Knee Replacement in Iran

Total knee replacement cost in Iran

What is the cost of knee replacement surgery in Iran?

The cost total knee replacement Surgery in Iran is between $2200 _ $ 3600.

What is a total knee replacement?

A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint that provides motion at the point where the thigh meets the lower leg. The thighbone (or femur) abuts the large bone of the lower leg (tibia) at the knee joint.

General information about total knee replacement Surgery

The following table describes general information about total knee replacement Surgery including total knee replacement Surgery cost in Iran, recovery time, and to name but a few.

General Information
Cost	$ 2200-3600
Anesthesia	General
Hospital Stay	2-5 Days
Back to Work	4-6 Weeks
Duration of Operation	1.5-3 Hours
Minimum Stay in Iran	3-4 Weeks

About Iranian Surgery

Iranian surgery is a medical tourism platform where you can find the best hospitals in Iran. The price of a total knee replacement Surgery in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. So if you are looking for the cost of total knee replacement Surgery in Iran, you can contact us and get free consultation from Iranian surgery.

Before Total knee Replacement Surgery

Why it’s done

The most common reason for total knee replacement surgery is to relieve severe pain caused by osteoarthritis. People who need total knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some also have knee pain at rest.

Anatomy of the knee

Joints are the areas where 2 or more bones meet. Most joints are mobile, allowing the bones to move. Basically, the knee is 2 long leg bones held together by muscles, ligaments, and tendons. Each bone end is covered with a layer of cartilage that absorbs shock and protects the knee.

There are 2 groups of muscles involved in the knee, including the quadriceps muscles (located on the front of the thighs), which straighten the legs, and the hamstring muscles (located on the back of the thighs), which bend the leg at the knee.

Tendons are tough cords of connective tissue that connect muscles to bones. Ligaments are elastic bands of tissue that connect bone to bone. Some ligaments of the knee provide stability and protection of the joints, while other ligaments limit forward and backward movement of the tibia (shin bone).

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The knee consists of the following:

. Tibia. This is the shin bone or larger bone of the lower leg.

. Femur. This is the thighbone or upper leg bone.

. Patella. This is the kneecap.

. Cartilage. A type of tissue that covers the surface of a bone at a joint. Cartilage helps reduce the friction of movement within a joint.

. Synovial membrane. A tissue that lines the joint and seals it into a joint capsule. The synovial membrane secretes synovial fluid (a clear, sticky fluid) around the joint to lubricate it.

. Ligament. A type of tough, elastic connective tissue that surrounds the joint to give support and limits the joint’s movement.

. Tendon. A type of tough connective tissue that connects muscles to bones and helps to control movement of the joint.

. Meniscus. A curved part of cartilage in the knees and other joints that acts as a shock absorber, increases contact area, and deepens the knee joint.

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Total knee replacement facts

. Patients with severe destruction of the knee joint associated with progressive pain and impaired function maybe candidates for total knee replacement.

. Osteoarthritis is the most common reason for knee replacement operation in Iran.

. Risks of total knee replacement surgery have been identified.

. Physical therapy is an essential part of rehabilitation after total knee replacement.

. Patients with artificial joints are recommended to take antibiotics before, during, and after any elective invasive procedures (including dental work).

How to Prepare for Your total Knee Replacement Surgery

Before surgery, the joints adjacent to the diseased knee (hip and ankle) are carefully evaluated. This is important to ensure optimal outcome and recovery from the surgery. Replacing a knee joint that is adjacent to a severely damaged joint may not yield significant improvement in function as the nearby joint may become more painful if it is abnormal.

Furthermore, all medications that the patient is taking are reviewed. Blood-thinning medications such as warfarin (Coumadin) and anti-inflammatory medications such as aspirin may have to be adjusted or discontinued prior to knee replacement surgery.

Routine blood tests of liver and kidney function and urine tests are evaluated for signs of anemia, infection, or abnormal metabolism.

Chest X-ray and EKG are performed to exclude significant heart and lung disease that may preclude surgery or anesthesia. Finally, a knee replacement surgery is less likely to have good long-term outcome if the patient’s weight is greater than 200 pounds. Excess body weight simply puts the replaced knee at an increased risk of loosening and/or dislocation and makes recovery more difficult.

Another risk is encountered in younger patients who may tend to be more active, thereby adding trauma to the replaced joint.

Advantages

There are several possible advantages of total knee replacement surgery. These include:

. Freedom from pain

. Improved mobility

. Improved quality of life because everyday activities and exercise are easier.

Disadvantages

Possible disadvantages of knee replacement surgery can include replacement joints wearing out over time, difficulties with some movements and numbness.

We now know that knee replacements aren’t so likely to be effective in the early stages of arthritis. We can be much more confident of a good outcome where the arthritis is more advanced.

The possible disadvantages of knee replacement surgery include:

. A replacement knee can never be quite as good as a natural knee – most people rate the artificial joint about three-quarters normal.

. Most knee replacements aren’t designed to bend as far as your natural knee. Although it’s usually possible to kneel, some people find it uncomfortable to put weight on the scar at the front of the knee.

. You may also be aware of some clicking or clunking in the knee replacement.

