16 December 2025

Knee Replacement Complications: What Are the Risks?

Understand the potential complications of knee replacement surgery, from infection to blood clots. Learn how Dr. Abhijit Kale minimizes these risks for a safe recovery.

Knee Replacement Complications: What Are the Risks?

Every surgical procedure carries some risk. While total knee replacement is very safe, being informed about potential complications is an important part of preparation.

At our clinic, we believe in transparency. We don't just tell you the benefits; we explain the risks and, more importantly, how we prevent them.


Common Risks (and How We Manage Them)

1. Blood Clots (DVT/PE)

Deep Vein Thrombosis (clots in the leg) is a known risk after leg surgery.

  • Prevention: We use calf pumps during surgery, blood-thinning medication after surgery, and—most importantly—early walking. Moving your legs is the best way to prevent clots.

2. Infection

Infection can occur at the incision site or deep around the implant (less than 1% risk).

  • Prevention: We use a strict sterile protocol, prophylactic antibiotics, and "space suits" in the operating theatre.
  • Patient Role: Keeping the wound dry and managing diabetes is crucial.

3. Stiffness

Some knees form scar tissue aggressively, limiting bending (arthrofibrosis).

  • Prevention: Robotic surgery minimizes tissue trauma, reducing scar formation. Aggressive early physiotherapy keeps the joint moving.

4. Nerve or Vessel Injury

Rare damage to nerves or blood vessels near the knee.

  • Prevention: The robotic arm establishes "safety zones" that prevent the saw from damaging these vital structures.

5. Implant Loosening

Over decades, the implant may loosen.

  • Prevention: Precise alignment prevents uneven wear.

When to Call the Doctor

After surgery, contact us immediately if you notice:

  • Redness spreading around the wound.
  • Fever above 101°F.
  • Calf pain or swelling that doesn't improve with elevation.
  • Discharge or pus from the incision.

FAQs: Complications

Is anaesthesia safe?

Yes. We typically use regional anaesthesia (spinal/epidural), which is safer than general anaesthesia for most patients and provides better pain relief post-op.

What is the risk of death?

The mortality rate for elective knee replacement is extremely low (less than 0.5%), similar to minor surgeries, provided the patient is medically optimised.


Takeaway

Complications are rare, and most are treatable.

By choosing a high-volume surgeon like Dr. Abhijit Kale and a hospital with advanced infection control, you significantly lower your risk profile.

👉 Have concerns? Discuss them with us so you can proceed with confidence.

Dr. Abhijit Kale

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