How successful is knee surgery for arthritis?

Written in association with: Mr Yuvraj Agrawal
Published: | Updated: 31/10/2024
Edited by: Karolyn Judge

Knee surgery, particularly knee replacement surgery, is often considered a highly effective treatment for arthritis, especially for individuals who have not found relief through non-surgical treatments like medication, physiotherapy, or lifestyle changes. The surgery is primarily aimed at reducing pain, restoring mobility, and improving quality of life for patients with severe arthritis in the knee.

X-ray of patient who needs knee surgery for arthritis.

 

What types of knee surgery are available for arthritis?

 

The most common surgical options for treating knee arthritis include:

  • Total knee replacement (TKR): This involves removing the damaged parts of the knee joint and replacing them with artificial components (prostheses). TKR is the most common and widely successful surgery for advanced arthritis.
  • Partial knee replacement: In cases where arthritis is confined to one part of the knee, a partial knee replacement may be performed, which spares the undamaged parts of the joint.
  • Arthroscopy: This is a minimally invasive procedure that can be used to clean out the joint, remove loose cartilage, or smooth rough surfaces. It's typically used for mild to moderate arthritis.

 

 

How effective is knee surgery for arthritis?

 

Knee replacement surgery, particularly total knee replacement, has a high success rate. Around 90-95 per cent of patients experience significant improvement in pain relief, mobility and overall function. Many individuals regain the ability to perform everyday activities, such as walking, climbing stairs and engaging in low-impact sports.

 

Success rates can vary depending on several factors, including:

  • Severity of arthritis: Patients with severe arthritis who undergo knee replacement often report the greatest improvement in symptoms.
  • Patient's age and general health: Younger patients and those in good overall health may experience faster recovery times and better long-term outcomes.
  • Post-operative care: Rehabilitation and physiotherapy are critical components of recovery. Patients who actively participate in physiotherapy and follow post-surgery guidelines often have better outcomes.

 

 

What are the potential risks and complications?

 

While knee surgery is generally safe and effective, like any surgical procedure, it carries certain risks. Potential complications can include:

  • Infection
  • Blood clots
  • Implant loosening or wear
  • Continued pain or stiffness
  • Damage to blood vessels or nerves

 

However, these complications are relatively rare, and most patients experience a smooth recovery with appropriate care.

 

 

How long does a knee replacement last?

 

On average, a total knee replacement can last 15-20 years or longer, depending on the patient's age, activity level and how well the joint is cared for post-surgery. Some newer materials used in knee prostheses may extend the lifespan of the implant even further.

 

 

Is knee surgery for arthritis worth it?

 

For individuals with severe, debilitating knee arthritis, surgery can significantly improve their quality of life. Most patients report a marked reduction in pain, increased mobility and the ability to return to daily activities. However, as with any major surgery, it’s essential to weigh the potential benefits against the risks, and it is recommended to consult a specialist to assess whether knee surgery is the best option based on individual circumstances.

By Mr Yuvraj Agrawal
Orthopaedic surgery

Mr Yuvraj Agrawal is a highly skilled Consultant Orthopaedic Surgeon with practice in Birmingham, Solihull and Droitwich. He specialises in hip and knee surgery, including hip replacement, knee replacement and revision joint replacement (redo surgery). In addition to hip arthritis and knee arthritis, he is also an expert in the treatment and management of other causes of hip pain and knee pain. Alongside his NHS work at the Royal Orthopaedic Hospital, Mr Agrawal sees patients at Birmingham Hip & Knee Clinic at The Droitwich Spa Hospital; Birmingham Hip & Knee Clinic at Spire Parkway Hospital and at the Woodland Suite (Private wing) at the Royal Orthopaedic Hospital.

Mr Agrawal is one of the leading surgeons at the Royal Orthopaedic Hospital, which is one of only four specialist orthopaedic hospitals in the country and has an international reputation as a centre of excellence.

Mr Agrawal qualified from Nepal and completed his basic and specialist training in Trauma and Orthopaedics in Leeds, Manchester and Sheffield. He went on to accomplish two additional fellowships: an advanced fellowship in Orthopaedic Trauma at the Queen’s Medical Centre in Nottingham and an Adult Joint Reconstruction fellowship at the University of British Columbia in Vancouver, Canada. In addition, he was awarded travelling fellowships to Massachusetts General Hospital, Boston, USA and Bedford Orthopaedic Centre, Mhthata, South Africa which helped him further his experience.

Further to his quality orthopaedic practice, Mr Agrawal has extensive academic experience, taking an active role in numerous research projects. He is the author of several papers published in peer-reviewed journals as well as a textbook chapter. He is an active member of the British Hip Society (BHS) and British Association for the Surgery of the Knee (BASK). He currently serves as a Regional Surgical Adviser for The Royal College of Surgeons of Edinburgh. Mr Agrawal is also a dedicated teacher and regularly instructs at specialists courses for medical students and trainee orthopaedic surgeons.

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