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Fortis Five Day Recovery Process
The knee replacement surgery is performed under sterile conditions in the operating theatre under spinal or general anesthesia. Let's understand the surgical procedure.You will be lying on your back and a tourniquet is applied to your upper thigh to reduce blood loss. The surgeon makes an incision along the affected knee, exposing the knee joint. The surgeon first concentrates on the femur (thighbone). The damaged portion of the femur is then cut at the appropriate angles using specialized jigs.
The femur and the tibia with the new components are put together to form the new knee joint. To make sure that the patella (knee cap) glides smoothly over the new artificial knee, its rear surface is prepared to receive a plastic component. With all the new components implanted, the knee is tested through its range of motion.
All excess cement would be removed and the entire joint will be irrigated or cleaned out with a sterile saline solution. The knee is then carefully closed and drains usually inserted and the knee is dressed and bandaged.
On Day 1, Pre-Operative Tests:
You should get all the tests done as advised by your doctor, before your surgery. Usually, these tests include complete blood count, electrolytes, APTT and PT (prothrombin test) to measure blood clotting, chest X-rays, ECG, and blood cross-matching for a possible blood transfusion. Your doctor will need accurate X-rays of the affected knee in order to measure the size of the components that will be needed. Medicines like aspirin will be stopped a few days before your surgery. This is to help reduce the amount of bleeding. You may also be admitted a day before your surgery for the pre-operation work-up and the pre-anesthetic check up.
You should get all the tests done as advised by your doctor, before your surgery. Usually, these tests include complete blood count, electrolytes, APTT and PT (prothrombin test) to measure blood clotting, chest X-rays, ECG, and blood cross-matching for a possible blood transfusion. Your doctor will need accurate X-rays of the affected knee in order to measure the size of the components that will be needed. Medicines like aspirin will be stopped a few days before your surgery. This is to help reduce the amount of bleeding. You may also be admitted a day before your surgery for the pre-operation work-up and the pre-anesthetic check up.
On Day 2
Surgery Day
Surgery Day
On Day 3 after your surgery, you will undergo the following:
- Physical Therapy evaluation
- Improved pain control
- Routine blood tests
- Ambulation with assistance from Physiotherapy
- Regular diet
- Drain Removal & change of dressing
- Medication to prevent blood clots (for duration of hospital stay)
- Patient education
- Continuous passive motion machine to knee (occasionally indicated)
On Day 4 after your surgery, you will undergo the following:
- Ambulation with Physical Therapy
- Foley catheter removed
- Oral pain medication
- Regular diet
- Plans set for discharge
- Patient education
On Day 5 after your surgery, there will be:
- Dry surgical incision
- Oral pain medication
- Ambulation with Physical Therapy
- Patient education and discharge instructions
- Homecare arranged with the Rehab & Physiotherapy
- Walking aid is provided
- Commode elevator is provided
- Patient is discharged from the hospital, depending on the surgeon's discretion
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Dr. Kaushal Malhan
Dr. Sachin Bhonsle
Dr. Milind Sawant
