Fast Track Knee Replacement

Fast Track Knee Replacement
Table of Contents

Fast track knee replacement is a fast track knee recovery technique. It’s a precise way of doing surgery that ensures a consistent and reproducible outcome to the surgeon and a higher level of satisfaction to the patient.

Fast Track knee Replacement in Chennai is a personalized enhanced recovery that has been designed safely and effectively to improve the outcomes followed by knee replacement surgery. Fast track knee replacement from the departments of orthopaedics closely develops an individualized pathway for the treatment of the patients. 

As the increasing elderly population and increasing incidence of osteoarthritis, the growth of requirement of knee arthroplasty is to be expected. However, the difficulty in economic health care along with increasing financial pressure has reinforced the necessity of putting FT into the focus.

The SMART technique ensures minimal blood loss, hence no requirement for blood transfusion. The major advantage is immediate postoperative pain relief enabling the patients to walk within 4.00 to 5.00 hours after surgery.

Painless surgery motivates the psychology of the patient to ambulate early and climb stairs on day one. The rehabilitation is faster as compared to conventional surgery thus facilitating discharge on day two. The patient can return to normal life in 15 days after surgery.

On testing the results of SMART knee replacements, the complications like deep vein thrombosis and infection rate have been significantly reduced making a safer procedure for all age groups.

Dr. L. Bharath, the orthopaedic surgeon is making thousands of lives more comfortable, happier and painless today with this Fast track knee replacement.

The Orthopaedic Surgeon along with his team at Bharath Orthopaedics mainly focus on pain management and early mobilization, in the Fast-Track program for a faster recovery, improved patient satisfaction and fewer postoperative complications. Patients of all age groups can be highly benefited compared to the old type of knee surgery.

What Is The Fast Track Total Knee Replacement?

Fast Track Total Knee Replacement is a headway in knee medical procedure by which the patient is released in 24-48 hours after the medical procedure. This decreases physiological and mental pressure connected with a medical procedure by upgrading early preparation and fast recuperation.

What Happens During The Procedure?

Fast track daycare total knee replacement surgery involves use of advanced surgical techniques and miniature instruments. Regional anaesthesia is administered. All this ensures minimal cut, reduces complication, infection and side effects.

Objective of Fast track knee replacement

The prevalence of knee osteoarthritis is around 21% in men and 42% in women especially above the age of 60 years. Around 1 lakh knee replacement surgery is carried out in India every year and the count is expected to increase by 20% annually over the next few years.

The main objective of this philosophy for the orthopaedic surgeon is to handle the knee replacement procedure to make it less painful, have a quicker recovery, and provide physiotherapy with no pain delivering good results.

The knee replacement surgeon follows a multi-modal approach for fast-track knee replacement with less surgical time, early mobilization, easy discharge and speedy recovery.

The main objective of knee surgery with the talented knee replacement surgeon is the fast-track knee replacement which has been the most successful of all the orthopaedic procedures. There has been a huge improvement in the technology, surgical technique and understanding of the biomechanics of knee joints.

A lot of difference has been made to treat post-knee surgery recovery by post-operative pain management and painless physiotherapy. 

Advantages of fast track knee replacement

Minimal (or) no pain

We all know knee replacement surgery has a major procedure. But thankfully, the fast track knee replacement is the minor one with less pain or no pain at all. 

Trusted results

The best part is that you will get trusted results that are very cost-effective and there will be no side effects on the body. Some people usually complain that they have complications after knee surgery, this is not the scenario at all. An orthopaedic surgeon suggests this fast track knee replacement because this is among the best ones which consume less time.

Speedy recovery

The speedy recovery after this fast track knee replacement makes the patient for an early discharge after the knee surgery. As the orthopaedic surgeon guides you the chance of mental stress or disturbance can be much less along with the reduced chance of infection and minimal stitches.

Fast Track knee replacement in Chennai

Painless physiotherapy

Without getting any additional equipment like the knee brace, the patient can get back to their regular activities.

Faster mobility

The results are quite long-lasting with easy and faster mobility. For almost 10 to 15 years, a patient need not undergo any knee surgery again. If they are taking care of them by following the guidelines suggested by the knee replacement surgeon during the surgical procedure, for sure there will be no problems at all.

Fast track knee replacement in Chennai has less pain and stitches less surgical procedure. There will be no large incisions at the site of injury along with no stitches. Overall, it is right to conclude that this Fast track knee replacement in Chennai comes up with numerous benefits.

Get in touch with the best orthopaedic surgeon and get the knee surgery done with the best treatment. If there is any problem just discuss it with the knee replacement surgeon so that they can help you in knowing how to treat the condition.

Advantages of Day-care or Fast Track TKR Procedure

With minimal incision, minimal blood loss, minimal exposure, and shorter stay at the hospital, Fast-Track Knee Replacement has revolutionized the healthcare industry. However, it has certain benefits that include:

  • Faster or speedy recovery.
  • No staying for hours in the hospital.
  • Small incisions are made during the procedure.
  • Minimum or no disturbance to the habitual routine.
  • Cost- effective procedure.
  • Minimal pain due to unique anaesthesia methods.
  • Hassle free physical therapy with a faster mobility.
  • Minimal mental stress or disturbances, especially for the aged or elderly.
  • Ease of staircase activity, and stick walking made easy on the 3rd day after the surgery.
  • Restoring to faster normalcy within 3 to 4 weeks’ time after surgery.
  • Long-lasting results with the use of Imported Metal Back Implants and Latest German Computer Navigation Machine.
  • Reduced risk of cross-infection to the other patients or their relatives.

