Total Knee Replacement (TKR)
A comprehensive knee resurfacing procedure where all three joint compartments are rebuilt with precision implants — delivering lasting freedom from arthritis pain and a reliable return to daily mobility.
What is Total Knee Replacement (TKR)?
Total Knee Replacement — also referred to as Total Knee Arthroplasty (TKA) — resurfaces all three compartments of the knee: the medial tibio-femoral, the lateral tibio-femoral, and the patellofemoral. When knee arthritis reaches a stage where walking, climbing stairs, or sleeping becomes painful despite all non-surgical efforts, TKR offers the most reliable and durable solution. Dr. Sai Kishan performs total knee replacement at Lux Hospitals using modern implant platforms, including robotic-assisted options, to achieve precise alignment and outstanding long-term functional results.
Best suited for individuals with advanced tri-compartmental or bi-compartmental knee arthritis that has not responded to physiotherapy, medication, or joint injections — where the pain significantly limits daily activity and the quality of life is substantially impaired.
How the Procedure Works
Anaesthesia & Surgical Preparation
Spinal or general anaesthesia is administered; a tourniquet controls bleeding and the limb is placed and draped in the standard operative position.
Joint Exposure
A longitudinal incision along the front of the knee provides access to all three compartments; the patella is repositioned to expose the joint surfaces fully.
Bone Resection & Alignment
Precise cutting blocks guide removal of the worn femoral, tibial, and patellar surfaces to restore the correct mechanical alignment of the limb.
Trial Implant Assessment
Test components are placed to evaluate joint balance, flexion arc, and patellar tracking before committing to the final implants.
Final Implant Fixation & Closure
Definitive components are cemented or press-fit; the wound is closed in anatomical layers and physiotherapy begins the following morning.
Outcomes
Who Needs This Treatment?
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Comprehensive pain relief across all three knee compartments in a single procedure
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Corrects progressive deformity — including bow-leg and knock-knee alignment
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Enables confident return to walking, stair climbing, and everyday activities
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Backed by decades of international clinical evidence and high patient satisfaction
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Contemporary implants designed to perform reliably for 15 to 20+ years
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Robotic-assisted precision planning available for optimal implant positioning
A well-planned total knee replacement transforms lives — patients who struggled to walk to the end of the street are often back to full independence within weeks. Precision in planning and technique is what makes the difference.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Total Knee Replacement Cost in Hyderabad
The cost of total knee replacement (TKR) in Hyderabad depends on the severity of knee osteoarthritis, whether one or both knees require replacement, condition of the joint, type of knee implant selected, surgical technique, pre-operative investigations, anesthesia, hospital stay, and rehabilitation requirements. Total knee replacement is a surgery in which the damaged surfaces of the knee joint are removed and replaced with prosthetic components to improve pain, mobility, and joint function. The estimated cost for unilateral TKR ranges from ₹2,20,000 to ₹4,50,000, with an average cost of approximately ₹3,35,000. For bilateral TKR performed in a single sitting, the estimated cost ranges from ₹3,80,000 to ₹7,50,000, with an average cost of approximately ₹5,65,000.
| Procedure | Approximate Cost Range |
|---|---|
| Total Knee Replacement (TKR) - Unilateral Advanced tricompartmental OA | ₹2,20,000 ₹4,50,000 |
| Total Knee Replacement (TKR) - Bilateral Both knees, single sitting | ₹3,80,000 ₹7,50,000 |
The actual cost may vary depending on the severity of osteoarthritis, degree of joint d\amage and deformity, age and overall health, type and brand of implant, surgical technique, and whether one or both knees are replaced. Advanced tricompartmental osteoarthritis may involve significant cartilage loss, stiffness, deformity, and reduced mobility, which can influence surgical planning and rehabilitation.
