Our Summary

This research explores the increasing number of knee replacement surgeries, particularly in younger people and men, and the associated healthcare costs. The researchers used a health database to look at these surgeries in patients with knee osteoarthritis from 2006 to 2013. They found that the costs for these surgeries were fairly stable over this time period. However, the annual healthcare costs for these patients increased leading up to the surgery, then decreased after the surgery, but still remained higher than before the surgery. The costs were especially high for those who needed additional surgeries or revisions. The costs were also higher for women, younger patients, and those with lower socioeconomic status. The researchers conclude that there is a need for improved guidelines to help avoid complications and the need for additional surgeries, in order to reduce the increasing healthcare burden.

FAQs

  1. What was the trend in the cost of knee replacement surgeries from 2006 to 2013?
  2. How do the healthcare costs for patients change before and after undergoing a knee replacement surgery?
  3. Which groups were identified as having particularly high costs associated with knee replacement surgeries?

Doctor’s Tip

A doctor might tell a patient about knee replacement to focus on rehabilitation and physical therapy after surgery to ensure a successful recovery. It is important to follow the recommended exercises and treatment plan provided by your healthcare team to regain strength and mobility in your knee. Additionally, maintaining a healthy weight and staying active can help prevent future complications and prolong the lifespan of the knee replacement. It is also important to attend follow-up appointments with your doctor to monitor your progress and address any concerns.

Suitable For

Patients who are typically recommended for knee replacement surgery include those with severe knee osteoarthritis that significantly impacts their daily activities and quality of life. This includes patients who experience persistent knee pain, stiffness, swelling, and limited mobility despite conservative treatments such as medication, physical therapy, and lifestyle modifications. Patients who have exhausted all other treatment options and continue to have significant pain and disability may be considered for knee replacement surgery.

Additionally, patients who have had previous knee injuries or surgeries that have led to significant damage to the knee joint may also be recommended for knee replacement. These patients may have advanced degenerative changes in the knee joint that cannot be effectively managed with conservative treatments.

Younger patients who have early-onset osteoarthritis or other conditions that have led to severe knee damage may also be candidates for knee replacement surgery. While knee replacement surgery is more commonly performed in older adults, there is a growing trend of younger patients, particularly men, undergoing knee replacement surgery due to factors such as sports injuries, obesity, and genetic predisposition.

Overall, patients who are recommended for knee replacement surgery are those who have exhausted all other treatment options and continue to experience significant pain, stiffness, and disability that significantly impacts their daily activities and quality of life. It is important for patients to discuss their treatment options with their healthcare provider to determine if knee replacement surgery is the best option for them.

Timeline

Before knee replacement surgery:

  • Patient experiences worsening knee pain, stiffness, and limited mobility due to knee osteoarthritis
  • Patient may undergo various non-surgical treatments such as physical therapy, medication, injections, and lifestyle modifications
  • Patient consults with orthopedic surgeon to discuss the possibility of knee replacement surgery
  • Pre-operative assessments and tests are conducted to determine if the patient is a suitable candidate for surgery

After knee replacement surgery:

  • Patient undergoes knee replacement surgery, which involves removing damaged cartilage and bone and replacing it with an artificial joint
  • Patient stays in the hospital for a few days for recovery and rehabilitation
  • Patient undergoes physical therapy and rehabilitation to regain strength, mobility, and function in the knee
  • Patient may experience temporary pain, swelling, and discomfort after surgery
  • Over time, patient experiences improved knee function, reduced pain, and increased mobility
  • Patient continues with ongoing physical therapy and exercises to maintain the strength and flexibility of the knee
  • Patient may need to avoid certain high-impact activities to prevent damage to the artificial joint

Overall, knee replacement surgery can significantly improve the quality of life for patients with knee osteoarthritis, but it is important to be aware of the potential healthcare costs and complications associated with the procedure.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with knee replacement surgery?
  2. How long is the recovery period and what can I expect in terms of pain and mobility during this time?
  3. Will I need physical therapy after the surgery, and if so, for how long?
  4. How long can I expect the knee replacement to last before needing a revision surgery?
  5. What activities should I avoid or modify after the surgery to protect the new joint?
  6. Are there any alternative treatments or therapies that I could try before opting for knee replacement surgery?
  7. What are the success rates for knee replacement surgery in patients with my specific condition and medical history?
  8. Will I need to make any lifestyle changes or modifications to ensure the success of the surgery?
  9. How soon after the surgery can I expect to return to work and resume normal activities?
  10. What should I do if I experience any complications or concerns after the surgery?

Reference

Authors: Nielen JTH, Boonen A, Dagnelie PC, van den Bemt BJF, Emans PJ, Lafeber FPJG, van Spil WE, de Vries F, Welsing PMJ. Journal: Osteoarthritis Cartilage. 2018 Feb;26(2):202-210. doi: 10.1016/j.joca.2017.11.012. Epub 2017 Dec 2. PMID: 29198883