They Struggled With Mental Health Issues
An analysis of multiple studies found that suffering anxiety or depression before a knee replacements was common among people dissatisfied with their results.
What you can do: The study doesnt offer recommendations, but it might make sense to discuss your mental health issues with your surgeon or take steps toward treatment before your surgery.
Why Do People Get Total Knee Replacement
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
HealthTap doctors are based in the U.S., board certified, and available by text or video.
How Long Does It Take To Walk After A Knee Replacement
Most patients progress to a straight cane, walker or crutches within two or three days after surgery. As the days progress, the distance and frequency of walking will increase.
Patients are usually able to drive a car within three to six weeks after surgery and resume all other normal activities by or before six weeks. Complete recuperation and return to full strength and mobility may take up to four months. However, in many cases, patients are significantly more mobile one month after surgery than they were before they had their knee replacement
Don’t Miss: Why Wont My Knee Injury Heal
What Is Knee Replacement Surgery
Knee replacement is where portions of the bones that form the knee joint are removed and replaced with artificial implants. It is performed primarily to relieve knee pain and stiffness caused by .
Most people who get this surgery have advanced knee arthritis, in which the knee cartilage is worn away and the surface of the knee becomes pitted, eroded, and uneven. This causes pain, stiffness, instability and a change in body alignment. Knee replacement surgery can also help some people who have a weakened knee joint caused by an injury or other condition.
Extending The Life Of Your Knee Implant
Currently, more than 90% of modern total knee replacements are still functioning well 15 years after the surgery. Following your orthopaedic surgeon’s instructions after surgery and taking care to protect your knee replacement and your general health are important ways you can contribute to the final success of your surgery.
Don’t Miss: How To Tape An Arthritic Knee
What Are The Alternatives To Revision Surgery
Alternatives to revision knee surgery are rarely used as they can sometimes be more complex and lead to worse results than revision surgery, but they include knee fusion or .
The following alternatives are employed depending on the seriousness of the problem affecting the knee:
- of the knee joint may relieve pain but at the expense of keeping the knee in a fixed, non-bending position.
- may be used in extreme cases in which the knee joint has a severe infection that cannot be eradicated
Alternatives To Knee Replacement Surgery
Although many patients have tried steroid injections or gel shots to increase the lubrication of their knee joints, this is not the best approach. Steroid shots actually kill off stem cells, cartilage cells, and increase cartilage breakdown. Even the commonly used local anesthetics used in the knees can be toxic to stem and cartilage cells. Those who suffer from mild arthritis may benefit from precise injections of highly concentrated platelet-rich plasma . These natural growth factors from your own platelets can support healthy cartilage. The Regenexx protocols allow for the ability to produce better and more individualized platelet products that the typical PRP centrifuge. If you suffer from moderate or severe arthritis, precise guided injections of your own stem cells may be a better choice to provide relief.
Since there are alternative options and a great number of risks associated with knee replacement surgery, you may want to just say no while you explore your options. Our Regenexx Procedure Candidate Form is a great place to start understanding if regenerative orthopedic medicine is right for you.
Regenexx®;procedures are covered by some employers and auto insurance policies. They are not currently covered by Medicare or Medicaid.
You May Like: What Can Cause Sudden Knee Pain
An Artificial Meniscus May Soon Be Available
If you are suffering from knee pain following meniscus surgery or are without viable treatment options, the;NUsurface®Meniscus Implant may provide an alternative option, once it has approval from the U.S. Food and Drug Administration. NUsurfaces design mimics the function of the natural meniscus and redistributes weight across the knee joint. The implant is made from medical grade plastic and, as a result of its unique materials, composite structure, and design, does not require fixation to bone or soft tissues.
NUsurface can potentially address the treatment gap of those who are too old for meniscus repair and too young for total knee arthroplasty. U.S. clinical trials completed enrollment in June 2018, and the company expects to file for U.S. Food and Drug Administration approval soon.
Bleeding Stomach Ulcers Significantly Increase Following Knee Or Hip Replacement
One study shows that bleeding stomach ulcers are a significant problem following kneeor hip replacement. A Danish knee and hip replacement surgery registry was reviewed, and then matched subjects without surgery were used as controls. There was a staggering sixfold increase in stomach bleeding following a hip replacement and a two- to three-times increase following a knee replacement. The elevated risk lasted 12 weeks in hip patients and 6 weeks in knee patients. Using an acid-reducing drug did decrease the risk for hip patients but not for knee patients.
Read Also: Can You Run Again After Knee Replacement
Who Gets Knee Replacement Surgery
You may consider knee replacement surgery if:
- Arthritis in the knee or a knee injury has severely damaged the mating surfaces of the joint.
- Pain and stiffness give you trouble doing everyday activities, such as walking up or down stairs or getting in and out of a car.
