Partial Knee Replacement / Computer Navigated MAKOplasty

////Partial Knee Replacement / Computer Navigated MAKOplasty

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Mazzara supersede the instructions below and should be followed.

Partial Knee Replacement / Computer Navigated MAKOplasty

Activity: Today, most partial knee replacements can be performed on an outpatient basis.  After your partial knee replacement, you should be given crutches or a walker. These should be used only as long as you feel the additional support is necessary.  You may put your foot on the ground for balance, but you may put full weight on the operative leg immediately after surgery and walk as normally as possible.  You are encouraged to bend and straighten your knee as much as possible postoperatively to avoid stiffness.  Elevation of the leg is important for the first few days after the surgery as it helps to reduce the leg swelling. After 1-2 days, if your knee is feeling good, you may increase your activity level gradually.

Use ice packs to the knee for the first 24-48 hours after surgery. Apply the ice as frequently as needed after surgery. After 24 hours, you may use the ice packs two or more times a day for 20 minutes at a time, if desired for comfort.

Dressings: The post op dressing should remain in place until you are seen in the office where we will remove the dressing. It is a waterproof dressing and you may shower immediately after surgery if the dressing remains intact.  It is normal to have small amounts of drainage of blood on the dressing in the day after surgery.  If there appears to be a great deal of bleeding under the surgical dressing, call or come into the office so we can evaluate this. Once the dressing is removed, you may shower as long as you use Hibiclens soap to clean the entire leg.

Driving: Your ability to drive depends on which knee was replaced.  It usually safer to wait 2-4 weeks until he can safely drive.  We can discuss this in the office during your first postop visit.  You cannot drive if you are taking narcotic pain medication.

Work:  You may return to work as soon as you feel able and performing your regular job is possible given your activity restrictions.  It will take longer to return to a physically demanding job than it will to a more sedentary occupation.  How long it takes you to return to work is highly variable.  The time to return to work can be as short as 2 weeks or as long as 2-3 months.

Medications: You may resume your normal medications that you took prior to surgery. Your prescription for pain medication was sent to your pharmacy before the surgery.  You should not require any more pain medication than we ordered before your first office visit.

If you are not taking the prescribed pain medications, you may take Extra-Strength Tylenol as directed on the label. You may take over-the-counter anti-inflammatory medications such as Advil or Aleve if you know you can tolerate those medications and are not taking blood thinners. Once the nerve block begins to wear off, start your pain medicine.

If you are taking blood thinners before surgery, we need to be aware of these medications and you can likely resume those medications within 24 hours of surgery.  Some patients may also be asked to take additional occasion such as anti-inflammatories and possibly aspirin.  Patient is at high risk for blood clots in the leg or embolism may be required to utilize injectable blood thinners.  This will be discussed and decided before surgery depending on your individual risk for blood clots and embolism.

Unless you are allergic, take one aspirin 325mg twice per day to reduce the chances of blood clots.  Blood clots may occur after any surgery or injury to the leg and may be associated with complaints of calf pain, calf cramping, pain in back of the knee, chest pain or shortness of breath.

Follow up: Make an appointment to be seen the first or second office day after surgery. I will discuss the procedure and the findings during surgery at this visit.

At the first postoperative visit we will also discuss physical therapy.  We generally prefer physical therapy be performed and an outpatient physical therapy clinic however in some circumstances we may permit patients to perform therapy at home.

Problems: Complications from knee surgery can occur and you must be aware of the early warning symptoms of some of the more serious problems that may arise. The risk of surgery is never “zero”.  Before surgery and we generally discussed risks of surgery which can include but are not limited to nerve damage, bleeding, infection, blood clots, embolism, laxity, stiffness, continuing pain and the remote possibility of heart attack, stroke, death.

In the immediate postop, complications may also include fevers, urinary retention, bleeding and blood clots among other problems.  Call the office for a temperature over 101 degrees, pain not controlled by the pain medication, or drainage from the incision that lasts more than 24 hours or calf pain, chest pain, or shortness of breath.