In the case of single-side TKR- Pt is mobilised on the same day of surgery & discharged in 2 to 3 days. Usually, it takes one month to recover. If B/L TKR- Pt mobilised next day of surgery & discharged in 5 days. It takes 6 to 8 weeks to recover.
Pain is very Pt specific & varies significantly. With improvements in surgical techniques & advancement in anaesthesia the pain has reduced remarkably, it is managed very well with the pain management team.
Although it's done mostly in regional anaesthesia, avoiding all risks of General anaesthesia, it is considered as a major operation.
Knee replacement surgery is unique in nature from pt perspective as it is mostly decided by pt not doctor. The doctor just advises but the final decision comes from pt side. Actually when these problems start coming more frequently then he/she may be the right candidate. Problems may be: Pain in joints at rest, stiffness, increasing dose of painkillers, arousal from sleep because of pain, deformity, radiologically decreased joint space & lastly pt demand.
Like any other surgery, at least one attendant ( family member or nurse) should be with Pt for approximately 15 days to one month
Ideally, pt should avoid jumping, running, sudden jerk, sitting on the ground & high contact sports.
Pt should use the Western commode & not Indian toilet. Initially, for 2 to 4 weeks, Pt should use toilet enhancer temporarily fitted to the routine western toilet.
Single TKR- Help needed in initial 15 days B/L TKR- help needed 2 to 6 weeks.
Yes, Knee replacement is more painful than hip replacement but with the advent of newer pain management techniques it?s almost same.
Pt can wait for a longer period for knee replacement but the deformity will keep on increasing as it's a progressive disease & once it's too bad then the final functional outcome may not be that good.
Pt may need pain killers for 2 to 4 weeks after knee replacement. But simple paracetamol will suffice.
In single TKR- Pts are mobilised on the same day of surgery whereas in B/L TKR pts are mobilised next day of surgery.
Physiotherapy is important to regain muscle strength & attain the proper range of motion, therefore 2 to 4 weeks by the physiotherapist & try to make it routine to do daily by themselves.
Yes, It can be done.
If dressing is with waterproof sealed adhesive dressing then pt can take bath after 3 days of surgery.
In single TKR- hospital stay 2 to 3 days & in case of B/L TKR stay would be 5 to 6 days
The combination therapy would be better like paracetamol & diclofenac.
For the initial 2 to 4 weeks, Pt should use a raised toilet seat but after that normal one to be used.
It. varies significantly from person to person. Pain is almost over in 4 to 6 weeks & stiffness goes of only when pt. are doing proper supervised physiotherapy.
Primary TKR means when pt is undergoing knee replacement surgery for 1st time.
Yes, Pt can have 2nd knee replacement which is known as revision TKR.
TKR is said to fail when there is aseptic or septic loosening.
Pt are usually not encouraged to squat after TKR but some pts with a good range of motion can squat.
Usually, pt will feel almost normal after knee replacement in around 3 to 6 months.
Although it depends on the extent of revision but it takes a longer time.