Our Summary

This research paper discusses the use of outpatient or ambulatory surgery, which is when a patient can go home the same day as their operation. The paper specifically looks at more complex procedures like total knee replacements that are typically done in a hospital, but could also be done in an outpatient setting. The authors share their experiences from Vitré General Hospital and emphasize the importance of patients and their families understanding and following the instructions for care after the surgery. This is crucial for a quick and successful recovery.

FAQs

  1. Can total knee replacement be done as an ambulatory surgery?
  2. What is the role of patient and their family in ambulatory knee replacement surgery?
  3. How does ambulatory surgery contribute to fast recovery in total knee replacement?

Doctor’s Tip

A doctor may advise a patient undergoing knee replacement surgery to actively participate in their recovery by following post-operative care instructions, attending physical therapy sessions, and maintaining a healthy lifestyle to ensure successful and speedy recovery. It is also important for patients to communicate any concerns or difficulties they may have during the recovery process with their healthcare team.

Suitable For

Patients who are typically recommended for knee replacement surgery are those who have severe osteoarthritis or rheumatoid arthritis that has not responded to non-surgical treatments such as physical therapy, medications, and injections. These patients may experience significant pain, stiffness, and limited mobility in the affected knee, which can greatly impact their quality of life. Additionally, patients who have experienced a traumatic injury to the knee or have a deformity that causes significant pain and functional limitations may also be candidates for knee replacement surgery. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if knee replacement surgery is the best course of action for their individual situation.

Timeline

Before knee replacement:

  1. Patient consults with orthopedic surgeon to discuss options for knee replacement surgery.
  2. Patient undergoes pre-operative evaluations, including blood tests, imaging studies, and physical therapy.
  3. Patient receives education on the surgery, recovery process, and post-operative care.
  4. Patient prepares their home environment for post-operative recovery, including arranging for assistance and mobility aids.

After knee replacement:

  1. Patient undergoes knee replacement surgery in an ambulatory setting.
  2. Patient is monitored closely by medical staff for any complications or concerns.
  3. Patient begins physical therapy and rehabilitation to regain strength and mobility in the knee.
  4. Patient is discharged home on the same day of surgery or shortly after, with instructions for pain management, wound care, and activity restrictions.
  5. Patient continues physical therapy and follow-up appointments with the orthopedic surgeon to monitor progress and address any issues.
  6. Patient gradually resumes normal activities and enjoys improved mobility and function in the replaced knee.

What to Ask Your Doctor

  1. Am I a candidate for ambulatory surgery for my total knee replacement?
  2. What are the risks and benefits of undergoing ambulatory surgery for this procedure?
  3. What is the expected recovery time and rehabilitation process for ambulatory knee replacement surgery?
  4. What steps can I take to ensure a successful outcome and quick recovery from the surgery?
  5. What support services or resources are available to help with pain management and rehabilitation after the surgery?
  6. How will my pain be managed during and after the surgery?
  7. What post-operative complications should I be aware of and how can they be prevented or treated?
  8. How frequently will I need to follow up with you after the surgery and what will those appointments entail?
  9. Are there any specific restrictions or precautions I should be aware of during the recovery period?
  10. What alternative treatment options are available if ambulatory surgery is not recommended for my knee replacement?

Reference

Authors: Rubin S, Franger S, Martin A, Lorguilloux R, Kneife F. Journal: Rev Infirm. 2018 Feb;67(238):32-34. doi: 10.1016/j.revinf.2017.12.004. PMID: 29426557