Before and After Knee Replacement Surgery

Signs That You Might Need a Knee Replacement

Unsure if knee replacement surgery is right for you? Here are some telltale signs to consider.

1. Persistent Knee Pain

You may want to consider surgical solutions if your knee pain doesn’t respond to treatments such as medication, physical therapy, or rest.

2. Limited Range of Motion

A damaged joint could be the culprit when stiffness or difficulty bending the knee interferes with walking, sitting, or standing.

3. Swelling or Deformity

Chronic swelling or visible deformities like a bowing knee can worsen over time, affecting overall mobility.

4. Bone-on-Bone Contact

X-rays showing a narrowing of the joint space or bone-on-bone contact indicate that the cartilage has significantly deteriorated.

These symptoms can make routine activities like climbing stairs, driving, or even getting out of bed challenging. Innovative procedures such as total knee replacement or partial knee arthroplasty can provide relief.

Preparing for Knee Replacement Surgery

Preparation is essential for successful knee replacement surgery, known as knee arthroplasty. Taking proactive measures ensures athletes start strong on their recovery journey.

1. Consult Your Healthcare Team

Your healthcare team, which includes your orthopedic surgeon, physical therapist, and possibly other specialists, will guide you. During consultations:

• Discuss your medical history, including previous injuries, allergies, or any existing conditions like rheumatoid arthritis.
• Conduct essential pre-surgery steps, like X-rays and blood tests, to evaluate the condition of your knee and overall health.

2. Strengthen and Prepare Your Body

Engaging in an exercise program prescribed by your physical therapist can help build strength in your lower leg and surrounding muscles to support recovery. Strengthening exercises like biking, light squats, or leg presses help prime the muscles around the knee while minimizing joint strain.

Calcium and vitamin D supplements may also be recommended to maintain bone health and enhance healing.

3. Prepare Your Recovery Space

Adjust your living space to ensure a smooth recovery. Install handrails on staircases and consider assistive items like a raised toilet seat and a shoehorn. These modifications reduce risk and improve comfort post-surgery.

4. Learn About Pre-Surgery Precautions

Your orthopedic surgeon may prescribe blood thinners to prevent blood clots before and after surgery. It’s essential to follow all instructions regarding medications, dietary restrictions, and preparation for the day of your surgery.

What to Expect During the Surgery

During joint replacement surgery, an artificial joint or prosthesis made of metal or plastic replaces the damaged parts of your knee. This helps restore function and eliminate knee pain caused by conditions like osteoarthritis.

Minimally invasive techniques often reduce recovery times and minimize tissue damage. If only part of the knee is damaged, a partial knee replacement may be recommended for some patients.

Outpatient vs. Hospital Stay

Advancements in medical care mean many knee arthroplasty procedures are now conducted as outpatient surgeries, allowing you to recover at home instead of enduring an extended hospital stay. After surgery, you’ll spend time in the recovery room, where your care team monitors your vitals and ensures your pain is controlled.

You may wonder, “Can I go home the same day as surgery?” The answer depends on your case and medical history.

Outpatient Surgery

Generally, patients who are good candidates for outpatient surgery are:

• In good overall health with no major medical conditions that could increase surgical risk or complications.
• Highly motivated to participate in the recovery process and have a strong support system at home to assist with care.
• Younger. While age isn’t the sole determining factor, younger patients tend to recover faster and have fewer complications.

Hospital Stay

Patients who may require an overnight hospital stay after knee replacement surgery include those who:

• Have significant heart, lung, kidney, or other medical problems that may increase the risk of complications.
• Are older. Older patients may have a higher risk of complications and may need closer monitoring post-surgery.
• Lack home support. Patients who live alone or lack adequate support at home may benefit from the initial care and monitoring provided in the hospital.
• Have complex surgical needs. If the surgery is expected to be more complex or lengthy, the surgeon may recommend an overnight stay for closer observation.

At Alexander Orthopaedics, our Outpatient Advantage program is tailored for optimal recovery. Our mobile therapy team helps prepare your home for post-surgery safety and provides follow-up visits.

