Opening June 1st, 2026

Total Knee Replacement

Understanding your options, the process, and what to expect.

Total knee replacement is one of the most commonly performed orthopaedic procedures in Australia. When the knee joint is significantly damaged by arthritis or injury, it can make a meaningful difference to how you move and how you live.

A total knee replacement removes damaged surfaces from the knee joint and replaces them with an artificial implant. The implant is designed to replicate the smooth movement of a healthy knee, addressing the source of pain rather than managing symptoms.

At AOS, both total and partial knee replacements are regularly performed using robotic-assisted surgical technology, allowing for a higher level of precision and personalised planning for each patient.

Total Knee Replacement vsPartial Knee Replacement

Knee replacement is not a single procedure. Depending on the location and extent of joint damage, your surgeon may recommend either a total or a partial knee replacement.

Total knee replacement Partial knee replacement
What is replaced Tibia + femur and/or patella compartments of the knee joint Only the damaged compartment
Best suited for Widespread arthritis affecting the whole joint Isolated arthritis in one compartment only
Recovery Gradual return to activity over several months Often quicker recovery
Feel of the knee Restored alignment and stability May feel more natural after recovery
Longevity of the replacement Good long-term outcomes May require second knee replacement depending on patient activity levels

Your surgeon will assess your imaging, symptoms, and anatomy to determine which procedure is right for you.

Who is Total Knee Replacement for?

It is most commonly recommended for people with significant joint damage caused by:

Condition What it means
Osteoarthritis Cartilage gradually wears away over time
Rheumatoid arthritis An autoimmune condition that damages joint tissue
Post-traumatic arthritis Joint damage following a fracture or injury
Before surgery is considered, most people will have already tried:
  • Physiotherapy
  • Anti-inflammatory medications
  • Weight management and activity modification
  • Cortisone injections

Surgery is considered when these options have been explored and the knee is no longer responding well to them.

Talk to your GP.

Your GP knows your history and is best placed to assess whether specialist input is the right next step. If knee pain is affecting the things you do every day, that is a conversation worth having with them. They can assess your situation, arrange imaging if needed, and refer you to an orthopaedic surgeon if appropriate.

Robotic-assisted Knee Replacement

AOS surgeons regularly use robotic-assisted technology for knee replacement surgery. It is an advanced technique in the field of joint replacement surgery, and allows personalisation of knee replacements using modern balancing techniques.

AOS surgeons regularly use robotic-assisted technology for knee replacement surgery. It is an advanced technique in the field of joint replacement surgery, and allows personalisation of knee replacements using modern balancing techniques.  

What robotic-assisted surgery involves

The robotic system does not operate independently. Your surgeon remains in full control throughout the procedure. The technology works as a precision tool, using detailed pre-operative imaging of your knee to create a patient-specific plan before a single incision is made.

During surgery, that plan guides real-time decisions about bone preparation, implant sizing, implant placement, and knee ligament balancing. The result is a procedure that is closely tailored to your individual anatomy from the outset.

How it differs from conventional surgery

Conventional knee replacement is a well-established procedure with a long track record, and skilled surgeons perform it successfully every day. Robotic assistance adds a layer of intraoperative data and planning integration that allows for a more individualised approach, particularly in how implant alignment and soft tissue balance are managed.

In practical terms, this means:
  • Implant positioning is guided by a pre-operative plan specific to your knee, rather than relying on standard anatomical landmarks alone
  • Bone cuts can be refined in real time based on live measurements during surgery
  • Soft tissue balance can be assessed and adjusted with greater detail throughout the procedure

There may be circumstances where your surgeon determines that a conventional approach is more appropriate. This will always be based on what is best for your individual situation, and your surgeon will discuss their approach with you before surgery.

Kinematic alignment

AOS surgeons also use a technique called kinematic alignment, which positions the implant to closely match your knee’s natural anatomy and movement patterns, respecting the knee’s ligaments and soft tissues. The aim is a knee that moves and feels as close to natural as possible after recovery, with minimal soft tissue releases.

Robotic technology and kinematic alignment are often used together, with the robotic system helping execute the personalised alignment plan throughout the procedure.

Your surgeon will discuss the approach planned for your surgery at your consultation.

Before Your Surgery

Your first consultation

Once referred to an AOS surgeon, your first appointment is a conversation to understand your situation before anything else.

You will have the opportunity to:

  • Walk through your history, imaging, and any treatment you have already tried
  • Talk about how knee pain is affecting your daily life and what you want to get back to
  • Hear a clear explanation of your options, including total or partial replacement and whether robotic-assisted surgery is appropriate
  • Understand what the procedure involves and what recovery may look like for your situation
  • Ask questions and take the time you need


Every recommendation is made with you, based on your individual circumstances.

