Knee replacements: Why are they required?

Written in association with: Mr Saket Tibrewal
Published:
Edited by: Karolyn Judge

Top Doctors speaks to leading consultant trauma and orthopaedic knee surgeon Mr Saket Tibrewal about when knee replacements become necessary, and all about what’s involved in the process in this informative article.

Man who requires a knee replacement, holding his knee

  

Why would someone require a knee replacement?

A knee replacement usually becomes necessary when the knee joint becomes arthritic. Persistent pain, stiffness, difficulty walking, and limited daily activities may indicate the need for this surgical intervention if other measures to control the symptoms fail.

 

 

What's the best age to have a knee replacement?

There is no specific age requirement for knee replacement, although there are less predictable outcomes in patients under 60 years old.  The final decision depends on individual health and circumstances.

 

Generally, this surgery is considered when knee pain and impaired function significantly impact your quality of life. Your orthopaedic surgeon will assess your condition and guide you on the most suitable timing.

 

 

Are knee replacements painful?

Yes, there is pain following knee surgery, however post-operative pain is managed carefully with medications and other pain relief strategies.

 

Advancements in pain management techniques have significantly minimised post-surgery pain. The first few weeks can be difficult; however, most patients experience improved comfort as they progress through rehabilitation.

 

 

What are the advantages and disadvantages of a knee replacement?

Advantages include:

  • reduced pain;
  • improved mobility, and;
  • ultimately an enhanced quality of life.

However, like any surgery, knee replacement has potential risks, such as:

  • infection;
  • blood clots;
  • persistent pain;
  • stiffness or swelling.

Your healthcare team will discuss the specific benefits and risks based on your individual health.

 

 

How long does it take to recover from a replacement knee?

Recovery duration varies. Patients can walk immediately and generally only need to spend a couple of days in hospital, although in some cases it may be possible to do the surgery as a day case.  Patients typically resume light activities within a few weeks and can drive after six weeks.

 

Full recovery

Full recovery may take several months and requires physical therapy to regain strength and mobility. It’s crucial to follow your surgeon's guidance, attend rehabilitation sessions, and engage in prescribed exercises for optimal recovery.

 

 

 

Arrange a consultation with Mr Tibrewal via his Top Doctors profile, today.

By Mr Saket Tibrewal
Orthopaedic surgery

Mr Saket Tibrewal is a leading consultant trauma and orthopaedic knee surgeon based in Essex and London. He specialises in total knee replacementspartial knee replacementACL reconstruction alongside sports injuriescartilage regeneration and knee arthroscopy.  He practises privately in Essex at the Spire Hartswood Hospital, Nuffield Health Brentwood Hospital, Spire Wellesley Hospital & Springfield Hospital, as well as in London at the Basinghall Clinic and the Cromwell Hospital.  His NHS base is at Broomfield Hospital (Mid and South Essex NHS Foundation Trust).

Mr Tibrewal is highly qualified, with an MBBS from the Royal Free Hospital and University College Medical School at the University of London, and is triple fellowship trained at international centres of excellence in Sydney and Melbourne in Australia, as well as Oxford. He underwent specialist orthopaedic training on the prestigious Percivall Pott Rotation in London, and was awarded his FRCS from the Royal College of Surgeons in 2011. 

Mr Tibrewal's international sub-specialist training included comprehensive advanced experience in all aspects of knee surgery and he gained expertise in the use of computer navigation in Sydney. He then trained in complex arthroplasty and trauma reconstruction in Melbourne, and on his return to the UK he focused purely on knee surgery at the Nuffield Orthopaedic Centre in Oxford. There, he gained expertise in unicompartmental knee replacements (UKA).

Mr Tibrewal is one of only a few surgeons in his region solely dedicated to treating knee problems. He has extensive experience and one of the highest volume clinical practices covering all aspects of knee surgery and sports injuries. He strives to consistently deliver the same level of excellent care to every patient he treats. He provides a comprehensive specialist knee surgery service and is able to tailor any treatment he offers to best suit the individual needs of his patients. This results in them receiving bespoke personalised treatment that aims to return patients back to their day-to-day lives with the highest level of function as soon as possible. 

Mr Tibrewal was one of only two surgeons awarded the ESSKA-SLARD travelling fellowship in 2022. He visited the best hospitals and knee surgeons in Colombia, Peru, Chile, Brazil and Argentina where he was able to share his knowledge and experience, in addition to sitting on the expert panel for knee replacement surgery at the Argentinian Arthroscopy Association International Conference. He has also been awarded the BOTA-IOSUK Travelling Fellowship at Ganga Hospital and Breach Candy Hospital, the AO International Trauma Fellowship at Sunnybrook Hospital, Canada, the EFORT Travelling Fellowship at HUG, Switzerland, the HCA Foundation Scholarship in Melbourne and the BOA Travelling Fellowship in Endoklink, Germany. 

Mr Tibrewal's clinical research has been published in various peer-reviewed journals and he is an Associate Editor for the Journal of Clinical Orthopaedics & Trauma. He is a member of the General Medical Council (GMC), the British Medical Association (BMA) and the Medical Defence Union (MDU). He is also a member of the British Orthopaedic Association (BOA), the British Association for Surgery of the Knee (BASK) and the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA). Further affiliations include membership of the American Academy of Orthopaedic Surgeons (AAOS), The Girdlestone Orthopaedic Society and The Magellan Orthopaedic Society.

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