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Frequently Asked Questions About Knee Replacement

Frequently Asked Questions About Knee Replacement

Knee Replacement: Frequently Asked Questions

What Is Knee Replacement?

Knee replacement is a treatment option used when damage or fractures in the knee joint impair its function.

Who Is a Candidate for Knee Replacement?

It is recommended for individuals experiencing severe knee pain—such as pain that wakes them at night—and significant movement limitations impacting daily life.

How Long Does the Surgery Take?

Depending on the type of implant and surgical indications, knee replacement typically takes approximately 2 to 2.5 hours.

How Many Days Is Hospital Stay?

  • Admission is early on the day of surgery, including blood tests and X-rays.

  • Patients begin walking the day after surgery, with regular wound dressings.

  • Typically discharged after 3 nights in the hospital.

Post-Operative Care: What Should I Pay Attention To?

  • The most important aspects are wound care and infection prevention.

  • Bone infections can be severe and may require prosthesis removal even with treatment.

  • Patients must perform prescribed exercises and, if necessary, follow up with physical therapy.

  • Strict compliance with physician instructions is essential.

What Are the Pre‑ and Post‑Surgery Risk Factors?

Risks vary by chronic conditions, age, and surgery duration:

  • Intraoperative risks: misplacement of prosthesis or fracture, vessel or nerve injury.

  • Postoperative risks: blood clots, infection, wound-healing issues, pain, prosthesis loosening.

Following your doctor’s guidance can significantly reduce these risks.

Wound Care & Sutures Removal

  • Wound dressings are done daily in the hospital.

  • Post-discharge, continue with medical advice.

  • Dressings should be changed every two days for three weeks by qualified healthcare professionals.

  • An X‑ray is done at week 3.

  • Sutures are removed at the end of week 3, and bathing is permitted thereafter.

  • Patients can return to normal life after six weeks.

Recovery Timeline

With proper exercise and physical therapy, patients are advised to return to normal routines by six weeks post-surgery.

How Long Does a Knee Prosthesis Last?

Modern knee prostheses are made of durable titanium and plastic.

  • Patients with no excessive weight and moderate lifestyles may enjoy lifelong use.

  • High-impact activities, obesity, and frequent jumping/running can shorten its lifespan.

How Long Will I Experience Post‑Op Pain?

Pain may occur during exercises but is manageable with pain relief medications and physical therapy. Most patients no longer complain of pain after rehabilitation.

How Many Types of Knee Prostheses Are There?

There are two main types:

  • Total Knee Replacement: Entire joint is replaced.

  • Partial Knee Replacement: Only the damaged part is replaced.

Can Both Knees Be Operated on at Once?

Yes, but the decision should consider pain management, personal care needs, surgery time, and wound care.

Is the Prosthesis Made of Metal?

Most prostheses feature a titanium metal component combined with plastic inserts for smooth movement.

Signs of Prosthesis Infection

Infection can be serious and must be treated promptly.

  • Look for swelling, warmth, and pain.

  • Always ensure wound care is performed by healthcare professionals.

Why Does the Prosthesis Loosen?

Causes include:

  • Patient-related: Poor bone quality, osteoporosis, high activity.

  • Prosthesis-related: Wear and tear, material issues.

How Can You Detect Loosening?

  • Persistent, severe pain not relieved by painkillers.

  • Swelling.

  • Audible clicking or grinding during movement.

A loosening requires revision surgery.

What Is Revision Surgery?

Performed when the prosthesis is loose or infected—removing and replacing the problematic components.

Who Is Not Eligible for Knee Replacement?

It's generally suitable for all ages with irreversible joint damage or affected areas near the joint.

  • Contraindications: infection in the knee or systemic infection.

Can Patients with a Prosthesis Have an MRI?

Most modern implants are MRI-compatible and safe under current standards.

Typical Post‑Op Complaints

Patients may experience:

  • Movement-related pain (usually improves after therapy).

  • Clicking or grinding sounds during motion.

  • Swelling.

  • Infection.

  • Movement restrictions.

These symptoms typically resolve with proper care and rehabilitation.