Introduction

If you’re preparing for a total knee replacement, it’s important to know what to expect and how to set yourself up for a smooth recovery. Here are some key tips and information based on advice from a physical therapist with experience in treating hundreds of knee replacements.

1. Preparing for Surger:

Set Up Your Home for Safety:

• Stairs: Ensure railings are sturdy.

• Bathroom:

• Use a shower chair if you have a walk-in shower.

• Get a tub transfer bench if you have a bathtub.

•Install support rails near the toilet to help you get up.

Why?

These adjustments help prevent falls, which are common after surgery.

Get an Assistive Device:

• A simple walker is usually the best option.

• You can find affordable walkers at thrift stores.

Why?

A walker will help you move around safely during the initial recovery period.

Arrange for Support:

• Have a family member or friend stay with you during the first few days after surgery.

Why?

Extra help will be valuable while you manage pain and mobility early on.

Bonus Tip:

Strengthen Before Surgery

• Build up your strength as much as possible before surgery.

Why?

Stronger muscles lead to better outcomes and a faster recovery.

2. What to Expect on Surgery Day

Anesthesia:

You'll be put under anesthesia and won't remember the surgery. Afterward, you might feel groggy, but you’ll be in safe hands with the medical team monitoring your vital signs.

Same-Day Discharge:

Many patients can go home the same day as the surgery. However, if you’re not ready, you might stay overnight.

Important Tip:

• Orthostatic Hypotension:

• This is when your blood pressure drops suddenly, making you feel dizzy when you stand up.

• Change positions slowly and tell your healthcare provider if you feel lightheaded.

3. Early Recovery at Home

Positioning Your Knee:

• When resting, place a pillow under your calf or ankle to keep your knee straight.

Why?

Keeping your knee straight helps you stand, walk, and regain normal mobility.

Start Physical Therapy:

• Begin physical therapy as soon as possible, either at home or in a clinic.

• Focus on bending and straightening your knee.

Why?

Movement reduces the risk of muscle weakness and blood clots.

4. Managing Pain and Risks

Pain Management:

• Your doctor will prescribe pain medication—it's okay to take it as needed early on.

• You can also use ice, gentle movement, and massage to ease discomfort.

Why?

Managing pain helps you stay comfortable and stick to your recovery plan.

Watch for Infection:

• Keep your wound clean and dry.

• Contact your healthcare provider if you notice warmth, oozing, or bleeding around the wound.

Why?

Infections can be serious, so early detection is key.

Prevent Blood Clots:

• Move your ankle frequently and walk as much as you can.

• Take any prescribed blood thinners.

Why?

These steps reduce the risk of dangerous blood clots.

5. Looking Ahead

This surgery marks the beginning of your journey back to the activities you love, whether it’s playing with your grandkids, golfing, or just walking comfortably. By following these tips, you’ll be on the right path to a successful recovery.

This guide is designed to help you prepare and recover from your total knee replacement surgery. Remember, every patient’s experience is unique, so stay in close contact with your healthcare team for personalized advice.