Joint Replacement Archive

Total knee replacement can relieve pain and restore function for people with knee osteoarthritis. Innovations, such as robotic-assisted surgery, personalized 3D-printed implants, and enhanced protocols for rehabilitation and pain control, aim to further improve results.

A 2025 study found that for people with advanced knee osteoarthritis in which the damage is limited to one side of the joint, partial knee replacement is as effective as total knee replacement for pain relief and improved function and carries a similar need for additional surgeries within 10 years.

Obesity is thought to increase the risk of complications for people undergoing certain joint replacement surgeries. A 2025 study found that compared with people of a healthy weight, people with severe obesity (BMI of at least 40) were at no greater risk for serious complications following shoulder replacement surgery.

If total knee replacement is needed for both knees and symptoms in both are equally severe, bilateral knee replacement can be done, either in one surgery or in stages. Replacing both knees at once may be a good option for people under 75 with no major medical conditions and support at home.

Total knee and hip replacements are highly successful procedures that can relieve pain and restore mobility for people with severe arthritis. Occasionally, joint replacement fails, and revision surgery is needed. Reasons for revision include infection, implant loosening, dislocation, and fracture. Warning signs of a problem include persistent pain, swelling, or instability. Revision surgeries are more complex, require longer recovery, and carry higher risks than the original surgery. Experienced surgeons who perform these procedures frequently tend to have the most success.

In the journals

A study published online March 14, 2017, by The Journal of the American Medical Association suggests that when it comes to speed of recovery after a total knee replacement, a home-based rehabilitation program is as good as rehab that starts with a stay in the hospital.

Researchers randomly assigned people with osteoarthritis undergoing total knee replacement into two groups for 10 weeks of therapy. Those in one group received 10 days of hospital inpatient rehabilitation followed by a clinician-monitored program that they attended two to three times a week for eight weeks. Those in the other group skipped the hospital rehab and went straight into the clinician-monitored program but then progressed to at-home exercises.

News briefs

 Image: © Wavebreakmedia/Thinkstock

Many older adults have pain from knee osteoarthritis, a condition in which cartilage in the joints wears away. But when is it time for joint replacement? An observational study published March 28, 2017, in The BMJ suggests that a new knee improves quality of life only in certain cases. The study included over 7,400 middle-age and older adults who already had knee arthritis or were at high risk for the condition. Compared with people who didn't have knee replacement, those who had the surgery during the 26-year study period appeared to have a better quality of life afterward. However, the improvements were minimal, except in people who were less physically functional before the surgery because of more severe arthritis symptoms. The authors suggest that the high costs of knee replacement may be justified only in those who are severely affected by arthritis. What if your symptoms aren't severe? As we reported last month, it may be possible to delay or avoid knee surgery by strengthening your leg and core muscles, losing weight, and improving range of motion.