March 19, 2018

What to expect after knee replacement surgery

Knee | Total Joint Replacement

This post is part of The Ultimate Guide to Total Knee Replacement

Full and partial knee replacement recovery and rehabilitation is just as important as the surgery itself. If you fail to follow recovery protocols, you may compromise your ultimate result of the surgery.

24 hours after surgery

Typically the day of surgery, a physical therapist will ask you to stand up and take a few steps with a cane or walker.

If you walk or stand on your new knee quickly after surgery, you are more likely to recover faster and have less complications compared to those patients who do not stand up right away.

“Most of my patients are up and taking a few steps four hours after surgery,” says Dr. Frank Kolisek, a total joint specialist at OrthoIndy. “Muscle sparing surgical approaches, periarticular pain medicine injections, advanced anesthetic techniques and short operating times of around 40 minutes, allow my patients to do this.”

Your pain will be continually monitored and controlled with various pain-relief methods to make sure you are comfortable during your hospital stay. Most patients will be discharged when they have their pain under control and they are able to get in and out of bed and walk short distances.

Returning home

Most partial and full knee replacement patients are able to go directly home within one to two days after surgery.

Some patients may be discharged to a rehabilitation facility if they cannot safely return home. Our physical and occupational therapists help the medical and surgical team make this decision.

“Most of my patients are safe to go home the day after surgery,” says Dr. Kolisek. “My patients tell me the first two weeks after surgery are very hard, and then life starts getting better. Many are back to doing what they want after six weeks and their knees continue to improve for six- to twelve-months as they continue to do their home exercise program.”

A majority of patients resume most activities by six-weeks after surgery. If you had both of your knees replaced at the same time your hospital stay, your recovery may take longer.

During your full or partial knee replacement recovery period at home, you will need to continue doing your knee range of motion and strengthening exercises and monitor your pain.

Some patients will need to take pain medicine four times daily, especially before physical therapy. Every patient’s needs are different, but most patients require a fair amount of pain medicine for the first month after surgery in order for them to get good range of motion that’s required to have good results.

You will eventually stop taking your pain medication and return to your normal lifestyle.

Driving

If you have your non-driving leg operated on, you can expect to return to driving when you are off pain medication and can get in and out of the car without assistance.

If you have your driving leg operated, you may drive again as soon as you feel safe, which is usually three-weeks after surgery. Also, you must no longer be on pain medication and have regained strength in your driving leg.

Going back to work

If you work at a sedentary job, you may be able to return to work after four to six weeks.

If your job requires frequent lifting and standing or bending, you may return to work after six to eight weeks.

If you work at a more labor-intensive job, your total joint specialist will work with you on a customized estimate of when you might be able to go back. In some cases, the time frame might be up to three months.

Returning to an active lifestyle

Sometimes, patients are actually more active after their knee replacement because they are finally able to move around without pain. It’s safe to return to activities like swimming, cycling, slow-paced tennis, hiking and golfing—and, we greatly encourage it once your physical therapy is completed.

We do not recommend jogging, basketball, football and other high impact activities as they put pressure on your new knees. Talk with your total joint specialist about your athletic goals before surgery.

Watch video: Exercises after knee replacement surgery

A better quality of life

Full and partial knee replacement recovery can be painful at first, but after returning home and completing physical therapy, you will find yourself adjusting to your new knee and enjoying a more mobile lifestyle.

“Most patients are eventually very happy after knee replacement surgery—whether it is a partial or a full replacement—because they can resume doing activities important to them that they couldn’t do before surgery,” says Dr. Kolisek.

“It truly is a team approach because the patient has to do their exercises in order to obtain functional range of motion and the strength to perform those activities that are important to them. If I do my job and they do their job, then we will both be happy and have a great result”

Learn more about joint replacement surgery at OrthoIndy.
download the frequently asked questions about sex after joint replacement

Megan Golden

By Megan Golden

Megan is the current marketing specialist for OrthoIndy. Megan graduated from Ball State University in 2012 with a bachelor’s degree in public relations and advertising and a communications studies minor and has been with OrthoIndy since then.

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