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TKR #2..... Lessons I am learning

Joint Replacements | Last Active: Feb 3, 2023 | Replies (64)

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@labbadia1

You left out several important things a patient has to do before having a TKA! #1) Find the best surgeon you can find. I find the top ranked hospitals in orthopedic surgery, going to health.usnews.com, then find a surgeon whose training (including 'clinical fellowships') are at one of the top (4-5) hospitals in the U.S. #2) If you have a multilevel house, buy a walker for each level. #3) Have the hospital give you a cryo tank for icing your knee., #4) Do the PT exercises religiously. They're very painful, but necessary unless you want to end up with a tight knee. #5) You don't need to have general anesthesia. A femoral nerve block and a spinal block is sufficient, though you have to expect some hammering and pushing as the surgeon puts the prosthesis in place. The femoral nerve block will last about (24-48) hours. #6) Make certain the surgeon's office sends in an order to the VNA and talk to the VNA yourself to ensure they'll show up the day after the surgery. Have the VNA physicial therapist come every day for exercises post-op. They'll continue to come for PT until you can get into a car & drive. When getting into a car, pull the car seat as far back as you can before you try to get in. #7) I have a 3-level condo and have stair railings on both sides of the stairs and hand rails in the tub. #8) If you live alone and have no one to support you, put sufficient food in the freezer and drinks on hand to last about (3) weeks. #9) Keep the walker in your bedroom level right next to your bed and keep a hall light turned on all night, so that when you get up at night to go to the bathroom, you'll be safe. I've had total knee replacements in both knees & I'm 75 years old, live alone and have no support system or family.

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Replies to "You left out several important things a patient has to do before having a TKA! #1)..."

There are a few things I forgot: #1) go to a medical supply house, hospital or some pharmacies & buy a medical chair & put it in your tub. You can sit on the chair and then swing your legs over the side of the tub, then stand up to shower Don't take a bath. Hopefully now you have hand rails in the tub. #2) The VNA nurse should show up the next morning after your TKA surgery and take the bandage off & look at your incision for signs of infection. Ask him/her to replace the dressing with a waterproof bandage so you can take a shower. #3) The day before the surgery, after you get up, wash all your sheets & pillowcases. #4) Use Hibiclens (buy it at a pharmacy) to wash your knee every day for several days before the surgery and use it liberally to wash your knee the morning of your surgery. #5) Religiously take the baby aspirin prescribed both morning and night so you won't throw a clot. #6) Before anything you do that you think might cause an infection, take the antibiotic prophylactic antibiotic regimen. The VNA PT told me of one patient she had that got an infection from a pedicure. Better yet, skip pedicures. If you get an infection, they automatically zero in on your prosthesis & then the surgeon has to open your knee back up, remove the prosthesis, drain the knee, pour antibiotic solutions into your knee & replace the prosthesis. You don't want that to happen under any circumstances.

Excellent advice. Include one of those devices that opens and closes on one end while squeezing the other end. It's great for picking up things that fell on the floor. Wish I could think of the name!