Successful Total Knee Replacement (TKR) for Right Knee Osteoarthritis in a 63 Y.O. Female
PACE Hospitals’ expert Orthopaedic team successfully performed a Right Total Knee Replacement on a 63-year-old female patient diagnosed with osteoarthritis of the right knee. The aim of the procedure was to relieve chronic knee pain, restore joint function, improve mobility, and enhance the patient’s overall quality of life.
Past Medical History
The patient was a known case of rheumatoid arthritis (RA) and had been on regular medical treatment for the condition. There was no documented history of diabetes mellitus, hypertension, cardiac disease, respiratory illness, or other major chronic medical conditions. The patient had previously undergone a left total knee replacement (TKR), as noted on imaging studies.
On Examination
On general examination, the patient was conscious, cooperative, and clinically stable, with no pallor, icterus, lymphadenopathy, clubbing, or cyanosis, all of which were normal. Systemic examination was largely within normal limits. Local examination of the right knee revealed abnormal findings, including the presence of joint effusion, medial joint line tenderness, and a fixed flexion deformity. The range of motion of the right knee was painfully restricted. There were no distal neurovascular deficits, and distal pulses and sensations were normal.
Diagnosis
Following the clinical examination, the Orthopaedics team conducted a comprehensive assessment, including a detailed review of the patient’s medical history and a focused evaluation of the right knee.
To confirm the diagnosis and evaluate the extent of joint involvement, a comprehensive clinical and systemic examination was performed. The patient exhibited swelling, tenderness along the medial joint line, and a limited range of motion in the right knee due to pain, while distal neurovascular status remained intact, and systemic examination revealed no significant abnormalities.
Initial X-rays of both knees were obtained to assess the severity of degenerative changes. Radiographic findings revealed moderate osteoarthritis in the right knee, with reduced medial tibiofemoral and patellofemoral joint spaces, along with marginal condylar and patellar osteophytes. The left knee demonstrated a status post-total knee replacement with normal implant positioning and bone density. These clinical and radiological findings established the diagnosis and guided the treatment plan.
Based on the confirmed diagnosis, the patient was advised to undergo Osteoarthritis Treatment in Hyderabad, India, under the care of the Orthopaedic Department, ensuring effective pain relief, joint stabilization, and optimal functional recovery.
Medical Decision Making (MDM)
After a detailed consultation with Dr. Raghuram, Senior Orthopaedic Consultant, a comprehensive evaluation was performed to determine the most appropriate diagnostic and therapeutic approach. Considering the patient’s history of rheumatoid arthritis (RA) and osteoarthritis of the right knee, along with clinical presentation of pain, swelling, medial joint line tenderness, effusion, and restricted range of motion, a focused local examination of the right knee was undertaken to formulate an optimal treatment strategy.
Based on the clinical and radiological findings, which confirmed moderate osteoarthritis of the right knee, it was determined that total knee replacement (TKR) was identified as the most suitable surgical intervention to achieve pain relief, restore joint alignment and stability, improve functional mobility, and prevent long-term complications such as progressive deformity, loss of joint function, or disability.
The patient and family members were counselled about the severity of the knee disease, the need for surgery, potential risks, and the expected recovery with physiotherapy and gradual mobilization.
👉 Book an Appointment: Best Doctors in Hyderabad, Telangana, India