Preparing for surgery

Once surgery is planned, your care team will guide you through the weeks ahead. This typically includes:

  • Pre-admission appointments and health assessments
  • Guidance on which medications to pause
  • Practical tips for preparing your home for your return
  • Pre-operative exercises to build muscle strength before the procedure

Before Your Surgery

Your first consultation

Once referred to an AOS surgeon, your first appointment is a conversation to understand your situation before anything else.

 
You will have the opportunity to:
  • Walk through your history, imaging, and any treatment you have already tried
  • Talk about how knee pain is affecting your daily life and what you want to get back to
  • Hear a clear explanation of your options, including total or partial replacement and whether robotic-assisted surgery is appropriate
  • Understand what the procedure involves and what recovery may look like for your situation
  • Ask questions and take the time you need

 

Every recommendation is made with you, based on your individual circumstances.

 

Preparing for surgery

Once surgery is planned, your care team will guide you through the weeks ahead. This typically includes:

  • Pre-admission appointments and health assessments
  • Guidance on which medications to pause
  • Practical tips for preparing your home for your return
  • Pre-operative exercises to build muscle strength before the procedure

What Happens During A Total Knee Replacement?

The procedure is performed under general or spinal anaesthetic and typically takes 1 to 1.5 hours.

Your surgeon removes the damaged surfaces from the end of your thigh bone (femur), the top of your shin bone (tibia), and sometimes the back of your kneecap. These are replaced with an implant made from metal and high-grade plastic, fixed in place with either bone cement or a specially designed porous surface that bone grows into. Sometimes a combination of both is required.

Where robotic-assisted surgery is used, your pre-operative plan guides precision bone cuts and implant placement throughout the procedure.

The goal: smooth joint movement, reduced bone loss and improved soft tissue balancing.

What Does Recovery Look Like?

Recovery varies from person to person. Your age, overall health, fitness before surgery, and the extent of joint damage all play a role. Your surgeon will walk you through what to expect for your specific situation.
Here is a general picture of what the stages involve:
In hospital (typically 2 to 3 days)
  • Pain management and wound monitoring
  • Early movement with physiotherapy support from day one
  • Walking with assistance, usually the day after surgery
Home: first weeks
  • Continuing prescribed exercises
  • Managing swelling and gradually increasing movement
  • Regular follow-up with your care team
Physiotherapy and rehabilitation
  • Begins the day after surgery and continues through your recovery at home
  • AOS works with trusted rehabilitation partners to support your return to movement
  • Your physiotherapist will guide you at a pace that is right for you
Returning to daily activities
  • Driving: typically possible from 4 to 6 weeks, depending on which leg was operated on and your individual progress
  • Desk-based work: many people return around 4 to 6 weeks
  • More physically demanding roles may require longer
  • Timelines vary and your surgeon will give you a realistic picture at your consultation
Getting back to the things that matter

The aim is to reduce pain and help you return to the activities that matter to you. For some people that means regular walks. For others, managing stairs comfortably, sleeping well, or returning to low-impact activity.

Your surgeon will discuss realistic expectations based on your individual situation. Recovery is a partnership between you, your surgeon, and your rehabilitation team.

What Does Recovery Look Like?

Recovery varies from person to person. Your age, overall health, fitness before surgery, and the extent of joint damage all play a role. Your surgeon will walk you through what to expect for your specific situation.

Here is a general picture of what the stages involve:

In hospital (typically 2 to 3 days)
  • Pain management and wound monitoring
  • Early movement with physiotherapy support from day one
  • Walking with assistance, usually the day after surgery
Home: first weeks
  • Continuing prescribed exercises
  • Managing swelling and gradually increasing movement
  • Regular follow-up with your care team
Physiotherapy and rehabilitation
  • Begins the day after surgery and continues through your recovery at home
  • AOS works with trusted rehabilitation partners to support your return to movement
  • Your physiotherapist will guide you at a pace that is right for you
Returning to daily activities
  • Driving: typically possible from 4 to 6 weeks, depending on which leg was operated on and your individual progress
  • Desk-based work: many people return around 4 to 6 weeks
  • More physically demanding roles may require longer
  • Timelines vary and your surgeon will give you a realistic picture at your consultation
Getting back to the things that matter

The aim is to reduce pain and help you return to the activities that matter to you. For some people that means regular walks. For others, managing stairs comfortably, sleeping well, or returning to low-impact activity.

Your surgeon will discuss realistic expectations based on your individual situation. Recovery is a partnership between you, your surgeon, and your rehabilitation team.

Risks and Considerations

As with all surgical procedures, a total knee replacement carries risks. Your surgeon will explain these in detail so you can make an informed decision.