Personalized Treatment Plans

Every patient’s journey is unique. Athletes often benefit from treatment plans that cater to their high activity levels, focusing on a quicker return to biking, golfing, or whatever sports you enjoy. Our sports medicine team treats professional athletes, high school and college athletes, and amateur sports enthusiasts alike.

After Knee Replacement Surgery

Recovering from knee arthroplasty requires time and commitment. While every individual’s recovery pace differs, following the proper steps can significantly enhance your quality of life post-surgery.

1. The Early Recovery Phase

Once home, you’ll focus on managing pain, preventing complications, and regaining mobility:

• Pain management will include a combination of prescribed pain medication, icing the affected area, and physical therapy.
• To prevent blood clots, your doctor may recommend wearing compression stockings, using assistive devices, and staying active with guided movements.

2. Gradual Rehabilitation

Your physical therapist will design a personalized exercise program to strengthen your new knee and surrounding muscles. These exercises will improve flexibility, reduce stiffness, and rebuild confidence in movement. Dedication and consistency make everyday activities like walking, climbing stairs, and returning to sports like biking or golfing possible.

Recovery from total knee replacement surgery requires time and dedication. Here’s a general timeline to guide you:

Days 1–7:

• Gentle movement begins on the day of surgery.
• A physical therapist will teach you basic exercises to strengthen the knee and improve your range of motion.
• You’ll likely use a walker to move around safely.

Weeks 2–6:

• Gradual improvement in mobility and strength through regular physical therapy sessions.
• Start transitioning from assistive devices to walking with greater independence.
• Focus on pain management and flexibility exercises.

3+ Months:

• Return to normal activities like walking, biking, or even low-impact sports like golfing.
• Continue strengthening your knee joint and building endurance.

3. Managing Lifestyle Adjustments

Adapting to your new knee may involve:

• Using assistive devices like canes or walkers during the initial weeks.
• Understanding the longevity of your artificial joint and avoiding high-impact activities that might wear it down.
• Addressing concerns about metal detectors if your prosthesis contains metal components.

4. Returning to Sports and High-Activity Levels

Athletes often ask, “Can I return to the sports I love?” The answer is yes—with proper care and time! Many people return to low-impact activities like swimming, biking, and golfing. Be sure to consult your healthcare team to set realistic goals and timelines for your return to full activity.

5. Long-Term Outlook

Knee replacement surgery can drastically improve your quality of life, helping you feel more active and pain-free. Modern prostheses, made with advanced techniques and durable materials, can last 15–20 years, ensuring you stay strong for years.

Schedule an Appointment for Your Knee Replacement at Alexander Orthopaedics

Knee replacement surgery isn’t just about reducing pain—it’s about regaining the life you want. From essential everyday activities like sitting, standing, and walking to hobbies such as hiking or golfing, a new joint can dramatically enhance your mobility and improve your outlook on life.

If you’re considering a total knee replacement or still have questions, our expert physicians and physical therapists are ready to guide you through every step.

Schedule an appointment at Alexander Orthopaedics today.

Before and After Knee Replacement Surgery FAQs

How Long Does It Take to Walk Normally after Total Knee Replacement?

Most patients can walk with assistance within 1–2 days after surgery. Regaining full independence typically takes 6–12 weeks.

What Hurts the Most after Knee Replacement Surgery?

Pain and swelling at the incision site and soreness and stiffness in the knee joint and surrounding muscles are common in the first week after surgery—strategies like ice packs, prescribed pain medications, and regular physical therapy help ease discomfort.

How Common Is Knee Replacement Surgery?

Knee replacement surgery is very common and one of the most successful procedures in all of medicine. Over 700,000 procedures are performed annually in just the U.S., according to the American Academy of Orthopaedic Surgeons.

Are You Ever the Same After a Knee Replacement?

With proper recovery, many patients return to everyday activities and hobbies, such as golfing, within a few months of having new knee surgery.

When Is It Safe for Patients to Drive After Right Total Knee Arthroplasty?

Patients often resume driving 4–6 weeks post-surgery, but it’s critical to consult with your healthcare team to ensure you’re ready.

Are There Risks of Developing Blood Clots?

Yes, blood clots can pose a risk after knee surgery, but preventative measures such as blood thinners, compression stockings, and mobility exercises significantly reduce the risk.