Private Knee Replacements in the UK

Private Knee Replacement in the UK: What You Need to Know

Knee replacement surgery is a common procedure for people suffering from severe knee pain due to arthritis, injuries, or other conditions.

While the NHS offers knee replacement surgery, many choose private treatment for shorter waiting times and more personalised care.

In this article, we will look at:

The different types of knee replacements
The procedure details
The costs involved
Benefits of going private
How to choose a hospital / specialist
What to expect during recovery

Types of Knee Replacements

Total Knee Replacement (TKR)

In a total knee replacement, the surgeon removes the damaged surfaces of the femur (thigh bone) and tibia (shin bone) as well as the kneecap (patella) if necessary. These parts are then replaced with artificial components made of metal and plastic. TKR is typically recommended for patients with severe arthritis or significant joint damage affecting the entire knee. This procedure can greatly reduce pain and improve function in the knee.

Partial Knee Replacement (PKR)

A partial knee replacement involves replacing only the damaged section of the knee. This is often recommended for patients with localised arthritis, where only one compartment of the knee is affected (medial, lateral, or patellofemoral). The procedure preserves healthy bone and cartilage, which can lead to a quicker recovery and less post-operative pain. PKR can also result in a more natural feeling knee compared to TKR.

Knee Resurfacing

Knee resurfacing is a less invasive option where only the damaged surfaces of the knee joint are smoothed, and a thin layer of metal is placed over the bone. This procedure is generally suitable for younger patients with less severe damage and aims to preserve as much of the natural joint as possible. It may not be as widely performed as TKR or PKR but can provide significant relief and improved function.

Bicompartmental Knee Replacement

This type of knee replacement is an intermediate option between total and partial knee replacement. It involves replacing two compartments of the knee while preserving the healthy parts. This approach is suitable for patients who have damage in two areas of the knee but not all three. It aims to provide better function and comfort while reducing recovery time compared to a total knee replacement.

Revision Knee Replacement

In cases where a previous knee replacement has failed or complications have arisen, a revision knee replacement may be necessary. This involves removing the old implant and replacing it with a new one. Revision surgeries can be more complex and may require additional considerations regarding bone loss or the type of implant used.

Procedure Details

The knee replacement surgery typically follows these steps:

Before the surgery, you will have a consultation with your surgeon to discuss your condition, surgical options, and what to expect. You may undergo pre-operative tests, including blood tests and imaging studies.

On the day of the surgery, you will be given anaesthesia. This may be general anaesthesia (you will be asleep during the procedure) or regional anaesthesia (you will be awake but numb from the waist down).

1. Incision: The surgeon makes an incision over the knee to access the joint.
2. Removal of Damaged Tissue: The damaged parts of the knee, including bone and cartilage, are removed.
3. Implant Placement: The artificial knee joint (prosthesis) is then inserted, and the surgeon ensures it fits properly.
4. Closing the Incision: Once the prosthesis is in place, the incision is closed with stitches or staples.

After surgery, you will be moved to a recovery room to monitor your vital signs and manage pain. Most patients stay in the hospital for one to three days.

Benefits of Going Private

Reduced Waiting Times:
One of the biggest advantages of private treatment is the shorter waiting time for surgery. You can often get an appointment quickly.

Personalised Care:
Private healthcare typically offers one-on-one attention from healthcare professionals, allowing you to choose your surgeon and have a more tailored experience.

Comfort:
Private hospitals usually provide more comfortable facilities, such as private rooms and better amenities.

Flexible Scheduling:
You can often schedule your surgery at a time that works for you, rather than being limited to the NHS schedule.

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NHS vs. Private Knee Replacements

The NHS provides knee replacement surgery at no direct cost, but waiting times can be long, sometimes exceeding six months.

Private healthcare allows for quicker access and a more tailored experience but at a higher cost. Patients need to consider both the urgency of their surgery and the financial implications when choosing between NHS and private options.

Longevity and Success Rate of Knee Replacements

Knee replacements are known for their high success rates. Research indicates that around 90-95% of total knee replacements provide significant pain relief and improved mobility. The longevity of knee replacements can vary depending on several factors.

