Dr. A.M.Rajani - Knee Surgeon and Shoulder Surgeon
Dr. A.M.Rajani - Knee Surgeon and Shoulder Surgeon
M.S Orth (Gold Medallist), D-Orth, MBBS
Knee and Shoulder Surgeon
(Arthroscopy & Joint Reconstruction)
Orthopaedic Arthroscopy Knee and Shoulder Clinic (OAKS) - arthroscopy surgeon

After the Surgery (Total Knee Replacement)

» In the recovery room
Immediately after the surgery you will be shifted to the recovery room where you will be observed for a period of one hour before being shifted to your own room. You will be able to meet your relatives in the recovery room. After assessing your vitals, you will be then shifted out of the recovery.

» In your room :
Most People feel that there is intense pain after surgery and hence they are very scared of the surgery and the post-surgery period.

Remember that the primary reason for opting for total knee replacemnt surgery is to have a pain free life and this life starts immediately once you are taken in the operation theatre.

We use spinal anaesthesia along with epidural analgesia or femoral block during surgery. During the period of surgery you will be completely relaxed and will feel no pain due to the above two.

We insert a catheter in your back (epidural) or thigh (femoral) which stays there for 48 hrs after surgery. This tube is attached to an computerised pump which gives controlled doses of pain medication This procedure is done by our specially trained anaesthetist.

We start soft diet 5 hrs after surgery. You will be visited by the anaesthetist and by Dr. Rajani in the evening of the surgery.

» Day 1 after Surgery :
Exercises done by the CPM
This exercise helps in regaining early range of movements (ROM). The machine works on electricity. It helps in bending and straightening your knee without your active efforts. It has a feature of pre-setting the angle of flexion and time delay at the end of flexion and extension. On the first day the angle of flexion is set from 10-30 degrees and delay time is set at 5 seconds. The CPM is given for 1 to 2 hours in the morning and in the afternoon.

Exercises to be done by you
On the day after the surgery, knee exercises, which were taught to you prior to the surgery are begun. All these exercises help in improving body circulation and the circulation of the operated limb there by reducing the swelling. It also prepares you for early walking. These exercises also help in reducing the incidence of calf clots (deep vein thrombosis and lung complications pulmonary embolism) secondary to calf clots.

Upper limb exercises : Done either in sitting or propped up in bed.
» Raising the arms by the side.
» Spreading the arms by the side.
» Bringing the arms together in front.
Lower limb exercises
» Ankle pumps
» static quadriceps exercises

» Day 2 after Surgery :
Visit by Dr. Rajani in the morning
» Dressing will be done and the drain will be removed
» Urine catheter will be removed
» Post-operative x-ray will be done
» You will be made to sit at the edge of the bed in the morning and taught excercises
» In the evening you will be made to stand and walk with the walker

» Day 3 after Surgery :
Visit by Dr. Rajani in the morning
  • If you are comfortable you will be shifted from a walker to a tripod stick.
  • CPM will continue at an increased angle.
  • You will continue with the exercises

  • » Day 4 After Surgery :
    Visit by Dr. Rajani in the morning
    » You will continue with the exercises
    » Toilet training and stair climbing will be taught
    » Will be made to sit on a chair and on the sofa
    » Will be taught to climb the stairs
    » In the evening will be taken walking for a hospital Tour

    » Day 5:
    » Will be taught how to get in and out of a car
    » Discharge from the hospital

    » Goals Before Discharge
    » Ability to stand and walk with support
    » Ability to bend knee more than 75 degrees.
    » Ability to lift the leg straight up in lying down position.
    » To be able to sit on a commode.
    » To be able to get up from sitting position.
    » Good balance while walking

    » Care At Home:
    » Once you reach your home, a competent physiotherapist will visit you from day 6 to day 15.
    » Sutures will be removed at 15 days.
    » During this 15 day period the physiotherapist will train you to strengthen your muscles and make you move around your locality with the help of a tripod stick.
    » On day 15, sutures will be removed for you at of your own home
    » You will be advised to avoid sitting on the floor and using Indian style toilets.
    » Your follow-up visit to Dr. Rajani will be a month after the surgery.


    Copyrights 2011 Dr. A. M. Rajani. All Rights Reserved.
    Facebook-Dr. A.M.Rajani Twitter-Dr. A.M.Rajani LinkedIn-Dr. A.M.Rajani Blog
    Top