How Much Does Knee Replacement Surgery Cost in India?

  • Unilateral knee replacement cost in India starts from $4000 (INR 297,000). Many top knee replacement hospitals in India offer day-care surgery which allows patients to get discharged the same day after the procedure.   
  • Double knee replacement surgery cost in India starts from $6000 (INR 445,000).
  • Typically, ACL reconstruction cost starts from $3500 (INR 260,000) in India.
  • Meanwhile, the same procedure for knee replacement can cost as much as $20000 in the US.
Knee Replacement
 Type of Knee Replacement SurgeryPrice in ($)Price in (₹)
1Unilateral Total Knee ReplacementUSD 4000INR 297,000
2Bilateral Total Knee ReplacementUSD 6000INR 445,000
3Partial Knee ReplacementUSD 6000INR 445,000
4Revision (single) Knee Replacement USD 7000INR 520,000
5ACL ReconstructionUSD 3500INR 260,000
6Minimally Invasive knee replacement with computer navigationStarts from USD 5000Starts from INR 371,000
  • Knee replacement, also referred to as arthroplasty, is a difficult surgical procedure used to replace diseased or disabled knee joints with metal and plastic prosthetic knee joints.
  • Osteoarthritis, rheumatoid arthritis, psoriatic arthritis, trauma, etc. are common causes of knee injuries and disabilities.
  • The most common indications for this surgery include chronic knee pain, persistent joint stiffness that makes it difficult to perform daily activities, swollen knee joints that make it impossible to even sit or stand properly, chronic knee deformity, and depression.
  • Knee replacement surgery is performed in India in a broad spectrum of hospitals, including both public and privately owned ones.
  • The procedure is particularly well-liked in India. The technology needed for this surgery is well-equipped in Indian orthopaedic hospitals.
  • The main objectives of knee replacement are to ease pain, restore normal knee movement, and facilitate daily activities.

Knee replacement surgery is often advised to people who suffer from damaged knee joints which results in chronic pain. The pain is so severe that the patients are able to experience it even in a resting state. The treatment is very popular in India. Indian orthopedic hospitals are well equipped with the technology used for this procedure.

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Causes

When the knee joint becomes worn or damaged, limiting mobility and producing pain even when resting, knee replacement surgery is typically necessary.

A knee injury could be caused by the following medical conditions:

  • Osteoarthritis
  • Haemophilia
  • Rheumatoid arthritis
  • Gout
  • Knee injuries
  • Unusual bone growth disorders
  • Deformity of the knee with pain and cartilage loss

What are the indicators that suggest that a knee replacement surgery is required?

  • When deciding whether to receive a knee replacement, many factors are taken into consideration. Typically, the degree and amount of disability serve as the sole justification for surgical replacement.
  • Although it is typically recommended for the elderly, adults or teenagers may need a knee replacement if the knee joint has undergone excessive wear and strain.

This procedure is typically advised when a person has:

  • Really painful and stiff knees.
  • Constant pain.
  • Knee swelling and inflammation that persists.
  • Persistent knee deformity.
  • Medical treatments have failed like sports medicine/physical therapy, aquatic therapy, cortisone or lubricating injections, medication, or other, less invasive surgeries.
  • Loss of mobility like trouble bending and straightening the knee.
  • Depression.
  • Difficulty climbing stairs or getting in and out of chairs or tubs.
  • Pain that interferes with your sleep.
  • A grating or grinding feeling in the joint.

Diagnosis

  • The knee issue can be identified by an orthopaedic surgeon after a comprehensive examination.
  • A magnetic resonance imaging (MRI) of the knee and an X-ray are among the medical diagnostic tests.
  • Additionally, a number of blood tests must be completed prior to the treatment. For conditions like haemophilia, high blood pressure, diabetes, thyroid, and difficulties from pregnancy, among others, the patient’s medical history will also be taken into account.
  • Furthermore, the doctors should be aware of any medications the patient is currently taking as well as any drug allergies.
  • If patients are a chain smoker, a rheumatologist will also advise to cease smoking two to three months before having knee surgery.

What are the factors affecting knee replacement surgery cost in India?

The knee replacement cost in India depends on several factors. The type of procedure carried out by the doctor is the most important factor. The type of prosthesis used during the procedure is the second most important factor. There are different types of knee replacement prosthesis. It differs from each other on the basis of the material used to create them.

The knee replacement prosthesis is usually made up of an alloy. These are created using titanium and cobalt-chromium. Sometimes, even ceramic knee implants are used. These implants wear off less quickly as compare to the alloy implants. As a result, they are not required to be replaced for at least 20 years.