Most knee implants can last 15 to 20 years or even longer, with many patients enjoying a significant improvement in quality of life during that time.

Patient Factors: Age, activity level, weight, and overall health can influence how long the implant lasts. Generally, younger and more active patients may wear out their implants more quickly.
Type of Implant: The materials and design of the knee prosthesis also play a role. High-quality implants made from durable materials are likely to last longer.
Postoperative Care: Adhering to a rehabilitation program and maintaining a healthy lifestyle can enhance the longevity of the implant.

Post-Surgery Recovery

Recovery from knee replacement surgery is essential and involves:

Most patients stay in the hospital for one to three days after surgery. During this time, healthcare professionals will monitor your vital signs and manage pain.

Rehabilitation usually starts within a day or two of surgery, focusing on regaining strength and mobility. You may need to attend physical therapy sessions for weeks or months, which can be crucial for a successful recovery.

Your healthcare team will provide guidance on managing pain after surgery. This may include medications and techniques to help alleviate discomfort.

Most patients can return to light activities within a few weeks, while more strenuous activities may take several months. It's essential to follow your surgeon's advice on when to resume specific activities.

Choosing a Healthcare Provider

When selecting a private provider for knee replacement surgery, consider the following. If you have private health insurance your provider can sometimes guide you to a suitable specialist for your treatment. Speak to a health insurance expert at Compare My Health Insurance to find out more.

Reputation: Research hospitals and clinics to find one with a good reputation for knee surgery. Look for patient reviews and success rates.
Surgeon’s Experience: Check the qualifications and experience of the surgeon who will perform the procedure. Ideally, they should specialise in knee surgeries and have a track record of successful outcomes.

Facilities: Visit the hospital or clinic if possible to assess the facilities and comfort levels. Make sure it meets your expectations and offers modern equipment and technology.
Support Services: Consider what support services the provider offers, such as physiotherapy, post-operative care, and follow-up appointments.

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Cost of the Procedure

The cost of a private knee replacement in the UK can vary:

Total Knee Replacement: Generally costs between £12,000 and £16,000.
Partial Knee Replacement: Usually ranges from £8,000 to £12,000.

If you have private medical insurance and you are eligible to claim your insurer will pick up the assocliated costs of this procedure.
Source: Circle Health Group

Inclusions and Surgery Costs

The total cost may cover several important components:

Surgeon's Fees

These can range from £1,500 to £3,500 depending on the surgeon's experience and reputation.

Hospital Fees

This includes costs for the operating room, nursing staff, recovery facilities, and any other hospital services required during your stay. Prices can vary significantly between hospitals.

Anaesthesia Fees

The cost for anaesthesia can range from £800 to £1,500, depending on the complexity of the surgery and the type of anaesthesia used.

Implant Costs

The type of knee implant used can affect the total cost. Premium implants may come with higher price tags but could offer better durability and performance.

Follow-up Care

Some packages include follow-up appointments and physiotherapy sessions post-surgery, which are crucial for recovery.

Physio Therapy

Post-operative rehabilitation is often included in the package, ensuring you receive the necessary support to regain strength and mobility.

Payment Options

There are several ways to pay for private knee replacement surgery:

Self-funding
Many patients choose to pay out of their own pocket.

Payment Plans:
Some private hospitals offer financing options or payment plans to help spread the cost over time, making it more manageable for patients.

Health Insurance:
If you have private health insurance, check if knee replacement surgery is covered. Some policies may have specific exclusions or limitations.

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Final Thoughts

Whilst private knee replacement in the UK offers many benefits, including quicker access to surgery and a more personalised experience the costs can be significant. However many find the advantages worth the investment.

By understanding the types of knee replacements, the procedure details, associated costs, and recovery processes, you can make an informed decision about your healthcare options. Prioritising your health and wellbeing is essential in this important journey.

If you would like some advice on private health insurance as a method for paying for future private treatment such as private knee replacements, simply request your quote fro, Compare My Health Insurance. Our partners can guide you through the process and help you find the best cover to meet your needs.

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