Return to Function and Satisfaction After Total Knee Replacement? Fact vs. Fiction

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Return to Function and Satisfaction After Total Knee Replacement? Fact vs. Fiction

At the Centeno-Schultz Clinic, we acknowledge the pain and limitation associated with knee osteoarthritis. It can make the simplest task, like walking upstairs or getting out of a chair, almost impossible at times. Symptomatic knee osteoarthritis occurs in 10% of men and 13% of women in the United States. The rate of osteoarthritis has more than doubled since 1940.

Recently, there has been an avalanche of knee replacement advertisements. The ads show a middle-aged couple post knee replacement sprinting down the beach, skiing past the trees, and biking up the mountains. Is this reality or Madison Avenue hype?


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New Study Detailing Activity and Satisfaction Following Total Knee Replacement

Researchers, Baker et al, followed 99 patients who underwent knee replacement from august 2015 to December 2015. The study was a prospective longitudinal cohort observational survey. Patients identified activities most important to return to after knee replacement. Patients were contacted at 3 weeks, 6 weeks, 3 months, 6 months, and 12 months post procedure.

Study Results

The percentage of patients who actually returned to kneeling was only 85%, to cycling was 40%, and to sports was only 60%. Ouch! There seems to be a disconnect between the hype and reality.

Patient satisfaction was no better. The percentage of patients who returned to a given activity but were NOT satisfied at 12 months is concerning.

  • Regarding kneeling, 59% of patients at 12 months post surgery were not satisfied.
  • Regarding cycling, 59% of patients at 12 months were not satisfied.
  • Regarding sports, 40% of patients at 12 months were not satisfied.
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Alternative to Knee Replacement


Don’t believe in the hype. Satisfaction and return to cycling and sports is low in patients post knee replacement at 12 months.

If you have ongoing knee pain that is limiting your potential to have a great powder day in blue sky basin or an afternoon with your grandson, please schedule a consultation at the Centeno-Schultz Clinic, where a board-certified, fellowship-trained physician will review you history, surgeries, medications, and MRI and perform a thorough evaluation. Thereafter, you will be provided a candidacy rating and treatment plan.  Anything less will compromise your potential.

This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you.

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Category: Knee, Uncategorized

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4 thoughts on “Return to Function and Satisfaction After Total Knee Replacement? Fact vs. Fiction

  1. Stacey Kaufman

    I am a happy Dr. Schultz patient. Although I have a long road ahead with my ccj damage, I am seeing some positive changes that I never would have thought possible. I have a question on behalf of a friend of mine. She has knee osteoarthritis with bone on bone and is being told she will need a knee replacement. Can a Regenexx stem cell procedure help keep her from going through surgery, or is bone on bone too far gone for your stem cells procedure to heal her?

    1. Regenexx Team

      Hi Stacey,
      Glad to hear you’re doing so well! We treat bone on bone knee arthritis regularly, and we always trying all non-invasive procedures before any joint replacement. If she’d like to see if she would be a Candidate, please have her give us a call at 303 429 6448.

  2. Marv Richardson

    Is there anything you can do for knee replacement, only getting 90% Bend after knee revision

    1. Regenexx Team

      Hi Marv,
      This is very common result of knee replacement, and unfortunately, there is nothing we can do for the knee itself as there is no longer a biological joint. However, an important issue with knee replacement is if there is a low back problem, symptomatic or not, TKR results are not as good. and and We’ve helped tens of thousands of patients avoid joint replacement and hopefully we can help you avoid joint replacement in the future. For now, if you’d like us to take a look at your back, please let us know, here, or give us a call at 855 622 7838.

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