Chronic knee pain can make even the simplest activities feel overwhelming. For patients whose pain no longer improves with conservative treatments, total knee replacement may offer a path back to comfort and mobility. We spoke with Dr. Jeffrey Chapek, an orthopaedic surgeon with OrthoCincy Orthopaedics and Sports Medicine specializing in joint replacement, about who may benefit from total knee replacement, what recovery looks like and how patients can set themselves up for the best outcome.
What is a total knee replacement, and who is a good candidate?
A total knee replacement is a surgery where we resurface the damaged portions of the knee joint and replace them with implants designed to restore function and relieve pain. Good candidates are patients who have clear arthritis or joint damage on X-rays and whose knee pain is affecting daily life despite trying treatments like physical therapy, medications or injections. When knee pain starts limiting walking, working or enjoying hobbies, that’s often when we begin discussing surgery.
What makes total knee replacement an effective option for patients with advanced knee pain?
For patients who have exhausted non-surgical options, total knee replacement can be very reliable. The goal is to reduce pain, improve alignment and restore stability so patients can move more comfortably. Many people come in after months or even years of knee pain, and seeing them regain function and confidence after surgery is one of the most rewarding parts of what I do.
What does the recovery process look like after total knee replacement?
Recovery happens in phases. The first two to three weeks focus on incision healing and managing swelling. That early period is very important because proper wound healing sets the foundation for everything that follows.
The next phase, which lasts about six weeks, centers on motion and strength. This is when patients work closely with physical therapy to bend, straighten and strengthen the knee.
After that, there’s a longer recovery phase that can last several months. During this time, patients gradually return to normal daily activities. While a knee can continue improving for up to a year, most of the meaningful progress happens much earlier.
How soon can patients expect to be up and moving after surgery?
Most patients are walking the day of surgery. That often surprises people. Years ago, patients stayed in the hospital much longer, but now we focus on getting patients moving safely as soon as possible. Many patients go home the same day or the next day and begin walking with a walker right away, gradually gaining confidence and independence.
What role does technology, like robotic-assisted surgery, play in knee replacement?
For knee replacements, I use robotic assistance for every primary case. In orthopaedics, robotics serve as a planning and precision tool. It helps with accurate alignment and implant placement, which is important for function and long-term durability. The robot doesn’t do the surgery for me, but it allows me to tailor the procedure to each patient’s anatomy.
What are your top tips for a smooth recovery after total knee replacement?
First, don’t underestimate the basics. Ice and elevation are incredibly important for controlling swelling, especially early on. Less swelling often means less pain and easier physical therapy.
Second, listen to your surgeon and your physical therapist. It’s possible to do too much too soon, and patience really matters during recovery.
Third, focus on good nutrition and hydration. Proper nutrition supports wound healing and overall recovery, especially in the weeks surrounding surgery.
What would you say to someone who feels nervous or hesitant about having knee replacement surgery?
Feeling nervous is completely normal. From a patient’s perspective, surgery is a big and intimidating step. My advice is to learn as much as you can and ask questions. Understanding the process often helps ease anxiety. My goal is always to guide patients through the decision and support them every step of the way.
Ready to Take the Next Step?
Don’t wait to get back to what you love. Learn more about our services and to discuss joint replacement options.
