Total knee replacement is a surgical procedure in which the diseased knee joint has a replacement with artificial material. The knee is the joint that allows movement to the point where the thigh meets the lower leg. The femur (or femur) rests on the large bone of the lower leg (shin) at the knee joint.
During a full knee replacement, the end of the femur and replaced with a metal sheath. The ends of the lower leg bones (shins) are also removed and replaced with plastic parts that are routed with metal rods. Depending on the condition of the knee joint, plastic studs may be placed under the surface of the kneecap. The artificial component of knee endoprosthesis is a prosthesis.
The posterior cruciate ligament is the tissue that normally stabilizes each side of the knee joint so that the lower leg cannot slide back relative to the femur. In the case of knee prostheses, these ligaments are held, shut down, or replace with polyethylene poles. Each of these different knee replacement designs has specific advantages and risks.
The first 24 hours after knee replacement surgery
After surgery, patients wake up from anesthesia and begin to feel in their feet. The doctor will treat the previous pain with a combination of pain relief methods that complement each other and minimize side effects. This approach is referred to as multimodal analgesia.
If the pain is controlled within 24 hours, the patient may be asked to wake up with the help of a physical therapist and/or walker and take several steps. Patients who lift some weight (with assistance) with a new knee immediately after surgery and recover faster than patients who do not.
When can a patient with one knee leave the hospital?
Once the pain is under control, most knee replacement patients will feel relieved and can:
- Get into bed with a stroller or crutches and walk a short distance (usually 150 to 300 feet).
- Go up and down the stairs
- Bend your knees 90 degrees
- Take precautions to avoid injury to your new knee.
Discharge criteria may vary based on patient and hospital policies. For example, in some hospitals, the patient may only need to bend the knee 80 degrees.
Some patients meet the eligibility criteria after a day or two. People who have replaced two knees at the same time can have the the-existing disease, uncontrolled pain, or general weakness in the hospital for a long time.
Help with medications and wound care
It is important that the person takes all medicines that their health care team has prescribed. You may need to help take your medication, keep it on schedule, and monitor and update pharmacy prescriptions.
Using daily medication kits can help. One can easily purchase them from the local pharmacy or online.
If possible, see a facial doctor before starting outpatient treatment. They can continue to talk about what medication they require and answer any questions you may have.
You will also need to monitor the wound for swelling and inflammation. This includes changing the bandage as needed and removing medical aids such as bandages. If the wound is red, sore, watery, or smells bad, see a doctor. Wash your hands thoroughly before and after touching the bandage.
Try to establish a routine of losing medication and checking the wound at the same time every day.
Provides motivation for rehabilitation and practice
It is important to follow a rehabilitation plan. For many people, this means walking for 30 minutes two or three times a day. Your doctor may also recommend that you do an additional 20 to 30 minutes of exercise two or three times a day.
The person may find walking or exercising painful. That's normal. If they are ready to end their rehabilitation plan, remind them that what they are experiencing is normal and rehabilitation will help speed up their recovery.
By helping them plan their efforts, results, and progress, you can motivate them. Exercising and walking with them can also help them stay on track.
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