Why does the knee still hurt 3 months after knee replacement surgery?
Pain three months after knee replacement surgery may be caused by improper prosthesis positioning, surgical trauma, or infection. The specific analysis is as follows:
1. Improper Prosthesis Positioning
If the prosthesis is improperly positioned or placed at an incorrect angle, it may lead to symptoms such as pain three months after knee replacement surgery. Common manifestations include local redness, swelling, aching, and pain. In such cases, repositioning or readjustment of the prosthesis usually resolves the issue.
2. Surgical Trauma
Knee replacement surgery is considered highly invasive. Postoperative pain—either early or long-term—is common due to tissue damage during the procedure. As tissues gradually heal, pain typically subsides. Since the surgery involves incisions in the skin, subcutaneous tissues, joint capsule, and removal of diseased tissues, postoperative pain is generally normal and not a cause for excessive concern.
3. Infection
Infections occurring within three months after knee replacement are classified as early infections. Symptoms include joint pain, swelling, and loosening of the prosthesis. If infection is suspected, treatment under medical guidance with antibiotics such as roxithromycin capsules or amoxicillin capsules is recommended.
In addition to the above causes, pain may also be related to knee joint adhesions. It is advisable to seek prompt evaluation at a qualified hospital to determine the underlying cause through diagnostic tests such as X-rays or MRI. Adequate rest should be maintained, and strenuous activities should be avoided, as these may impair recovery.