Knee Surgery and Treatment in Durban
Non-surgical care through knee replacement, in Durban.
Table of Contents
Non-surgical treatment first
Most knee conditions respond to non-surgical care. Dr Ryan's usual first steps:
- Physiotherapy to restore movement and strengthen the knee
- Activity changes and weight-bearing management
- Anti-inflammatory medication where appropriate
- Guided injections for pain and inflammation
He reviews your progress before discussing surgery, unless your specific condition needs it from the start.
Many people manage knee arthritis for years with non-surgical care before replacement becomes the better option.
When surgery is the better option
Some knee problems, like a significant ligament tear, a locked meniscus, or advanced arthritis, are better treated surgically. Dr Ryan explains what the operation involves before you decide.
Many knee procedures are keyhole (arthroscopic), using small incisions and a camera. Knee replacement is a larger, open procedure. Dr Ryan operates at Ahmed Al-Kadi Private Hospital and Busamed Hillcrest Private Hospital, both in Durban.
Common knee procedures include arthroscopy for meniscus tears, ACL reconstruction for ligament injuries, and total or partial knee replacement for advanced arthritis. Keyhole knee surgery is usually day surgery, while knee replacement typically needs a hospital stay of a few days followed by structured rehabilitation.
Recovery
Recovery time depends on the procedure. Keyhole knee surgery generally has a shorter recovery than knee replacement, which involves a structured rehabilitation programme over several months. Dr Ryan gives you a specific recovery timeline for your operation. Keyhole knee surgery patients are often walking the same day, with full recovery over a few months depending on the procedure. ACL reconstruction has a longer road back to sport, often six to nine months. Knee replacement recovery involves walking with support within a day or two and a structured rehabilitation programme over three to six months.
Is knee surgery safe?
Knee surgery is generally safe, but every operation carries some risk. Uncommon risks include infection, stiffness and blood clots. Serious complications are rare. Dr Ryan discusses the risks relevant to your specific procedure before you consent to surgery. Specific risks vary by procedure: ACL reconstruction carries a small risk of the graft not holding, and knee replacement carries risks including infection, blood clots, stiffness, and the implant wearing over time. Dr Ryan discusses your individual risk profile at your pre-operative consultation.
Frequently asked questions
How long until I can walk normally again?
It depends on the procedure. Dr Ryan gives you a specific timeline for your operation at your consultation.
Is knee surgery always a replacement?
No. Many knee operations repair or clean up the joint without replacing it. Replacement is discussed only when the joint is significantly worn.
Does medical aid cover knee surgery?
Yes, in most cases. Contact the practice directly to confirm your specific scheme and any authorisation requirements before your procedure.
Ready to discuss your treatment options?
Medically reviewed by Dr Paul Ryan, Orthopaedic Surgeon (HPCSA Mp0541214). Last reviewed 2026-09-17. This page is general information and does not replace a consultation. Dr Ryan discusses risks and options specific to your condition before any treatment decision.
Related: Knee Conditions · Knee Resource · Hip Treatment · About Dr Paul Ryan