total knee replacement replaces the worn ends of the thigh bone (femur) and the
lower leg bone (tibia) where they meet at the knee. Sometimes the surface of
the patella (kneecap) is replaced too. You may want this surgery if you have
knee pain, stiffness, swelling, or problems moving your knee that you cannot
treat in other ways. For most people, these problems are caused by arthritis.
They can also be caused by a knee injury.
If you need to have both
knees replaced, you may have both surgeries at the same time. Or your doctor
may recommend doing one knee at a time. Your doctor would replace the second
knee after you recover from the first knee surgery. Recovery after a double
knee replacement takes longer than after a single replacement.
surgery, you will get medicine to make you sleep or feel relaxed. If you will
be awake during surgery, you will also get a shot of medicine into your spine
to make your legs numb.
Your doctor makes a 10 to 25 centimetre cut, called an incision, on the front
of your knee. Your doctor then:
The doctor finishes the surgery by closing your incision
with stitches or staples. The stitches or staples are removed 10 to 21 days
after surgery. The incision will leave a scar that fades with time.
There are two types of replacement joints. They are:
Your doctor may also use a combination of cemented and
uncemented parts. Talk to your doctor about the best type of knee joint for
Knee replacement surgery may take about 2 to 3 hours.
An artificial knee will allow you to do normal daily activities with little or
no pain. You may be able to hike, dance, ride a bike, and play golf. Talk to
your doctor about whether you can do more strenuous activities.
You will need to do months of physical rehabilitation (rehab) after a
knee replacement. Rehab will help you strengthen the muscles of the knee and
regain movement in your knee.
You will probably stay in the
hospital for 2 to 7 days after surgery. If you have both knees done at the same
time, you may need to be in the hospital for 1 week or longer. Your rehabilitation
program (rehab) will start at this time. When you go home, you will be able to
move around with crutches or a walker. But you will need someone to help you at
home for the next few weeks until your energy level returns and you can get
around more easily. If there is no one to help you at home, you may go to a
Your knee will be swollen and hurt when
you move it. You will need to take pain medicine for a time after surgery. You
will start to walk with a walker or crutches the day after surgery. You will
also begin doing simple leg exercises. You will probably need about 6 to 12
weeks before you can get back to your job. Your knee may be
sore for up to 3 months.
The rehab after a knee replacement takes
a lot of time and effort. You will have to stretch and do exercises daily to
strengthen your knee and regain movement. The goal of rehab is to bend the knee
at a 90-degree angle, which is like the letter "L." But most people who
complete all of the physiotherapy do better than that.
to remain active after you finish rehab to keep your new knee flexible and
strong. You should be able to walk, swim, golf, dance, and ride a bicycle on
flat ground. But you may not be able to run, ski, or ride a bicycle on hilly
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and
call your doctor or nurse call line if you are having problems. It's also a good idea to know your
test results and keep a list of the medicines you take.
Go to http://www.healthwise.net/ed
Enter A781 in the search box to learn more about "Learning About Total Knee Replacement Surgery."
Current as of:
May 23, 2016
Adam Husney, MD - Family Medicine
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