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TKR: An excellent choice for patients with severe arthritis

By Dr Firoz Ahmed

Total Knee Replacement (TKR) has emerged as an excellent choice for patients suffering from chronic knee pain due to severe arthritis. However, there are still a lot of myths and misconceptions among the general population.

Myth 1: The success rate of TKR is very low.

Reality: TKR is one of the most successful surgeries and most patients are back to normal activities by 3-4 weeks.

Myth 2: I am 60 years or more and therefore, this procedure is not for me.

Reality: Age is not a limiting factor. TKR is advised in severe cartilage wear and tear which usually occurs in advanced age only. So, majority of the patients are more than 60 years of age. Secondly, screening is done before operation to make it a safe experience.

Myth 3: I should continue medicines for my pain as long as possible and consider TKR only after pain is unbearable.

Reality: You should not continue to suffer pain as newer implants have a very high life. You are only delaying the inevitable. The pain free active life after TKR is priceless.

Myth 4: I will be in bed for a long time after surgery.

Reality: Usually patients are encouraged to walk from the next day after the surgery. Most patients are back to normal activities in 3-4 weeks.

Myth 5: I cannot bend my knees after surgery.

Reality: Newer generation implants allow normal knee movements.

Myth 6: Rehab physiotherapy after TKR is long and hard.

Reality: Usually the patients learn the simple exercises and continue them at their home only.

Myth 7: TKR is a risky surgery.

Reality: TKR risks are comparable to any other major surgery but due to medical advances and careful screening and planning, most of the risks can be controlled.

Myth 8: The implant is a foreign body which my body can reject.

Reality: The TKR implant is made up of a specialized metal for human body which can stay inside forever without causing any side effects.

Myth 9: Implant doesn't last long.

Reality: Nowadays, newer implants last around 25 years which in most patients will be lifelong.

Myth 10: My activities will be limited after surgery.

Reality: After recovery, activities like long walks, swimming, cycling and low impact aerobics are encouraged.

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