A surgeon discussing Total Knee Replacement Surgery options with a patient in Florida
Treatment/Treatment Details

Total Knee Replacement Surgery

Total knee replacement resurfaces the femur, tibia, and sometimes the kneecap to treat severe knee arthritis, deformity, and bone-on-bone pain.

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A Long-Term Solution for Knee Arthritis

Total Knee Replacement (TKA), also called total knee arthroplasty, is used when knee arthritis has damaged more than one compartment of the joint and daily function is limited by pain, stiffness, swelling, or deformity. The operation does not replace the entire knee with a hinge; it resurfaces the worn ends of the femur and tibia with metal components and places a medical-grade plastic spacer between them. The undersurface of the kneecap may also be resurfaced when indicated.

The central goal is alignment and balance. A knee replacement that is well aligned, stable in flexion and extension, and matched to the patient's anatomy can reduce bone-on-bone pain and improve walking, stairs, and standing tolerance. Mountain Spine & Orthopedics evaluates X-rays, deformity, range of motion, ligament stability, medical risk, and prior treatments before recommending surgery.

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Is Knee Replacement Right for You?

  • Patients with bone-on-bone osteoarthritis involving multiple knee compartments
  • Individuals with knee pain that limits walking distance, stairs, sleep, work, or daily errands
  • Patients with progressive bow-leg or knock-knee deformity from arthritis
  • People with post-traumatic arthritis after fracture, ligament injury, or prior knee surgery
  • Patients with rheumatoid or inflammatory arthritis after appropriate medical management
  • Individuals who have not found durable relief from medication, bracing, injections, weight-loss efforts, activity changes, or outside rehabilitation guidance

What Conditions does Total Knee Replacement Surgery Help Ease?

This procedure may help with:

Detailed view of total knee replacement implant components

How TKA is Performed

  1. Pre-operative X-rays and exam guide implant sizing, alignment goals, and deformity correction
  2. An incision is made over the front of the knee and the arthritic joint surfaces are exposed
  3. Damaged cartilage and a precise amount of bone are removed from the femur and tibia
  4. Trial components are used to check extension, flexion, ligament balance, and kneecap tracking
  5. Final metal components are cemented or press-fit depending on the implant plan
  6. A polyethylene spacer is placed between the metal surfaces to allow smooth motion
  7. The patella is resurfaced or preserved based on cartilage wear and tracking
  8. The surgeon confirms stability, range of motion, and alignment before closure

Benefits of Total Knee Replacement Surgery

  • Reduces bone-on-bone knee arthritis pain when non-surgical care is no longer enough
  • Corrects arthritis-related bowing or knock-knee alignment when appropriate
  • Improves tolerance for walking, stairs, standing, and daily activities
  • Addresses multi-compartment disease that is not suitable for partial knee replacement
  • Uses modern implant planning focused on alignment, stability, and kneecap tracking

Recovery After Knee Replacement

Recovery Timeline: 3-6 Months

Walking usually begins the day of surgery or the next day with a walker or other assistive device. Early recovery focuses on controlling swelling, safely bearing weight, restoring knee extension, and gradually improving flexion. Outside rehabilitation guidance and a home exercise plan help protect motion while the incision and deeper tissues heal.

Many patients resume basic daily activities within several weeks, but swelling, warmth, and stiffness can fluctuate for months. Full recovery depends on pre-operative motion, strength, medical health, pain control, and adherence to the post-operative plan. The surgeon will advise when driving, work, travel, and low-impact activities are appropriate.

Frequently Asked Questions

How painful is total knee replacement recovery?

Total knee replacement is known to be painful in the first 2 weeks due to the need for early movement. However, advanced nerve blocks and multimodal pain management have significantly reduced acute post-op pain.

How long until I can walk without a walker?

Most patients transition from a walker to a cane within 2 to 3 weeks and are walking unassisted by 4 to 6 weeks. Full strength and balance continue to improve for up to a year.

Can I kneel after knee replacement?

You *can* kneel, but it may feel uncomfortable or strange due to the lack of sensation in the scar or pressure on the implant. Using a cushioned kneeling pad usually solves this issue.

What is the success rate?

The procedure is one of the most successful in medicine, with over 90% of patients experiencing dramatic pain relief and improved function for daily activities.

Schedule a Consultation Today

Knee pain, stiffness, swelling, or deformity affecting daily life? Our knee specialists can review your X-rays, prior treatments, and surgical candidacy. Schedule a consultation with Mountain Spine & Orthopedics today. PPO Insurance is Accepted.

Locations Offering Evaluation

Our board-certified specialists offer total knee replacement surgery evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.