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Doctor insights on: Infection After Knee Replacement

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Joint infection after total hip replacement surgery commone or negligent?

Joint infection after total hip replacement surgery commone or negligent?

Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read more

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Dr. Hamid Sajjadi
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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What would cause knee locking up after total knee replacement?

What would cause knee locking up after total knee replacement?

Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more

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Why knee is warm after total knee replasment.

Why knee is warm after total knee replasment.

Incresed blood flow: After an injury or surgery, there is increased blood flow to the injured area. Due to small blood vessel damage, there is also some swelling in the area. This leads to increased warmth in the knee. This can last for several months as the soft tissues continue to heal around the knee. ...Read more

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Is physio therapy after a complete knee joint replacement surgery imporant?

Is physio therapy after a complete knee joint replacement surgery  imporant?

Very important: Therapy is important after knee replacement in order to regain all of your range of motion and in order to work on strengthening the knee so that you can have a normal gait (walk normally without a limp.). ...Read more

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Having pain in hip after total hip replacement 5 weeks after surgery. Recommended by Dr. Therapy?

Having pain in hip after total hip replacement 5 weeks after surgery.   Recommended by Dr. Therapy?

Depends: cemented or cementless? cementless sometimes takes awhile to grow in. groin or thigh pain will differentiate stem from the acetabulum.PT may help some ...Read more

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How long after a full hip replacement should the leg / knee swelling last?

1-2 weeks for post o: Be careful here because residual lower extremity swelling could also indicate a blood clot which is not uncommon with hip arthroplasty. It should be checked. ...Read more

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Can i kick bx after knee replacement sugery?

Can i kick bx after knee replacement sugery?

You can but: I have patients that do but you increase the risk of injury with this type of activity. These higher level activities can cause ligament injury or loosening of the bone cement interfaces. ...Read more

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How long until my knee feels better after total knee replacement surgery?

How long until my knee feels better after total knee replacement surgery?

It depends: Full recovery after knee replacement usually takes more than a year. Most patients reduce their use of pain medicines within two weeks of the replacement, by 6 weeks they are comfortable and usually by 3 months the knee is fading into the background, and life doesn't revolve around the new knee. Everyone is different and this is a general time line. If you are concerned tell your doctor. ...Read more

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Is it safe to have arthoscopic surgery after total knee replacement?

Yes: Not sure if you mean the same knee or not. The opposite knee is not a problem. Occasionally it is appropriate to do an arthoscopy of the replaced joint for scar tissue. Always worried about any surgery in presence of a total joint replacement. ...Read more

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How long after a partial knee replacement will the swelling resolve?

How long after a partial knee replacement will the swelling resolve?

Weeks: Swelling of the knee can take a few weeks to resolve. It should be iced aggressively. If it is not improving or if it is red, warm, draining or you have a fever, it needs to be seen by your doctor immediately. Swelling of the leg also needs to be checked to rule out for blood clots. ...Read more

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Is it normal to have leg swelling after total hip replacement surgery?

Is it normal to have leg swelling after total hip replacement surgery?

Can be very normal: Leg swelling after hip replacement can occur for up to 3 months after surgery. I recommend my patients use compression hose, knee high, for 3 months post-op, with periodic leg elevation above heart and head 3x/day x 20-30 minutes. Also, do not be up on the leg too much too soon after surgery. Allow your body to heal. If swelling persists and pain increases with it, then call your surgeon. ...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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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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What causes extreme crunching under the patella nine months after total knee replacement?

What causes extreme crunching under the patella nine months after total knee replacement?

Not sure what....: ..."extreme crunching" is, but if that knee was operated on nine months ago, you need to see your surgeon for an evaluation. ...Read more

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How important is therapy after a complete knee joint replacement surgery ?

How important is  therapy after a complete knee joint replacement surgery ?

Very: Therapy is critical after replacement to restore your motion and rebuild strength. I would not perform surgery if i felt a patient would not perform or be unable to do therapy afterwards. ...Read more

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Can a menisectomy, extruded meniscus stage 3 osteoarthritis lead to an earlier total knee replacement?

Can a menisectomy, extruded meniscus stage 3 osteoarthritis lead to an earlier total knee replacement?

Yes: If you have stage 3 oa, you have lost much of the cartilage on that side of the knee. If the rest of the knee is normal, there are options such as osteotomy or partial knee replacement that can work well if medical treatments or injections do not keep you comfortable. ...Read more

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What is hip recovery time after getting a hip replacement surgery?

What is hip recovery time after getting a hip replacement surgery?

4 to 6 weeks: All depend upon what kind of prosthesis is used and what surgical approach.The mallority of the time now you can get out of bed the followind day of the surgery and start ambulation with a walker and in 2 to 3 weeks can graduate to a 4 prone cane, pt is usually helpful and you can be independent in 2 months. ...Read more

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After a knee joint replacement surgery when can I play soccer again?

After a knee joint replacement surgery when can I play soccer again?

NO: U should not place ur implants @ risk playing any contact sport, no running, cutting, jumping or cutting sports. Treat them with care, they have no healing ability and repeated stress from the above can lead 2 loosening. ...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?

Oh my!: Very serious. The location of the infection is very important. If it is in your new joint, it may be impossible. In addition to taking your antibiotics right, it is important to make sure the rest of your body is able to fight infections well--e.g. proper nutrition, extra zinc, vitamins A,C, and D3 supplements,blood sugar and white blood count well controlled. ...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?

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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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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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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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?

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

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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Knee replacement 2 yrs ago walk with shuffle now slowly worse ,female 70,s .I have lost movement in legs ,bladder and bowels leg spasm in 1week. Had pain like pluersy for mths .Now In spine ward Hospital MRI ok small abnomalies on spine....Infection?

Knee replacement 2 yrs ago walk with shuffle now slowly worse ,female 70,s .I have lost movement in legs ,bladder and bowels leg spasm in 1week.
Had pain like pluersy for mths .Now In spine ward Hospital MRI ok
small abnomalies on spine....Infection?

Good: It is good that you are being looked after on a spine ward as symptoms point to something damaging or putting pressure on the spinal cord or the nerves exiting the spinal cord. A chronic infection could be the cause but it could also be a disc problem, bony overgrowth in the spinal canal, etc. The most important thing is that you are in the right place and a proper work-up has begun. ...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
453 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 ...Read more