Knee replacement surgery

Knee replacement surgery replaces damaged parts of the knee joint with metal and plastic components. It may help reduce pain, restore movement and make everyday activities easier when other treatments have not provided enough relief.

Knee replacement surgery overview

Knee replacement is most often considered when osteoarthritis has caused persistent pain, stiffness and reduced mobility that affect your daily life. Your consultant will review your symptoms, scans, general health and personal goals before discussing whether surgery is suitable. There are two main types: Total knee replacement: the damaged surfaces at the lower end of the thigh bone and upper end of the shin bone are replaced. Partial knee replacement: only the damaged part of the joint is replaced, leaving the healthy areas in place.

How is surgery carried out?

Knee replacement is performed in hospital under a general anaesthetic or a spinal anaesthetic. The operation usually takes around one to two hours.

For a total knee replacement, the surgeon removes the damaged ends of the thigh bone and shin bone and fits new metal and plastic surfaces to create the joint. The back of the kneecap may also be resurfaced. A partial replacement follows a similar process but treats only the affected section of the knee.

Are there any risks?

Knee replacement is a common procedure, but every operation carries risks. Your consultant will explain your individual risk and the steps taken to reduce it. Possible complications include:

  • a blood clot in the leg or, more rarely, the lungs
  • infection in the wound or deeper around the joint
  • damage to a nerve, blood vessel, ligament or other tissue
  • ongoing pain, stiffness or difficulty bending the knee
  • instability or another problem with the new joint
  • the replacement wearing or loosening over time, which may require further surgery

 

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Knee replacement surgery overview

Recovery from knee replacement surgery

1-4 weeks

Early recovery: walking safely

In the first few weeks, focus on managing pain and swelling, completing your exercises and moving around regularly as advised. Keep your leg raised when resting and use your walking aids until you feel safe and your physiotherapist advises you to reduce them.

6-12 weeks

Rebuilding movement and strength

During the first six to twelve weeks, physiotherapy and regular exercises will help improve your bend, strength and walking pattern. Some people return to work during this period, depending on their role and progress.

Several months

Returning to everyday activities

Strength, movement and confidence continue to improve over several months. Your care team will advise you about driving, work, travel and suitable exercise. Build activity gradually and follow the plan agreed with your consultant and physiotherapist.

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Knee replacement FAQs

Many people can go home one to three days after surgery once the wound is healing and they can move around safely. Your stay may be shorter or longer depending on your health, the type of replacement and your progress.

NHS guidance advises waiting at least six weeks after a total knee replacement or three weeks after a partial replacement, but you must also be able to control the car safely. Confirm this with your surgeon and motor insurer before driving.

 

Many people return after around six to twelve weeks. A desk-based role may be possible sooner than work involving heavy lifting or prolonged standing. Your consultant will advise you based on your recovery and job.

Many knee replacements last for 20 years or more. How long yours lasts will depend on factors including your age, activity and the type of implant used.

 

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