TKR is typically recommended for patients with severe knee osteoarthritis who experience persistent pain, limited mobility, and significant functional impairment despite conservative treatments. The goals of the surgery are to relieve pain, restore joint function, and improve the patient’s quality of life.

During the procedure, Tom Kurien removes the damaged portions of the femur (thighbone) and tibia (shinbone), along with the kneecap if necessary. These surfaces are then resurfaced with metal implants, and a plastic spacer is inserted between the metal components to facilitate smooth joint motion.

TKR can significantly improve pain relief, joint mobility, and overall function in patients with end-stage osteoarthritis. However, it is a major surgical procedure with potential risks, including infection, blood clots, implant loosening, and neurological or vascular complications.

Proper patient selection, surgical technique, and postoperative rehabilitation are crucial for successful outcomes. Most patients can expect a significant improvement in their quality of life after undergoing total knee replacement surgery for osteoarthritis.

Rehabilitation and managing postoperative pain after TKR surgery

Rehabilitation is an essential component of recovery after total knee replacement surgery. The rehabilitation process typically begins immediately after surgery with basic exercises to promote circulation, prevent blood clots, and regain knee mobility.

In the early postoperative phase, pain management is a priority. Medications such as opioid analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), and local anesthetic injections may be used to control pain and facilitate participation in physical therapy.

Physical therapy plays a crucial role in the rehabilitation process. Exercises focus on regaining knee range of motion, strengthening the muscles around the knee joint, and improving balance and gait. Techniques such as continuous passive motion machines, aquatic therapy, and progressive weight-bearing exercises are often employed.

As the rehabilitation progresses, the emphasis shifts towards functional training, such as stair climbing, squatting, and more challenging strengthening exercises. The goal is to prepare the patient for a safe return to daily activities and, in some cases, lower-impact sports or recreational activities.

Pain levels typically decrease gradually over the course of several weeks to months as the surgical site heals and the patient becomes more accustomed to the new knee implant. Adherence to the prescribed rehabilitation program and proper pain management are essential for optimizing outcomes and facilitating a successful recovery after total knee replacement surgery.