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Reasons for Procedure
- Reduce pain
- Improve movement
- Delay further damage to the joint
- Postpone the need for total knee replacement surgery
- Poor healing of the bone
- Excess bleeding
- Blood clots
- Shortening of the leg
- Injuries to nerves or blood vessels
- Chronic disease such as diabetes or obesity
- Poor nutrition
- The 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 assisted 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
- Medication to:
- Reduce pain
- Prevent infection
- Prevent blood clots
- Place padded bandages over the incision sites
- Apply ice to reduce swelling
- Give you a splint or brace to hold the knee in the right position
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- 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.
- Follow your doctor's instructions.
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
- Your leg, foot, or toes appear chalky white, blue, or black
- Numbness or tingling in your leg, foot, or toes
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
Degenerative joint disease of the knee. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 18, 2015. Accessed March 4, 2015.
Knee osteotomy. The Knee Society website. Available at: http://www.kneesociety.org/web/patienteducation%5Fosteo.html. Accessed March 4, 2015.
Knee replacement surgery. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/test%5Fprocedures/orthopaedic/knee%5Freplacement%5Fsurgery%5Fprocedure%5F92,P07673/. Accessed March 4, 2015.
Marti R, Verhagen R, Kerkhoffs G, Moojen T. Proximal tibial varus osteotomy. J Bone Joint Surg Am. 2001;83-A(2):164-170
Wilson A. Knee osteotomy and painful osteoarthritis. Knee Guru Information Hub website. Available at: http://www.kneeguru.co.uk/KNEEnotes/node/2153. Published May 13, 2010. Accessed March 4, 2015.
6/6/2011 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.
- Reviewer: Michael Woods, MD
- Review Date: 03/2015 -
- Update Date: 01/27/2014 -