When Is Joint Replacement Recommended?
Joint replacement surgery is considered when severe arthritis or joint damage causes persistent pain, significant functional limitation, and reduced quality of life that has not responded adequately to conservative treatment. Typical indicators include pain that limits walking, climbing stairs, or performing daily activities; night pain that disrupts sleep; progressive joint stiffness and deformity; and failure of non-surgical treatments such as physiotherapy, medications, and joint injections over an adequate trial period. Dr. Rahul Kalekar, with his Fellowship in Joint Replacement Surgery (FIJR), provides thorough assessment and honest guidance — ensuring surgery is recommended only when it is truly the best option for restoring mobility and independence.
Types of Joint Replacement We Counsel For
At Star Ortho & Women Care, Dr. Kalekar provides expert counselling and surgical planning for various joint replacement procedures. Total Knee Replacement (TKR) is the most commonly performed procedure for advanced knee osteoarthritis, involving resurfacing of all three knee compartments with implant components. Partial (Unicompartmental) Knee Replacement is a bone-conserving option for patients with single-compartment disease. Total Hip Replacement (THR) is indicated for severe hip arthritis or avascular necrosis causing debilitating hip pain. Hemiarthroplasty (partial hip replacement) is primarily performed for certain types of hip fractures in elderly patients. Each procedure is explained in detail, including the choice of implant, surgical approach, expected outcomes, and realistic recovery timelines.
Pre-Operative Assessment and Planning
Thorough pre-operative planning is essential for successful joint replacement outcomes. Our assessment includes detailed clinical examination of the affected joint, evaluation of limb alignment and deformity, and assessment of overall fitness for surgery. Weight-bearing X-rays are used to determine the pattern and severity of joint disease and to guide implant selection and sizing. Medical optimisation includes managing pre-existing conditions such as diabetes, hypertension, and anaemia. We coordinate with the anaesthesia team for cardiac and respiratory clearance when required. Patients receive detailed pre-operative counselling covering surgical expectations, hospital stay, post-operative rehabilitation milestones, and home preparation to ensure a smooth surgical journey.
Surgical Approaches and Implant Technology
Modern joint replacement surgery benefits from significant advances in both surgical technique and implant design. Dr. Kalekar utilizes contemporary surgical approaches that prioritize tissue preservation, reduced blood loss, and faster recovery. Implant options include advanced bearing surfaces — such as highly cross-linked polyethylene and ceramic components — that offer enhanced wear resistance and longer implant survival. Computer-assisted navigation and patient-specific instrumentation help achieve precise implant alignment, which is critical for long-term success. Whether a cemented or cementless fixation is chosen depends on the patient's bone quality, age, and activity level. All implant options and their relative merits are discussed transparently during the consultation.
Post-Operative Recovery and Rehabilitation
Early mobilisation is the cornerstone of modern joint replacement recovery. Patients are typically encouraged to stand and take their first steps within 24–48 hours of surgery. A structured physiotherapy programme begins in the hospital and continues after discharge, progressing through defined phases: initial range-of-motion recovery, muscle strengthening, balance training, and functional activities. Walking aids (walker, then crutch, then cane) are gradually weaned based on progress. Most patients achieve independent walking within 4–6 weeks and return to normal daily activities by 3 months. Dr. Kalekar provides detailed post-operative guidance, regular follow-up, and clear milestone-based targets to ensure optimal recovery.
Frequently Asked Questions
Common questions about joint replacement surgery.
- How long does a knee replacement last? Modern implants typically last 15–25 years or more with proper care.
- What is the recovery time? Walking within 24–48 hours; independent mobility in 4–6 weeks; full recovery in 3–6 months.
- Am I too old for replacement? Age alone is not a barrier — overall health and fitness are the key factors.
- Total vs. partial replacement? Partial preserves more bone but is only suitable for single-compartment disease.
- Can both knees be done at once? Yes, in selected fit patients, offering combined recovery advantages.