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What are the risks associated with a knee or hip replacement surgery?

Dear Doctor,

My name is Jürgen Fischer and I have been suffering from severe knee pain for some time now. My primary care physician has advised me to consider a total knee replacement (TKR) as conservative therapy no longer seems to be effective. However, I am concerned about the potential risks and complications associated with such a surgical procedure.

I am 55 years old and have a physically demanding job, so it is important for me to be able to regain mobility quickly and continue working. I have also heard that a TKR can lead to infections, thrombosis, or other complications. Therefore, I am wondering about the actual risks involved and how likely they are.

I am also curious about the typical recovery time after a TKR and whether I will be able to resume my sporting activities such as hiking or cycling afterwards. I want to make sure that I am well-informed and able to make the right decision for my health.

Could you please explain in detail what risks are associated with a TKR, how they can be minimized, and what I can do to support the healing process as much as possible? I appreciate your time and expertise in advance.

Sincerely,
Jürgen Fischer

Helma Krause

Dear Jürgen Fischer,

Thank you for your message and trust in my expertise as an orthopedic surgeon. I am sorry to hear that you are suffering from severe knee pain and are considering a knee replacement surgery. I understand your concerns about the potential risks and complications associated with such a surgical procedure. I would be happy to answer your questions and provide you with the best possible information.

A knee replacement surgery is typically a safe and effective procedure that helps many patients alleviate their pain and restore mobility in the knee. However, as with any surgery, there are risks associated with a knee replacement. Possible complications include infections, blood clots, nerve damage, implant loosening or failure, and bruising. The likelihood of such complications occurring is generally low, especially when the surgery is performed by an experienced and qualified surgeon.

To minimize the risk of complications, it is important to discuss possible risks and your individual risk profile with your doctor before the surgery. It is also important to prepare well for the surgery, such as maintaining a healthy diet, not smoking, exercising regularly, and strengthening your knee as much as possible.

The recovery time after a knee replacement surgery can vary depending on the patient and the procedure. Typically, you can resume everyday activities a few weeks after the surgery, but you should gradually ease into activities and follow your doctor's instructions. Sporting activities like hiking or cycling are usually possible a few months after the surgery, but it is important to start slowly and not overexert your knee.

To support the healing process, you should undergo regular physiotherapy, rest your knee, take care of your body, and watch out for any signs of complications. If you are unsure or have questions, do not hesitate to speak with your doctor.

I hope that this information has been helpful to you. If you have any further questions, I am at your disposal. I wish you all the best for your health and a successful recovery.

Best regards,
Helma Krause

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Helma Krause