Risks can include:

Infection

Blood clots

Nerve and blood vessel damage

Stiffness

Implant wear over time

In some cases, the need for further surgery

Serious complications are uncommon. Your surgeon will assess your individual health carefully before recommending surgery. The conversation about risk is part of every consultation.

A process designed for you

Care You Can Rely On,From Consultation Through To Recovery

O1

Specialist expertise, applied to you

Each AOS surgeon brings sub-specialty experience to knee surgery. A thorough understanding of the joint, the procedure, and the factors that shape individual recovery, applied to your specific anatomy and goals.

O2

A considered process

Your consultation is a thorough assessment of your condition, your history, and what matters to you. The right treatment is always the one that makes sense for your situation.

O3

You will always know where you stand

From your first appointment through to follow-up care, your surgeon will explain what is happening and why. Clear language. Honest timelines. No surprises.

O4

Getting back to what matters

The measure of a good outcome is you returning to the life you want to lead. AOS works with trusted rehabilitation partners to support your recovery, and your surgeon stays engaged with your progress well beyond the procedure itself.

Care You Can Rely On,From Consultation Through To Recovery

Specialist expertise, applied to you Each AOS surgeon brings sub-specialty experience to knee surgery. A thorough understanding of the joint, the procedure, and the factors that shape individual recovery, applied to your specific anatomy and goals.

A considered process Your consultation is a thorough assessment of your condition, your history, and what matters to you. The right treatment is always the one that makes sense for your situation.

You will always know where you stand From your first appointment through to follow-up care, your surgeon will explain what is happening and why. Clear language. Honest timelines. No surprises.

Getting back to what matters The measure of a good outcome is you returning to the life you want to lead. AOS works with trusted rehabilitation partners to support your recovery, and your surgeon stays engaged with your progress well beyond the procedure itself.

Taking The Next Step

If you have been referred to an AOS surgeon, or your GP has suggested a specialist opinion may be helpful, we are here to assist.

Frequently Asked Questions About Total Knee Replacement

What is a total knee replacement?
A surgical procedure that removes damaged joint surfaces from the knee and replaces them with an artificial implant. It is designed to reduce pain and restore more comfortable movement in a knee damaged by arthritis or injury.

A knee replacement is typically considered when significant joint damage is causing ongoing pain that affects daily life, and conservative measures have stopped working. If knee pain is affecting the things you do every day, a conversation with your GP is a good place to start, to arrange a referral to see an Orthopaedic Surgeon..

A total knee replacement resurfaces the whole joint. A partial knee replacement addresses only the damaged compartment, preserving healthy cartilage, ligaments, and bone in the rest of the knee. The right procedure depends on the extent and location of your arthritis, assessed through imaging and a clinical examination.

Robotic-assisted surgery uses computer-assisted technology, integrated with detailed pre-operative imaging, to support your surgeon in planning and performing the knee replacement. Your surgeon remains in full control throughout. The system provides real-time data during surgery to improve the accuracy of bone preparation and implant placement based on a plan tailored to your individual anatomy. AOS surgeons regularly use this technology for both total and partial knee replacements, though the approach for your surgery will always be discussed with you at your consultation.

Kinematic alignment is a surgical technique that positions the implant to closely match your knee’s natural anatomy and movement patterns, reducing the need for soft tissue releases. The aim is a knee that moves and feels as natural as possible after recovery. AOS surgeons use kinematic alignment, often in combination with robotic technology.

Your surgeon removes the damaged surfaces from the knee joint and replaces them with a carefully fitted implant. Where robotic assistance is used, it guides precision cuts and implant placement throughout. The surgery is performed under anaesthetic and typically takes 1 to 1.5 hours.

Typically 1 to 1.5 hours, not including time in the anaesthetic room and recovery area. Your care team will give you a clear picture of what your day at hospital will look like.

Most people are discharged within 2 to 3 days. Your care team will plan your discharge before you are admitted, so arrangements are in place well ahead of time.

Recovery depends on individual factors including age, overall health, and pre-surgery fitness. Most people are walking with assistance the day after surgery. Many people notice significant improvement by 6 to 8 weeks, with physiotherapy playing an important role throughout. Your surgeon will discuss what to expect at your consultation.

Most people can return to driving around 4 to 6 weeks after surgery, depending on which knee was operated on and how recovery is progressing. Always wait until you have been given the all clear by your surgeon.

People with desk-based roles often return around 4 to 6 weeks after surgery. More physically demanding roles may require longer. Your surgeon will advise based on your individual situation and job requirements.

Physiotherapy begins the day after surgery and continues through your recovery at home. The amount varies depending on your progress. AOS works with trusted rehabilitation partners to support your return to movement.

