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A cut will be made in your skin. The damaged cartilage and bone will be removed. The remaining bone will be prepared to receive the new joint made from material such as plastic and metal. The artificial joint will be placed in the proper position. It may be cemented within the bone. The incision will be closed with staples. A drain will be left in to allow extra fluid to flow out.
Right after the procedure, you will be taken to recovery and monitored closely. The staff may give you:
Antibiotics to prevent infection
Medication that prevents blood clots
While you are recovering at the hospital, you may need to use a continuous passive motion machine, which is designed to:
Slowly move your knee
During your recovery, you will need to:
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
crutches, or other support devices.
To help ensure a smooth recovery at home, take these steps:
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.
Within six weeks, you should be able to go back to light activities and driving. You may feel a soft clicking in the joint when walking or bending. Continue to work with the physical therapist. Water-based exercises may help to improve joint pain, swelling around the knee, and range of motion.
Antibiotics may be needed before certain dental procedures or surgeries now that you have an artificial joint. This will prevent possible infections from entering the bloodstream. Make sure to let the dentist or doctor know that you have an artificial joint.
Knee replacement surgery procedure. Johns Hopkins Medicine. Available at: ...(Click grey area to select URL) Accessed February 28, 2014.
Total knee arthroplasty. EBSCO DynaMed website. Available at: ...(Click grey area to select URL) Updated February 6, 2014. Accessed February 28, 2014.
Total knee replacement. American Academy of Orthopaedic Surgeons website. Available at: ...(Click grey area to select URL) Updated December 2011. Accessed February 28, 2014.
4/16/2009 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) 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 ...(Click grey area to select URL) 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 ...(Click grey area to select URL) 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].
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