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Knee Replacement Surgery in Singapore

Dr Alan Cheung

Dr Alan Cheung

Senior Consultant Orthopaedic Surgeon in Singapore

MBBS (London), MRCS (England), FRCS (Trauma and Orthopaedics, England), Diploma in Sport and Exercise Medicine (UK), Fellow of the European Board of Orthopaedics and Traumatology, American Academy of Orthopaedic Surgeons (AAOS)

Persistent knee pain, stiffness and reduced mobility can make everyday activities such as walking, climbing stairs and getting up from a chair increasingly difficult. When non-surgical treatments no longer provide adequate relief, your orthopaedic specialist may suggest knee replacement surgery to help restore function, improve mobility and support a better quality of life.

What Is Knee Replacement Surgery?

Knee replacement surgery, also known as knee arthroplasty, is a medical procedure in which a damaged or diseased knee joint is replaced with an artificial implant. This surgery is typically performed to relieve pain and restore function in individuals with severe knee arthritis or other debilitating knee conditions. The procedure involves removing damaged cartilage and bone from the knee joint and replacing them with prosthetic components made of metal, plastic or ceramic materials.

Who May Need Knee Replacement Surgery?

Knee replacement surgery may be recommended for individuals with advanced knee joint damage that causes persistent pain, stiffness and reduced mobility despite conservative treatment. You may be a suitable candidate if you:

  • Experience knee pain that affects daily activities such as walking, climbing stairs or getting up from a chair.
  • Have ongoing symptoms despite physiotherapy, medications or knee injections.
  • Show significant joint damage or loss of cartilage on X-rays or MRI scans.
  • Have knee deformities such as bow legs or knock knees that affect function and mobility.
  • Experience knee instability, stiffness or reduced range of motion.
  • Have a significantly reduced quality of life due to knee symptoms.

Common conditions that may lead to knee replacement surgery include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis and other forms of advanced knee joint degeneration.

Your orthopaedic specialist will assess your symptoms, medical history, imaging findings and overall health to determine whether knee replacement surgery is appropriate for you.

What Are The Benefits Of Knee Replacement Surgery?

For patients with advanced knee joint damage, knee replacement surgery can provide significant improvements in mobility, comfort and overall quality of life. While individual outcomes vary, many patients experience substantial benefits following treatment.

  • Relief from Chronic Knee Pain

    Replacing damaged joint surfaces can help reduce or eliminate persistent knee pain caused by arthritis and other degenerative joint conditions.
  • Enhanced Knee Stability

    By restoring the structure and alignment of the knee joint, knee replacement surgery can improve stability and confidence during movement.
  • Greater Independence

    Improved mobility may reduce reliance on walking aids or assistance from others, helping patients maintain an active and independent lifestyle.
  • Improved Mobility and Function

    Many patients find it easier to walk, climb stairs and perform everyday activities that were previously limited by pain and stiffness.
  • Better Quality of Life

    Reduced pain and improved function can allow patients to participate more comfortably in work, exercise, hobbies and social activities.
  • Long-Term Improvement in Joint Function

    Modern knee replacement implants are designed to provide durable performance, allowing many patients to enjoy lasting improvements in mobility and knee function.

Seek Out A Comprehensive Assessment For Your Symptoms Before They Worsen, And Take The First Step Towards Relief.

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What Conditions Can Knee Replacement Surgery Treat?

Knee replacement surgery is most commonly performed for patients with conditions that cause advanced knee joint damage, resulting in significant deterioration of the joint surfaces. This includes conditions such as:

  • Osteoarthritis

    The most common reason for knee replacement, where the cartilage in the knee joint degenerates and wears away over time, leading to knee stiffness and deformity.
  • Post-Traumatic Arthritis

    This refers to arthritis that develops after an injury, such as a fracture or ligament tear.
  • Severe Knee Pain and Stiffness

    When conservative treatments fail, surgery can provide relief and improve mobility.
  • Rheumatoid Arthritis

    An autoimmune condition that causes inflammation of the lining of the knee joint, resulting in chronic joint inflammation and damage. It may affect many joints and body organs, and may occur in younger patients.
  • Knee Deformities

    Conditions like bow-leggedness or knock knees that cause misalignment and pain.
How Doctors Choose The Right Knee Replacement Implant

How Doctors Choose The Right Knee Replacement Implant

There is no single knee replacement implant that is suitable for every patient. During your consultation, your orthopaedic surgeon will assess several factors to determine the most appropriate implant and surgical approach for your condition.

These factors may include:

  • Extent of knee joint damage

    The severity and location of cartilage loss, arthritis and joint degeneration within the knee.
  • Type of knee replacement required

    Whether a total knee replacement (TKR), partial knee replacement (UKR) or revision procedure is most suitable based on the affected compartments of the knee.
  • Age and life expectancy

    Younger and older patients may have different implant considerations based on their expected long-term needs.
  • Activity level and lifestyle

    Daily activities, occupational demands and exercise habits can influence implant selection and treatment planning.
  • Bone quality

    Bone density and strength help determine implant fixation and long-term stability.
  • Knee anatomy and alignment

    Individual differences in bone structure, joint alignment and deformity affect implant sizing and positioning.
  • Underlying knee condition

    Conditions such as osteoarthritis, rheumatoid arthritis, post-traumatic arthritis and knee deformities may require different treatment considerations.

