Precautions after Total Knee Replacement

You have had a Knee replacement. Joint replacement surgery requires that you take an active role in your care and rehabilitation. This sheet provides important information about your care in the early postoperative period. Remember to schedule a follow-up appointment.
 
 

Do not sit on the floor

Do not sit sqaut

Do not sit crossed leg
 

Walk on your own at least 50 feet with your walking device

Do not lift heavy weight

Use the toilet or commode without help
Operated Leg in front
 

 
Climb up -Un operated leg first

Get into and out of a car
 

Climb down  Operated leg first
 

Make height of commode adjusted as per advise

May use toilet seat while using Indian toilet

Using chair for bath
 
 
Physiotherapy
·         The day after you reach home physiotherapist will visit you review some exercises and start post operative rehabilitation as per direction of your surgeon
·         It is important to continue with the other exercises the physiotherapist has shown you.
·         Use a pillow or rolled towel under the ankle of the operative leg to achieve full extension.
·         You may bear your full weight on the operative leg, as tolerated.
·         A bag can be attached to your walker to assist you in carrying items.
·         Remember, walking is the best exercise for your rehabilitation.

Care of Incision
·         You should keep your wound dry until after the staples are removed.
·         You may experience numbness towards the outer edge of the incision. This is normal.
·         If you note any new redness, swelling or drainage from your incision, please call the surgeon/or coordinate to your treating physiotherapist..
·         Temperature/Fever
·         Your temperature may be slightly elevated for several days after surgery.
·         However, if fever persists above 101°F and is accompanied by chills, sweats, increased pain or drainage at the incision, you should call the surgeon/notify  to your treating physiotherapist. These may be signs of infection.
 
Temperature/Fever
·         Your temperature may be slightly elevated for several days after surgery.
·         However, if fever persists above 101°F and is accompanied by chills, sweats, increased pain or drainage at the incision, you should call the surgeon/notify  to your treating physiotherapist. These may be signs of infection.
Swelling
·         Swelling in the operative leg is a normal part of the postoperative course after surgery.
·         Normal swelling is reduced in the morning, and gradually accumulates throughout the day.
·         Any activity that leaves your feet on the floor, such as sitting in a chair or walking can lead to swelling.
·         If the swelling is severe in the morning when first arising or if accompanied by leg pain, you should contact your surgeon.
·         In total knee replacement, it is normal for some degree of swelling to persist for several months.
 
Pain
·         Pain is common and to be expected after this type of surgery. 
·         Medication has been prescribed for you, take it as advised.
·         The oral pain medication may cause nausea, constipation and a light-headed sensation.  If symptoms occur, call the surgeon and the medication can be changed.
·         Your physiotherapist will arrange a cold pack for you ad relief in swelling and pain.
 

We Wish You the fast and speedy recovery

 

Other Instructions
·         Please do follow the instruction given at discharge
·         Take the antibiotics and other medication as prescribed and instructed
·         In case of any doubt do call your rehab coordinator/Therapist/Surgeon
·         Do Home exercises regularly as advised and demonstrated
 
AVOIDING stressful activities  unless your surgeon permits
·         Running, jogging, tennis,  badminton, football, baseball, horseback riding, and other activities.
·         Heavy lifting,
·         Weightlifting,
·         Jumping from heights,
·         Falls and some exercise machines for the legs are dangerous for you.
·         Never lift or carry heavy weight.
 
 
Antibiotics
·         You may need to take antibiotics to protect the joint replacement from infection.
·         Take antibiotics as prescribed by your doctor

Events

       • Organised a free BMD and arthritis awareness  camp at E Block gurudwara, Naraina on                           13/07/14. 

 

      •   Organised a Free Arthritis and BMD check up camp at Minomax ´╗┐knee clinic,West patel nagar ,                  New ´╗┐Delhi on 22.07.14

     •   Organised a free Arthritis and Osteoporosis awareness camp at Dr Mukesh's Orthopaedic                        Hospital in Narela on 23 rd February 2014.

    •    Organised a free Osteoporosis and Arthritis camp at Minomax knee clinic,West patel nagar ,New            Delhi.

•       Delivered a talk on " Recent advances in joint replacement : Limb Salvage " at monthly CME of IMA         Panipat chapter on 8.02.14.

 •    Organised a seminar on 'Scapular Dyskinesis and its Rehabilitation' on 18 th January 2014 at               BLK Hospital, Pusa Road , New Delhi. 

          •  Delivered a Talk on Causes and Rehabilitation of Shoulder Problems in Over Head Athletes on   15th January 2014 in the Symposium on Sports Injuries at Indian International Centre, New Delhi.

       •   Organised A free ' KNEE CAMP' at Sanatan Dharam Mandir, New Rajinder Nagar, New Delhi.

       •     Organised a Seminar on Thrower's Shoulder  on 4rth January 2014 at BLK Hospital,Pusa Road

        •     Held a Free Camp at IOCL (Indian Oil Corporation Limited) Refinery, Panipat on 29th                                 December 2013

        •    Delivered a talk on Recent Advances in Knee Replacement Surgery 0n 28th December at                          'Monthly meeting of Doctors at BHEL, Haridwar'. 

         •   Organised a Free Awareness Camp on Osteoporosis and Arthritis at Minomax Knee Clinic,                       8/29 west patel nagar,opp D.A.V School

          •    Delivered a talk on "Total Knee Replacement in patients more than 80 years of age" at Annual                 Conference of Indian Arthroplasty Association at Jaipur on 16 th November 2013.

          •   Delivered a talk on Recent Advances in Knee Replacement Surgery on 19 th October 2013 In a                CME Organised by BLK Hospital at Metropolitan Hotel , New Delhi 

  • Delivered a talk on Osteoarthritis of Knee at Club Air One at Terminal 3 at Indira Gandhi International Airport on 7 th September 2013
  • Delivered a talk on Limb Salvage at Blk Hospital on 21st August 2013
  • Delivered a talk on Osteoarthritis of Knee in a meeting organised by Hello Mom's Society at Dwarka on 18th August, 2013
  • Delievered a talk on ASIAN KNEE at ISKAA (International Society of Knee and Shoulder Arthroscopy and Arthroplasty) held on 23 feb 2013 @ Radisson blu Dwarka
  • Successful surgery of a congenital hip dislocation of a boy
  • Dr Ashwani Maichand went for a 3 day camp at Kinshasa (Congo)  27-29 November 2012 and examined about 150 patients suffering from arthritis.
  • "Free Knee Surgery" at Goel Hospital, Jind, Haryana, India on 22nd January, 2012
  • Lecture on Joint Replacement at IMA Westown Branch Rajouri Garden, New Delhi, India on 14th January, 2012.

     

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Contact Us

Dr Ashwani Maichand
Phone : 9999074745,  9811129607

Address : 

MINOMAX KNEE CLINIC

8/29, West Patel Nagar,Opp.,Arya Samaj Mandir,Near Metro Pillar No. 198, New Delhi - 8,                         Time : 5:00 to 8:00 PM  ( Except Sunday)