(Knee Arthroplasty; Total Knee Replacement)
|Total Knee Replacement|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Ease knee pain and disability due to arthritis or previous severe knee injury
- Correct a knee deformity
- Excess bleeding
- Blood clots
- Chronic weakness in knee joint
- Worsening or unchanged pain
- Poor nutrition
- History of blood clots
- Long-term illness
- Use of certain medications
What to Expect
Prior to Procedure
- Arrange for a ride home.
- Arrange for help at home while you recover.
- Talk to your doctor about any allergies you have.
- Ask your doctor about assist devices you will need.
- If you are overweight, lose weight. This will help to decrease the amount of stress on your new joint.
- Install safety equipment in the bathroom, shower, and on the stairs.
- Prepare a bedroom on the first floor if possible. Climbing stairs will be difficult at first.
- Anti-inflammatory medications such as ibuprofen and naproxen
- Blood thinners
- Anti-platelet medications
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medication
- Antibiotics to prevent infection
- Medication that prevents blood clots
- Slowly move your knee
- Restore function
- Decrease swelling
- Improve circulation
- Move your foot and ankle to increase blood flow back to your heart.
- Wear support stockings. These may help prevent blood clots from forming in your legs.
- Work with a physical therapist. You may start the day after surgery. You will learn safe ways to move your knee and support your weight.
- You will learn how to use a walker, crutches, or other support devices.
- Start working with a physical therapist once you are instructed to. The therapist will focus on balance, range-of-motion, and strength training.
- Maintain a healthy weight after surgery.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Swelling, redness, or pain in your legs, calves, or feet
- Pain that you cannot control with the medications you have been given
- Nausea and vomiting
- Cough, shortness of breath, or chest pain
- A chalky white, blue, or black appearance in your leg, foot, or toes
- Numbness or tingling in your leg, foot, or toes
- Pain, burning, urgency, frequency of urination, or persistent bleeding in the urine
American Academy of Orthopaedic Surgeons http://orthoinfo.org
American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Knee replacement surgery procedure. Johns Hopkins Medicine. Available at: http://www.hopkinsmedicine.org/healthlibrary/test%5Fprocedures/orthopaedic/knee%5Freplacement%5Fsurgery%5Fprocedure%5F92,P07673/. Accessed February 28, 2014.
Total knee arthroplasty. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 6, 2014. Accessed February 28, 2014.
Total knee replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00389. Updated December 2011. Accessed February 28, 2014.
4/16/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Harmer AR, Naylor JM, Crosbie J, Russell T. Land-based versus water-based rehabilitation following total knee replacement: a randomized, single-blind trial. Arthritis Rheum. 2009;61:184-191.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
9/16/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Abdallah FW, Chan VW, et al. The analgesic effects of proximal, distal, or no sciatic nerve block on posterior knee pain after total knee arthroplasty: a double-blind placebo-controlled randomized trial. Anesthesiology. 2014 Aug 5. [Epub ahead of print].
- Reviewer: Teresa Briedwell, PT, DPT
- Review Date: 02/2014 -
- Update Date: 09/16/2014 -