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The most common reason for knee replacement surgery is to ease pain caused by arthritis. People who need knee replacement surgery usually have problems walking, climbing stairs and getting up out of chairs. If only one part of the knee is damaged, surgeons often can replace just that part. If the entire joint needs to be replaced, the ends of the thighbone and shinbone are reshaped and the entire joint resurfaced. These bones are hard tubes that contain a soft center. The ends of the artificial parts are inserted into the softer central part of the bones.