5 Essential Checks Before You Say Yes to Total Knee Replacement (TKR)

Thinking about knee replacement surgery? Before you commit, make sure you’ve ticked off these five crucial checkpoints. Your knees deserve nothing less than a well-informed decision.

  1. Clinical Evaluation: More Than Just Scans

A proper clinical exam isn’t optional—it’s foundational. Your doctor should assess:

  • Mechanical stability
  • Range of motion
  • Signs of inflammation
  • Any subluxation (partial dislocation)

Scans can’t capture everything. Hands-on evaluation reveals what machines might miss.

  1. The Right Imaging: Weight-Bearing X-rays Matter

Plain X-rays while lying down? Not enough. You need:

  • Weight-bearing X-rays (taken while standing)
  • Possibly MRIs of both knees

These give a realistic picture of how your knees function under pressure—literally.

  1. Know Your Arthritis Stage

Arthritis isn’t one-size-fits-all. It’s staged from Grade 1 (early) to Grade 4 (advanced). TKR is usually recommended only for Grade 4 and beyond. Your doctor should clearly explain:

  • Your current stage
  • What it means for your mobility and pain
  • Whether surgery is truly necessary
  1. Tried All Conservative Treatments?

Before going under the knife, ask yourself:

  • Have I tried physiotherapy?
  • Pain meds, cartilage boosters, braces, footwear tweaks?
  • Lifestyle changes and exercises?

Surgery should be the last resort—not the first suggestion.

  1. Have You Explored Regenerative Options?

Regenerative medicine is changing the game for osteoarthritis. If your doctor hasn’t mentioned it, consider consulting a specialist. Treatments like PRP (Platelet-Rich Plasma) or stem cell therapy might help delay or even avoid surgery.

Still unsure? A second opinion from a regenerative medicine expert could offer new hope.