What is a knee replacement?

Total knee replacement is a surgical procedure in which the knee is resurfaced with artificial parts. Your knee replacement will consist of a metal shell on the end of the femur and a metal and plastic trough on the tibia. A plastic button may be used to resurface the back of the kneecap if needed.

Benefits of knee replacement surgery

You can experience freedom of pain, improved mobility and improved quality of life since everyday activities and exercise are easier. You may or may not be able to return to active sports or heavy labour. You should follow the advice of your consultant on
what level of activity you can undertake.

Knee replacement at The Horder Centre

Consultant Orthopaedic Surgeon Sam Rajaratnam talks about why choosing The Horder Centre for knee replacement surgery.

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Are there any alternatives to a total knee replacement?

  • Simple painkillers such as paracetamol and anti-inflammatory painkillers such as ibuprofen can help control the pain.
  • Supplements to your diet may also help relieve your symptoms. Check with your doctor before you take supplements.
  • Using a walking stick can make walking easier. Wearing an elasticated support on your knee can help it feel stronger.
  • Regular moderate exercise can help to reduce stiffness in your knee.
  • Physiotherapy may help to strengthen your muscles.
  • A steroid injection into your knee joint can sometimes reduce pain and stiffness.

All these measures become less effective if your arthritis gets worse.

What does the operation involve?

The operation usually takes an hour to 90 minutes. Various anaesthetic techniques are possible.

Your surgeon will make a cut on the front of your knee and remove the damaged joint surfaces. They will replace these with an artificial knee joint made of metal, plastic or ceramic, or a combination of these materials (see figure 1).

Your knee replacement is fixed to the bone using acrylic cement or special coatings on your knee replacement that bond directly to the bone.

 

What complications can happen?

Complications of anaesthesia

Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.

General complications

  • Pain
  • Bleeding
  • Infection of the surgical site (wound)
  • Unsightly scarring
  • Blood clots
  • Difficulty passing urine
  • Chest infection
  • Heart attack
  • Stroke

Specific complications

  • Split in the bone when the knee replacement is inserted
  • Damage to nerves
  • Damage to blood vessels
  • Damage to ligaments or tendons
  • Infection in the knee
  • Loosening
  • Dislocation
  • Continued discomfort in the knee
  • Severe pain, stiffness and loss of use of the knee (complex regional pain syndrome)

A Patient’s Guide to: Total Knee Replacement

This guide book has been written and designed by the clinical team in partnership with patients to provide you and your family with all the necessary information about having a knee replacement and what to expect before, during and after your operation.

Download guide

Enhanced recovery programme

Enhanced Recovery is a new, evidence-based approach that helps people recover more quickly after having major surgery. Having an operation can often be both physically and emotionally stressful. Enhanced Recovery Programmes try to get you back to full health as quickly as possible.

Sometimes referred to as rapid or accelerated recovery, Enhanced Recovery aims to ensure that patients:
• Are as healthy as possible before receiving treatment.
• Receive the best possible care during their operation.
• Receive the best possible care while recovering.

Research has shown the earlier a person gets out of bed and starts walking, eating and drinking after having an operation, the shorter their recovery time will be.

Guide price for self pay patients

Knee replacement (total)

  Consultation Diagnostics Treatment Care after discharge
Hospital costs Included From £350 £9780 Included
Consultant costs From £220 Included Included Included
Estimated total cost  £10,350
Estimated length of stay  3 nights
*The guide price is correct as of 2nd March 2017

What's included

The prices in the table above (the “Guide Prices”) show what most patients should expect to pay at each appointment and on admission to hospital. The Guide Prices you pay might be different depending on your medical history and the type of implant you choose or your Consultant advises is best for you. Your price quotation will be made clear to you before you proceed with any tests, consultations or treatment.

Finance options available

To make private healthcare more accessible, we have introduced a finance option so that patients can spread the cost of their treatment over a period of time.

Horder Healthcare works with Zebra Health Finance to offer approved customers Finance Options, enabling you to get back on your feet and back to normal life as soon as possible.

Zebra Health Finance offers finance plans to suit your individual budgets:

  • Representative 0% APR up to 6 months
  • Representative 16.9% APR from 12 to 60 months
  • Simple and quick application process
  • Once approved, the loan money is paid directly to Horder Healthcare

Find out more

 

Accessing our services

  • As an NHS patient, you can be referred directly to Horder Healthcare for your diagnosis, treatment and care. Horder Healthcare is an accredited provider of NHS services. Under the NHS Patient Choice Scheme, you can choose to access services at Horder Healthcare, if appropriate, with a GP referral.

    Find out more

  • If you would like faster access to Horder Healthcare's services you are able to self pay and take advantage of no waiting lists. Finance options are available.

    Find out more

  • If you have private medical insurance and want to choose Horder Healthcare for your treatment, we are recognised by the majority of medical insurance companies.

    Find out more

What our patients say

  • Peter Wooster

    Knee Replacement (total) | The Horder Centre

    “I was in constant pain with my knee before the operation and it meant that walking was seriously curtailed and when I cycled it was beginning to hurt. Since the operation, the more cycling I do, the better the knee gets.

    The entire care package was excellent. The Horder Centre is different because it is a specialist hospital with a world-class reputation that I found to be incredibly professional yet so friendly with really fantastic staff.”

  • Robert Harber

    Knee Replacement (total) | The Horder Centre

    “Mr Butler-Manuel was the first consultant I saw who had any time for me and who listened to me. I think what is different about The Horder Centre is the team spiritHaving had countless operations, the Horder Centre is, in my opinion, streets above all the private hospitals I have been in. Nothing was too much trouble. After a couple of weeks I felt my knee wasn’t bending properly and within an hour, I was seeing a doctor then a specialist then a physiotherapist.”

  • Paul Bonett

    Hip Replacement (total) | The Horder Centre

    “I have already recommended The Horder Centre to friends. I had a super experience there. The personal attention and very nice accommodation made it very different.

    My fitness was pretty compromised before the operations but I took the rehabilitation very seriously and since then have been able to return to my aikido training and teaching with renewed vigour, plus daily cycling and some running, though keeping to under five miles. It all shows the efficacy of great surgery and focused rehab.”

  • Michael Littlehales

    Hip Replacement (total) | The Horder Centre

    “Although I was initially surprised when I was told I needed the operation because the hip hadn’t been causing me much pain, the x-rays revealed that it was shot to pieces. I am very glad now that I had it done and can’t speak highly enough of Mr Apthorp and his team.”

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