Dr Gaurav Pawar is the Best Total Knee Replacement Surgeon ( Knee & Shoulder ) in Bibwewadi, Dhankawadi, Katraj, Kondhwa, Undri, Wanowrie, Hadapsar and Pune. A total knee replacement (or total knee arthroplasty) is a surgical procedure in which an orthopedic surgeon removes damaged bone and cartilage from the knee joint and replaces them with artificial implants made of metal and medical-grade plastic. It is primarily performed to relieve severe, chronic pain and restore mobility in patients suffering from advanced arthritis or injury. The Procedure- During the surgery (which generally takes 1 to 2 hours), the surgeon follows these main steps: โข Bone Preparation: The damaged cartilage and a small amount of underlying bone at the ends of the femur (thighbone) and tibia (shinbone) are removed. โข Implant Placement: Metal components are shaped and fitted perfectly onto the ends of the thighbone and shinbone, usually held in place with surgical cement or a press-fit technique. โข Kneecap Resurfacing: The underside of the patella (kneecap) is typically trimmed and resurfaced with a plastic button. โข Smooth Gliding Surface: A durable medical-grade plastic spacer is inserted between the metal components to ensure the joint functions smoothly, much like natural cartilage. Why It Is Done- Healthcare providers generally recommend a total knee replacement when non-surgical treatmentsโsuch as physical therapy, medications, and joint injectionsโno longer manage the pain or restore function. Common reasons include: โข Osteoarthritis: The most common reason; a โwear-and-tearโ condition where joint cartilage degrades. โข Rheumatoid Arthritis: An autoimmune condition that causes inflammation and joint damage. โข Post-Traumatic Arthritis: Joint deterioration that occurs after a severe fracture or ligament injury.