Southern California Orthopedic Surgeon

Is Total Knee Replacement Surgery Right for You?

Home > Blog > Is Total Knee Replacement Surgery Right for You?

Total Knee Replacement
If you’ve been dealing with knee pain that affects your ability to move, walk, or enjoy everyday activities, you may be considering total knee replacement (TKR) surgery. Knee pain, often caused by arthritis or injury, can make simple tasks like walking, climbing stairs, or even standing difficult. While knee replacement surgery can provide significant relief and improve quality of life, it’s important to understand whether it’s the right option for you. Below is a brief overview of what total knee replacement is, when it might be needed, how the surgery works, and what to expect during recovery.

What Is Total Knee Replacement?

Total knee replacement is a surgery where the damaged or worn-out parts of your knee joint are replaced with artificial components. The knee is a hinge joint where the femur (thigh bone), tibia (shin bone), and patella (kneecap) come together. In a total knee replacement, the damaged bone and cartilage are removed and replaced with metal, plastic, or ceramic parts designed to mimic the function of the natural knee joint.

This surgery is typically performed when other treatments, like medications or physical therapy, don’t relieve pain or improve mobility. The goal of the surgery is to reduce pain, improve movement, and help people get back to their normal activities.

When Should You Consider Total Knee Replacement?

Not everyone with knee pain needs a knee replacement, and surgery is usually considered only when non-surgical treatments are no longer effective. Here are some signs that it might be time to consider total knee replacement.

Persistent Pain

If you’ve been experiencing knee pain for months or years that doesn’t improve with rest, medication, or physical therapy, it could be a sign that your knee joint is severely damaged. Chronic pain that gets worse over time, especially when you’re active, is a common reason people seek knee replacement surgery.

Difficulty with Daily Activities

If knee pain is preventing you from doing everyday activities like walking, climbing stairs, or getting out of a chair, it may be time to think about surgery. A knee replacement can help restore your mobility, making it easier to perform tasks that were once simple and enjoyable.

Limited Range of Motion

As knee joint cartilage wears away, you may experience stiffness, swelling, and reduced range of motion in the knee. If you’re unable to bend, straighten, or move your knee comfortably, it can interfere with your ability to walk or stand. A total knee replacement can improve mobility and flexibility in the joint.

Arthritis or Joint Damage

Knee osteoarthritis is the most common cause of severe knee pain and is often the reason for a knee replacement. Arthritis causes the cartilage in the knee joint to wear away, making the bones rub against each other, which leads to pain, swelling, and stiffness. If arthritis or other forms of joint damage are significantly affecting your quality of life, surgery might be the best option.

Ineffective Nonsurgical Treatments

Before considering surgery, doctors typically recommend nonsurgical treatments such as physical therapy, medications, injections, or lifestyle changes. If these treatments have not provided lasting relief or if the pain continues to interfere with your life, it might be time to talk to your doctor about knee replacement surgery.

How Is Total Knee Replacement Performed?

Total knee replacement is a major surgery, but it’s usually very effective in relieving pain and restoring function. Here’s a general overview of the procedure:

  • Anesthesia: You will be given anesthesia to either put you to sleep or numb the area around your knee.
  • Incision: The surgeon makes an incision in the knee to access the joint.
  • Removal of Damaged Parts: The damaged portions of the femur, tibia, and patella are removed.
  • Insertion of Prosthetic Parts: The surgeon replaces the removed bone and cartilage with artificial components. These parts are made of metal, plastic, or ceramic and are designed to mimic the natural knee joint.
  • Closing the Incision: Once the prosthetic parts are in place, the surgeon will close the incision with stitches or staples.


The surgery usually takes about one to two hours. Afterward, you will be moved to a recovery room where the medical staff will monitor your condition.

What is the Recovery Process Like?

After total knee replacement, recovery can take time, but most people experience significant improvement in pain and mobility. Here’s what you can expect during the recovery process.

Hospital Stay

You will likely stay in the hospital for a few days following surgery. During this time, you will start physical therapy to begin improving the strength and mobility of your knee. The goal is to start moving the knee as soon as possible to prevent stiffness and improve flexibility.

Physical Therapy

Physical therapy is a key part of recovery. A physical therapist will guide you through exercises to strengthen the muscles around the knee and improve your range of motion. The more actively you engage in physical therapy, the faster your recovery will be.

Returning to Normal Activities

Most people can start walking with the help of a walker or crutches within a day or two of surgery. After a few weeks, you may be able to return to light activities, like walking and driving. Full recovery can take up to 3 to 6 months, and you may need to avoid high-impact activities for some time.

Long-Term Care

Once you’ve fully recovered, you’ll need to take care of your new knee by continuing with regular exercises and avoiding activities that may put too much strain on the joint. Regular follow-up appointments with your doctor will help ensure that your new knee remains in good condition.

Risks and Considerations

While knee replacement surgery is generally safe, it does come with some risks. These can include infection, blood clots, nerve damage, or complications related to anesthesia. However, these risks are rare, and most people experience a significant reduction in pain and improvement in mobility after surgery.

It’s also important to note that the success of the surgery depends on factors like your age, overall health, and the condition of the knee joint. Your doctor will help you determine whether knee replacement surgery is the best option for you.

Conclusion

If you’ve been living with knee pain that affects your quality of life, total knee replacement surgery may be the right choice. The surgery can significantly reduce pain, improve mobility, and help you return to the activities you enjoy. However, it’s important to talk to your doctor and carefully consider your options before deciding if knee replacement surgery is right for you. With proper care and rehabilitation, many people find that knee replacement allows them to live pain-free and more actively.

Contact Southern California Orthopedic Surgeon today to schedule an appointment!