Dr Aman Goyal - Best Ortho Expert in Kosi Kalan
Total Knee Replacement
Total Knee Replacement (TKR) is an elective surgical procedure performed by expert orthopaedic surgeons to treat advanced osteoarthritis of the knee. The arthritis may be primary or secondary, stemming from conditions like rheumatoid arthritis or trauma.
Recent advancements in surgical techniques and implant materials have significantly improved patient outcomes. TKR involves replacing the damaged distal femur and proximal tibia with metal implants, along with a high-grade polyethylene tibial insert on the tibial base plate. Depending on the case, patella resurfacing may also be performed.
At Goyal Hospital, Dr. Aman Goyal, one of the best knee replacement surgeons in Mathura, ensures optimal care and excellent results for every patient.

Symptoms of Knee Osteoarthritis
Patients with knee osteoarthritis often experience the following:
- Persistent Knee Pain: Typically in older adults, the pain worsens with time.
- Swelling (Joint Effusion): Visible inflammation around the knee joint.
- Gait Changes: A valgus or varus thrust gait may develop.
- Deformities: Indian-origin patients often present with genu varus (bow-legged deformity) or flexion deformities. Rheumatoid arthritis cases may show genu valgum (knock-knees).
- Joint Crepitus: Patients may feel or hear grinding or popping sounds while moving the knee.
Causes and Risk Factors of Osteoarthritis
Osteoarthritis, a degenerative joint disease, occurs when the cartilage of the knee joint wears out over time, exposing raw bone ends. This friction causes pain and leads to the formation of osteophytes, which restrict motion and deform the joint.
Key risk factors include:
- Age: The condition worsens as people age.
- Genetics: A family history of osteoarthritis increases susceptibility.
- Obesity: Excess weight accelerates joint degeneration.
Preventing Osteoarthritis and Avoiding Surgery
Dr. Aman Goyal emphasizes that while he excels in knee replacement surgeries, prevention is always better. Adopting healthy habits can delay or prevent the onset of severe osteoarthritis:
- Maintain a healthy weight to reduce joint strain.
- Practice proper sitting habits and avoid prolonged kneeling or squatting.
- Engage in regular exercise and physiotherapy to strengthen the joints.
- Early intervention with knee injections or minor surgeries, like osteotomies to correct alignment, can slow disease progression and delay the need for a total knee replacement.
With expert care from Dr. Aman Goyal and a proactive approach, patients can manage knee health effectively and avoid major surgeries whenever possible.