  • Choice of hospital
  • Doctor Expertise
  • Room Category
  • Types and quality of implant used
  • Patient health condition severity
  • Accommodation: Expense for the stay post-surgery while recovery.
  • Pre and Post Surgery care expenses: Such as Medical Tests and Medicines.
  • Services included

The knee replacement surgery cost in different countries is summarized in the table below:

CountryIndiaMalaysiaMexicoTurkeySingaporeThailandUS
Cost (USD)$4,000$7,700$13,500$12,900$16,000$14,000$20,000

What are the different types of knee replacement surgery in India?

There are several different surgical methods and knee joints available in India. The orthopedic surgeon should help patients to choose the best option for knee replacement surgery. Following are the main types of knee replacement surgeries:

Total knee replacement surgery in India

Total knee replacement surgery in India may involve the following procedures:

  • Replacing the joint surfaces at the end of the patient’s femur (thigh bone)
  • Replacing the joint surfaces at the top of the patient’s tibia (shin bone)
  • Replacing the under-surface of the patient’s patella (kneecap) with a smooth plastic dome

Surgeons prefer to preserve the natural patella if possible. but sometimes they make a decision during the operation. If the patient had a patellectomy earlier to remove the patella, this won’t stop him or her from having a total knee replacement surgery, but it may affect the type of prosthesis the surgeon uses.

Either new parts are cemented or the surface of the component facing the bone is coated to encourage bone to grow into it. It forms a natural bond. Using a mobile plastic bearing is another technique. It isn’t firmly fixed to the metal parts. This may help to reduce wear on the patient’s new joint. But it doesn’t provide better long-term results. 

Facing similar conditions? Feel free to share your concerns with us. We can help you connect with the best hospitals for knee replacement surgery and the best-experienced surgeons for knee replacement.

Partial (Unicompartmental) knee replacement surgery in India

There are the following Knee compartments:

  • inner (medial),
  • outer (lateral),
  • the kneecap (patellofemoral).

If arthritis affects only one side of the knee, it may be possible to have a partial knee replacement surgery in India (half replacement). This surgery involves less interference with the knee. The recovery process is quicker than total knee replacement.

Minimally invasive surgical techniques are used in partial knee replacement surgery. It can be carried out through a smaller cut in comparison to total knee replacement.

The patient needs to have strong, healthy ligaments in the knee to undergo this procedure. People who have partial knee replacement treatment are more likely to have knee revision surgery than people who have a total knee replacement surgery. About 10% of patients need further surgery after 10 years. Therefore, the orthopedic surgeon may prefer total knee replacement surgery to patients.

Patients can undergo this surgery at any age. It offers the opportunity to preserve more bone to younger people which is helpful if he or she needs knee revision surgery later. It is a less stressful operation for older patients. It causes less pain and fewer bleeding risks. The type of arthritis decides the outcome of the surgery, rather than the patient’s age.

Kneecap replacement surgery (patellofemoral arthroplasty)

Arthritis affected under-surface of the kneecap and its groove can be replaced by patellofemoral joint arthroplasty or patellofemoral replacement.

This operation has a higher failure rate than total knee replacement surgery. It may be caused by arthritis progressing to other knee parts of the patient. Some surgeons advise total knee replacement surgery. Some of them feel that it’s better to preserve the rest of the unaffected knee joint. The operation is only suitable for 0.025% of people with osteoarthritis.

Revision knee replacement surgery or complex knee replacement

Some people may need a revision knee replacement surgery because of,

  • major bone loss due to fracture or arthritis,
  • the weakness of main knee ligaments,
  • major knee deformity.

Longer stem used in this knee replacement surgery allows the component to be more securely fixed into the bone cavity. To make up for any badly damaged bone, extra pieces of metal and/or plastic may be used. If the patient is having a second or third joint replacement in the same knee, he or she need this replacement.

ACL reconstruction surgery in India

ACL reconstruction is yet another commonly performed orthopedic procedure. It is conducted in patients with torn anterior cruciate ligament (ACL) located in the knee. It is an arthroscopic procedure. The torn ligament is completely removed and replaced with an artificial graft.

To replace damaged ACL, the tissue comes from the patient’s own body or from a donor. A donor is a dead person who chose to donate all or part of his or her body. Tissue taken from the patient’s body is called an autograft. Tissue taken from a donor’s body is called an allograft.

knee arthroscopy is mostly used in this procedure in which a tiny camera is inserted into the knee through a small surgical cut. This tiny camera is connected to a video monitor in the operating room. The surgeon uses the camera to check the ligaments and other tissues of the patient’s knee. The surgeon makes other small cuts around the patient’s knee and inserts other medical instruments. The surgeon fixes any other damage found and then replaces the ACL.