By evaluating these factors alongside your symptoms, imaging findings and treatment goals, your surgeon can recommend an implant designed to provide optimal stability, mobility and long-term function.

What Are The Different Types Of Knee Replacement Surgery Available?

There are several types of knee replacement procedures, each tailored to the patient's condition and needs:

  • Total Knee Replacement (TKR)

    The entire knee joint is replaced with artificial components. This is the most common type of knee replacement surgery and can significantly improve one's quality of life.
  • Unicompartmental (UKR) or Partial Knee Replacement (PKR)

    Only the damaged portion of the knee joint is replaced, preserving healthy tissues. This is recommended for patients with localised knee damage or younger patients.
  • Kneecap Replacement (Patellofemoral Arthroplasty)

    In this procedure, only the kneecap (patella) and the groove it slides in are replaced.
  • Complex or Revision Knee Replacement

    This is performed in cases where a previous knee replacement has failed (e.g. infection) or if the artificial implants have worn off over time.
What Are The Different Types Of Knee Replacement Surgery Available?
What Is The Difference Between Total (TKR) And Unicompartmental Knee Replacement (UKR)?

What Is The Difference Between Total (TKR) And Unicompartmental Knee Replacement (UKR)?

The knee joint can be divided into three compartments:

  • The inside of the knee (medial compartment)
  • The outside of the knee (lateral compartment)
  • The space between the kneecap and the thigh bone (patellofemoral joint)

Patients suitable for TKR may have loss of cartilage in all three compartments, have severe deformity, ligamentous injury or inflammatory joint disease.

Patients suitable for UKR, on the other hand, may have localised joint disease in one compartment only.

Both procedures can be performed with an excellent degree of accuracy using a robotic system such as Makoplasty, Navio or Robodoc. Dr Alan Cheung is skilled in performing robotic orthopaedic surgery.

Some of the possible advantages of UKR over TKR include a smaller incision, less tissue damage and postoperative pain, less blood loss, faster recovery and return to work / sport, greater range of postoperative movement.

Consult Dr Alan Cheung for a thorough assessment of your knee condition, lifestyle and treatment goals, to discover the right type of implant for your needs.

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How Do I Prepare For Knee Replacement Surgery?

Preparation for knee replacement involves several important steps:

  • Medical Evaluation

    A full assessment, including blood tests and imaging, ensures the patient is fit for surgery.
  • Weight Management

    Overweight patients may be advised to lose weight to reduce strain on the new joint.
  • Strengthening Exercises

    Physiotherapy before surgery can help build muscle strength around the knee.
  • Medication Review

    Some medications may need to be stopped around two weeks before surgery. This usually includes blood thinning medications and TCM herbs.
  • Home Preparation

    Setting up a comfortable recovery space with mobility aids, such as walkers and handrails.
  • Arranging Assistance

    Having a caregiver or family member to help during the initial recovery period.
How Do I Prepare For Knee Replacement Surgery?
How Is Knee Replacement Surgery Performed?

How Is Knee Replacement Surgery Performed?

While the exact technique for knee replacement may vary depending on the type of implant being used and the patient's individual needs, the procedure generally follows the stages outlined below.

  • Anaesthesia

    The patient is given either general anaesthesia (where you will be asleep during the procedure) or spinal anaesthesia to numb the lower body.
  • Incision

    A surgical cut is made over the knee, exposing the joint.
  • Bone Preparation

    Damaged cartilage and bone are removed from the knee joint.
  • Implant Placement

    Artificial components (prosthetics) are attached to the thigh bone (femur), shin bone (tibia) and kneecap.
  • Adjustment and Closure

    The prosthetics are aligned properly, and the incision is stitched closed.
  • Recovery

    The patient is monitored in the hospital for a few days before starting rehabilitation.

What Happens During Knee Replacement Surgery?

Understanding what happens during knee replacement surgery can help patients feel more informed and prepared. The process often involves:

  • Anaesthesia

    The patient is given either general anaesthesia, where they will be asleep during the procedure, or spinal anaesthesia to numb the lower body.
  • Incision

    A surgical incision is made over the knee to expose the joint and allow access to the damaged surfaces.
  • Bone Preparation

    Damaged cartilage and bone are removed from the knee joint, and the remaining bone surfaces are prepared for the implant.
  • Implant Placement

    Artificial components are attached to the thigh bone (femur) and shin bone (tibia). In some cases, the underside of the kneecap (patella) may also be resurfaced.
  • Adjustment and Closure

    The implants are checked for proper alignment, stability and range of motion before the incision is closed with stitches or surgical staples.
  • Recovery

    The patient is monitored after surgery and will begin rehabilitation to restore knee movement, strength and function.
What Happens During Knee Replacement Surgery?
How Long Does The Recovery Process Take For Knee Replacement Surgery?