According to data from the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), the majority of knee replacements are still functioning well at 20 years. It is reasonable to expect that the knee replacement could last longer than this, but depends on individual factors including activity levels, body weight, and implant type. Your surgeon will discuss what you can realistically expect at your consultation.

Source: Australian Orthopaedic Association National Joint Replacement Registry Annual Report — aoanjrr.sahmri.com

The cost depends on your private health insurance, the hospital you attend, and your individual circumstances. AOS surgeons operate at private hospitals in Adelaide and surrounding areas. We recommend contacting your health insurer before your consultation to understand your cover. Our practice team can assist with any questions about the process.

Yes. A referral from your GP is required to see an orthopaedic surgeon. Your GP can assess your situation, arrange imaging if needed, and refer you to an AOS surgeon for specialist care. Referrals can be via fax, email or through the website www.aos.com.au

Yes. Dr George Awwad consults in Port Pirie and Mt Barker in addition to Adelaide locations. Contact our practice team to discuss which location suits you best.

Frequently Asked Questions About Total Knee Replacement

What is a total knee replacement?
A surgical procedure that removes damaged joint surfaces from the knee and replaces them with an artificial implant. It is designed to reduce pain and restore more comfortable movement in a knee damaged by arthritis or injury.

A knee replacement is typically considered when significant joint damage is causing ongoing pain that affects daily life, and conservative measures have stopped working. If knee pain is affecting the things you do every day, a conversation with your GP is a good place to start, to arrange a referral to see an Orthopaedic Surgeon..

A total knee replacement resurfaces the whole joint. A partial knee replacement addresses only the damaged compartment, preserving healthy cartilage, ligaments, and bone in the rest of the knee. The right procedure depends on the extent and location of your arthritis, assessed through imaging and a clinical examination.

Robotic-assisted surgery uses computer-assisted technology, integrated with detailed pre-operative imaging, to support your surgeon in planning and performing the knee replacement. Your surgeon remains in full control throughout. The system provides real-time data during surgery to improve the accuracy of bone preparation and implant placement based on a plan tailored to your individual anatomy. AOS surgeons regularly use this technology for both total and partial knee replacements, though the approach for your surgery will always be discussed with you at your consultation.

Kinematic alignment is a surgical technique that positions the implant to closely match your knee’s natural anatomy and movement patterns, reducing the need for soft tissue releases. The aim is a knee that moves and feels as natural as possible after recovery. AOS surgeons use kinematic alignment, often in combination with robotic technology.

Your surgeon removes the damaged surfaces from the knee joint and replaces them with a carefully fitted implant. Where robotic assistance is used, it guides precision cuts and implant placement throughout. The surgery is performed under anaesthetic and typically takes 1 to 1.5 hours.

Typically 1 to 1.5 hours, not including time in the anaesthetic room and recovery area. Your care team will give you a clear picture of what your day at hospital will look like.

Most people are discharged within 2 to 3 days. Your care team will plan your discharge before you are admitted, so arrangements are in place well ahead of time.

Recovery depends on individual factors including age, overall health, and pre-surgery fitness. Most people are walking with assistance the day after surgery. Many people notice significant improvement by 6 to 8 weeks, with physiotherapy playing an important role throughout. Your surgeon will discuss what to expect at your consultation.

Most people can return to driving around 4 to 6 weeks after surgery, depending on which knee was operated on and how recovery is progressing. Always wait until you have been given the all clear by your surgeon.

People with desk-based roles often return around 4 to 6 weeks after surgery. More physically demanding roles may require longer. Your surgeon will advise based on your individual situation and job requirements.

Physiotherapy begins the day after surgery and continues through your recovery at home. The amount varies depending on your progress. AOS works with trusted rehabilitation partners to support your return to movement.

According to data from the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), the majority of knee replacements are still functioning well at 20 years. It is reasonable to expect that the knee replacement could last longer than this, but depends on individual factors including activity levels, body weight, and implant type. Your surgeon will discuss what you can realistically expect at your consultation.

Source: Australian Orthopaedic Association National Joint Replacement Registry Annual Report — aoanjrr.sahmri.com

The cost depends on your private health insurance, the hospital you attend, and your individual circumstances. AOS surgeons operate at private hospitals in Adelaide and surrounding areas. We recommend contacting your health insurer before your consultation to understand your cover. Our practice team can assist with any questions about the process.

Yes. A referral from your GP is required to see an orthopaedic surgeon. Your GP can assess your situation, arrange imaging if needed, and refer you to an AOS surgeon for specialist care. Referrals can be via fax, email or through the website www.aos.com.au

Yes. Dr George Awwad consults in Port Pirie and Mt Barker in addition to Adelaide locations. Contact our practice team to discuss which location suits you best.