Dr Gupta may recommend knee replacement surgery if you are suffering from severe knee pain caused by osteoarthritis or rheumatoid arthritis or an injury, such as a fracture or other conditions that may cause considerable pain in the knee. The procedure will be recommended if non-operative treatment, as applicable, has been unsuccessful.
There are a number of knee replacement procedures available. These include a total knee replacement, in which the surface of the thigh and shin bones are replaced; partial knee replacement, in which only parts of the knee are replaced; kneecap replacement, in which the patella is replaced; and revision knee replacement. Dr Gupta will discuss the options with you at consultation.
Before undergoing knee replacement surgery, Dr Gupta will perform a physical examination. He will also ensure that x-rays are done. These imaging modalities will help to confirm the diagnosis and make sure that surgery is the best treatment option for you. Other tests may be ordered as needed.
During knee replacement surgery, Dr Gupta will carefully replace any damaged cartilage and/or bone in the knee with artificial materials. The end of the thigh bone is replaced with a metal component, and medical grade plastic manufactured according to international standards is also used. The end of the shin bone is replaced with metal components and international grade surgical cement.
After surgery, you may need to stay in the hospital for a few days. Although you should not feel too much pain immediately after the procedure, Dr Gupta will prescribe some pain medication to manage any discomfort after surgery.
Dr Gupta typically recommends that his patients go to a rehabilitation centre for five to seven days after surgery.
Walking aids will be required after knee replacement surgery.
Dr Gupta suggests knee replacement surgery when you experience persistent knee pain that does not seem to be dissipating, and prolonged use of medication is required. Your knees may also become stiff and swollen; these signs further suggest the need for surgery. Of course, surgery is considered when conservative treatments have already been exhausted.
You should avoid sports such as skiing, certain contact sports such as soccer or basketball, or any activity that involves twisting or pulling.
Analgesics and the use of ice packs are recommended. He will refer you to a physiotherapist to aid in your recovery.
Dr Harish Gupta completed his degree in orthopaedics at the University of Witwatersrand. He subsequently completed his fellowship before working as a consultant at the same establishment and its group of hospitals.