What Is Partial and Total Knee Replacement Surgery?
Partial knee replacement
Partial knee replacement involves replacing one part of your damaged knee with an artificial implant. Depending on which area of your knee is damaged, your surgeon may replace only your kneecap, or the inside or outside parts of your knee.
Total knee replacement
Total knee replacement involves replacing all parts of your damaged knee with an artificial implant.
Types of partial and total knee replacement surgery
There are two types of knee replacement surgical procedures:
- Traditional knee replacement — During traditional knee replacement, your doctor will replace your knee joint with manual instrumentation.
- Robotic knee replacement — Your surgeon will perform your robotic knee replacement with the assistance of a robotic surgical system. The robotic system allows your surgeon to pre-plan your procedure using your imaging scans and guides your surgical procedure to ensure the joint is precisely placed.
Conditions we treat with partial and total knee replacement
Knee replacement may be recommended to treat:
- Knee injury.
- Knee problems present at birth.
- Knee tumors.
- Osteoarthritis.
- Osteonecrosis.
- Posttraumatic arthritis.
- Rheumatoid arthritis.
Why Would I Need Partial or Total Knee Replacement?
You may need partial or total knee replacement surgery if you have damage to your knee joint caused by arthritis, injury, or another health condition.
Arthritis is the most common condition causing knee damage. It causes the cartilage that provides cushioning between the bones in the knee joint to break down.
Without the cushioning that cartilage provides, bones rub together. This rubbing causes pain, inflammation, and reduced joint mobility, which can lead to problems with walking and performing everyday activities.
Who is a candidate for partial or total knee replacement surgery?
You may be a candidate for partial or total knee replacement surgery if you have:
- A knee fracture, tumor, or bone disease that requires a joint replacement.
- Knee pain or other symptoms that cause problems with walking, sleeping, or everyday activities.
- Symptoms that do not respond to over-the-counter medications, physical therapy, activity changes, or other nonsurgical treatments.
Your doctor will discuss the pros and cons of partial and total knee replacement surgery with you.
Is partial knee replacement surgery right for me?
Partial knee replacement surgery may be right for you if only part of your knee is damaged and needs to be replaced.
Is total knee replacement surgery right for me?
Total knee replacement surgery may be right for you if you have damage to all parts of your knee joint, or if the damage is severe. Your surgeon may also recommend total knee replacement if you have an injury caused by a fall or other accident, or if you have a tumor or bone disease that has caused knee damage.
Alternatives to partial and total knee replacement
Alternatives to partial and total knee replacement surgery include nonsurgical treatment, such as:
- Activity changes to reduce knee strain.
- Assistive devices, such as canes, crutches, or walkers.
- Heat and/or ice.
- Over-the-counter medications to manage pain.
- Physical therapy.
What Are the Risks and Complications of Partial and Total Knee Replacement Surgery?
As with any surgical procedure, partial and total knee replacement surgery has some risks.
Knee replacement surgery risks include:
- Bleeding.
- Blood clots.
- Infection.
- Nerve injury.
- Pain or stiffness that doesn’t improve after surgery.
- Problems with your artificial joint, such as wear and tear over time.
- Scarring that limits range of motion in your knee.
What Should I Expect From Partial and Total Knee Replacement Surgery?
Before: How to prepare for partial and total knee replacement surgery
Before your procedure, you will meet with your care team and have a physical exam. Your care team will talk with you about how to prepare for your procedure, including what you might need to help you recover safely at home.
Your care team may order tests, such as:
- Blood or urine tests —Your doctor may order bloodwork and urine studies to ensure you are healthy enough for the procedure and check for signs of illness or infection.
- CT scan — A CT scan creates images of the bones and structures in your knee.
- Electrocardiogram (ECG or EKG) — This test records the electrical activity of your heart, shows abnormal rhythms (arrhythmias or dysrhythmias), and can sometimes detect heart muscle damage. EKGs are often performed before a procedure to ensure your heart is healthy and identify potential problems.
- MRI — MRI is a diagnostic procedure that combines large magnets, radio frequencies, and a computer to produce detailed images of organs and structures within the body.
- X-ray — Your doctor may order an x-ray to learn more about the condition of the bones and tissues in your knee.
Your doctor will explain the procedure to you and answer your questions. To prepare for the procedure, you should:
- Fast for a certain period of time prior to the procedure. Your doctor will tell you if you need to fast or how long to fast (usually overnight).
- Have any tests that your doctor recommends. For example, your doctor may request a blood test before the procedure to determine how long it takes your blood to clot.
- Tell your doctor if you are sensitive or allergic to any medications, iodine, latex, tape, or anesthetic agents (local and general).
- Tell your doctor about all medications (prescription and over-the-counter) and herbal or other supplements you are taking.
- Tell your doctor if you have any other health conditions. Your care team may need to take certain precautions during your procedure for your safety.