- Swelling and inflammation dont go away with rest and medication.Your knee is deformed, such as looking swollen or not shaped normally.
Do You Meet The Criteria For A Knee Replacement
To qualify for a knee replacement, you need to meet two major requirements. One is that you have a significant amount of cartilage loss. This is usual evaluated by taking X-rays of the knee while you are in a standing position. The loss of cartilage is seen as narrowing of the space between the knee bones. The other is that the loss is bad enough that its having a negative impact on your quality of life due to pain, limited function or a combination of the two.
Usually by the time people come to one of the , they have tried everything else and are ready to have surgery.
Read Also: How Long Does Runner’s Knee Last
So Can We Do Anything About It When It Is A Problem With The Other Knee
Clearly knee weakness and instability in the other knee, will present problems in kneeling. If your knee is not bad enough for another knee replacement and you would like to explore other options please consider a review of the following information:
In this article, we are updating research and clinical observations in the use of Platelet Rich Plasma Therapy for the treatment of knee osteoarthritis. We will also explain why PRP may not work and;how getting a single PRP injection is NOT PRP Therapy and will usually lead to unsatisfying long-term results.
Added Health Benefits Of Knee Surgery
Knee replacement surgery doesnt only reduce pain and make it easier for you to get around.
Staying active is crucial for good health. A knee replacement may make it easier for you to get regular exercise. This can help manage or prevent obesity, cardiovascular disease, diabetes, osteoporosis, and many other health conditions.
Strong knees also offer more support and stability, so there is less chance of having a fall.
Most peoples insurance will cover the cost of knee surgery, as long as a doctor says it is necessary. If you are not sure, check with your insurance company.
Even with insurance, however, there may be other costs, such as:
- coinsurance or copays
You may also need to pay for transportation, care in the home, and other items.
Knee replacement surgery can be expensive if you dont have insurance, but prices vary. You may get a better deal in a different city, state, or medical center.
Types Of Knee Replacement Surgery
Knee replacement can be total or partial.
Total knee replacement : Surgery involves the replacement of both sides of the knee joint. It is the most common procedure.
Surgery lasts between 1 and 3 hours. The individual will have less pain and better mobility, but there will be scar tissue, which can make it difficult to move and bend the knees.
Partial knee replacement : Partial replacement replaces only one side of the knee joint. Less bone is removed, so the incision is smaller, but it does not last as long as a total replacement.
PKR is suitable for people with damage to only one part of the knee. Post-operative rehabilitation is more straightforward, there is less blood loss and a lower risk of infection and blood clots.
The hospital stay and recovery period are normally shorter, and there is a higher chance of more natural movement.
Have You Tried Other Options
Before recommending surgery, a doctor will usually recommend trying a number of other options first. These include losing weight, if necessary; doing exercise; and taking pain relief medication.
However, if your answer to some or most of the following questions is yes, maybe surgery is the right option.
- Does knee pain keep you up at night?
- Are you having trouble walking?
- Do you have pain when you stand up or get out of a car?
- Can you walk upstairs easily?
- Are over-the-counter medications not working?
However, surgery can be a major undertaking. If one doctor recommends the procedure, it may be worth seeking a second opinion.
Knee replacement surgery is a common procedure, and most people experience improvements in pain, mobility, and quality of life.
Here are some points to bear in mind:
Every year, over 700,000 people have knee replacement surgery in the US, and over 600,000 have a total knee replacement.
- In over 90% of people, pain levels and mobility improve significantly after surgery.
- Many people can return to the activities they enjoyed before having problems with their knee.
- Fewer than 2 percent of people experience severe complications.
If your doctor suggests surgery, be sure to ask plenty of questions. Click here for some ideas about what to ask.
Learn more about the timeline for recovery from knee surgery.
However, the speed of your recovery will depend on various factors, such as:
Read Also: How To Avoid Knee Replacement Naturally
What Are The Risks Of Bilateral Surgery
It doesnt matter whether you have one surgeon performing the surgeries consecutively or if two surgeons complete the surgeries at the same time. Youll face several risks either way, Dr. Greene says.
Longer anesthesia; Because replacing both knees takes longer, youll spend more time under anesthesia. This may be introduce increased risk, particularly if you have pre-existing heart or lung disease.
More blood loss; Thanks to improved techniques, blood loss from a single knee replacement is typically limited, Dr. Greene says. However, if you have simultaneous replacements, youll have a higher risk of needing a blood transfusion due to hemoglobin loss, he says.
Blood clot risk ;The likelihood is small, but some data points to a higher risk of pulmonary embolism, a blood clot that breaks off and lodges in your lungs. If this happens, the result sometimes;is;fatal.
Hospital re-admission ;After two knee replacements, youll have an increased chance of going to a rehabilitation facility instead of going directly home following a single joint replacement. And spending more time in rehab boosts your risk of ending up back in the hospital, Dr. Greene says.