Are there any age limits for fast track knee replacement?

The hospital, the surgeon, and his team must be well equipped and trained in handling extreme age group patients. If knee osteoarthritis is severe and has affected the quality of life, then age is not a limit for doing a knee replacement.

How long has the fast track knee replacement lasted once done?

A well-done surgery with available implant qualities should last 20 to 25 years without any problems. When failed after 25 years, revision (redo) surgery is an option available nowadays and that can last for 15 to 20 years.

Can the surgery be done in all hospitals?

For doing Fast Track Knee Replacement, special operation theatre-like clean air laminar (class 100) flow theatres and personal protection space suits are required to reduce dreadful complications like infections. Ensure the team and the hospital does a high volume of knee replacement surgeries to have a safe and successful procedure with predicted outcomes.

This novel technique has been gradually evolved by Dr. L. Bharath taking cues from his personal experiences with well over thousands of knee replacements as well as mentoring from legendary surgeons in this field and making him a pioneer in fast track knee replacement with all its unique characteristics.

Smart knee involves modification of surgical techniques at various stages of the procedure including preoperative, intra-operative, and post-operative protocols. The key element in the smart technique is minimal handling of soft tissue and bone, facilitating fast track recovery and early return to routine life.

As a result, the surgical time has reduced significantly to 20 mins compared to the standard protocols requiring 2. 30 to 3.00 hours. The precision of this technique helps to reduce the error of the index surgery to achieve consistent, predictable, and reproducible outcomes in a fast-track manner.

A study of fast track knee replacement has been made with the 5 years of follow up in the name of Fast-track protocols.

The aim of this protocol is to compare the standard care and fast track total knee arthroplasties in terms of functional and subjective outcomes, hospital stay, number of transfusions and analgesic consumption.

Fast Track Knee Replacement Surgery

The knee is the largest joint in the human body which supports the movement of legs and is very much essential to perform day-to-day activities. The routine activities can be affected due to the injury or damage to the knee causing severe pain or impaired function which paves a way for knee replacement. One such procedure is the fast track knee replacement Surgery.

What is Fast Track Knee Replacement?

This procedure is performed only in a few centres that follow this surgery with experts as it is a sophisticated procedure. The fast-track knee replacement is also referred to as daycare total knee replacement. It is a new revolutionary minimally invasive technique that can be completed within an hour duration with reduced chances of infection.

Surgery involves performing the procedure using miniature instruments with advanced surgical techniques while managing regional anaesthesia limited to the infected part of the leg area. The miniature instruments are used along with the regional anaesthesia to reduce pain, infections, trauma, side effects or complications typically associated with surgery, as well as helps in faster recovery of the patient.

Fast Track Knee Replacement Surgery

Three phases of the Fast Track Knee Replacement Surgery

The Fast-Track (or Day-care) TKR program along with its related approaches are categorized into 3 phases as per the proceedings of the surgery:

Pre-operative phase:

The pre-operative phase comprises investigations and cross consultations which is highly required. Then the patient is completely assessed for surgery. The entire procedure is explained by the orthopaedist with adequate or detailed information. Antibiotic, Infectious prophylaxis is given and Pre-emptive analgesia is used for the treatment before the surgery.

Intra-Operative Phase

In the Intraoperative phase, the patient is injected with regional anaesthesia which can control the pain and help in minimal blood loss during the procedure.

Post-Operative Phase

It is a multimodality, effective pain management that utilizes different analgesia techniques. It is essential for a patient to be equipped with all necessary equipment to monitor the patient. Intensive care will be provided. If a patient requires a homestay, the activities of the patient should be monitored and reported to the operating surgeon. In case of any emergency, patients can be shifted from home to the hospital.

How Fast Track Surgery for Knee Replacement is safe and secure in the COVID-19 Pandemic era?

While the COVID-19 pandemic remains widespread in India and across the globe and is probable to persist for the foreseeable future, Fast-Track Knee Replacement is a safe surgical procedure to reduce the spreading of the disease.
Moreover, with Fast-Track knee Replacement surgery, the patients are likely to go home the same day after the procedure to avoid an overnight stay at the hospital.


Progressively patients can take advantage of fast-track surgery for knee replacement because the advancements in the healthcare field have recently been fabricated with newer anaesthesia protocols and unique multimodal pain reduction strategies. The other surgeries may be crucial to the recovery process, but it is so flexible with this particular surgery technique.

On examining the results, the complications such as the deep vein thrombosis and infection rate have vitally reduced making knee replacement a safer procedure for all age groups.

The precision of this smart technique aids in reducing the error of the index surgery to achieve persistent, anticipated, and repeatable outcomes in a fast-track manner.

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