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Patient journey

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Total Knee Replacement — risks and complications

5 documented risks. Severity reflects clinical significance, not probability.

Periprosthetic infection

severe1.00% (0.50–2.00%)

Prevention: Antibiotic prophylaxis; laminar flow theatre; adequate skin preparation; weight management pre-operatively.

Sources: aaos-knee-replacement-guideline

Deep vein thrombosis / pulmonary embolism

severe1.00% (0.50–2.00%)

Prevention: Mechanical and pharmacological prophylaxis per NICE NG89; early mobilisation.

Sources: nice-ng89-venous-thromboembolism

Implant loosening (long-term)

moderate5.00% (2.00–10.00%)

Prevention: Cementing technique; activity modification post-recovery.

Sources: njr-annual-report

Persistent pain or stiffness

moderate10.00% (5.00–20.00%)

Prevention: Pre-operative expectations management; physiotherapy compliance.

Sources: aaos-knee-replacement-guideline

Nerve injury (peroneal, saphenous)

moderate0.50%

Prevention: Careful surgical exposure; avoidance of excessive valgus correction.

Sources: aaos-knee-replacement-guideline

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