
Knee replacement surgery is one of the most successful orthopaedic procedures performed worldwide — providing lasting pain relief and restored function for patients with severe knee arthritis, joint damage, or deformity.
Dr. Harish Talreja is among the most experienced knee replacement surgeons in Jaipur, having performed over 10,000 knee replacement procedures at Manipal Hospital Jaipur. As one of the leading orthopaedic doctors in Jaipur, his practice covers the full spectrum of knee replacement options — from total knee replacement (TKR) for advanced multi-compartment arthritis to unicondylar (partial) knee replacement for isolated joint disease.
Knee replacement surgery (knee arthroplasty) is a procedure in which the damaged cartilage and bone surfaces of the knee joint are removed and replaced with precision-fitted artificial components made of medical-grade metal alloys, ceramic, and high-density polyethylene.
The knee joint is formed by the femur (thigh bone), tibia (shin bone), and patella (kneecap). In knee replacement, the worn surfaces are resurfaced with implant components — eliminating the bone-on-bone contact that causes severe arthritis pain.
Surgery is recommended when joint damage is severe enough that conservative treatments — physiotherapy, medications, and injections — no longer provide adequate pain relief or functional improvement.
Depending on how much of the knee is affected, Dr. Talreja recommends either total knee replacement or unicondylar (partial) knee replacement — explained in detail below.
The right procedure depends on which parts of your knee are damaged. Dr. Talreja evaluates each patient with clinical examination and weight-bearing X-rays to recommend the most appropriate option.
All three compartments of the knee — medial, lateral and patellofemoral — are fully resurfaced. The definitive solution for advanced multi-compartment arthritis, deformity correction, and cases with compromised ligaments.
Only the single damaged compartment — most commonly the medial (inner) side — is resurfaced. Healthy bone, cartilage and ligaments in the rest of the knee are preserved, offering a more natural feel and faster recovery.
An enhanced recovery after surgery (ERAS) programme that combines optimised anaesthesia, early Day 1 mobilisation, multimodal pain control, and intensive physiotherapy — significantly reducing hospital stay and speeding up return to daily life.
| Factor | Total Knee (TKR) | Partial Knee (UKR) |
|---|---|---|
| Compartments replaced | All three | One only |
| Arthritis extent | Multi-compartment | Single compartment |
| Deformity correction | ✓ Full correction | ✗ Limited |
| Incision size | 8–12 cm | 5–8 cm |
| Hospital stay | 3–5 days | 2–3 days |
| Full recovery | 3–6 months | 6–10 weeks |
| Implant longevity | 15–20+ years | 10–15+ years |
Knee replacement is recommended when knee joint damage causes severe pain that significantly limits daily activities and no longer responds to non-surgical treatment.
The most common indication. Advanced cartilage wear causes bone-on-bone contact, severe pain, stiffness and deformity that prevents normal walking or stair climbing.
Autoimmune joint inflammation progressively destroys knee cartilage and bone — replacement is recommended when deformity and pain become severe and unresponsive to medical management.
Prior knee fracture, ligament injury, or meniscus damage can cause accelerated cartilage loss over time, eventually requiring knee replacement surgery.
Bow-leg or knock-knee deformity with severe arthritis causes abnormal joint loading and worsening pain — corrected with knee replacement and realignment.
No adequate relief from physiotherapy, anti-inflammatory medications, weight management, or corticosteroid injections over six months or more.
Knee pain consistently prevents walking short distances, climbing stairs, sleeping comfortably, or performing basic daily tasks despite treatment.
The procedure takes 1 to 2 hours. Most patients receive spinal anaesthesia and begin walking on the same day as surgery.
Weight-bearing X-rays, blood tests and anaesthesia review. Implant sizing and alignment are templated pre-operatively for each individual patient.
Spinal anaesthesia preferred for most patients. A tourniquet minimises blood loss. Strict sterile technique is maintained throughout the procedure.
Precisely measured damaged bone and cartilage are removed. Implant components are trial-fitted, alignment confirmed, then permanently fixed with bone cement or press-fit technique.
Physiotherapy begins on Day 1 post-surgery — ankle pumps, quadriceps exercises, and standing with support. Most patients take their first steps the same day.
Knee replacement has over 95% patient satisfaction in published long-term studies. As with all major surgery, potential risks exist. Dr. Talreja discusses these fully during consultation so every patient makes a completely informed decision.
Blood-thinning medication and Day 1 mobilisation significantly reduce this risk. Compression stockings are used routinely post-surgery.
Prophylactic antibiotics administered pre-operatively. Strict sterile technique maintained throughout. Deep infection rate is less than 1% in experienced surgical hands.
Modern implants are engineered for decades of durability. Maintaining healthy weight and following post-operative activity guidelines significantly extends implant life.
Diligent early physiotherapy is essential. Full compliance with the rehabilitation programme consistently produces the best range of motion outcomes.
With 10,000+ knee replacement procedures and 15+ years of specialised orthopaedic practice, Dr. Harish Talreja delivers exceptional outcomes — combining precision surgical planning, advanced implant selection, and a Day 1 rehabilitation approach at Manipal Hospital Jaipur.
Knee Replacements Performed
Years Orthopaedic Experience
Walking After Surgery
Consult Dr. Harish Talreja — one of Jaipur's most experienced knee replacement surgeons — for an accurate diagnosis and a personalised treatment plan.
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