Knee replacement surgery, also known as knee arthroplasty, is a common procedure that helps relieve pain and restore function in individuals with severe knee damage or arthritis. In this guide, we will explore the basics of knee replacement surgery, including what it is, who it is for, and what to expect before, during, and after the procedure.

What is Knee Replacement Surgery?

Knee replacement surgery is a surgical procedure that involves replacing damaged or diseased parts of the knee joint with artificial components. The goal of this surgery is to relieve pain, improve mobility, and restore function in individuals with severe knee damage or arthritis.

Who is a Candidate for Knee Replacement Surgery?

Knee replacement surgery is typically recommended for individuals who have severe knee pain and stiffness that limits their daily activities and affects their quality of life. This pain and stiffness are often caused by conditions such as osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis.

Other factors that may make someone a candidate for knee replacement surgery include:

  • Failure to respond to non-surgical treatments such as medication, physical therapy, or injections
  • Difficulty walking or standing for extended periods
  • Chronic knee inflammation and swelling
  • Significant knee deformity
  • Previous knee injuries or surgeries

Types of Knee Replacement Surgery

There are two main types of knee replacement surgery: total knee replacement and partial knee replacement.

Total knee replacement involves replacing the entire knee joint with artificial components, including the femur (thigh bone), tibia (shin bone), and patella (kneecap). This is the most common type of knee replacement surgery.

Partial knee replacement, also known as unicompartmental knee replacement, involves replacing only the damaged part of the knee joint. This is a less invasive procedure and is only suitable for individuals with damage in one specific area of the knee.

What to Expect Before Knee Replacement Surgery

Before undergoing knee replacement surgery, your doctor will conduct a thorough evaluation to determine if you are a suitable candidate for the procedure. This may include a physical exam, imaging tests, and blood tests.

You may also be asked to make certain lifestyle changes, such as quitting smoking or losing weight, to reduce the risk of complications during and after surgery.

Preparing for Surgery

In the weeks leading up to your surgery, your doctor may recommend certain exercises to strengthen your knee and improve your range of motion. They may also provide you with a list of medications to avoid before surgery, as some medications can increase the risk of bleeding.

You will also need to arrange for someone to drive you home after the surgery and assist you with daily tasks during your recovery period.

What to Expect During Knee Replacement Surgery

Knee replacement surgery is typically performed under general anesthesia, meaning you will be asleep during the procedure. The surgery itself can take anywhere from 1-3 hours, depending on the type of knee replacement being performed.

During the surgery, your surgeon will make an incision in the front of your knee and remove damaged parts of the joint. They will then replace these parts with artificial components made of metal, plastic, or ceramic.

After the components are in place, your surgeon will close the incision with stitches or staples and cover it with a bandage.

What to Expect After Knee Replacement Surgery

After the surgery, you will be taken to a recovery room where medical staff will monitor your vital signs and provide pain medication as needed. You may also be given a compression stocking to wear on your leg to prevent blood clots.

Recovery and Rehabilitation

Most individuals will need to stay in the hospital for 1-3 days after knee replacement surgery. During this time, you will work with a physical therapist to begin rehabilitation exercises and learn how to use assistive devices such as crutches or a walker.

You will also be given instructions on how to care for your incision and manage pain at home. It is important to follow these instructions carefully to ensure a smooth recovery.

Long-Term Recovery

It can take several weeks or even months to fully recover from knee replacement surgery. During this time, it is important to continue with physical therapy and follow any exercise or activity restrictions provided by your doctor.

You may also need to make certain lifestyle changes, such as avoiding high-impact activities or wearing supportive shoes, to protect your new knee joint.

Risks and Complications of Knee Replacement Surgery

As with any surgery, there are risks and potential complications associated with knee replacement surgery. These may include:

  • Infection
  • Blood clots
  • Nerve damage
  • Allergic reaction to anesthesia
  • Dislocation of the artificial joint
  • Loosening or wearing out of the artificial joint over time

It is important to discuss these risks with your doctor before undergoing knee replacement surgery.

Conclusion

Knee replacement surgery is a common and effective procedure for relieving pain and restoring function in individuals with severe knee damage or arthritis. By understanding the basics of this surgery, you can make an informed decision about whether it is the right option for you. Remember to discuss any questions or concerns with your doctor before undergoing the procedure.