Dr Siram | Total Knee Replacement Specialist

Gautam Siram, MD Orthopedic Joint Specialist located in Chevy Chase, MD

When you start to have trouble walking up stairs or feel knee pain when youre lying down, it may be time to consider a knee replacement. Trusted orthopedic joint replacement specialist Gautam Siram, MD, in Chevy Chase, Maryland, is an expert at performing knee replacement surgery. Dr. Siram and the team use the most advanced tools and techniques, so you get the best outcomes. To schedule a consultation with one of the most trusted joint surgeons in the area, call the office or book an appointment online today.

Schedule Your Appointment Call Us 301-657-9876


Dr Siram | Total Knee Replacement Specialist

What is a knee replacement?

It is a surgical procedure for the treatment of your diseased or severely damaged knee joint. During a knee replacement, Dr. Siram replaces the damaged portions of your knee joint with prosthetic parts to relieve pain and restore joint function.

Dr. Siram is a fellowship-trained joint replacement surgeon and one of the busiest joint surgeons in the area.

When do I need a knee replacement?

Dr. Siram and the team determine when you need knee replacement the surgery after a consultation. The orthopedic joint replacement surgeon may recommend surgery if you have:

  • Severe knee pain that limits mobility
  • Knee pain when youre at rest
  • Chronic inflammation in your knee
  • A knee deformity

Dr. Siram may also recommend knee replacement surgery if conservative treatments no longer provide long-term pain relief.

During your consultation, Dr. Siram reviews your symptoms and your treatment and medical history. He examines your knee to assess strength, stability, and range of motion and conducts X-rays to determine the degree of joint damage.

For some patients, he may also recommend pre-operative CT or MRI scans so that custom, patient-specific instruments can be manufactured based on the specifics of their anatomy.

What are the types of knee replacement?

When it comes to joint replacement surgery, Dr. Siram takes a personalized approach. He customizes your knee replacement surgery based on the degree of joint damage, age, and severity of symptoms.

The procedures include:

Total knee replacement

During this replacement, Dr. Siram removes the diseased cartilage and a portion of the bone. He then replaces them with prosthetic implants that allow for painless joint motion and greater mobility.

Partial knee replacement

During this replacement, Dr. Siram only removes and replaces one compartment of your knee, leaving the rest of your natural joint intact.

Dr. Siram performs partial knee replacement surgery on patients with osteoarthritis or an injury that only affects one compartment of the knee.

Bicruciate retaining knee replacement

Your cruciate ligaments, anterior cruciate ligament (ACL), and posterior cruciate ligament (PCL) are pairs of ligaments located inside your knee that support joint mobility.

During a traditional knee replacement procedure, your orthopedic surgeon removes one or both of these ligaments to provide stability for your prosthetic device.

With advances in tools and technology, Dr. Siram performs bicruciate retaining knee replacement surgery, which spares these ligaments and improves joint movement without sacrificing stability.

Robotic-assisted Total Knee Replacement

During a robotic-assisted procedure, Dr. Siram removes the arthritic portions of your knee and replaces them with a combination of plastic and metal parts that form the new surfaces of your joints.

He uses computed tomography (CT) scans to create a virtual model of your knee. Using that model, Dr. Siram shapes the surrounding bone and precisely places the new components of your knee joint using a robotic arm.

Revision knee replacement

It is a surgical procedure for patients experiencing problems with a prior knee replacement, such as a broken implant or mechanical loosening. 

When possible, he uses minimally invasive techniques to perform knee replacement surgery, including robotic knee replacement.

Dr. Siram is highly-regarded in the DMV area for complex knee replacement and revision surgeries, and many physicians refer their patients to him for treatment.

To schedule a knee replacement consultation at the office of Gautam Siram, MD, call or book online today.

Total Knee Replacement Animation

Frequently Asked Questions

Frequently Asked Questions

How long does the surgery take?

The duration of surgery varies but generally takes 1 to 2 hours.

What should I expect during my first consultation?

During your first consultation, Dr. Siram will review your symptoms and medical history, conduct a physical examination, and may order X-rays or other imaging tests. He will discuss whether knee replacement is suitable for you, explain the procedure, and address any questions you have about the surgery and recovery.

What is the recovery process like after surgery?

Recovery involves pain management, physical therapy, and gradually increasing mobility. The timeline varies but typically includes several weeks of rehabilitation.

How much does a total knee replacement cost?

The cost can vary depending on factors like the type of prosthetic used, the complexity of the surgery, and your insurance coverage. It’s best to contact our office directly to get an accurate estimate based on your specific needs.

How soon can I resume normal activities?

Many patients can start walking with assistance within a few days, but resuming full normal activities can take several weeks to months depending on individual progress.

What is knee reconstruction?

It is a surgical procedure that repairs or reconstructs damaged structures within the knee, such as ligaments, tendons, or cartilage. This procedure is often done in conjunction with or instead of a knee replacement, depending on the extent of the damage.

What should I arrange for transportation and assistance after my surgery?

Arrange for a family member or friend to accompany you to the hospital and drive you home after discharge. You’ll also need help at home with the first night post-surgery, as narcotic pain medications may prevent you from driving. Ensure you have transportation arranged for several days, including your first follow-up appointment.

What are the risks associated with total knee reconstruction?

Risks include infection, blood clots, nerve or blood vessel damage, and implant failure. Discuss these risks with your surgeon before the procedure.

What should I do if I don’t have health insurance and can’t afford medical care?

If you don’t have health insurance, don’t let financial concerns prevent you from receiving care. Contact our office to discuss your situation. We’ll work with you to create a flexible payment plan to ensure you get the medical attention you need.

What payment methods do you accept?

We accept a variety of payment methods including cash, checks, debit cards, MasterCard, VISA, and American Express.