Hip and Knee Replacement Surgery (Arthroplasty) | Prince Court Medical Centre

Hip and Knee Replacement Surgery (Arthroplasty): What You Need to Know

Arthroplasty

Healthy joints are cushioned by smooth cartilage that allows bones to glide effortlessly during movement. When this protective layer wears away or becomes damaged, mobility declines and pain gradually increases.

For many people, joint pain can affect the way they walk, sleep, work, and engage with daily life. When simple tasks like climbing stairs or getting out of bed start to feel difficult, joint replacement surgery may be recommended to offer relief and restore independence.



When Is Hip and Knee Replacement Surgery Recommended?

Arthroplasty, commonly referred to as joint replacement surgery, is a highly effective surgical procedure designed to restore function and relieve pain in a damaged joint. Most often performed on the hip and knee, arthroplasty may also be recommended for the shoulder, elbow, or smaller joints of the hand and ankle when conservative treatments no longer provide relief.

In selected patients, robotic-assisted joint replacement surgery may also be considered as part of the treatment approach. Robotic technology can support more precise implant positioning and alignment during surgery, allowing surgeons to tailor the procedure based on the patient’s individual anatomy and joint condition.

However, arthroplasty is not a first-line treatment. It becomes a medical consideration when joint damage begins to interfere with daily living and conservative options are no longer effective. The most common reasons include:


Advanced Osteoarthritis

Degenerative wear of the joint cartilage leads to persistent pain, stiffness, swelling, and reduced mobility. When walking, climbing stairs, or standing becomes increasingly difficult, joint replacement may offer lasting relief.

Robotic knee replacement may be considered for patients with moderate to severe knee osteoarthritis, particularly when symptoms continue affecting mobility and daily activities despite non-surgical treatment. In some cases, robotic-assisted technology can support greater surgical precision and implant alignment during joint replacement procedures.

Suitability for surgery is determined through a thorough assessment by an orthopaedic surgeon based on factors such as joint damage, mobility limitations, overall health, and lifestyle needs. Find out more about when robotic knee replacement is recommended for patients.



Rheumatoid Arthritis and Inflammatory Joint Disease

Chronic inflammation gradually erodes cartilage and bone, causing deformity, instability, and pain that may not respond to medication alone.


Avascular Necrosis (Osteonecrosis)

When the blood supply to a joint, especially the hip, is compromised, the bone weakens and collapses over time. Arthroplasty helps restore function and prevent further deterioration.


Post-Traumatic Joint Damage

Fractures or injuries affecting the joint surface can accelerate degeneration. Persistent pain or limited movement after trauma may warrant joint replacement.


Failure of Conservative Management

When physiotherapy, anti-inflammatory medications, lifestyle changes, weight management, assistive devices, and steroid or hyaluronic acid injections no longer provide meaningful relief, surgery is often the next logical step.


Loss of Function and Quality of Life

Inability to perform daily tasks, disrupted sleep, reduced work capacity, or withdrawal from physical and social activities are strong indicators that a damaged joint is limiting a person's life more than surgery would.



Types Of Arthroplasty

Arthroplasty can be tailored to the extent of joint damage, the patient’s age, lifestyle, and overall health. The two main approaches are:

1. Total Joint Replacement 

This is the most common form of arthroplasty. The entire joint surface is removed and replaced with prosthetic components. Examples include:


  • Hip Arthroplasty: Both the femoral head (ball) and acetabulum (socket) are replaced.

  • Knee Arthroplasty: The ends of the femur and tibia are capped with metal, and a plastic spacer acts as cartilage.


2. Partial Joint Replacement 

In partial replacements, only the damaged portion of the joint is resurfaced, preserving healthy bone and tissue




The Arthroplasty Procedure


  1. Preoperative Assessment

Patients undergo comprehensive evaluation, including imaging, laboratory investigations, and optimisation of comorbid conditions such as diabetes, hypertension, or cardiac disease. Prehabilitation, including strengthening and mobility exercises, improves post-surgical recovery.


  1. Anaesthesia

General or regional anaesthesia (e.g., spinal, epidural, or nerve block) is chosen based on the patient’s condition and surgical plan.


  1. Surgical Technique

The surgeon removes damaged cartilage and a portion of the underlying bone using precision instruments. Prosthetic components, made from durable medical-grade materials such as metal alloys and ceramics, are then implanted using cemented or cementless fixation, based on bone quality and patient factors.



Benefits of Hip and Knee Replacement Surgery 


The primary goal of arthroplasty is to improve the quality of life. Most patients experience:


  • Significant reduction or elimination of joint pain.

  • Enhanced mobility and stability.

  • Improved ability to perform daily activities.

  • Long-lasting results, with modern prostheses lasting 15 - 20 years or more.

For elderly patients, regaining independence often translates into better overall health, reduced risk of falls, and improved emotional well-being. For younger, active patients, arthroplasty can restore the ability to continue working and engaging in recreational activities.

Advances in surgical technology, including robotic-assisted joint replacement, may also support greater precision during knee replacement procedures. In some cases, this can help surgeons optimise implant alignment and personalise the surgery according to the patient’s anatomy.



How Long Do Implants Last

Modern implants are designed to last 15 to 25 years or more. Factors that influence longevity include:


  • Age and body weight

  • Activity level

  • Bone quality

  • Implant material and positioning

  • Postoperative care

  • Rehabilitation and follow-up appointments

Most patients enjoy long-term pain relief and improved mobility. If an implant wears out or loosens with time, revision surgery can restore function.


Arthroplasty



Restoring Mobility and Quality of Life at Prince Court Medical Centre

For patients with severe joint disease, arthroplasty is often the turning point that restores normalcy. Many return to walking, working, travelling, and enjoying hobbies that were once limited by pain. With proper assessment, a skilled surgical team, and dedicated rehabilitation, joint replacement offers safe, long-lasting relief and a dramatic improvement in quality of life.

If joint pain is limiting mobility or affecting quality of life, a consultation with Prince Court Medical Centre’s Orthopaedic specialists can help determine whether arthroplasty is the right option. Our team is committed to restoring function, reducing pain, and helping patients return to the activities that matter most, with confidence and support at every step of care.