  • The torn ligament are removed with a shaver or other medical instruments.
  • If the surgeon is using the patient’s own tissue to make ACL, he or she will make a larger cut to remove autograft.
  • The surgeon makes tunnels in the patient’s bone to bring the new tissue through.
  • The surgeon attaches the new ligament to the bone to hold it in place. The bone tunnels fill in time to time. This holds the new ligament in place.

At the end of the surgery, the surgeon closes the cuts with stitches and cover the area with a dressing. You may be able to view pictures after the procedure of what the doctor saw and what was done during the surgery.

How can Lyfboat assist you getting Knee Replacement Surgery in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

What knee replacement implant materials are used during surgery?

The knee replacement prosthesis is usually made up of an alloy. These are created using titanium and cobalt-chromium. Sometimes, even ceramic knee implants are used. These implants wear off less quickly as compared to the alloy implants. So they are not required to be replaced for at least 20 years.

In ACL reconstruction, a Knitted or braided artificial graft is used. The graft is usually made up of polyacetal polyethylene, polyethylene, polyester or silk.

Materials that can be used in knee implants in India are:

Stainless Steel Implants

Stainless steel is not often used in India as knee replacement implants due to its limited ability to withstand corrosion in the human body in long-term use. It is mostly being used as temporary implants.

Cobalt-chromium Alloys Implants

Cobalt chrome is one of the metals used widely in India as knee implants. These metals are hard, tough, corrosion-resistant and biocompatible. The patients are very less allergic to the use of cobalt-chromium alloys.

Titanium and Titanium Alloys Implants

Implants, where high strength is not necessary, titanium and its alloys are used. Titanium and its alloys have a lower density as compared to other knee implant metals. The elastic nature of titanium and titanium alloys is lower than that of the other knee implants. So the titanium implant acts more like a natural joint and used widely in India. It reduces the risk of some complications like bone resorption and atrophy.

Uncemented knee implants

These implants are designed to attach directly to the bone. It doesn’t use cement. For fixation, these designs rely on bone growth into the implant surface. Most implant surfaces are textured or coated. It helps the new bone actually grows into the surface of the implant. The surface of the titanium is modified by coating the implant with hydroxyapatite. This bioactive surfacing agent will ultimately bond as the bone grows into it.

Tantalum Implants

Tantalum has the following biological and physical properties:

  • flexibility,
  • corrosion-resistant, and
  • biocompatibility

A new porous substance named Trabecular Metal has been made of tantalum. It contains pores, the size of which makes this material very good for bone in-growth. This metal has an elastic nature which aids bone remodeling.

Polyethylene Implants

In a knee replacement, the tibial and patellar components are made of polyethylene. Polyethylene surfaces often suffered from wear in knee implants. The use of Ultra Highly Cross-Linked PolyEthylene or Ultra High Molecular Weight Polyethylene reduces the minimal wear. It enables the knee implants to last for a much longer time.

Zirconium alloy and all plastic tibial component:

Zirconium alloy is used in India as a new ceramic knee implant. This alloy is combined with an all-plastic tibial component. It replaces the metal tray and plastic insert used in other knee replacement surgeries. It is believed that this new knee could last for 20-25 years that is more than the effectiveness of cobalt-chromium alloy and polyethylene implants. The new combination can be lubricated. It results in a smoother and easier articulation through the plastic.

Zirconium alloy is biocompatible also. It also eliminates the risk to nickel-allergic patients because this new material contains no nickel.

Oxinium oxidized zirconium Implants :

Oxinium oxidized zirconium is used in India as knee implants since 2001. It is a transformed metal alloy. It has a ceramic bearing surface. It contains zirconium and niobium alloy. These alloys were oxidized to convert the surface of the material into zirconia ceramic. It is two times harder than cobalt-chromium alloys that half the friction. It performs with higher quality and lasts for a longer time.

Why do you need knee replacement?

Knee replacement surgery is a complex and major procedure that involves a long recovery period. So the knee surgeons first make a thorough assessment of the affected knee or knees. Then doctor decides whether surgery is the only option for relief from pain.

This treatment is recommended only after other methods of knee pain control fail to work. Physical exercises, physiotherapy, weight loss, and medications are some pre-surgery methods. Some of the common reasons that warrant the need for knee replacement treatment include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout
  • Knee injury
  • Necrosis
  • Unusual bone growth
  • Knee deformity
  • Haemophiliad

What Happens During Knee Replacement Surgery in India?

