Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Orthopaedics · Joint Replacement
Total Knee Replacement in Hyderabad: Advanced Care at Lux Hospitals
Total knee replacement resurfaces all three compartments of the knee. It is the operation for arthritis that has spread across the whole joint, and it is among the most predictable procedures in orthopaedics: pain relief is achieved in the large majority of patients.
The result depends as much on how the implant is balanced as on the implant itself. Our orthopaedic surgeons at Lux Hospitals, HITEC CITY offer conventional and robotic-assisted total knee replacement, with rehabilitation beginning the day of surgery.
- Robotic-Assisted Available
- Reliable Pain Relief
- Walking the Same Day
What is Total Knee Replacement?
Total knee replacement, or total knee arthroplasty, resurfaces all three compartments of the knee joint: the inner, the outer and the kneecap. Worn cartilage and a few millimetres of underlying bone are removed from the femur and tibia and replaced with metal components, with a durable plastic bearing between them.
It differs from a partial replacement in scope. A partial resurfaces only one damaged compartment and preserves the cruciate ligaments; a total replacement addresses the whole joint and is appropriate when arthritis has spread beyond one compartment, when there is significant deformity, or when the ligaments are no longer competent.
The variants that matter are how it is performed rather than what is implanted. Conventional replacement uses mechanical cutting jigs. Robotic-assisted replacement uses a pre-operative plan and navigation to place components to within a degree. Both use similar implants; the difference lies in the precision of alignment, which matters most in deformed or unusual knees.
What Leads to Total Knee Replacement
The end point is the same (a worn-out joint) but several conditions get there by different routes.
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Osteoarthritis
Progressive wear of the cartilage over years, eventually leaving bone articulating on bone across the whole joint.
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Rheumatoid arthritis
Inflammatory disease that destroys cartilage and bone across all compartments simultaneously, often at a younger age.
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Post-traumatic arthritis
Arthritis following a fracture into the joint surface, which alters loading permanently and wears the cartilage prematurely.
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Severe malalignment
Long-standing bow legs or knock knees overload one compartment first, then progressively damage the rest.
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Obesity
Substantially accelerates cartilage wear and is the most modifiable factor in both causing and outliving a replacement.
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Previous knee surgery
Extensive meniscectomy or repeated procedures alter load distribution and accelerate arthritis over the following decades.
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Avascular necrosis
Loss of blood supply causing bone collapse and destruction of the overlying joint surface.
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Gout and crystal arthropathy
Repeated crystal-induced inflammation damages cartilage cumulatively over many years.
Whatever the route, the assessment is the same: how much of the joint is affected, how well aligned the leg is, and whether the ligaments still work.
When Total Knee Replacement is Indicated
Total replacement is considered when arthritis affects more than one compartment and non-surgical treatment has stopped working.
Symptoms indicating surgery
- Severe knee pain limiting walking, climbing stairs or standing
- Persistent stiffness, or inability to fully extend or bend the knee
- Swelling and inflammation that does not settle with rest or medication
- Difficulty bearing weight through the knee
- Deformity: the knee bowing inward or outward
- Pain at rest and at night that disturbs sleep
Findings favouring total over partial
- Arthritis affecting two or three compartments
- Significant fixed deformity of the leg
- A deficient or previously ruptured cruciate ligament
- Inflammatory arthritis such as rheumatoid disease
- Substantial loss of movement before surgery
- Previous partial replacement that has worn out
Where arthritis is genuinely confined to one compartment and the ligaments are intact, a partial replacement gives a more natural-feeling knee. That option is assessed for before defaulting to a total.
Diagnosis & Preparation
The workup confirms that a total replacement is the right operation and that you are in the best possible condition for it.
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Physical examination
Range of motion, strength, stability and alignment assessed, along with the hip and spine, which commonly refer pain to the knee.
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Weight-bearing X-rays
Standing films show the true joint space narrowing, and long-leg views measure overall limb alignment for surgical planning.
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MRI or CT scan
Assesses soft tissue and bone quality where needed, and provides the dataset for planning in robotic-assisted surgery.
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Pre-operative blood tests
Screening for anaemia, infection and diabetes control. Correcting anaemia beforehand reduces the need for transfusion.
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Medical optimisation
Diabetes, heart disease and obesity are assessed and optimised, since each meaningfully affects complication rates.
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Pre-operative physiotherapy
Strengthening the quadriceps before surgery measurably improves the speed and quality of recovery afterwards.
Any source of infection (dental, urinary or skin) is treated before surgery. An implant seeded with bacteria is the one complication that turns a good operation into a very difficult problem.
Treatment Options
Total replacement is the endpoint. Everything before it should have been genuinely tried, and several surgical alternatives exist for the right patient.
Non-surgical
Non-surgical treatment
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Physiotherapy and strengthening
Quadriceps strengthening reduces arthritic knee pain measurably, and is the most effective non-surgical treatment available.
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Weight reduction
Reduces load through the knee severalfold, often producing worthwhile pain relief and improving surgical outcomes if surgery follows.
