Total knee replacement is a major orthopedic procedure that significantly improves mobility and quality of life. However, a successful outcome depends heavily on structured rehabilitation and proper home care. Here’s a complete guide for patients after knee replacement surgery.
1. Immediate Recovery (First 3 Days)
- Hospital Stay: Usually 1–3 days. Pain management begins immediately after surgery.
- Mobility Support: A walker or crutches will be used initially. Weight-bearing depends on the surgeon’s protocol.
2. Wound Care
- Keep Dressing Dry: Follow instructions for changing dressings.
- Watch for Infection: Redness, warmth, or drainage should be reported immediately.
- Stitches/Staples Removal: Usually done after 10–14 days if not absorbable.
3. Pain Management
- Medications: Use prescribed analgesics and anti-inflammatory drugs.
- Cold Therapy: Ice packs reduce swelling and discomfort.
4. Physical Therapy and Exercises
- Start Early: Rehabilitation often starts within 24 hours post-op.
- Home Exercises: Heel slides, Quadriceps sets, Ankle pumps
- Physiotherapy Sessions: Essential for regaining range of motion and strength.
5. Walking and Activity Progression
- Gradual Increase: Walk short distances multiple times a day.
- Stairs: Use handrails; go up with the non-operated leg and down with the operated leg.
- Driving: Usually allowed 4–6 weeks post-op, depending on progress and side of surgery.
6. Preventing Blood Clots
- Anticoagulants: As prescribed by the physician.
- Compression Stockings: Help reduce swelling and improve circulation.
- Early Mobilization: Encouraged to prevent DVT (deep vein thrombosis).
7. Diet and Hydration
- Balanced Diet: High in protein, vitamins, and iron to promote healing.
- Hydration: Essential to support metabolism and circulation.
8. Long-Term Recovery Timeline
- 6 Weeks: Noticeable improvements in mobility and reduced pain.
- 3 Months: Most patients resume normal daily activities.
- 6–12 Months: Complete recovery with full strength and flexibility.
9. Lifestyle Tips for Joint Longevity
- Weight Management: Reduces stress on the knee.
- Low-Impact Activities: Swimming, cycling, and walking are preferred.
- Avoid High-Impact Sports: Such as running or jumping.
10. When to Seek Medical Help
- Signs of infection
- Persistent pain or stiffness
- Unusual swelling in the leg
Post-knee replacement care is a journey that requires commitment, patience, and guidance. With proper rehabilitation, patients can return to an active lifestyle and enjoy a pain-free life.
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