What Is The Success Rate Of Total Knee Replacement Surgery
Surgeons have been performing total knee replacements since the late 1960s. Improvements in surgical techniques and implant materials have helped make total knee replacements one of the most successful procedures in all of medicine, according to the AAOS.
Of all the knee replacement surgeries performed in the US each year, about 90 percent result in significantly less pain for patients, says the AAOS. Complications from knee surgeries do arise, but are considered rare. These complications can include infection and blood clots. Implants also do not last forever. Eventually parts wear out and need to be replaced, but it is estimated up to 85 percent of artificial knees still work after 20 years.
Doctors Dont Know Who Can And Who Cant Kneel After Knee Replacement
A February 2021 study comes to us from the Australian National University. In this paper, the researchers suggest that despite patients desires to kneel after knee replacement, there is no evidence or guidelines to offer patients on which knee replacement hardware would be best for them. Here is what the researchers wrote in the journal Knee Surgery, Sports Traumatology, Arthroscopy.
Modern total knee replacement prostheses are designed to restore healthy kinematics including high flexion . Kneeling is a demanding high-flexion activity. There have been many studies of kneeling kinematics using a plethora of implant designs but no comprehensive comparisons.; .; .The aim of this systematic review was to determine whether there are any differences in the kinematics of kneeling as a function of total knee replacement design.
In this study, the researchers examined 26 previously published articles on different knee replacement implant designs. What they found were limited findings. Too many designs, too many differently conducted studies. What does this mean to the patient who asks their surgeon about their ability to kneel after knee replacement? The researchers concluded: There remains a need for high-quality prospective comparative studies to directly compare designs using a common method. In other words, we cant tell you for sure.
What Are The Advantages Of Partial Knee Replacement Over Total Knee Replacement
Compared to total knee replacement, partial knee replacement better preserves range of motion and knee function because it preserves healthy tissue and bone in the knee. For these reasons, patients tend to be more satisfied with partial knee replacement compared with total knee replacement. They are still candidates for total knee replacement should they ever need it in the future.
There is also less blood loss during surgery, and knee motion recovers faster with partial knee replacement.
Read Also: What Can Cause Your Knee To Swell And Hurt
How Your New Knee Is Different
Improvement of knee motion is a goal of total knee replacement, but restoration of full motion is uncommon. The motion of your knee replacement after surgery can be predicted by the range of motion you have in your knee before surgery. Most patients can expect to be able to almost fully straighten the replaced knee and to bend the knee sufficiently to climb stairs and get in and out of a car. Kneeling is sometimes uncomfortable, but it is not harmful.
Most people feel some numbness in the skin around your incision. You also may feel some stiffness, particularly with excessive bending activities.
Most people also feel or hear some clicking of the metal and plastic with knee bending or walking. This is a normal. These differences often diminish with time and most patients find them to be tolerable when compared with the pain and limited function they experienced prior to surgery.
Your new knee may activate metal detectors required for security in airports and some buildings. Tell the security agent about your knee replacement if the alarm is activated.
Looking For Alternatives To Total Knee Replacements
We’re also funding research which is investigating alternative approaches to total knee replacement. For example, total knee replacement is not recommended for many young people. This study aims to develop a new method called ToKa®, which uses images of;the patient’s joint and specially designed software to design a patient specific implant that will be made via 3D printing. If successful, this technique could prevent osteoarthritis patients from needing total joint replacement.
Also Check: How To Get Rid Of Growing Pains In Knees
Up To A Third Of Knee Replacements Pack Pain And Regret
Danette Lake thought surgery would relieve the pain in her knees.
The arthritis pain began as a dull ache in her early 40s, brought on largely by the pressure of unwanted weight. Lake managed to lose 200 pounds through dieting and exercise, but the pain in her knees persisted.
A sexual assault two years ago left Lake with physical and psychological trauma. She damaged her knees while fighting off her attacker, who had broken into her home. Although she managed to escape, her knees never recovered. At times, the sharp pain drove her to the emergency room. Lakes job, which involved loading luggage onto airplanes, often left her in misery.
When a doctor said that knee replacement would reduce her arthritis pain by 75 percent, Lake was overjoyed.
I thought the knee replacement was going to be a cure, said Lake, now 52 and living in rural Iowa. I got all excited, thinking, Finally, the pain is going to end and I will have some quality of life.
But one year after surgery on her right knee, Lake said shes still suffering.
Im in constant pain, 24/7, said Lake, who is too disabled to work. There are times when I cant even sleep.
Most knee replacements are considered successful, and the procedure is known for being safe and cost-effective. Rates of the surgery doubled from 1999 to 2008, with 3.5 million procedures a year expected by 2030.