Knee replacement surgery or knee arthroplasty surgery can help alleviate pain and restore function in severely diseased knee joints. Cutting weakened bone and cartilage from the thighbone, shinbone, and kneecap and replacing it with an artificial joint (prosthesis) made of metal alloys, high-grade plastics, and polymers is the treatment.
An orthopedic surgeon evaluates the knee’s range of motion, stability, and power to see whether a knee replacement is right for you. X-rays aid in the assessment of injury. Depending on your age, weight, activity level, knee size and shape, and general health, your doctor can select from a variety of knee replacement prostheses and surgical techniques.
In this article, Dr Sandeep Singh who is one of the best knee replacement doctor in Bhubaneswar will discuss everything you should know before opting for knee arthroplasty in Bhubaneswar.
Why is it done?
Knee replacement surgery is most often performed to alleviate extreme pain caused by osteoarthritis. Running, ascending stairs, and getting in and out of chairs are all common issues for people who need knee replacement surgery. Some people experience knee pain even though they are at rest.
How do you get ready?
Medication and food
Before your surgery, your orthopedist or anesthesiologist can advise you to stop taking certain medications and dietary supplements. On the day of your surgery, you’ll probably be told not to eat anything after midnight.
Make preparations for your recovery
You will need crutches or a walker for several weeks after the operation, so make sure you have them before your surgery. Ascertain that you have transportation home from the hospital and that you assist with daily activities such as cooking, washing, and laundry. If you live alone, the surgeon’s office or the hospital discharge planner can be able to recommend a temporary caregiver.
Consider the following to make your home safer and easier to navigate during your recovery:
- Since ascending stairs can be difficult, create a living space on one level.
- Install a protective handrail or safety bars in your shower or bath.
- Handrails for stairways that are secure.
- Invest in a stable chair with a solid seat cushion and back, as well as a footstool to raise your leg.
- If you have a low toilet, get a toilet-seat riser.
- For your tub, get a sturdy bench or chair.
- Remove any rugs or cords that are loose.
What you may expect
Prior to the procedure-
Anesthesia is needed for knee replacement surgery. Your feedback and preferences aid the team in deciding whether to use general anesthesia, which renders you unconscious, or spinal anesthesia, which keeps you awake but prevents you from feeling pain below the waist.
To help avoid post-surgical infection, you’ll be given an intravenous antibiotic before, during, and after the operation. A nerve block around your knee can also be used to numb it. After the treatment, the numbness gradually fades.
Throughout the process-
Both surfaces of the joint will be exposed because the knee will be bent. Your surgeon pushes the kneecap aside and cuts away the weakened joint surfaces after making a 6 to 10 inch (15 to 25 centimeter) long incision.
The surgeon attaches the parts of the artificial joint after preparing the joint surfaces. He or she bends and rotates the knee before closing the incision to ensure proper operation. The operation takes about two hours.
Following the process-
For one to two hours, you’ll be taken to a recovery room. You’ll then be transferred to your recovery bed, where you’ll most likely spend the next few days. Pain can be managed with the aid of medications recommended by your doctor.
During your hospital stay, you’ll be advised to flex your foot and ankle, which helps reduce swelling and blood clots by increasing blood flow to your leg muscles. To help protect against swelling and clotting, you’ll probably be given blood thinners and asked to wear support hose or compression boots.
You’ll be required to perform daily breathing exercises and progressively raise your level of operation.
A physical therapist will teach you how to exercise your new knee the day after surgery. You’ll begin physical therapy at home or at a center after you leave the hospital.
Carry out your exercises on a daily basis, as directed. Follow all wound care, diet, and exercise recommendations provided by your care team for the best results.
Knee replacement offers pain relief, increased mobility, and a higher quality of life for the majority of people. In addition, most knee replacements are projected to last at least 15 years.
Most everyday tasks, such as shopping and light housekeeping, can be resumed three to six weeks after surgery. If you can bend your knee far enough to sit in a car, have enough muscle strength to work the brakes and accelerator, and aren’t taking narcotic pain killers, you can drive after three weeks.
When you’ve recovered, you can do low-impact things like cycling, swimming, golfing, or biking. Higher-impact practices, such as jogging, hiking, tennis, and sports that include touch or jumping, should be avoided. Discuss your weaknesses with your doctor.