How Long Does The Recovery Process Take For Knee Replacement Surgery?

Recovery after knee replacement surgery varies from person to person depending on factors such as age, overall health, the complexity of the procedure and adherence to rehabilitation. While many patients begin standing and walking shortly after surgery, full recovery and a return to normal activities may take several months.

  • Hospital Stay

    Most patients stay in the hospital for 1-3 days post-surgery.
  • Pain Management

    Medications and ice therapy help control pain and swelling.
  • Physiotherapy

    Rehabilitation starts within 24 hours of surgery, focusing on regaining movement and strength.
  • Mobility Aids

    Walkers or crutches are used initially before transitioning to normal walking.
  • Wound Care

    The wound may take around two weeks to heal, and it is important to keep it clean and dry during this time.
  • Follow-up Visits

    Regular check-ups with your knee surgeon help monitor healing and recovery progress.

When Can I Drive, Fly Or Return To Work After Knee Replacement Surgery?

Most patients can drive six weeks following knee replacement. You are advised not to fly long haul for at least six weeks following the operation to reduce risk of blood clot in the legs (deep vein thrombosis) or lungs (pulmonary embolism).

Patients who underwent unicompartmental knee replacement (UKR) can sometimes return to work at six weeks or earlier depending upon their occupation. Patients undergoing total knee replacement (TKR) often need longer to recover – on average between six to twelve weeks in my experience, although there are exceptions.

My aim is to relieve your pain and restore function to your limbs through joint replacement. Although it can take some time and effort to recover, most patients can achieve an excellent result.

What Are The Risks Of Knee Replacement Surgery?

Even though knee replacement surgeries are some of the most well-established and effective surgical procedures, it still comes with certain risks that the knee replacement surgeon will need to properly manage and watch out for:

  • Blood Clots

    Clots can form in the legs and may travel to the lungs.
  • Nerve Damage

    Temporary or permanent nerve injury can cause numbness or weakness.
  • Anaesthesia Complications

    Risks include allergic reactions or breathing difficulties.
  • Implant Issues

    The prosthetic may loosen, wear out or cause instability over time.
  • Persistent Pain or Stiffness

    Some patients continue to experience discomfort despite surgery.

Finding Long-Term Relief For Knee Pain And Stiffness

Persistent knee pain and stiffness can make everyday activities increasingly difficult and may continue to worsen without appropriate treatment. While many patients benefit from physiotherapy, medications and injections, knee replacement surgery may be recommended when conservative treatments no longer provide adequate relief.

At International Orthopaedic Clinic, patients receive comprehensive care for knee conditions, from diagnosis and non-surgical management to advanced knee replacement surgery. Led by Senior Consultant Orthopaedic Surgeon Dr Alan Cheung, our clinic provides personalised treatment plans tailored to each patient's condition, lifestyle and goals.

If knee pain is affecting your mobility or quality of life, contact us today to arrange a consultation and discuss your treatment options.

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Frequently Asked Questions About Knee Replacement Surgery

Age alone does not determine whether someone is suitable for knee replacement surgery. The decision is based on factors such as overall health, symptoms and the potential benefits of treatment. Both older and younger adults may be suitable candidates when knee joint damage significantly affects their quality of life.

Our Knee Replacement Surgery Specialist in Singapore

Dr Alan Cheung

Senior Consultant Orthopaedic Surgeon

MBBS (London)
MRCS (Royal College of Surgeons of England)
FRCS (Trauma and Orthopaedics)
Diploma in Sport and Exercise Medicine
(Faculty of Sport and Exercise Medicine UK)

Dr Alan Cheung is a senior consultant orthopaedic surgeon with expertise in knee conditions, adult joint reconstruction and robotic-assisted knee replacement surgery. He has extensive experience managing patients with advanced knee arthritis, knee deformities and complex joint conditions, helping them regain mobility, reduce pain and return to an active lifestyle through personalised treatment plans and modern surgical techniques.

Dr Cheung is skilled in performing both total and partial knee replacement procedures, including robotic-assisted surgery using systems such as Makoplasty, Navio and Robodoc. By combining advanced technology with evidence-based surgical principles, he strives to optimise implant positioning, joint function and long-term outcomes for his patients.

As an avid sportsperson who is actively involved in the sporting scene, Dr Cheung empathises deeply with the needs of athletes. As a trusted orthopaedic specialist, Dr Cheung has published in numerous peer-reviewed journals and has presented at various international conferences.

  • Fellowship in Joint Reconstruction & Musculoskeletal Oncology
  • Fellowship of the European Board of Orthopaedics & Traumatology
  • Asia Pacific Knee Arthroscopy and Sports Medicine Society
  • American Academy of Orthopaedic Surgeons (AAOS)
Our Clinics

Mt Elizabeth Novena #05-24, 38 Irrawaddy Road, Singapore 329563

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Farrer Park Hospital Connexion, #08-20, 1 Farrer Park Station Road, Singapore 217562

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Operating Hours

Monday to Friday : 9 am to 5pm
Saturday : 9 am to 1pm
Sunday & Public Holidays : Closed

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