Patient education: Deciding to have a knee replacement (The Basics)

What is knee replacement? — Knee replacement is surgery to replace part or all of a person's knee joint with artificial or "prosthetic" parts.

The knee joint is made up of the:

●Lower part of the thigh bone (femur)

●Kneecap (patella)

●Top part of the shinbone (tibia)

When a person has problems with their knee joint, it can cause pain, swelling, or stiffness. It can also have trouble moving normally. Different conditions can cause problems with the knee joint. One of the most common causes is osteoarthritis, a type of arthritis that often comes with age (figure 1).

Knee replacement is a treatment that can reduce knee pain and improve the way the knee works.

When is knee replacement recommended? — Knee problems might or might not be treated with knee replacement right away. Doctors often suggest trying other treatments first. These can include:

●Weight loss

●Medicines

●Knee braces

●Physical therapy

If these treatments do not help enough, then doctors might suggest knee replacement.

One reason doctors suggest trying other treatments first, especially for younger people, is that a replacement knee joint can wear out over time. Knee replacements usually last at least 15 years, and most last longer. How long a replacement joint lasts depends on different things, such as how active the person is.

What happens during knee replacement surgery? — Knee replacement happens in an operating room in a hospital. You will get "anesthesia" medicines to make you sleep and to numb your body. Then, the surgeon will make a cut down the center on the front of the knee. They will replace parts of your knee joint with "prosthetic" parts. These can be made out of metal, ceramic, or plastic (figure 2).

After surgery, most people stay in the hospital for 2 to 4 days. In some cases, the stay might be shorter. While you are in the hospital, you will get:

●Medicines to treat your pain

●Antibiotic medicines to prevent infections

●Medicines to prevent blood clots in the legs

●Special boots or stockings to prevent blood clots in the legs

●Physical therapy – Most people are able to stand and walk (with help) within a day after surgery. The physical therapist will teach you exercises to make the muscles in your leg stronger. They will also work with you on bending, walking, and climbing stairs so you can move normally.

What problems can happen after knee replacement? — People can have different problems right after knee replacement surgery, but serious problems are uncommon.

Problems from knee replacement can include:

●Blood clot in the legs – This can cause leg pain and swelling.

●Infection – Symptoms of an infection can include fever, chills, pain in the knee that gets worse, or knee swelling.

If you have any of these symptoms, tell your doctor or nurse.

People who have a knee replaced sometimes find that the new knee is stiff. It might not bend as well as their own knee used to. This can make it hard to climb stairs or get up from a low chair.

Where do I go after I leave the hospital? — Many people go home. But some people stay in a nursing home or rehabilitation center for a short time to get stronger before going home. Wherever you go, it's important to do your exercises and have physical therapy.

When will I be able to do my usual activities again? — Most people can do their usual activities again within 4 to 6 weeks of knee replacement. Your doctor or nurse will tell you if you should avoid any activities.

How do I know if knee replacement is right for me? — To help you decide if knee replacement is right for you, talk with your doctor or nurse. Ask them:

●What are the benefits of knee replacement?

●What are the downsides of knee replacement?

●Are there other options besides knee replacement?

●What happens if I do not have knee replacement?

●How could a knee replacement affect my other health conditions?

More on this topic

Patient education: Knee replacement (The Basics)
Patient education: Osteoarthritis (The Basics)
Patient education: Rheumatoid arthritis (The Basics)
Patient education: Deep vein thrombosis (blood clot in the leg) (The Basics)
Patient education: How to use crutches (The Basics)

Patient education: Total knee replacement (Beyond the Basics)
Patient education: Knee pain (Beyond the Basics)
Patient education: Joint infection (Beyond the Basics)
Patient education: Deep vein thrombosis (DVT) (Beyond the Basics)