Total Knee Replacement
All three compartments of the knee are resurfaced with precision metal and polyethylene components — the gold-standard surgical treatment for end-stage knee osteoarthritis with outstanding long-term outcomes.
What is Total Knee Replacement?
Total knee replacement (TKA — Total Knee Arthroplasty) is the resurfacing of all three compartments of the knee joint: the medial tibio-femoral compartment, the lateral tibio-femoral compartment, and the patellofemoral compartment. It is the definitive treatment for end-stage knee osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis causing severe, disabling pain that has failed all conservative measures. Dr. Satish performs total knee replacement using contemporary implant systems, including robotic-assisted options, at specialist orthopaedic facilities in Hyderabad. The procedure reliably eliminates pain, corrects deformity, and restores full functional mobility.
Suitable for patients with severe tri-compartmental or bi-compartmental knee arthritis causing significant pain and functional disability, where conservative treatments including physiotherapy, injections, and bracing have failed to provide adequate relief.
How the Procedure Works
Anaesthesia & Preparation
Spinal or general anaesthesia; tourniquet applied; limb prepared in the standard position.
Medial Parapatellar Approach
A longitudinal incision exposes all three compartments; patella is everted to access the joint.
All-Compartment Bone Cuts
Femur, tibia, and patella are resected with precision guides — restoring correct mechanical axis alignment.
Trial Components
Trial implants are inserted to test flexion, extension, balance, and patellar tracking before final implantation.
Permanent Implants & Closure
Final components are cemented or press-fit; wound is closed in layers; drain placed if required. Physiotherapy begins day 1.
Outcomes
Who Needs This Treatment?
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Eliminates severe joint pain — in all three compartments simultaneously
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Corrects varus (bow-leg) or valgus (knock-knee) deformity
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Restores ability to walk, climb stairs, and live independently
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Well-established procedure with 31+ years of clinical evidence
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Modern implants tested to last 15–20+ years under normal use
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Robotic-assisted total knee replacement available for additional precision
"Total knee replacement consistently ranks among the highest patient-satisfaction operations in surgery. The key is thorough pre-operative planning, precise technique, and a committed rehabilitation programme — and we invest equally in all three."
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Total Knee Replacement (TKR) Cost in Hyderabad
The cost of Total Knee Replacement (TKR) in Hyderabad generally ranges from ₹2,20,000 to ₹4,50,000 for unilateral knee replacement, with an indicative average cost of around ₹3,35,000. Total Knee Replacement may be considered for patients with advanced knee joint damage and persistent symptoms that have not improved adequately with appropriate non-surgical treatment. The final cost depends on implant selection, severity of joint damage, surgical complexity, hospitalisation, medicines and postoperative rehabilitation.
| Procedure | Approximate Cost Range |
|---|---|
| Total Knee Replacement (TKR) - Unilateral | ₹2,20,000 – ₹4,50,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Implant type and quality, surgical complexity, associated medical conditions and rehabilitation requirements can affect the final cost.
Factors Affecting the Cost of Total Knee Replacement
The overall cost of unilateral Total Knee Replacement can vary depending on the severity of knee damage, implant selection, bone condition, surgical complexity, hospitalisation and rehabilitation requirements.
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Knee joint condition: The severity of arthritis, deformity, bone loss and other structural changes can influence surgical complexity and treatment planning.
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Implant selection: The type, design, material and manufacturer of the knee replacement components can significantly affect the overall package cost.
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Bone quality and deformity: Significant bone loss, severe deformity or previous knee surgery may require specialised implants or additional surgical techniques.
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Surgical complexity: Complex anatomy, ligament imbalance or previous procedures may require additional operative planning and can increase treatment costs.
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Preoperative investigations: X-rays, blood tests, ECG and other investigations may be required before surgery. These may be billed separately when not included in the package.
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Anaesthesia and hospitalisation: Anaesthesia, operating-room charges, medicines, nursing care and room charges may contribute to the final cost depending on the package structure.
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Rehabilitation: Structured physiotherapy and gradual restoration of knee movement and strength are important after knee replacement. Extended rehabilitation services may be charged separately.
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Medical optimisation: Patients with other medical conditions may require additional consultations, investigations or treatment before surgery, which can add to the overall expense.
Insurance Coverage for Total Knee Replacement
Total Knee Replacement may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements, implant coverage, package inclusions and applicable out-of-pocket expenses with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with advanced knee arthritis and other causes of persistent knee pain and help determine whether Total Knee Replacement is appropriate based on symptoms, physical examination, imaging and overall health. During the consultation, the doctor may assess: Knee symptoms: The doctor may review pain, stiffness, swelling, reduced movement and difficulty with walking, climbing stairs, sitting or performing daily activities. Functional limitations: The impact of knee symptoms on mobility, work, exercise and routine activities may be discussed to understand the extent of functional impairment. Joint examination: Knee alignment, range of motion, stability, tenderness, swelling and ligament function may be evaluated. Imaging findings: Weight-bearing X-rays and other imaging may be reviewed to assess joint-space loss, deformity, bone changes and the overall condition of the knee. Previous treatment: Medicines, physiotherapy, injections, activity modification and other treatments previously attempted may be discussed along with the response to these measures. Medical fitness: Existing medical conditions, medications and previous surgeries may be reviewed to identify factors that could affect surgical planning or recovery. Treatment suitability: Based on the overall findings, the doctor may discuss Total Knee Replacement and other appropriate treatment options according to the patient's condition and treatment goals.
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