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Total knee replacement is a highly effective knee replacement surgical procedure designed to relieve chronic knee pain and restore function in patients with advanced joint damage. This procedure replaces the entire knee joint with durable implants, helping improve mobility, stability, and quality of life.
Total knee replacement, also known as total knee arthroplasty, involves removing damaged cartilage and bone from the knee joint and replacing it with metal and polyethylene components. These implants recreate the surface of the joint, allowing for smoother movement and reduced pain.
This procedure is typically recommended for patients with severe arthritis or joint damage affecting multiple areas of the knee.
Total knee replacement is often considered when conservative treatments no longer provide relief and or partial knee replacement is not an option. These treatments may include anti inflammatory medications, injections, physical therapy, weight loss, and activity modification.
Patients with persistent knee pain, stiffness, swelling, or limited mobility that interferes with daily activities may benefit from surgical treatment.
Total knee replacement surgery is designed to relieve pain and improve overall knee function. Patients often experience increased mobility, improved joint stability, and the ability to return to daily activities with less discomfort.
The goal of surgery is to restore function and allow patients to move more comfortably and confidently.
In many cases, total knee replacement can be performed using minimally invasive techniques. These approaches are designed to reduce disruption to surrounding muscles and soft tissues.
Minimally invasive methods may support a more efficient recovery process while maintaining the accuracy and effectiveness of the procedure.
After your initial evaluation, additional steps are required to prepare for surgery. Lab work and an EKG are performed to ensure that you are medically ready for the procedure.
If robotic assistance is being used, a CT scan may be ordered to assist with surgical planning. You will also complete a pre surgery education program that outlines the procedure, recovery expectations, and preparation steps.
If you are under the care of a specialist for other medical conditions, coordination for surgical clearance will be arranged to ensure a safe procedure.
Total knee replacement surgery is performed using a carefully planned approach to restore proper alignment and function of the knee joint.
During the procedure, the damaged surfaces of the femur, tibia, and patella are removed and replaced with prosthetic components. These implants are designed to mimic natural knee movement while providing durability and support.
The procedure is performed using advanced surgical techniques focused on accuracy, stability, and long term performance.
Recovery after total knee replacement varies by patient but typically takes several months. Most patients begin walking soon after surgery and start physical therapy within a few days.
A structured rehabilitation program is essential to restore strength, flexibility, and range of motion. Most progress occurs in the first six weeks, with continued improvement over three months and beyond.
Swelling, stiffness, and discomfort are common early in recovery and gradually improve with time and activity.
Complications are uncommon but can occur. Early risks include infection, blood clots, and stiffness. Preventative measures are taken to reduce these risks, including medications and specific surgical protocols.
Long term risks may include implant wear, loosening, or instability. In some cases, revision surgery may be required in the future.
Following post operative instructions and participating in physical therapy helps reduce the risk of complications and supports long term success.
Can I kneel after total knee replacement?
Yes, kneeling is allowed after total knee replacement and does not damage the implants. Some patients find kneeling uncomfortable, so using a pad or cushion is often helpful.
Can I use stairs after surgery?
Yes, you will be encouraged to use stairs as part of your recovery. Most patients are able to begin stair use shortly after surgery with proper support and guidance.
When can I return to activities like golf, swimming, or pickleball?
Most patients return to low impact activities between 6 weeks and 3 months depending on recovery progress. Higher impact activities are generally not recommended after total knee replacement.
When can I return to work after total knee replacement?
Most patients are fully cleared to return to work around 3 months after surgery. Many patients return sooner depending on the physical demands of their job.
Is total knee replacement painful?
Total knee replacement is expected to be painful, especially in the first two weeks. Pain is managed with medication, icing, elevation, and physical therapy to support recovery.
How long does pain last after total knee replacement?
The first two weeks are typically the most uncomfortable. Pain and stiffness gradually improve over 6 weeks, with continued improvement over 3 months. Some mild aches and stiffness can last longer as the knee continues to heal.
When can I drive?
For a right knee replacement, driving is usually not recommended for 4 to 6 weeks. For a left knee replacement, driving may be possible sooner, typically after 2 to 3 weeks, once you are no longer taking strong pain medication and can safely control the vehicle.
How long does a total knee replacement last?
Total knee replacements are designed to be durable and often last 15 to 20 years or longer depending on activity level, overall health, and implant wear over time.
Will I need physical therapy after surgery?
Yes, physical therapy is an essential part of recovery. It helps restore strength, flexibility, and range of motion. Patients are also expected to perform exercises at home in addition to guided therapy sessions.
When will I be able to walk without assistance?
Most patients begin walking with assistance shortly after surgery. Many transition away from a walker or cane within a few weeks, depending on strength, balance, and progress in therapy.
Choosing the right surgeon for total knee replacement is an important step in restoring mobility and improving quality of life. Dr. Catherine Cahill provides a patient focused approach centered on careful evaluation, clear communication, and treatment plans tailored to each individual.
If you are experiencing ongoing knee pain and limited mobility, scheduling a consultation is the first step toward understanding your options. Dr. Cahill takes the time to perform a thorough evaluation of your condition, review your symptoms, and discuss your goals for recovery and activity.
A personalized assessment allows for a clear understanding of whether total knee replacement is the right solution for your situation. Patients receive straightforward guidance on available treatment options, expected outcomes, and the steps involved in both surgery and recovery.
With a focus on precision, patient education, and long term results, Dr. Catherine Cahill is committed to helping patients move forward with confidence and a treatment plan designed specifically for their needs.