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2019General Discussion forum

Recovery and work capability after total knee replacement in a physically demanding profession

What the thread found

  • A specialist recommended delaying knee replacement surgery in younger patients to preserve the longevity of the implant, suggesting physiotherapy as a temporary measure to manage osteoarthritis symptoms.
  • Six years of intensive physiotherapy and gym work following an untreated anterior cruciate ligament injury from age 15 can delay the progression of osteoarthritis and maintain function and pain-free status.
  • A total knee replacement performed for bone-on-bone osteoarthritis allows return to physically demanding work such as operating a Steadicam rig within approximately five months of surgery.
  • The immediate post-operative recovery from knee replacement surgery involves severe pain due to the surgical trauma to major bones, requiring extended physiotherapy.
  • Post-operative infection of a knee implant is a rare complication with reported incidence around 0.04 percent, but when it occurs requires additional surgery.

Depends on

  • This account describes one individual's experience and recovery timeline, which may not be representative of other patients.
  • The initial knee damage resulted from a specific skiing injury with decades of progression before surgery, not typical rapid-onset osteoarthritis.
  • No systematic rehabilitation protocol or specific physiotherapy methods are detailed.
  • The long delay before surgery (2012 to 2019) was based on specialist recommendation for age-related reasons, not a general treatment guideline.
  • Whether the successful return to physically demanding work would be achievable with other types of knee replacement designs or surgical approaches is not addressed.
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