Total knee replacement surgery in Madurai removes damaged cartilage and bone from all three compartments of the knee and replaces them with a medical-grade implant. At Muthu Hospital, Dr. Mithran recommends total knee replacement when damage is severe, pain is present even at rest, and non-surgical treatments have failed. Walking begins on Day 1. Pain reduces by Day 15. Full recovery takes 90 days. Physiotherapy from Day 1 is the most important factor in how well the knee recovers.
What Is Total Knee Replacement Surgery?
Total knee replacement surgery removes worn cartilage and bone surfaces from all three
compartments of the knee joint and replaces them with a precision-fitted metal and plastic
implant. The surrounding ligaments and muscles are preserved. The procedure restores
smooth, pain-free movement that severe arthritis has destroyed.
Who Needs Total Knee Replacement Surgery?
Total knee replacement is recommended when knee pain is severe, present even at rest, and
has not improved after 3 to 6 months of physiotherapy, medication, or injections. X-ray
confirming bone-on-bone contact is the clearest clinical indicator that surgery is necessary.
Do not delay surgery if you have:
• Knee pain present at rest — not only during movement.
• Difficulty walking short distances or climbing stairs without stopping.
• Sleep disturbed every night by knee pain.
• Morning stiffness lasting more than 30 minutes.
• No lasting relief from physiotherapy, medication, or injections.
How Should You Prepare Before Total Knee Replacement Surgery?

What Happens During Total Knee Replacement Surgery?
Dr. Mithran performs total knee replacement surgery inside a fully sterile operation theatre at Muthu Hospital. The procedure takes 1 to 2 hours under regional or general anaesthesia. The damaged cartilage and bone surfaces are removed, a precision implant is fitted and secured, and the wound is closed. Physiotherapy begins the same day.
Why Are Patients in Madurai Choosing Total Knee Replacement Surgery?
Total knee replacement surgery in Madurai is one of the most consistently successful orthopaedic procedures available today. For patients living with severe knee damage, the surgery eliminates the source of pain rather than managing it.
Dr. Mithran at Muthu Hospital has treated patients from 35 to 98 years of age. His approach covers preparation, surgery, and post-operative physiotherapy as one connected process. Patients who arrive informed recover faster and with fewer complications.
What Changes Before and After Total Knee Replacement?
The table below shows the most significant changes patients experience before and after total knee replacement surgery at Muthu Hospital, Madurai.
| Condition | Before Surgery | After Surgery |
| Knee pain | Severe — present even at rest | Minimal or none by Day 15 |
| Walking | Difficult, short distances only | Comfortable within 4–6 weeks |
| Stair climbing | Painful or avoided | Possible with support by Day 20 |
| Sleep | Disturbed every night | Uninterrupted |
| Daily activities | Limited — dependent on others | Independent by Day 45 |
| Quality of life | Poor | Significantly improved by Day 90 |
What Is the Recovery Timeline After Total Knee Replacement Surgery?
Recovery after total knee replacement follows a clear, predictable timeline when physiotherapy is followed from Day 1.
- Day 1 — Walking with a support frame. Physiotherapy begins the same day.
- Days 1 to 5 — Hospital stay. Pain managed, swelling monitored daily.
- Day 15 — Pain reduces significantly. Strong medication no longer needed.
- Days 20 to 35 — Stairs possible with support. Daily activities improve steadily.
Day 90 — Full recovery. Independent walking. Normal daily life resumes.
Real Patient Case Study — Muthu Hospital, Madurai
- Mr. Palani, 69 years old, came with severe left knee pain and difficulty in walking, sitting, and standing due to an old injury that worsened over time. Investigation showed complete wear and tear of the knee cartilage leading to bone-on-bone friction and continuous pain. A left side total knee replacement surgery was performed using a high-quality Oxinium implant. The procedure was slightly complex but was completed successfully without complications. After surgery, the patient showed good recovery with improved knee movement and significant pain relief.
Frequently Asked Questions
What is total knee replacement surgery?
It removes worn cartilage and bone from all three compartments and replaces them with a metal and plastic implant, preserving ligaments and muscles.
How long does the surgery take?
It takes 1 to 2 hours depending on complexity.
When can I walk?
Walking with a frame begins on Day 1. Most walk without a frame in 4 to 6 weeks.
How long does the implant last?
Most last 15 to 25 years.
Does Muthu Hospital accept insurance?
Yes, the hospital accepts government health schemes and approved insurance.
| DR. MITHRAN SAYS | “Knee replacement surgery is not something to fear. Patients who understand the process — what happens before, during, and after — feel confident and recover faster. The surgery is proven. The results are consistent. The only variable is how committed the patient is to physiotherapy afterwards .” — Dr. Mithran, MS Orthopaedics, Muthu Hospital, Madurai |
| BOOK A CONSULTATION | Consult Dr. Mithran at Muthu Hospital, Madurai. Get a personalised assessment, imaging review, and a clear surgical plan. Muthu Hospital · 11, Krishnarayar Tank Rd, Madurai, Tamil Nadu 625001. Call today to book your consultation. |

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