- Tell your doctor if you have a history of bleeding disorders or if you are taking any blood-thinning medications, aspirin, or other medications that affect blood clotting. You may need to stop some of the medications prior to the procedure.
On the day of your procedure, be sure to bring your photo ID and health insurance card(s). Leave valuables such as cash and jewelry at home.
You may need to stay overnight in the hospital after your knee replacement surgery. However, in some cases, knee replacement surgery can be performed as an outpatient procedure, so you can go home the same day.
Your doctor will let you know if you will need to stay overnight in the hospital or if you will be discharged the same day. If you stay overnight, you should bring toiletries, a robe, slippers, a cell phone and charger, medications, and a change of clothes.
Whether you stay overnight or are discharged the same day, you will need to arrange for someone to drive you home after discharge.
How long does partial and total knee replacement surgery take?
Total knee replacement procedures usually take one to three hours. Partial knee replacement procedures usually take one to two hours.
During your partial and total knee replacement surgery
When you arrive at the hospital, you will meet with your care team for final preparations.
You will receive an IV in your hand or arm. You will have either general anesthesia to put you to sleep or an epidural to prevent you from feeling pain below your waist.
After you are positioned on a procedure table, your doctor will:
- Load your images and surgical plan into the robotic surgical system if you are having a robotic knee replacement.
- Make an incision (cut) in your knee to access your knee joint.
- Remove all or part of your damaged knee joint.
- Replace all or part of your damaged knee joint with artificial knee joint components. If you are having a robotic knee replacement, your surgeon will position and place your joint using the robotic surgical system for guidance.
- Move and bend your knee to make sure your new knee joint functions properly.
- Close your incision with stitches or glue.
After your procedure, your surgeon will place a bandage over your incision and make sure your condition is stable.
Recovery after partial or total knee replacement surgery
After your procedure is complete, you will be monitored in the recovery area. Your care team will encourage you to get out of bed and move around as soon as possible. If you are staying overnight in the hospital, you will be transferred to your hospital room.
If you are having outpatient knee replacement surgery, your doctor will let you know when it is safe for you to go home. You will need someone to drive you home from the hospital after you are discharged.
Before you go home, your doctor will tell you:
- How to care for your wound and watch for signs of infection or complications.
- What medications you need to take.
- When you should begin physical therapy.
- When to call your doctor or 911 if you have certain symptoms.
- When you should schedule your follow-up appointments, if one has not been scheduled already.
- When you can return to your normal activities, such as driving and bathing.
How long are you in the hospital after a knee replacement?
Most people who require an inpatient hospital stay are discharged after one night.
If you need additional recovery time before you return home, you may be transferred to an inpatient rehabilitation unit or facility for several days or weeks. Inpatient rehabilitation provides physical and occupational therapy to improve your strength, range of motion, and confidence in performing everyday activities as you recover.
How long does it take to recover from a knee replacement?
Most people can resume their normal activities within three to six weeks after partial or total knee replacement surgery.
What activities should I avoid after knee replacement?
You will need to avoid activities such as driving, cycling, or running for several weeks after your knee surgery. Even after you are completely healed, your doctor may advise you to avoid high-impact activities, such as jumping or contact sports.
When to call your doctor about complications
You should let your surgeon know if you have:
- A fever of more than 100.0°F.
- Difficulty breathing.
- Difficulty with walking or keeping your balance.
- New or increasing shortness of breath.
- Numbness, tingling, pain, swelling, or weakness in your leg.
- Pain, redness, bleeding, drainage, or increased swelling at your treatment site.
- Severe pain that does not respond to medication.
If symptoms are severe — or if you experience chest pain or shortness of breath — call 911 or visit the nearest emergency department.
What’s the prognosis after partial or total knee replacement?
Most people experience pain relief and improved mobility after partial and total knee replacement surgery, allowing them to live active lives and participate in activities they enjoy.
What’s the success rate of partial and total knee replacement surgery?
Partial and total knee replacement surgery are highly successful procedures, with most knee replacements lasting many years and providing permanent symptom relief.
However, you may need revision surgery if:
- Your knee implant wears out over time.
- You have an injury or dislocation.
- You develop an infection.
Why Choose UPMC for Partial and Total Knee Replacement Surgery?
When you choose UPMC for partial and total knee replacement surgery, you will receive:
- Access to world-class orthopaedic expertise — Our world-renowned experts treat the full spectrum of knee disorders using the latest surgical and nonsurgical techniques.
- Advanced diagnostic care — We’ll find the cause of your knee pain and work with you to develop a comprehensive treatment plan.
- A full range of treatment options — We offer nonsurgical care, as well as robotic and traditional surgical approaches, depending on your individual care needs.
By UPMC Editorial Staff. Last reviewed on 2025-04-01.