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Expert Orthopedic Treatment · Jaipur

Partial Knee Replacement Surgery in Jaipur

Unicompartmental Knee Arthroplasty by Dr. Hemendra Agrawal

15+ Years Exp.
20,000+ Surgeries
Minimally Invasive
Dr. Hemendra Agrawal – Orthopedic Surgeon in Jaipur

Dr. Hemendra Agrawal

MBBS, MS (Orthopedics) · Consultant, Narayana Hospital

Overview

What is Partial Knee Replacement?

Partial Knee Replacement, also known as Unicompartmental Knee Arthroplasty (UKA), is a bone-conserving surgical procedure that replaces only the damaged compartment of the knee joint while preserving the healthy compartments, intact ligaments (including the cruciate ligaments), and undamaged cartilage. Unlike total knee replacement which resurfaces all three compartments, partial knee replacement targets only the diseased area — providing a more conservative, tissue-preserving solution.

The knee joint has three compartments: the medial (inner) compartment, the lateral (outer) compartment, and the patellofemoral (front) compartment. In many patients, arthritis affects only one of these compartments. For these patients, partial knee replacement offers a less invasive alternative that preserves the natural biomechanics of the knee, resulting in a more natural-feeling joint with better proprioception (joint position sense) compared to total knee replacement.

Dr. Hemendra Agrawal is one of the few surgeons in Jaipur with extensive experience in partial knee replacement using robotic-assisted and computer-navigated techniques. These advanced technologies enable precise implant positioning that is critical for the success of unicompartmental replacement — even small alignment errors can lead to premature failure in partial replacements.

The minimally invasive approach used for partial knee replacement involves a smaller incision (7-10 cm), less bone removal, preservation of both cruciate ligaments and the unaffected compartment, reduced blood loss, less post-operative pain, faster rehabilitation, and quicker return to normal activities compared to total knee replacement.

Partial Knee Replacement Surgery in Jaipur — advanced diagnosis and evaluation

Precise diagnosis using advanced imaging & evaluation

20,000+

Successful Surgeries

When It's Needed

Conditions & Indications

When is this procedure recommended? These are the conditions where Partial Knee Replacement Surgery typically offers the best outcome.

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Isolated medial compartment osteoarthritis (the most common indication — affecting the inner side of the knee)

Isolated lateral compartment osteoarthritis (affecting the outer side of the knee)

Avascular necrosis limited to a single femoral condyle

Post-traumatic arthritis confined to one compartment following a localized injury

Intact or functional anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL)

Correctable varus or valgus deformity less than 15 degrees

Knee flexion range of at least 90 degrees with minimal flexion contracture (less than 10 degrees)

BMI preferably less than 35 (though not an absolute contraindication)

Step by Step

How is Partial Knee Replacement Performed?

A detailed walkthrough of the surgical process

1

Step 01 / 05

Patient Selection & Assessment

Careful patient selection is the most critical factor for success. Dr. Agrawal performs a thorough clinical examination assessing ligament integrity, deformity correctability, and range of motion. Weight-bearing X-rays (AP, lateral, skyline, and stress views) and MRI confirm isolated compartmental disease with intact cruciate ligaments and preserved cartilage in the other compartments.

2

Step 02 / 05

Robotic-Assisted Surgical Planning

A pre-operative CT scan is obtained to create a 3D model of the knee. The robotic system software generates a patient-specific surgical plan optimizing implant size, positioning, and alignment. The surgeon reviews and fine-tunes this plan before surgery, ensuring millimeter-level precision.

3

Step 03 / 05

Minimally Invasive Approach

Through a small 7-10 cm incision, the affected compartment is accessed without disturbing the healthy compartments. The medial parapatellar approach allows visualization of the damaged compartment while preserving the cruciate ligaments, meniscus in the healthy compartment, and the quadriceps mechanism.

4

Step 04 / 05

Precision Bone Preparation

Using robotic-assisted cutting tools with haptic boundary control, only the diseased bone and cartilage are removed — preserving maximum healthy bone stock. The femoral condyle and tibial plateau in the affected compartment are precisely prepared to receive the implant components. The robotic system prevents any cutting beyond the planned boundaries.

