Knee Replacement & Knee Preservation Surgery
Specialist Care for Knee Pain, Arthritis, Cartilage Damage and Knee Alignment Problems
Knee pain can affect walking, stair climbing, work, travel, exercise and daily independence. In some patients, the cause may be early cartilage damage, meniscus problems, knee arthritis, bow-leg or knock-knee alignment, while others may have advanced joint damage requiring knee replacement surgery.
Dr Ulhas Sonar provides specialist knee surgery and knee preservation care in Pune for patients with knee pain, arthritis, meniscus tears, cartilage damage and alignment-related knee problems. Treatment is planned after careful assessment of pain severity, limb alignment, cartilage condition, activity level, age, lifestyle needs and long-term function.
The aim is to preserve the natural knee joint whenever possible. When preservation is no longer suitable, options such as partial knee replacement, total knee replacement, robotic knee replacement or revision knee replacement may be considered based on the patient’s condition.
About Knee Joint Replacement & Knee Preservation Surgery
Knee treatment is not the same for every patient. Some people with early arthritis or localised cartilage damage may benefit from non-surgical care, physiotherapy, PRP treatment, arthroscopy, osteotomy or other joint-preserving procedures.
Other patients with advanced arthritis, severe pain, stiffness, deformity or reduced mobility may require partial knee replacement, patellofemoral joint replacement, total knee replacement or robotic-assisted knee replacement.
A detailed assessment helps decide whether the best approach is to preserve the natural knee, delay replacement surgery, replace only the damaged part of the knee, or proceed with total knee replacement when the joint damage is advanced.
Who May Need Knee Surgery or Knee Preservation Treatment?
You may benefit from a specialist knee consultation if you have:
Services Under Knee Replacement & Knee Preservation Surgery
We provide a comprehensive range of specialized procedures and support options under our Knee Replacement & Knee Preservation Surgery care.
Knee Preservation Surgery
01Knee preservation surgery includes treatment options aimed at protecting the natural knee joint and delaying or avoiding knee replacement where possible. This may be suitable for selected patients with early arthritis, cartilage damage, meniscus problems, malalignment or localised joint overload. Treatment may involve rehabilitation, injections, arthroscopy, osteotomy or other joint-preserving procedures depending on the diagnosis.
High Tibial Osteotomy
02High tibial osteotomy is a realignment surgery for selected patients with bow-leg deformity and inner-side knee arthritis. When the inner side of the knee is overloaded because of alignment, this procedure aims to shift pressure away from the damaged area and help preserve the natural knee joint for longer.
Distal Femoral Osteotomy
03Distal femoral osteotomy is a realignment procedure for selected patients with knock-knee alignment or outer-side knee overload. It may be considered when abnormal alignment places extra pressure on the outer compartment of the knee, especially in younger or active patients where joint preservation is still possible.
Partial Knee Replacement
04Partial knee replacement involves replacing only the damaged compartment of the knee when arthritis is limited to one area. This option may be suitable when the rest of the knee joint is well preserved. A careful assessment of ligament condition, arthritis location, alignment and symptoms is required before deciding whether partial knee replacement is appropriate.
Robotic Partial Knee Replacement
05Robotic partial knee replacement is a technology-assisted procedure for selected patients who need precise planning and implant positioning. It may be considered when arthritis is limited to one compartment of the knee and the remaining joint structures are suitable for partial replacement.
Total Knee Replacement
06Total knee replacement is used for advanced arthritis affecting multiple compartments of the knee. It may be recommended when knee pain, stiffness, deformity and reduced mobility significantly affect daily activities and other treatment options no longer provide adequate relief.
Robotic Total Knee Replacement
07Robotic total knee replacement is robotic-assisted knee replacement for advanced knee arthritis. The robotic system supports detailed surgical planning and precise bone preparation while the surgeon remains in full control of the procedure. It may be suitable for selected patients requiring total knee replacement with personalised planning.
Patellofemoral Joint Replacement
08Patellofemoral joint replacement is a partial knee replacement option for arthritis mainly affecting the kneecap joint. Patients with this condition may experience pain while climbing stairs, squatting, sitting for long periods or rising from a chair. If the rest of the knee is well preserved, this focused replacement option may be considered.
Revision Knee Replacement
09Revision knee replacement is surgery for a previous knee replacement that has become painful, loose, infected, unstable or worn out. This is usually more complex than first-time knee replacement and requires detailed assessment of symptoms, X-rays, scans, implant position, bone condition and possible causes of pain or failure
Knee Arthritis Treatment Planning
10Knee arthritis treatment planning involves assessment of arthritis severity, knee alignment, pain level, activity level and treatment goals. The aim is to decide whether the patient is best suited for non-surgical care, physiotherapy, injections, PRP treatment, knee preservation surgery, osteotomy, partial knee replacement or total knee replacement.
PRP and Regenerative Orthopaedics for Knee Pain
11PRP and regenerative orthopaedic options may be considered for selected patients with early arthritis, cartilage-related pain, tendon problems or soft-tissue knee conditions. These treatments are not suitable for every patient. A consultation helps assess whether injection-based treatment, rehabilitation, joint preservation surgery or standard orthopaedic treatment is more appropriate.
Your Knee
Treatment Journey
Experience a structured and highly personalised approach, guided by state-of-the-art robotic precision at every step.
Detailed Knee Assessment
The consultation begins with a discussion of symptoms, pain location, walking ability, stair difficulty, swelling, stiffness, previous treatments, work needs and activity goals.
Clinical Examination
Dr Ulhas Sonar assesses knee movement, alignment, deformity, stability, swelling, walking pattern and functional limitations.
Imaging Review
X-rays, MRI scans or other imaging may be reviewed to understand cartilage damage, arthritis severity, joint space narrowing, deformity, meniscus condition and bone quality.
Personalised Treatment Planning
Treatment is planned according to pain severity, arthritis stage, limb alignment, cartilage condition, meniscus status, activity level and long-term goals.
Choosing the Right Pathway
Depending on the diagnosis, the treatment pathway may include non-surgical care, physiotherapy, PRP, arthroscopy, osteotomy, partial knee replacement, robotic knee replacement, total knee replacement or revision surgery.
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Answers to common knee replacement & knee preservation surgery questions
Helpful information for patients looking for home physiotherapy, rehabilitation support, and same-day care options in Dubai.
Knee preservation surgery refers to treatments aimed at protecting the natural knee joint and delaying or avoiding knee replacement where possible. It may include osteotomy, arthroscopy, meniscus preservation, cartilage treatment, PRP or structured rehabilitation.