Why it's done
By Mayo Clinic staffThe most common reason for knee replacement surgery is to repair joint damage caused by osteoarthritis and rheumatoid arthritis.
You may be a candidate for knee replacement if:
- Your pain is disabling. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. They also may experience moderate or severe knee pain at rest.
- Other treatments haven't helped. More conservative treatments include weight loss, physical therapy, a cane or other walking aid, medications, and braces.
- You have a knee deformity. Knee replacement can be especially helpful for people who have a knee that bows in or out.
- You're 55 or older. Knee replacement is typically performed in older adults, but it may be considered for adults of all ages. Young, physically active people are more likely to wear out their new knees prematurely.
- Your general health is good. Conditions such as restricted blood flow, diabetes or infections can complicate surgery and recovery.
References
- Martin GM, et al. Total knee arthroplasty. http://www.uptodate.com/home/index.html. Accessed March 4, 2010.
- Total knee replacement. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00389. Accessed March 4, 2010.
- Crockarell JR, et al. Arthroplasty of the knee. In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/187318357-3/0/1584/34.html?tocnode=55686206&fromURL=34.html. Accessed March 5, 2010.
- Kaplan RJ. Total knee replacement. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/187318357-3/963204237/1678/74.html#4-u1.0-B978-1-4160-4007-1..50073-0_1167. Accessed March 4, 2010.
- Billante MJ, et al. Knee replacement in aging athletes. In: DeLee JC, et al. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/187318357-5/963235486/2079/63.html#4-u1.0-B978-1-4160-3143-7..00023-3--s1630_3895. Accessed March 5, 2010.
- Martin GM, et al. Complications of total knee arthroplasty. http://www.uptodate.com/home/index.html. Accessed March 4, 2010.
- Anesthesia for hip and knee surgery. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00372. Accessed March 5, 2010.
- Minimally invasive total knee replacement. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00405. Accessed March 5, 2010.
- Joint surgery. American College of Rheumatology. https://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/jointsurgery.pdf. Accessed March 5, 2010.

Find Mayo Clinic on