. You may have some numbness at the outer edge of the scar to begin with. This usually improves over about two years but it’s unlikely that the feeling will completely return to normal.

. A replacement knee joint may wear out after a time or may become loose.

Most knee replacements will last for 20 years or more, so younger patients are more likely to need a repeat knee operation at some point in later life. The chances of needing repeat surgery are increased if:

. You’re overweight

. You do heavy manual work.

. You run or play vigorous sports.

Although your knee can be replaced again if necessary, revision surgery is more complicated and the benefits tend to lessen with each revision.

Who are the good candidates for total knee replacement surgery?

Total knee replacement surgery is considered for patients whose knee joints have been damaged by either progressive arthritis, trauma, or other rare destructive diseases of the joint. The most common reason for knee replacement in Iran is severe osteoarthritis of the knees.

Regardless of the cause of the damage to the joint, the resulting progressively increasing pain and stiffness and decreasing daily function lead the patient to consider total knee replacement. Decisions regarding whether or when to undergo knee replacement surgery are not easy. Patients should understand the risks as well as the benefits before making these decisions about knee replacement.

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Risks and Complications

What are the risks of undergoing a total knee replacement?

Risks of total knee replacement include:

. Blood clots in the legs or lungs

. Pulmonary embolism, which can cause shortness of breath, chest pain, and even shock.

. Urinary tract infection

. Nausea and vomiting

. Chronic knee pain and stiffness

. Bleeding into the knee joint

. Nerve damage

. Blood vessel injury

. Heart attack

. Stroke

. Infection of the knee which can require reoperation.

. The risks of anesthesia include potential heart, lung, kidney, and liver damage.

During Total knee Replacement Surgery

During Procedure

During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic piece with a metal stem. Depending on the condition of the kneecap portion of the knee joint, a plastic “button” may also be added under the kneecap surface. The artificial components of a total knee replacement are referred to as the prosthesis.

The posterior cruciate ligament is a tissue that normally stabilizes each side of the knee joint so that the lower leg cannot slide backward in relation to the thighbone. In total knee replacement surgery, this ligament is either retained, sacrificed, or substituted by a polyethylene post. Each of these various designs of total knee replacement has its own particular benefits and risks.

After Total knee Replacement Surgery

What happens in the post-operative period?

What is involved in the recovery from surgery?

A total knee replacement generally requires between one and a half to three hours of operative time. Post-surgery, patients are taken to a recovery room, where vital organs are frequently monitored. When stabilized, patients are returned to their hospital room.

Passage of urine can be difficult in the immediate postoperative period, and this condition can be aggravated by pain medications. A catheter inserted into the urethra (a Foley catheter) allows free passage of urine until the patient becomes more mobile.

Physical therapy is an extremely important part of rehabilitation and requires full participation by the patient for optimal outcome. Patients can begin physical therapy 48 hours after surgery. Some degree of pain, discomfort, and stiffness can be expected during the early days of physical therapy. Knee immobilizers are used in order to stabilize the knee while undergoing physical therapy, walking, and sleeping. They may be removed under the guidance of the physical therapist for various portions of physical therapy.

A unique device that can help speed recovery is the continuous passive motion (CPM) machine. The CPM machine is first attached to the operated leg. The machine then constantly moves the knee through various degrees of range of motion for hours while the patient relaxes. This can help to improve circulation and minimize the risk of scarring and contracture of the tissues around the knee.

Patients will start walking using a walker and crutches. Eventually, patients will learn to walk up and down stairs and grades. A number of home exercises are given to strengthen thigh and calf muscles.

How does the patient continue to improve as an outpatient after discharge from the hospital?

What are recommended exercises?

For an optimal outcome after total knee replacement surgery, it is important for patients to continue in an outpatient physical-therapy program along with home exercises during the healing process. Patients will be asked to continue exercising the muscles around the replaced joint to prevent scarring (and contracture) and maintain muscle strength for the purposes of joint stability. These exercises after surgery can reduce recovery time and lead to optimal strength and stability.

The wound will be monitored by the surgeon and his/her staff for healing. Patients also should watch for warning signs of infection, including abnormal redness, increasing warmth, swelling, or unusual pain. It is important to report any injury to the joint to the doctor immediately.

Future activities are generally limited to those that do not risk injuring the replaced joint. Sports that involve running or contact are avoided, in favor of leisure sports, such as golf, and swimming. Swimming is the ideal form of exercise, since the sport improves muscle strength and endurance without exerting any pressure or stress on the replaced joint.

Patients with joint replacements should alert their doctors and dentists that they have an artificial joint. These joints are at risk for infection by bacteria introduced by any invasive procedures such as surgery, dental or gum procedures, urological and endoscopic procedures, as well as from infections elsewhere in the body.

The treating physician will typically prescribe antibiotics before, during, and immediately after any elective procedures in order to prevent infection of the replaced joint.

Though infrequent, patients with total knee replacements can require a second operation years later. The second operation can be necessary because of loosening, fracture, or other complications of the replaced joint. Reoperations are generally not as successful as original operations and carry higher risks of complications. Future replacement devices and techniques will improve patient outcomes and lead to fewer complications.

Total knee Replacement Surgery Cost in Iran

The cost of total knee replacement Surgery in Iran is between $ 2200-3600.