hip-knee 5 min read

How I close the skin for a total hip or knee replacement

Closing the skin is an important step in a hip or knee replacement. It is the last part of the surgical procedure and accounts for some of the important elements in how the soft tissue heals. Whilst we do not cut or detach any muscles or tendons during a hip replacement, and we only cut alongside the patellar on a knee replacement.

Dr Chien-Wen Liew
Orthopaedics 360

Closing the skin is an important step in a hip or knee replacement. It is the last part of the surgical procedure and accounts for some of the important elements in how the soft tissue heals. Whilst we do not cut or detach any muscles or tendons during a hip replacement, and we only cut alongside the patellar on a knee replacement.

01

The Skin Closure Technique

Learn about some of the key elements of the skin closure, what technology we use to improve outcomes and how it relates to the method of hip replacement surgery and knee replacement surgery that I perform.

Dr Liew — How I close the skin for a total hip or knee replacement
Watch — Dr Liew Explains
How I close the skin for a total hip or knee replacement

Watch Dr Chien-Wen Liew discuss this topic.

02

Swimming and Water Activity Restrictions

Whilst the skin closure is multi-layered and very protected from the outside elements, we advise no swimming for 4 weeks post operatively. This includes any hydrotherapy pools, personal swimming pools and the ocean. It is easy for water to find its way under the dressing, which may bring in bacterial elements and increase the risks of infection. Whilst the dressing is waterproof, it will not be able to withstand large volumes of water, hitting it repeatedly, which is why it is advisable to try not to soak the wound or let water hit it directly. You can still shower, but just be more cautious about allowing water around the dressing, or underneath.

Dr Chien-Wen Liew
MBBS (Hons) · FRACS (Ortho)
Orthopaedic Surgeon, Adelaide
Exclusively Total Hip Replacements and Total Knee Replacements. Refined focus in Minimally Invasive, Patient Specific Adelaide Joint Replacement Surgery.
FAQ

Frequently Asked Questions

How is the incision closed after hip or knee replacement?+
Learn about some of the key elements of the skin closure, what technology we use to improve outcomes and how it relates to the method of hip replacement surgery and knee replacement surgery that I perform.
Are stitches or clips used to close the wound after joint replacement?+
Dr Liew uses absorbable deep sutures combined with a running subcuticular technique for skin closure. External clips or staples are not routinely used, which reduces scarring and the need for wound review appointments.
How long does the incision take to heal after joint replacement?+
Skin closure is typically complete within 2–3 weeks. The scar continues to mature and fade over 6–18 months. Patients are advised to keep the wound dry and protected in the early postoperative period.

More Information

Learn more about this procedure and what to expect during your consultation.

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Medical Disclaimer: This content is for educational purposes only. Individual outcomes vary. AHPRA Registered Specialist.