them essential tools in the ongoing fight against knee arthritis.
As surgical techniques evolve and technology advances, the future of TKR looks promising, offering patients better outcomes and an enhanced quality of life.
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