Knee Replacement in Moscow
Knee replacement is performed in cases of advanced cartilage destruction, limb axis deformity, and persistent pain syndrome that limits walking and daily activity. Patients typically seek treatment due to pain under load, morning stiffness, knee instability, and reduced range of motion when conservative therapy no longer provides stable results.
The essence of the procedure is the restoration of proper knee joint geometry through implantation of a prosthesis that reproduces the anatomical contours of the joint surfaces. This allows elimination of the source of pain, normalization of load distribution, and recovery of controlled flexion and extension of the leg. Unlike temporary symptomatic treatment, surgery is aimed at structural restoration of joint function.
During preparation for surgical treatment, the condition of bone tissue, degree of cartilage wear, patellar position, ligament balance, and the patient’s activity level are carefully analyzed. This approach helps select the appropriate implant configuration and plan the intervention according to individual biomechanics.
The surgical strategy is determined after an in-person consultation and instrumental examination. Expected range of motion, rehabilitation timelines, and long-term implant stability are discussed so the patient clearly understands the recovery prognosis and prospects for returning to an active lifestyle.
MAKO Stryker Robot in Knee Replacement
The MAKO Stryker robotic-assisted system is used in knee replacement to enhance precision in restoring limb alignment and joint biomechanics. This technology is especially important in knee surgery, where even minor deviations in component positioning can affect joint stability and load distribution during walking.
At the preparation stage, individualized 3D planning is performed based on CT scan data. This allows assessment of the condition of joint surfaces, cartilage wear, bone anatomy, and ligament structures. The surgeon creates a personalized implantation plan tailored to the patient’s daily and physical activity demands.
During surgery, the MAKO system helps accurately follow the planned strategy, controlling bone resection volume and implant positioning in real time. This approach improves reproducibility of results and promotes more predictable functional recovery.
Importantly, MAKO does not replace the surgeon — all key decisions are made by the doctor. Robotic assistance serves as a tool that increases surgical precision and reduces the influence of the human factor.
Main Indications for Knee Replacement
Knee replacement is considered when disease or injury leads to persistent pain, impaired weight-bearing function, and limited daily activity, and when conservative treatment no longer provides stable relief.
The main indications include:
Gonarthrosis (knee osteoarthritis)
Progressive cartilage wear accompanied by pain during walking, stiffness, joint deformity, and decreased endurance
Inflammatory diseases of the knee joint
Chronic arthritis, including rheumatoid and post-traumatic forms
Consequences of knee injuries and fractures
Conditions where anatomical restoration by other surgical methods is impossible or impractical
Severe deformities and limb axis deviations
Varus and valgus deformities leading to uneven load distribution and accelerated joint wear
Knee instability and significant restriction of motion
Conditions in which patients lose confidence while walking, climbing stairs, or performing daily activities
The decision to perform knee replacement surgery is made after in-person consultation and comprehensive diagnostics. The doctor evaluates the condition of cartilage, ligament apparatus, limb alignment, activity level, and comorbidities to determine the optimal treatment strategy and recovery prognosis.
Stages of treatment
Online consultation
An online consultation allows you to discuss your condition, complaints, and symptoms in advance. You can submit imaging studies and medical documents, ask questions, and receive a preliminary treatment plan before visiting the clinic.
Examination and 3D surgical planning
All necessary examinations are performed within one day. A CT scan of the joint is conducted, followed by computer-based 3D surgical planning and implant selection to ensure maximum precision.
Surgery
On the second day of the clinic stay, the surgical procedure is performed. Original implants by Stryker Corporation (USA) and the MAKO robotic-assisted system are used, ensuring a high level of precision in implant positioning.
Rehabilitation and follow-up
Recovery begins immediately after surgery. In most cases, you will be able to start walking on the day of the procedure. After discharge, we continue to provide online follow-up care, including recovery guidance, rehabilitation monitoring, and answers to any questions that may arise.
Choose the Type of Surgery
Unicompartmental
Partial replacement of only the affected compartment of the knee joint with preservation of the ligaments and other structures. Suitable for localized osteoarthritis. Preserves native anatomy, provides more natural biomechanics, and allows faster recovery.
The surgery is performed personally by Zaur Sulumov
The doctor is personally involved in every stage of treatment — from the initial consultation and surgical planning to recovery monitoring and outcome evaluation.
Start Treatment
FAQ
On average, knee replacement surgery lasts from 60 to 120 minutes. The duration depends on the degree of joint wear, the patient’s anatomical features, and the selected surgical technique.
In most cases, patients can stand on the day of surgery or the following day. Walking begins with support (walker or crutches) under the supervision of a doctor and a physical therapy specialist.
There is no pain during the operation due to anesthesia. Postoperative pain is effectively controlled with a modern pain management protocol that begins before surgery and continues continuously for the first 48 hours. Most patients report that discomfort is significantly less than expected. Pain usually decreases progressively during the first weeks.
Modern knee implants typically last 15–20 years or more when medical recommendations are followed, with appropriate physical activity and weight control.
Rehabilitation begins within the first 24 hours after surgery and includes exercises to restore mobility, muscle strength, and proper gait. Active recovery usually takes 4–6 weeks, while full recovery may take up to 3 months.
During the first months, it is recommended to avoid sudden movements, jumping, and excessive нагрузки. Later, most patients return to an active daily life, including prolonged walking and moderate sports activities.
Not only can you — in early stages, conservative treatment is often recommended. However, in cases of significant joint destruction, knee replacement remains the most effective method to relieve pain and restore knee function.