Q. What are the risks and complications associated with knee replacement?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Knee replacement surgery is generally considered safe and effective, but as with any surgical procedure, there are potential risks and complications. It's important for patients to be aware of these possibilities and discuss them thoroughly with their healthcare team. Some common risks and complications associated with knee replacement include:

1. Infection: Infection is a risk with any surgical procedure. It can occur in the wound or deep around the artificial joint. Infections may require antibiotics or, in severe cases, additional surgery to address.

2. Blood Clots: Blood clots can form in the legs and travel to the lungs (pulmonary embolism). Measures such as blood thinners and compression stockings are often used to minimize this risk.

3. Implant Problems: Issues with the artificial joint components, such as wear and tear, loosening, or dislocation, can occur over time and may require additional surgery to correct.

4. Nerve or Blood Vessel Damage: Nerves or blood vessels around the knee can be damaged during surgery, leading to numbness, tingling, or circulation issues.

5. Persistent Pain: Some individuals may experience ongoing pain despite the surgery, which may require further evaluation and management.

6. Stiffness: In some cases, patients may experience persistent stiffness in the knee joint, impacting range of motion.

7. Allergic Reaction: While rare, some patients may have an allergic reaction to materials used in the implant.

8. Heterotopic Ossification: The formation of bone in soft tissues around the joint, which can limit range of motion.

9. Pneumonia: Complications related to anesthesia, such as pneumonia, can occur.

10. Adverse Reaction to Anesthesia: Some individuals may experience adverse reactions to anesthesia, though this is relatively uncommon.

11. Chronic Pain: While most patients experience pain relief after knee replacement, some may still have chronic pain, potentially due to various factors.

12. Bleeding: Excessive bleeding during or after surgery may occur, sometimes requiring blood transfusions.

It's important for individuals considering knee replacement surgery to have a thorough discussion with their healthcare team about their individual risk factors and any specific concerns they may have. Many complications are rare, and the majority of patients experience significant improvement in pain and function after knee replacement.