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Doctor insights on: How Would You Know If You Have An Infection In A Knee Replacement

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How do you know if you have an infection in your knee after a partial knee replacement?

How do you know if you have an infection in your knee after a partial knee replacement?

Red swollen hot pain: The clinical findings that are concerning for an infected knee are: 1. Redness/pinkness around the incision or knee. 2. Increased swelling around knee 3. Increased pain with bending or weight bearing 4. Fever, chills, lethargy, loss of appetite 5. A knee draining fluid from the incision or a new hole 6. Blood tests with elevated wbc, crp, esr. See your surgeon with any concern asap, don't wait! ...Read more

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Dr. Mark Ingerman
9 Doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


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How can you know if you have an infection in your knee after having a partial knee replacement?

How can you know if you have an infection in your knee after having a partial knee replacement?

Pain and Swelling: Infections in joint replacements can be very hard to diagnose. Generally, doctors with use blood tests, radiographic tests, aspirations (a tap of the fluid in the knee) and some times biopsies to determine if there is an infection. ...Read more

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How would you know if you have an infection in your knee after having a partial knee replacement?

How would you know if you have an infection in your knee after having a partial knee replacement?

Red, pain, drainage: The common signs of an infection can include the following: -fever -redness around the incision -swelling with redness -drainage from a red and swollen knee -pain with weight bearing in a red swollen knee -blood test that show an elevated WBC count, elevated c-reactive protein, elevated esr - the gold standard is to drain fluid out of the knee and send it to the lab for gram stain and culture. ...Read more

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What should I do if I have an infection following a total knee replacement?

See your surgeon: Infection is a serious condition in a total knee replacement and needs urgent treatment. If it is caught early, a surgical washout of the joint with antibiotic therapy may cure the infection. If not, the implants may need to be removed in order to cure the infection. Once accomplished, a total knee may be redone to restore knee function. ...Read more

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I had a knee replacement a year ago and the same knee suddenly got hot and swollen, should I be worried about an infection?

I had a knee replacement a year ago and the same knee suddenly got hot and swollen, should I be worried about an infection?

Yes: You definitely need to worry about infection! See your surgeon who will probably order some bloodwork and aspirate your knee to have the fluid aspirated. ...Read more

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I've been battling an infection after a knee replacement for a little over a year. Is there a natural way to cure Vancomycin resistant Enterococcus?

I've been battling an infection after a knee replacement for a little over a year. Is there a natural way to cure Vancomycin resistant Enterococcus?

Yes and no: Depending on how you look at it, and it may already have been done, the most "natural" way to treat someone with an infected total knee replacement is to remove any foreign bodies in your knee that could potentially harbor infection. Unfortunately, however, this means removing the entire knee replacement itself and then trying to eradicate the infection at that point. ...Read more

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How to determine if I have an infection in my knee after having a partial knee replacement?

How to determine if I have an infection in my knee after having a partial knee replacement?

Pain, swelling fever: A bacterial infection always produces pain and swelling. A severe one with strep or staph aureus will create a hot knee with fever and constitutional symptoms. Taking fluid out of the knee for analysis is the most definitive test. ...Read more

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How do I know that my doctor has chosen the knee replacement of a manufacturer with the fewest problems, i.e. fsilure, infection, etc. Do I have any?

How do I know that my doctor has chosen the knee replacement of a manufacturer with the fewest problems, i.e. fsilure, infection, etc. Do I have any?

Knee arthroplasty: Your orthopedic surgeon should be very open to your valid concerns. She or he should be willing to tell you which manufacturer they prefer and why. Then you can do your own research to "validate" what was stated in your patient encounter. I would hope that they prefer placing hardware that has the best outcome for you. ...Read more

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Can listeriosis infection affect a total knee replacement after 3 months of the surgery?

Can listeriosis infection affect a total knee replacement after 3 months of the surgery?

Unusual pathogen: Risk of prosthetic joint infection is influenced by many modifiers pre/postoperatively. The success of your prosthetic joint in highly dependent of some routine health observation; dental, genitourinary, GI etc. Listeria M. is not a usual pathogen in PJIs. If you are worried about the possibility of infection please contact your surgeon ASAP for proper evaluation. Take care! ...Read more

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Total knee replacement because of mrsa, I may need a revision because of reoccurring cyst, will 2nd time be as hard? No infection now 1st is cemented

Total knee replacement because of mrsa, I may need a revision because of reoccurring cyst, will 2nd time be as hard? No infection now 1st is cemented

Very tough?: If u mean u need a revision because of MRSA infection in the knee now, the process is long. When the implants r removed cultures r taken ; no new implants. Antibiotic impregnated cement is left in ; u r treated with the proper antibiotics. When CRP ; other studies return to normal, the area may b aspirated ; cultured again ; if clean u then can talk 2 ur surgeon about the next step. ...Read more

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I had a bone scan on knee replacement feb, 2012. My gp said report said could be infection, loosening or trauma. Please help me understand.

Needs correlation: A bone scan looks at the metabolism around the replacement. If there is lots of uptake, that means there is lots of bone turn over. Unfortunately several different things can cause increased turn over. Like infection, a loose prosthesis or even recent trauma and fracture. This must be assessed along with symptoms and possibly blood work. ...Read more

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How do you know if you have infected knee after having a partial knee replacement?

How do you know if you have infected knee after having a partial knee replacement?

Get to your surgeon: The clinical findings that are concerning for an infected knee are: 1. Redness/pinkness around the incision or knee. 2. Increased swelling around knee 3. Increased pain with bending or weight bearing 4. Fever, chills, lethargy, loss of appetite 5. A knee draining fluid from the incision or a new hole 6. Blood tests with elevated wbc, crp, esr. See your surgeon with any concern asap, don't wait! ...Read more

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What do you advise if I had a knee replacement and now my knee dosent ben t?

See Ortho doc: You may need exercises to range your knee, however if there is something wrong with your replacement the orthopedic doc may need to further evaluate you. ...Read more

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On june 10 th I have knee replacement. My knee doesn't respond as well as I expect. It doesn't flex enough. I will have knee manipulation. What is this?

Post surgical knee: Scar tissue that forms following surgery may prevent full range of motion. If physical therapy cannot resolve this, manual manipulation is performed to break the scar tissue ...Read more

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I am having knee replacement in april, 2013. I can't take opium pain medication. What else can I take to relieve the pain? Thanks, dee

Many Choices: It would be very wise to meet with a pain specialist prior to your surgery to set yourself up for success. Alternative investigation too may help: meditation, acupuncture, massage. Possible meds include pain blocker Gabapentin (neurontin) anti inflammatory such as meloxicam, naprosyn, (naproxen) etc opiate alternative tramadol (warning; addictive too) seek specialty advice. ...Read more

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I have osteoarthritis in both knees but I am too young for knee replacement how can I manage the pain, I can, t get around very well.

I have osteoarthritis in both knees but I am too young for knee replacement how can I manage the pain, I can, t get around very well.

Arthritis exercise.: Osteoarthritis is best treated with regular exercise and being at your ideal weight. The pain can be treated with acetaminophen, and anti inflammatory medications, such as naproxen, and ibuprofen. Injections to knees with steroids, or the use of Hyaluronate products are effective. ...Read more

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How can I avoid knee replacement?

How can I avoid knee replacement?

Exercise stay thin: There are no medicines or nutritional suppliments that proven to stop arthritis, but keeping weight down and exercising cand delay arthritis symptoms. ...Read more

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Dr. Frederick Buechel, jr. md
439 Doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone (femur), the upper end of the shin bone (tibia) and the undersurface of ...Read more