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

Author

Sarah Smith

Published Jan 10, 2026

Pain and Other Physical Complications. Knee replacement surgery can result in physical complications ranging from pain and swelling to implant rejection, infection and bone fractures. Pain may be the most common complication following knee replacement surgery.

What is the most serious complication of a knee joint replacement?

Infection. Infection after knee replacement surgery is the most feared complication of most patients and surgeons. The primary focus must be to take all precautions possible to try to avoid infection. Even with appropriate steps, sometimes infections still occur.

What are the signs of a failed knee replacement?

What are the signs of knee replacement failure? 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.

What can go wrong after a total knee replacement?

Possible knee replacement surgery complications

  • Infection. ...
  • Longer-term knee stiffness. ...
  • Persistent knee pain. ...
  • Implant failure. ...
  • Nerve or blood vessel damage. ...
  • Blood clots. ...
  • Make preparing for knee surgery a priority. ...
  • Follow your recovery plan.

What is the most common complication after joint replacement?

One of the most common serious medical complications related to joint replacement surgery is blood clots. Deep vein thrombosis (DVT) refers to a blood clot in the leg and is called a deep vein thrombosis.

38 related questions found

What causes fluid on the knee after knee replacement?

As they take time to heal, there may be excess fluid accumulation in the tissue as a part of the inflammatory chain leading to healing. The swelling persists even after the skin incision heals as the tissues in the body take a long time to get back to their condition before the surgery.

Why does my knee still hurt 6 months after knee replacement?

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.

How does a TKR affect the cardiovascular system?

The chances of a heart attack were more than eight times greater in the first 30 days after total knee replacement surgery compared to people who didn't have the procedure. The risk of a heart attack was four times greater during the month following total hip replacement surgery, the study revealed.

Why is my knee still swollen 8 weeks after surgery?

While the healing process of the injured tissue may have occurred and the weakened tissue is back to full tensile strength, there still may be swelling which is activity dependent.

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.

Is your immune system compromised after knee replacement surgery?

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.

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 can you tell if your knee replacement is too big?

If the implanted femoral component is larger than the patient's natural femur, it can result in the patient struggling to regain acceptable flexion and complain of “tightness” when they try to bend their knee. Sometimes this is referred to as “over stuffing.”

Is a full knee replacement considered major surgery?

Who is offered knee replacement surgery. A knee replacement is major surgery, so is normally only recommended if other treatments, such as physiotherapy or steroid injections, have not reduced pain or improved mobility.

How long after knee replacement can you get a blood clot?

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.

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.

How far should I be walking after knee replacement?

How much walking is optimal after knee replacement surgery? Most physical therapists say to walk as much as you're comfortable with. Start small with little steps over short distances, using an assistive device as needed. Gradually work your way up until you can cover longer distances without discomfort.

Should I still have pain 5 weeks after knee replacement surgery?

General pain may occur for up to several weeks following a total knee replacement. Swelling typically lasts for 2 to 3 weeks after surgery, but may persist for as long as 3 to 6 months.

What causes high heart rate after knee replacement surgery?

Post-operative tachycardia is often attributed to catecholamine release in response to operative stress or anemia.

What causes high heart rate after knee surgery?

Postoperative tachycardia is a common and largely unexamined occurrence in patients undergoing orthopedic hip and knee surgery. Postoperative sinus tachycardia is often attributed to catecholamine release in response to surgical stress or anemia, and it is theorized that most patients recover without sequelae.

What is needed for cardiac clearance?

You may need an echocardiogram, stress test, and other tests based on your individual risk factors, type of surgery planned, current heart health, and test results.

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.

Should I still have pain 8 weeks after knee replacement?

After a total knee replacement, I'll see my patients again in 6-8 weeks. Often, they won't be full of the joys of spring at this point. The knee will often still be sore, and we'll be managing this with physio once or twice a week, ice packs and over the counter painkillers. The follow up session will be at six months.

How long does the tightness last after total knee replacement?

By 6 weeks, pain and stiffness should continue to resolve, and isokinetic quadriceps and hamstrings strengthening exercises can be incorporated. By 3 months, most TKA patients should have achieved greater than 90% of their ultimate knee motion and pain control.

Is walking good for fluid on knee?

If you have mild to moderate pain in your knees due to osteoarthritis, walking and other exercise helps mobilize your joint fluid and lubricate the joints. You should walk and do other exercises that move your knee joints.