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Analgesia
Paracetamol, topical and oral anti-inflammatories, used with awareness of their long-term risks.
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Injections
Steroid injections for flares, and hyaluronic acid for lubrication in selected patients.
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Walking aids and bracing
A stick in the opposite hand offloads the knee substantially and delays the need for surgery.
Surgical
Surgical options
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Conventional total knee replacement
The standard operation using mechanical alignment guides. Highly predictable, with over ninety per cent of implants lasting fifteen to twenty years.
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Robotic-assisted total knee replacement
A pre-operative plan and intraoperative navigation place components within a degree of target. Most valuable in significant deformity.
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Partial knee replacement
For single-compartment disease with intact ligaments. Smaller operation, quicker recovery, and a more natural-feeling knee.
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High tibial osteotomy
Realigning the tibia to offload the worn compartment, preserving the joint in younger active patients.
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Revision knee replacement
Replacing a loose, worn or infected implant. Considerably more complex than the primary operation.
The genuine question at consultation is not which implant, but whether a total replacement is the right operation for your knee, or whether a partial or an osteotomy would serve you better.
What Total Knee Replacement Involves
A sixty to ninety minute operation through a single incision at the front of the knee, with a two to three night stay.
Total knee arthroplasty
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Anaesthesia
Usually spinal anaesthesia with sedation and a nerve block, which is associated with less blood loss and fewer complications than a general anaesthetic.
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The incision
A single incision of around fifteen to twenty centimetres at the front of the knee, giving access to the joint.
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Removing damaged tissue
The worn cartilage and a few millimetres of underlying bone are removed from the femur and tibia with precise cutting guides.
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Placing the prosthetic components
Metal components are fitted to the femur and tibia with a plastic bearing between them, and the kneecap resurfaced where indicated.
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Alignment and balancing
Components are aligned to restore the limb’s mechanical axis, and the soft tissues balanced so the knee is stable through its full range.
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Testing the knee
The knee is put through full flexion and extension and tested for stability before anything is cemented in place.
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Closure and early mobilisation
Closed in layers, and you are stood up and walking with a physiotherapist the same day or the next morning.
Balance and alignment matter more to how the knee ultimately feels than the choice of implant. A well-balanced knee feels like your own; a poorly balanced one aches whatever was put in.
Why Choose Lux Hospitals for Total Knee Replacement?
Joint replacement rewards volume, precision and structured rehabilitation. Here is why patients trust us:
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Experienced joint surgeons
A dedicated orthopaedic team performing knee replacement regularly, with conventional and robotic-assisted techniques available.
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Rehabilitation built in
Physiotherapy from the day of surgery through to twelve weeks, because the operation alone does not deliver the outcome.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Rehabilitation
Recovery is demanding and the physiotherapy is the treatment, not an add-on. Most patients are walking without aids by six weeks.
- Day 0–1
Monitored in recovery until the anaesthesia wears off, then standing and walking with a frame within hours. Pain controlled with a nerve block and medication.
- Days 2–3
Physiotherapy twice daily, walking progressively further and managing stairs. Home once safe and independent, usually after two to three nights.
- Weeks 1–6
Intensive physiotherapy at home and in clinic. The targets are full extension and at least ninety degrees of flexion by six weeks.
- Weeks 6–12
Walking without aids, driving from around six weeks, and returning to desk work. Swelling reduces steadily.
- Months 3–12
Continued gains in strength and comfort. Most patients describe the knee as feeling genuinely their own by six to twelve months.
Aftercare
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Physiotherapy is the priority
Begin within a day or two of surgery and continue consistently. A knee not moved in the first six weeks stiffens, and that is hard to reverse.
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Full extension first
Getting the knee completely straight matters more than how far it bends. A knee that will not straighten causes a permanent limp.
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Ice and elevate
Regular icing and elevation in the first weeks reduces swelling and makes the exercises considerably more comfortable.
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Clot prevention
Take blood thinners as prescribed and do ankle exercises regularly. Clots are the main early risk after joint replacement.
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When to call us
Fever, spreading redness or wound discharge, calf pain and swelling, breathlessness, or sudden severe knee pain.
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Protect the implant
Keep weight down, choose low-impact exercise, and tell any dentist or doctor that you have a joint replacement.
Some patients are disappointed that a replaced knee does not feel entirely like a natural one. It usually feels different, but it should not hurt, and pain relief is the reliable result of this operation.
When Should You Consider Surgery?
Book a consultation if any of the following apply.
- Severe knee pain limiting walking, stairs or standing.
- Persistent stiffness or inability to fully straighten the knee.
- Swelling that does not improve with rest or medication.
- Deformity of the knee that is worsening.
- Pain at night that disturbs your sleep.
- Non-surgical treatment that is no longer working.
