Knee care
Primary (first-time) knee replacement in Wellington
Knee arthritis can cause pain, swelling and stiffness. It may limit how far you can walk or make stairs and uneven ground difficult. Andy will assess whether the knee joint is the main source of symptoms and discuss which treatment options make sense.
Considering knee replacement
- Knee symptoms are assessed alongside examination findings and imaging.
- Non-operative care may remain useful for some people.
- Knee replacement may be discussed where symptoms and imaging fit and other measures are no longer appropriate.
Reasons to seek advice
Pain with activity
Pain may occur with walking, stairs, kneeling, standing from a chair or longer periods on your feet.
Swelling or stiffness
The knee may feel tight, swollen or less predictable, especially on stairs, uneven ground or when standing from a chair.
Reduced confidence
Symptoms may affect work, sleep, exercise and day-to-day plans.
At your appointment
Andy will discuss your symptoms, previous treatment, medications, general health and goals. Examination and imaging help Andy assess how the changes in your knee relate to your symptoms.
Sometimes further tests or treatment are needed before surgery is considered.
What to bring
Knee imaging, referral notes, current medicines and treatment already tried are useful.
Your treatment options
Non-operative options may include physiotherapy, activity changes, weight management when useful, braces or supports, medication through your usual clinician, injections in selected situations and time for symptoms to settle.
Talking about surgery
Primary knee replacement may be discussed when symptoms, examination findings and imaging are consistent, and non-operative measures are no longer appropriate. The discussion includes likely benefits, limitations, possible risks, recovery expectations and alternatives.
Robotic-assisted knee replacement is available at Bowen and Wakefield Hospitals for suitable patients. Andy will discuss whether it is appropriate for your care.
Planning your care
Planning depends on how treatment is funded, your overall health and any tests needed beforehand. Recovery is individual and includes wound healing, swelling control, movement, strength and gradual return to appropriate activities.
Funding requirements depend on the funder and clinical situation.
Primary knee replacement information
This handout gives general information about primary knee replacement. Bring your questions to your consultation so you can discuss how it applies to your care.
