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How long after knee replacement do you have to worry about infection?

Author

Sarah Smith

Published Jan 22, 2026

Everyone who has a knee replaced is at risk for a deep infection. Most infections occur in the first two years after surgery. This is when 60 to 70 percent of prosthetic joint infections occur. That said, infections can develop at any time after surgery.

How do I know if my knee replacement is infected?

Signs and symptoms of an infected joint replacement include:

  1. Increased pain or stiffness in a previously well-functioning joint.
  2. Swelling.
  3. Warmth and redness around the wound.
  4. Wound drainage.
  5. Fevers, chills and night sweats.
  6. Fatigue.

How do you prevent infection after knee surgery?

If you're considering joint replacement here are four ways to help reduce your risk of infection:

  1. Ask your surgeon if they screen patients to determine if they are carriers of staphylococcus. ...
  2. Don't smoke, or if you do, quit before surgery. ...
  3. If you have diabetes, control your blood sugar. ...
  4. Maintain a healthy weight.

How do you know if you have an infection in an artificial joint?

Symptoms of Prosthetic Joint Infections

  1. Pain at the incision site.
  2. Redness and warmth at the incision site.
  3. Swelling of the joint or limb.
  4. Drainage from the incision site.
  5. Pain or stiffness in the joint after a period of it being pain-free.
  6. Chills or night sweats.
  7. Fatigue.

How long after knee replacement do you need antibiotics for dental work?

Back in 2003, the American Dental Association (ADA) and the American Academy of Orthopaedic Surgeons (AAOS) issued a joint statement, saying patients should take one dose of antibiotics an hour before dental procedures for the first two years after they received a knee or hip replacement.

43 related questions found

Why does knee replacement hurt more at night?

After you hit the 2-3 week mark in recovery, your narcotic pain medication may be cut down or eliminated entirely. At the same time, your activity level has likely increased due to the demands of your ReHab program. This can cause even more physical pain that can spike during bedtime.

Is it normal for knee to be warm after knee replacement?

Total knee patients can expect to feel warmth for 3-4 months after surgery. The heat is the body's indicator that healing is occurring.

What is the most commonly reported problem after knee replacement surgery?

Knee replacement complications can result from surgery or a faulty implant. Loosening is one of the most serious complications after knee surgery and pain is the most common one. Loosening can cause bone fractures, instability and serious falls. Almost all serious complications require revision surgery.

What happens if you get an infection in your knee replacement?

If a knee replacement infection goes deeper than the skin and tissue around a joint, it may need to be treated surgically. Surgical treatment options include: Debridement: This is a surgical washout of the joint. Any contaminated soft tissue is removed, and the artificial joint is cleaned.

What does joint infection feel like?

Symptoms may include fever, chills, redness at the site of infection, pain or tenderness over the affected bone, and difficulty using the affected limb. They may, for instance, have trouble walking due to severe pain in the legs.

How long after surgery can you get an infection?

Most surgical wound infections show up within the first 30 days after surgery. Surgical wound infections may have pus draining from them and can be red, painful or hot to touch. You might have a fever and feel sick.

How serious is a knee infection?

Knee infection is a serious medical condition that needs immediate treatment. Infection may occur followed by a knee replacement surgery or trauma and is usually caused by bacteria. Infection may spread to the space of the knee joint or deep layers of your knee causing serious complications.

What does an infected knee look like?

It often has a yellow or white center and a central head. Sometimes an infected area is surrounded by an area of redness and warmth, known as cellulitis. Pus and other fluids may drain from the affected area. Some people also experience a fever.

Can you get an infection months after surgery?

There are some situations in which a surgical site infection (SSI) can develop weeks or months after the patient has been sent home from the hospital. Depending on what causes the infection and what body parts are affected, it is possible for an infection to start to form after a procedure.

What happens at 5 months after knee replacement?

The conventional wisdom, and most clinical literature, agree that at five months after knee replacement it is unlikely to see much gain in flexion (bending the knee back). It is understood that knee replacement patients have until three months to improve their flexion, and six months to finish off their knee extension.

How can you tell if your body is rejecting a knee replacement?

The most common symptoms of a failed knee implant are pain, decrease in joint function, knee instability, and swelling or stiffness in the knee joint.

How long does it take for a total knee replacement to stop hurting?

A total knee replacement patient is typically looking at a one year recovery period for things to fully settle down. I should stress that doesn't mean you'll be living with constant pain for a year. But the occasional twinge or moment of discomfort could well last 12 months.

What happens at 4 weeks post op knee replacement?

Knee pain and function greatly improve during the first few weeks after knee replacement surgery. Significant improvements continue during weeks 4 through 6. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines.

How long after knee replacement surgery are you at risk for blood clots?

Taking steps for the prevention and treatment of blood clots after hip and knee replacement surgery is an important part of your recovery. Joint replacement patients are at highest risk for developing a DVT two to 10 days after surgery, and remain at risk for approximately three months.

Why do my knees hurt 3 months after TKR?

A: Recovery from surgery can take several months, so it's not unusual to still have soreness in the knee that was replaced. As the intensity of rehabilitation exercises increases, more strain is put on the muscles and joints that have not been used in a period of time.

What happens at 8 weeks after knee replacement?

By 7-8 weeks after surgery, you continue to exercise your knee and work with your physical therapist. You may add more complicated exercises to your routine and exercise for longer periods of time. You should still plan to avoid high-impact workouts to avoid putting too much stress on your knee.

How much should you walk after knee replacement?

Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes daily, or even 2 to 3 times daily; and walk for 30 minutes, 2 to 3 times daily during your early recovery.

What is the fastest way to recover from knee surgery?

5 Tips to Speed Up Recovery After Knee Surgery

  1. Follow All Physician Recommendations. You should always heed all of your surgeon's instructions and advice. ...
  2. Walk Frequently Once You're Allowed. ...
  3. Eat Healthy Foods. ...
  4. Get Plenty of Sleep. ...
  5. Do Physical and Occupational Therapy Exercises.

What happens at 9 weeks after knee replacement?

It all comes down to motion. At nine weeks, it's important to start returning to those activities you enjoy. Most patients are even returning to work and getting more aggressive with the rehabilitation. At this point, it's important to be patient and know that you're getting better and better every week.

What happens at 3 months after TKR?

By 3 months, most people we work with are at about 70% recovered. But that's pretty far along. If you like to play sports like tennis, you can get back to that at this point. And if golf or bowling are more your speed, you should be okay to do those activities too.