Revision total knee replacement is more complex and takes longer to perform than primary total knee replacement. In complex cases, the surgery may take several hours. To begin, your doctor will follow the line of the incision made during your primary total knee replacement.
The procedure is more complex and difficult than the initial hip or knee replacement. Yet, studies show that more than 9 out of 10 people who undergo revision surgery have good to excellent results. Find an Orthopedic Specialist near you about your specific condition.
It is generally accepted that the total knee replacement of the other knee does not give the same pain relief as that of the first.
Patients undergoing staged bilateral TKA experience greater postoperative pain in the second operated knee than the first. This suggests extension of hyperalgesia beyond the initially injured site to remote regions after surgical injury, in which central sensitization may be involved.
With double knee surgery, surgery takes about three hours. We still try to get patients up that same day, but because it takes a little longer and it's a longer anesthetic, usually they're in the hospital for two days.
Most patients can walk on their own roughly four to eight weeks after knee replacement.
Your knee will still have some soreness, but it is very tolerable. You may get tired if you are on your feet for long periods of time, but strength can continue to improve with time. This is still some swelling in the knee, but it is usually better than before surgery.
Your body just went through a major surgery and needs time to heal. Most people can resume daily activities with reduced pain approximately three to six weeks after surgery. Full recovery can take anywhere from four months to a year.
Shoulder Replacement. The surgeon removes the damaged or diseased part of the shoulder with a shoulder replacement, replacing it with an artificial joint. A shoulder replacement is considered major surgery and can have a lengthy recovery period.
The first few days after surgery should include the highest level of pain, but your doctor will send you home with pain medication adequate for your pain level. Most people fully recover from knee replacement surgery in about six months.
Doctors sometimes recommend that people under age 60 wait to undergo a knee replacement, because these artificial joints typically last only about 15 to 20 years. If someone younger gets the procedure, the joint will likely need to be replaced again down the line.
As knee arthritis progresses, the knee becomes much looser and more unstable. In some cases, this is mild. In other cases, it is substantial enough that cause the patient to fall. Patients who have bone-on-bone arthritis and are starting to fall because of it should strongly consider surgery.
You may NOT be a good candidate if:
Your knee symptoms are not related to joint disease. Your weight is too much for the artificial joint to support. You have fragile skin or poor skin coverage over your knee. You have a severe illness or infection.
Pain Medications After Surgery (Non-Narcotics)
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs are a great option for non-narcotic pain medications, such as ibuprofen (Motrin) and naproxen (Aleve). These medications reduce swelling and pain.
One of the most common problems people experience after knee replacement is a stiff knee joint. 1 This can cause difficulty with activities that require a lot of bending, including going down stairs, sitting in a chair, or getting out of a car.
TKA patients begin rehabilitation during the seven-day bedrest period, with the goals of decreasing swelling, increasing ROM, promoting normal leg control and promoting normal gait with an assistive device.
Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes daily, or even 2 to 3 times daily; and walk for 30 minutes, 2 to 3 times daily during your early recovery.
Most orthopedic surgeons and physical therapists recommend exercising for at least 20 to 30 minutes daily, whether it's walking or stretching. As you progress through your recovery timeline and your knee gains strength, you can try walking or stretching for 20 to 30 minutes at a time multiple times a day.
There is a range of accepted weight ranges, but the current standard is that anyone obese (greater than 100 pounds over ideal weight or a BMI of roughly 40-45) should not consider joint replacement.
They inhibit osteoblasts at the endosteal bone surface and also reduce both the immune response and the inflammatory response.