Evaluation of patients with a painful total knee replacement

J Bone Joint Surg Br. 2008 Mar;90(3):265-71. doi: 10.1302/0301-620X.90B3.20140.


Evaluation of patients with painful total knee replacement requires a thorough clinical examination and relevant investigations in order to reach a diagnosis. Awareness of the common and uncommon problems leading to painful total knee replacement is useful in the diagnostic approach. This review article aims to act as a guide to the evaluation of patients with painful total knee replacement.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee / adverse effects*
  • Bacterial Infections / diagnosis
  • Blood Sedimentation
  • C-Reactive Protein / analysis
  • Humans
  • Knee Joint / diagnostic imaging
  • Knee Joint / immunology
  • Osteoarthritis, Knee / diagnostic imaging
  • Osteoarthritis, Knee / immunology
  • Osteoarthritis, Knee / surgery
  • Pain, Postoperative / diagnostic imaging
  • Pain, Postoperative / etiology*
  • Pain, Postoperative / immunology
  • Prosthesis Failure
  • Radiography
  • Synovial Fluid / immunology
  • Synovial Fluid / microbiology


  • C-Reactive Protein