The total expense may include orthopedic consultation, knee X-rays or other imaging, blood investigations, anesthesia, operating-room charges, implants and surgical materials, hospital admission, medicines, physiotherapy, and follow-up care. Bilateral replacement performed during the same sitting generally involves greater surgical and rehabilitation requirements than unilateral replacement, although the exact additional cost depends on the treatment plan and hospital package. Robotic-assisted knee replacement, when selected, may also have a different cost structure depending on the technology and implant used. Lux Hospitals states that it provides both traditional and robotic-assisted knee replacement options.
Factors Affecting Total Knee Replacement Cost
The cost of knee replacement can vary substantially between patients because the extent of joint damage, number of knees treated, implant requirements, and surgical planning are different in each case. The level of rehabilitation and hospital care required after surgery can also influence the final treatment expense.
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Severity of osteoarthritis: Advanced tricompartmental arthritis with extensive cartilage and joint damage may require more complex surgical planning.
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One or both knees: Bilateral TKR performed during the same sitting generally requires greater operative, hospital, and rehabilitation resources than unilateral replacement.
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Knee deformity and stiffness: Significant bowing, restricted movement, or other deformities can increase surgical complexity.
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Implant type: The design, material, brand, and specifications of the knee implant can have a major effect on the overall cost.
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Pre-operative evaluation: Knee X-rays, blood tests, medical clearance, and other investigations may be required before surgery.
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Patient health status: Conditions such as diabetes, heart disease, obesity, or other medical issues may require additional assessment and peri-operative monitoring.
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Surgical technique: Conventional TKR and robotic-assisted replacement have different equipment and procedural requirements.
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Robotic-assisted surgery: When clinically selected, robotic technology may involve additional technology or procedure-related charges.
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Anesthesia and hospital care: Anesthesia, operating-room charges, inpatient admission, nursing, monitoring, and recovery services contribute to the total expense.
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Implant and surgical materials: Prosthetic components, bone cement where used, instruments, and other surgical consumables form an important part of the treatment cost.
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Physiotherapy and rehabilitation: Post-operative physiotherapy, mobility training, exercise programs, and follow-up rehabilitation may contribute to the overall expense.
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Additional procedures: Treatment of associated joint or medical problems during the same admission may increase the final cost.
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Post-operative care: Medicines, wound care, follow-up consultations, repeat imaging, and recovery monitoring can also affect the total treatment expense.
Insurance Coverage for Total Knee Replacement
Total knee replacement may be covered by health insurance when it is medically necessary for advanced or symptomatic knee osteoarthritis and meets the terms of the patient's policy. Coverage depends on the diagnosis, medical indication, implant provisions, policy limits, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm coverage for the knee implant, surgery, anesthesia, hospitalization, investigations, physiotherapy, and any robotic-assisted technology charges where applicable with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, MS Ortho, FIJR, FIASM (UK), FIKS (Italy), FIRJR, is listed by Lux Hospitals as a Consultant Orthopaedic Surgeon with a focus on joint replacement, arthroscopy, and sports medicine. The hospital's total knee replacement page specifically identifies him as part of its orthopedic team for knee replacement care. During consultation, he reviews the patient's knee pain, stiffness, swelling, difficulty walking or climbing stairs, limitations in daily activities, duration of symptoms, previous treatments, and relevant medical history. A detailed knee examination and review of X-rays or other imaging help assess the extent of joint degeneration, alignment, deformity, range of motion, and whether total knee replacement is appropriate. When TKR is being considered, Dr. Sai Kishan Sirasala discusses whether unilateral or bilateral replacement is appropriate based on the condition of the knees and the patient's overall health and functional requirements. He explains the available implant options, surgical technique, anesthesia, expected hospital stay, post-operative mobility, physiotherapy, rehabilitation, and recovery process. Where appropriate, he may also discuss conventional versus robotic-assisted knee replacement, depending on the patient's anatomy and treatment plan. The consultation can include discussion of implant-related costs, pre-operative investigations, rehabilitation expenses, potential additional treatment, follow-up requirements, and the factors that may influence the final treatment cost.
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