  • Surgery for a knee replacement might take up to two to three hours.
  • Patients are given anesthetic the day of surgery to ensure o avoid any pain. Either a general anesthetic (to put you to sleep during the procedure) or a localized anesthetic (to numb from the waist down) will be administered by an anaesthesiologist.
  • An anti-infection solution will be used to clean the skin surrounding the surgery site.
  • For the surgical operation, a 6-to-8-inch incision is created near the knee.
  • After that, the surgeon will remove the knee joint’s damaged surfaces and replace it with the prosthetic.
  • Both metal and plastic can be utilized to make the knee prosthesis.
  • The prosthesis mostly consists of three parts.
  • the part of the tibia, the femoral part, as well as the element of the patella.
  • A drain will be inserted in the incision site to drain the fluid once the incision is closed with sutures or surgical staples.
  • After the procedure, the incision is covered with a sterile bandage or dressing.

What are the Risks and Complications Occur During Knee Replacement Operation in India?

Like any other major procedure, knee replacement surgery also has risks and complications. For example, the patient may react to the anesthesia administered before the procedure. This may lead to a headache, nausea, dizziness, drowsiness, pain, shivering, and vomiting.

Wheezing, stomach problems or injuries to the nerves or arteries may take place in some cases. Some of the other knee replacement surgery risks and complications include:

  • Postoperative infections
  • Development of a blood clot
  • Complications arising out of blood transfusion
  • Bleeding
  • Damage to arteries
  • Neurovascular damage
  • Loss of motion
  • Implant failure
  • Problem with prosthesis used
  • Knee stiffness

How to Recover After Knee Replacement Treatment in India?

  • The knee is covered with a dressing to keep the area clean, and a tube is inserted to drain blood from the surgical site and stop it from pooling inside the wound.
  • Within 12 to 24 hours, a physiotherapist helps patients stand and perform exercise.
  • After a knee replacement, recovery typically takes one year. However, six weeks after surgery, patients ought to be ready to resume the majority of everyday tasks.

Duration of recovery will be influenced by a number of things, such as:

  • Degree of activity before surgery.
  • Age.
  • Other health issues.
  • One will receive a personalized recovery schedule from the doctor. Patients are urged to start using a walker or other orthopaedic device the day after their knee replacement surgery.
  • Usually, a patient is hospitalized for one to two days, however this can sometimes be extended. If their medical team deems it safe to do so, some patients might be able to leave the hospital the same day as their surgery.
  • Although every attempt is made to assist patients return home with increased support, patients who need more care or do not have home support may be transferred from the hospital to a rehabilitation facility.

Success Rate

  • The success rate of knee replacement surgery is really close to 100% in India.
  • There have been very few cases reported where complications arose following surgery, but none of them persisted. Every patient was back to their regular schedule within 12 to 6 months, despite the lengthier healing time.
  • 85% of prosthetic knees that have been placed are still operational even 20 years following surgery.
  • The majority of elderly patients who undergo this operation, who range in age from 50 to 80, have fully healed and returned to leading healthy lives.

Nevertheless, knee implants might deteriorate over time. The orthopaedic doctor might advise patients to avoid high-impact activities going forward, such as basketball or running, as these will hasten the deterioration of the implants.

Instead, consider low-impact exercises for the best outcomes. Sports that are gentler on the joints, such as swimming, walking, kayaking, golf, and biking, will help the “new knee” function well for many years.

Vanshika Rawat

Written By Vanshika Rawat

Vanshika Rawat is an experienced content developer. She is very knowledgeable in the field of science and healthcare and has worked under brilliant scientists during her higher education. Vanshika obtained her degrees in Masters in Science and Bachelors in Science (Microbiology with Hons.) from renowned institutions - Panjab University and University of Delhi.

Knee replacement hospitals are located in all major Indian cities. These hospitals are well-equipped with state-of-the-art facilities and medical staff. These staffs are aware of new technologies to achieve the best outcomes. That’s why hundreds of patients travel to India for surgery. The responsibility does not end with the successful surgery of the knee patient. The medical staff also ensures that the patient recovers well after the procedure.

Indian Knee replacement doctors are renowned globally for their surgical expertise and skills. They have years of experience in conducting knee replacement. They also are equipped with the knowledge to conduct orthopedic surgeries. The surgery includes total knee arthroplasty and unilateral knee replacement.

They have so far successfully treated thousands of patients from abroad. The success rate of surgery in the country is one of the highest in the world. Huge credit goes to the highly experienced knee replacement specialists in India

The top specialists for knee replacement work as independent professionals. They are associated with some of the top orthopedic hospitals in the country. An osteoarthritis patient from abroad can directly get in touch with the specialist. They can contact an orthopedic hospital of their choice. It helps seek consultation from one of the best doctors.

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