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Joint Replacement

Surgical replacement of a damaged hip or knee joint with an artificial one.

Last revised

Key takeaways

  • Most common: hip and knee replacement
  • Prehabilitation: exercise before surgery improves recovery
  • Most useful single change: Do prescribed exercises before surgery, not only after.
  • Commonest mistake: Delaying so long that muscle loss makes recovery harder.
  • See a doctor if any of the signs under "When to get help" below apply to you.

Why it matters

Outcomes are strongly influenced by preparation and rehabilitation, which are the parts patients can actually affect.

The numbers, in one place

Published figures for Joint Replacement
MeasureFigure
Most commonhip and knee replacement
Prehabilitationexercise before surgery improves recovery
Typical hospital stayoften 1-3 days
Rehabilitationcontinues for months, not weeks
Implant longevitymost last many years; revision is possible

What helps

  • Do prescribed exercises before surgery, not only after
  • Stop smoking before surgery; it reduces wound complications
  • Arrange home support and equipment in advance
  • Follow the rehabilitation programme fully, including when it is dull

What to avoid

  • Delaying so long that muscle loss makes recovery harder
  • Stopping rehabilitation when pain settles
  • Ignoring signs of infection around the wound

Where to go next

When to get help

Seek urgent help for increasing pain, redness, heat or discharge around the wound, fever, or a sudden inability to weight-bear — prosthetic joint infection needs immediate assessment. Call 999 for calf pain and swelling, chest pain or sudden breathlessness, which can indicate a clot.

Where this comes from

  • NICE — Joint replacement (primary): hip, knee and shoulder
  • NHS — Hip replacement

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

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