Step 05 / 05

Implant Placement & Closure

The femoral and tibial components are cemented in place with the polyethylene bearing surface inserted. Limb alignment, ligament balance, and range of motion are verified. The incision is closed in layers. Due to the smaller incision and less tissue dissection, blood loss is typically less than 100 ml, and most patients do not require a drain.

Facilities & Care

Advanced Surgery & Personalized Care

From a state-of-the-art operation theatre to attentive post-operative recovery — you're in expert hands at every step.

Modern Operation Theatre

Modern Operation Theatre

Precision Surgery in Progress

Precision Surgery in Progress

Attentive Post-Operative Care

Attentive Post-Operative Care

Personalized Patient Support

Personalized Patient Support

The Outcome

Key Benefits

How this procedure transforms your life

01

Smaller incision (7-10 cm vs. 15-20 cm) — less tissue trauma and better cosmetic result

02

Preservation of both cruciate ligaments — resulting in more natural knee kinematics and proprioception

03

Faster recovery — most patients walk without aids within 3-4 weeks vs. 6-8 weeks for TKR

04

Less post-operative pain and reduced need for pain medications

05

Shorter hospital stay — typically 1-3 days vs. 3-5 days for TKR

06

Greater range of motion — typically 130-140 degrees flexion vs. 110-120 degrees for TKR

07

Preservation of healthy bone stock — allows conversion to total knee replacement if needed in the future

08

More natural-feeling knee — 90% of patients forget they have an artificial joint

Your Journey

Recovery Timeline

What to expect during your recovery journey, step by step

Day 0-1Phase 1

Immediate Post-Op

Standing and walking with walker within 6-12 hours. Less pain compared to TKR due to smaller incision and preserved tissues. Early range of motion exercises initiated.

Day 1-3Phase 2

Hospital Stay

Independent walking with walker, stair climbing, achieving 90+ degrees flexion. Most patients discharged by day 2-3. Home exercise program provided.

Week 1-3Phase 3

Early Recovery

Transition from walker to cane by week 2. Driving may resume at 2-3 weeks. Outpatient physiotherapy 2 times per week. Light household activities.

Week 4-8Phase 4

Active Recovery

Walking without aids, return to desk work, light recreational activities. Achieve 120+ degrees flexion. Swimming and cycling permitted.

Month 2-3Phase 5

Full Recovery

Return to most normal activities including gardening, golf, walking, and low-impact sports. Final assessment with X-rays at 3 months.

Insurance & Panels

Insurance & Cashless Options for Partial Knee Replacement

Government panels and health insurance we help you claim — with cashless coordination and complete paperwork support.

Not sure what your scheme covers? We'll check your eligibility and handle the paperwork.

FAQ

Frequently Asked Questions

Get answers to common questions about this procedure

You may be a candidate if your arthritis is limited to only one compartment of the knee, your cruciate ligaments are intact, your deformity is correctable, and you have good range of motion. Dr. Agrawal performs a thorough evaluation including examination, X-rays, and MRI to determine your eligibility. Approximately 25-30% of knee arthritis patients are suitable candidates.
Partial knee replacement offers faster recovery (half the time), less pain, more natural knee feel, better range of motion, and preservation of healthy bone. However, it is only suitable for patients with isolated compartmental disease. Total knee replacement may be needed later if arthritis progresses to the other compartments — this occurs in about 10-15% of patients over 15-20 years.
Modern partial knee replacements have excellent longevity. Studies show 85-90% survival at 15 years and 80% at 20 years. With robotic-assisted placement, implant positioning is more accurate, which is expected to further improve long-term survival rates.
One of the advantages of partial knee replacement is that it preserves healthy bone stock, making conversion to total knee replacement straightforward if needed in the future. The results of conversion TKR after PKR are comparable to primary total knee replacement.

Ready to Take the First Step?

Book a consultation with Dr. Hemendra Agrawal to discuss your condition and explore the best treatment options for you.

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