Cost of Total Knee Replacement in Hyderabad
The implant is the largest single component of the cost. These are the ranges our patients fall into.
| Procedure | Estimated Cost |
|---|---|
| Consultation & assessment Per visit | ₹800 – ₹1,500 |
| Pre-operative workup X-rays, bloods and anaesthetic review | ₹8,000 – ₹18,000 |
| Total knee replacement: one knee Three nights’ stay, standard implant | ₹1,80,000 – ₹3,20,000 |
| With high-flexion or premium implant Three nights’ stay | ₹2,40,000 – ₹3,80,000 |
| Robotic-assisted total knee replacement Three nights’ stay | ₹2,80,000 – ₹4,50,000 |
| Bilateral total knee replacement Both knees in one sitting, four to five nights | ₹3,20,000 – ₹5,50,000 |
| Post-operative physiotherapy Six to twelve weeks of rehabilitation | ₹15,000 – ₹35,000 |
What changes the estimate
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Implant choice
Standard, high-flexion and oxidised zirconium implants differ substantially in price, and the right choice depends on your age and activity.
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Conventional or robotic
Robotic assistance adds meaningfully to the cost, and its value is greatest in significant deformity or unusual anatomy.
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One knee or both
Bilateral surgery in one sitting costs less than two admissions but is a bigger physiological insult, and suits only fitter patients.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Orthopaedics Treatments
Our Surgeons
Total Knee Replacement Specialists at Lux Hospitals
The orthopaedic and joint replacement surgeons who perform total knee replacement at our HITEC CITY hospital.
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Dr. Sai Kishan Sirasala
Consultant Orthopaedic Surgeon: Joint Replacement & Arthroscopy
MS (Ortho), FIJR, FIASM (UK), FIKS (Italy), FIRJR
8 years experience
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Dr. Bathini Hithesh
Consultant Orthopaedic Surgeon
MBBS, MS, FIJR
6 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for knee, shoulder and orthopaedic conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Sai Kishan Sirasala on knee replacement, arthroscopy and orthopaedic care.
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Best Knee Replacement Surgeon in Hyderabad: What to Look For
Dr. Sai Kishan Sirasala
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Best Knee Replacement Surgery in Hyderabad
Dr. Sai Kishan Sirasala
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Knee Arthroscopy for Cartilage Damage: Benefits & Care
Dr. Sai Kishan Sirasala
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Untreated Bone Fracture: Risks, Symptoms & Treatment
Dr. Sai Kishan Sirasala
-
Rotator Cuff Tear vs Frozen Shoulder: Symptoms & Treatment
Dr. Sai Kishan Sirasala
-
Knee Arthroscopy vs Open Knee Surgery: Key Differences
Dr. Sai Kishan Sirasala
Got Questions?
Frequently Asked Questions
Common questions about total knee replacement, its recovery, and what surgery costs at Lux Hospitals.
What is the recovery time for total knee replacement?
Walking with aids from the day of surgery, home after two to three nights, and walking without aids by around six weeks. Desk work resumes at six to eight weeks and driving at about six weeks. Full recovery, with the knee feeling natural, takes six to twelve months.
Is total knee replacement painful?
The surgery is painless under anaesthesia. Afterwards there is real discomfort for the first two to three weeks, managed with nerve blocks, medication and icing. Most patients find the physiotherapy the demanding part rather than the surgery itself.
How long do knee implants last?
Over ninety per cent are still functioning well at fifteen to twenty years, and many last longer. Longevity depends on body weight, activity type and age at surgery: high-impact activity and excess weight both shorten implant life meaningfully.
Can I walk after total knee replacement surgery?
Yes, and you will start the same day or the next morning. Early walking with a frame or crutches is part of the treatment rather than something to build up to: it reduces the risk of clots and speeds recovery considerably.
Is robotic-assisted knee replacement better than conventional surgery?
Robotic assistance places components more precisely and is particularly valuable in significant deformity or unusual anatomy. Long-term studies have not yet demonstrated clearly better implant survival or function than a well-performed conventional replacement, so it is an advantage in selected cases.
What is the difference between total and partial knee replacement?
A total replacement resurfaces all three compartments and is used when arthritis has spread or the ligaments are deficient. A partial resurfaces one compartment only, preserving healthy bone and ligaments: it gives a more natural-feeling knee but requires the rest of the joint to be genuinely healthy.
Will my knee feel normal afterwards?
It should not hurt, which is the reliable result. Many patients describe it as feeling somewhat different from a natural knee: a sense of tightness or awareness that persists. Pain relief is the dependable outcome; a knee indistinguishable from your original is not always achievable.
What is the expected cost of total knee replacement in Hyderabad?
Total knee replacement at Lux Hospitals ranges from about ₹1,80,000 to ₹3,20,000 for one knee with a standard implant including the stay. Robotic-assisted surgery is ₹2,80,000–₹4,50,000 and bilateral replacement ₹3,20,000–₹5,50,000. Most is covered by insurance and we handle the pre-authorisation.
How do I book an appointment for a knee replacement consultation?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring any previous X-rays or scans of the knee with you.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Knee Replacement Consultation in Hyderabad
Conventional and robotic-assisted total knee replacement with rehabilitation built in, and a fixed-cost estimate before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032