(Knee Arthroplasty; Total Knee Replacement)
|Total Knee Replacement|
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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.
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 Orthopaedic Society for Sports Medicine http://www.sportsmed.org
OrthoInfo—American Academy of Orthopaedic Surgeons http://orthoinfo.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 March 4, 2015.
Total knee arthroplasty. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 29, 2015. Accessed March 4, 2015.
Total knee replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00389. Updated December 2011. Accessed March 4, 2015.
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: 03/2015 -
- Update Date: 09/16/2014 -