Frequently Asked Questions?
Every problem is different and every patient is different, we treat each and every patient in unique manner by conducting deep analysis of their problem and by providing patient-centric treatment options.
This is where we sit down, grab a cup of coffee and talk about generic concerns and problems our patients have. Our team of experts work continuously to update all the relevant information required for our patients which includes pre and post operative care, questions, worries or concerns they might have when they think of joint replacement surgery.
We hold hands of our patients to ensure that they are safe and comfortable with us, we start the procedure when our patient is stable and strong enough physically and mentally to go through the surgery, which means that we take utmost care to liberate their doubts, fears, concerns, questions which matters the most.
You will have to make an appointment with your medical doctor first to get your “Medical Clearance”. This is to let your surgeon and the anesthesiologist know that your heart, lungs, and kidneys are all optimized for surgery. Your medical doctor will have you obtain a chest x-ray, ECG, and blood work.
We understand you are in a lot of pain at this point but we need your patience during the scheduling and medical clearance process. Our main goal is your safety, and we will not rush through this process. Your doctor may be able to reduce some of your pain, while you are waiting for surgery, with pain medication or injections.
• Medication complications
• The Anesthesiologist will talk to you about your past medical history and discuss with you the safest form of anesthesia, prior to going into the operating room.Stroke, Heart Attack, Bone Fractures, Kidney Failure
NOTE: THIS IS SURGERY. ANYTHING CAN HAPPEN AND THERE ARE NO GUARANTEES. THESE ARE REAL RISKS. WE DO EVERYTHING TO REDUCE THESE RISKS.ARE THERE RISKS WITH SURGERY AND WHAT IS DONE TO PREVENT THESE RISKS FROM HAPPENING?
There are risks with any type of surgery. The risks with a Total Knee Replacement are:
Infection: • You will be given an antibiotic before surgery and for 24 hours after surgery.
• Your doctor and the whole surgical team wear special “space suits” in the O.R., to keep them completely covered from head to foot.
NOTE: If you have any open sores or cuts PLEASE bring them to your surgeons attention prior to surgery. Also, if you have any decaying teeth that should be pulled, PLEASE take care of this before you are scheduled for surgery. Open sores and decaying teeth INCREASE your risk of getting an infection.
Bleeding • You will have a tourniquet around your leg to prevent any bleeding during the surgery.
• You will have a drain coming out of the side of your knee after surgery. This is to remove any excess blood from the knee.Blood Clots/Blood Clots That Can Spread To The Lungs
• You will be given a blood thinner for 14 days after surgery to prevent this risk.
• Foot pumps will be on your feet when you are lying in bed during your hospital stay.
Nerve Damage / Numbness & Tingling / Drop Foot: • Special care is taken around major nerves.
• It is completely normal to feel some numbness on the outside of your incision. The small nerves that attach to the skin are cut during the surgery. These nerves will regenerate over time.
You can continue to take your medications up to the date of surgery. ALL BLOOD THINNERS AND NON-STEROIDAL MEDICATIONS MUST BE STOPPED 10 DAYS PRIOR TO SURGERY. Ex-Advil, Aleve, Motrin, Ibuprofen, Naprosyn, Naproxen, Piroxicam, Celebrex, Aspirin, Coumadin, Plavix, Warfarin, Heparin, MSM, Lovenox, Vit E, Omega 3, Fish oil, Ginger, Garlic, Ginkgo. NOTE: Smoking slows down the healing process. If you smoke, please try to quit 30 days prior to surgery and during your healing process.
Yes, you will have to go to the hospital a day or two prior to surgery. You will need to bring with you your insurance information, past medical history information, a list of your current medications and reports and confirm the surgery date and time.
You will report to the surgery waiting area 2 hours prior to your surgery time. You will then be brought into the Pre-Op room. You will be given a hospital gown and a bag to put all your belongings in. Please leave valuables at home or give them to a family member to hold on to. The Pre-op nurse will start an IV in your arm and obtain some more information from you. Your family members are allowed to stay with you in the Pre-op room, until you are taken to the operating room. You will meet your anesthesiologist at this time. He will discuss with you the safest form of anesthesia for you. They will also offer to put in a Femoral Nerve Block. This will eliminate a substantial amount of pain for the first 3 days. You will also see your surgeon or Physicians Assistant at this time so they can answer any last minute questions you may have. At this time, the proper leg will be marked. When you feel 100% comfortable about your surgery, all questions have been answered, and the proper leg was marked, you will then be transported to the operating room.
For the first 6 weeks after surgery a Physical Therapist will come to your home. The Home Health Nurse will assist you with changing your bandages and administering any medications that you will need after surgery. They will also remove the staples from your incision between 10-14 days after surgery. The Physical Therapist will help you with exercises to strengthen the muscles that are now weak after surgery. They will also help you get your leg as bent and as straight as you possibly can. Remember it’s a marathon not a sprint! Do the best that you possibly can and your motion will eventually come back.
Most patients can go back to work anywhere between 6 weeks and 3 months.
As soon as you feel comfortable with your new knee. Have a family member or friend take you to an empty parking lot first so you can practice starting and stopping your car. And remember, it is not safe to drive a car if you are still taking any Narcotics for pain.
You will see your surgeon around 4-6 weeks after your surgery. He will then ask that you come back annually, to take an x-ray and make sure you are still enjoying your Total Knee Replacement.
The surgery takes about 60-90 minutes. However you will be in the operating room for about 2 hours. When you are taken into the operating room, you will be asked to move over to the operating room bed. Your Anesthesiologist will then give you some medication through your IV to make you sleepy. At this time he will perform the femoral nerve block. The Anesthesiologist will then put you to sleep for the length of the procedure. The operating room nurse will insert a Foley catheter into your bladder. This catheter will remain in your bladder for the first 2 days after surgery. A tourniquet is then placed around your leg, so you will lose NO blood at all during the surgery. Your surgeon then does your Total Knee Replacement. After your knee is finished the Anesthesiologist will then wake you up in the operating room. You will then be transported to the recovery room.
Your will be in the recovery room for approximately 1-2 hours after surgery. Your leg will be put in a CPM (Continuous passive motion) machine. The CPM machine starts to bend and straighten your leg. Your leg will be completely wrapped in an ace bandage. These bandages will not be removed until the 3rd day after surgery. This reduces your risk of getting an infection. When you are awake enough, after your anesthesia wears off, you will be transported to your hospital room. This is when you will be able to see your family and friends for the first time after your surgery. NOTE: PLEASE BRING COMFORTABLE, LOOSE FITTING CLOTHES TO THE HOSPITAL. (PLEASE DO NOT BRING YOUR FAVORITE/EXPENSIVE PAIR OF SHORTS OR SWEATPANTS AS THEY MAY BECOME SOILED DURING YOUR HOSPITAL STAY) WHILE YOU ARE IN THE RECOVERY ROOM, YOU WILL BE ABLE TO CHANGE INTO YOUR CLOTHING BEFORE YOU ARE TRANSFERRED TO YOUR ROOM.
You will be in the hospital for approximately 3 days after surgery. When our surgeon feels you are stable enough to leave the hospital, he will then discharge you. our surgeon and his his P.A. (Physicians Assistant) will pay a visit to you, at least twice a day, during your hospital stay.