Post hospital care

After Knee Replacement :: After Hip Replacement

After Knee Replacement

Knee replacement is a surgery performed to replace parts of a diseased knee joint with an artificial prosthesis. The goal of knee replacement is to eliminate pain and return you to your normal activities. You can help in recovery and improve the outcomes of the procedure by following certain precautions and changing the way you carry out your daily activities.

After knee replacement surgery, once the anaesthesia wears off, you will start to experience pain, for which your doctor will prescribe medication. You may have to remain in the hospital for a few days depending on your progress and overall health. Remember to get plenty of rest during this initial phase. Your surgical wounds should be monitored for swelling, inflammation and other changes and frequent dressing changes are performed. A continuous passive motion (CPM) machine is applied to keep your knee moving, compression boots or elevation of your leg may be recommended to encourage circulation and prevent stiffness, clots and scar formation.

Rehabilitation begins within 24 hours of surgery, where a physical therapist will help you stand up and walk using crutches or a walker. Adhering to the goals of the rehabilitation program is important to help you recover and resume your normal activities. You will be guided to perform strengthening exercises on a daily basis and learn to get in and out of bed, and use a bedside commode. When you are discharged from the hospital, you will be encouraged to walk short distances with an assistive device, climb a few stairs, dress, bathe and perform other basic functions by yourself.

On reaching home, have a family member or caregiver assist you with your activities for a few weeks. Taking care of someone following knee replacement surgery requires compassion, awareness and patience. Basic points to follow by your caregiver:

  • Helping with basic movement and functions as well as emotional support
  • Having a clear understanding of your medication and ensuring they are administered in a timely manner
  • Keeping emergency numbers ready
  • Assisting you with household chores, paperwork and traveling to keep your appointments
  • Helping and motivating you to perform your rehabilitation exercises

Ensuring that furniture is rearranged so as not to interfere with your movement and cause falls.

To avoid bending or reaching out, items that you use frequently can be placed easily within reach.

Certain instructions that your doctor may brief you about are:

  • You may shower once the wound heals, but avoid soaking in a bathtub for at least six weeks
  • Keep the wound clean and dry. Your doctor will let you know when you can shower or bathe
  • Some amount of swelling is normal after knee replacement and may last for more than a month. It can be controlled by icing and elevating your leg for 30 to 60 minutes every day

By week 3, you should be able to move with minimal assistance and significant reduction in pain. Your physical therapy program will gradually include new and more difficult exercises as you improve in strength and flexibility. By week 7, you should be able to walk independently. To reduce stress, use the opposite knee to lead when climbing stairs and the replaced knee to lead when descending. You will be able to drive a few weeks after surgery when you have sufficient pain control, improved strength and can easily enter and exit a car. Walking and exercising at least 2-3 times a day for 10-15 minutes is recommended for a faster recovery.

You and your caregiver must be aware of the signs of infection. Contact your doctor if you notice any abnormal wound changes or any changes in general health and mental state, or should you have persistent fever, drainage, excessive swelling or other signs of infection.

After Hip Replacement

Hip replacement is a surgery performed to replace parts of a diseased hip joint with an artificial prosthesis. The goal of hip replacement is to eliminate pain and return you to your normal activities. You can help in recovery and improve the outcomes of the procedure by following certain precautions and changing the way you carry out your daily activities.

After the surgery, you may experience pain and swelling, which can be controlled with medication that your doctor will prescribe. You are discharged from the hospital once you have sufficient pain control and are able to perform basic activities on your own, such as getting in and out of bed, going to the bathroom and walking with an assistive device such as crutches or walker. If you are unable to achieve these, you will be transferred to a skilled nursing or rehabilitation centre.

On reaching home, have a family member or caregiver assist you with your activities for a few weeks. Taking care of someone following hip replacement surgery requires compassion, awareness and patience. Basic points to follow by your caregiver:

  • Helping with basic movement and functions as well as provide emotional support
  • Having a clear understanding of your medication and ensure they are administered in a timely manner
  • Assisting you with household chores, paperwork and traveling to keep your appointments
  • Keeping emergency numbers ready
  • Helping and motivating you to perform your rehabilitation exercises

Ensuring that furniture is rearranged so as not to interfere with your movement and cause falls.

To avoid bending or reaching out, items that you use frequently can be placed easily within reach.

Certain instructions that your doctor may brief you about are:

  • Try to sit on a high chair so that your knees are not lifted above the level of your hip
  • Do not cross your legs or lean forward while sitting
  • A shower chair or gripping bar may be helpful in the bathroom
  • Make use of long shoehorns, long-handled sponges, and other devices that can help you reach objects without bending
  • You should sleep with a pillow between your legs
  • Your doctor will advise you on correct sleeping positions
  • Keep the wound clean and dry. Your doctor will let you know when you can shower or bathe
  • Swelling may be present for 3 to 6 months following hip replacement and can be controlled with ice and elevating your legs slightly
  • You may be asked to bear only partial weight on the leg for a while
  • Follow your physical therapy program for at least 2 months. Walking, stationary bicycling and swimming are good exercises, but ensure that your wound is completely healed

You and your caregiver must be aware of the signs of infection or blood clot formation and quickly return to the hospital should you develop more than normal pain, swelling, redness, fever, chills or drainage from the wound.

You can usually return to driving once you have adequate pain control, strength and reflexes, and require no narcotic pain medications. Your doctor will decide on this and also advise you regarding other activities, work and sexual activity depending on your condition and progress with therapy.

  • Royal Australasian College of Surgeons
  • Australian Orthopaedic Association
  • Insight Clinic
  • Albury Wodonga Private Hospital