Our Summary

This research paper is about the readiness of patients to be discharged after total knee replacement surgery. While this type of surgery often leads to less pain and better mobility, some patients may face issues like falling, having to go back to the hospital, or decreased physical ability. Usually, doctors decide if a patient is ready to leave the hospital based on pain levels, the ability to walk, how well the new knee is working, and if they can climb stairs. However, this might not cover all the factors that determine if a patient is truly ready to go home after surgery. The aim of this article is to look at how ready patients are to be discharged after knee surgery and to discuss other factors that can affect their readiness.

FAQs

  1. What are the potential outcomes of Total Knee Replacement (TKR) surgery?
  2. What factors are considered in determining discharge readiness following TKR surgery?
  3. What are some of the suboptimal outcomes patients may experience after TKR surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about knee replacement is to follow the post-operative rehabilitation plan prescribed by their healthcare team. This plan may include physical therapy exercises, pain management strategies, and precautions to prevent complications. Compliance with the rehabilitation plan is crucial for a successful recovery and optimal outcomes after knee replacement surgery. It is important for patients to communicate any concerns or difficulties they may have with their healthcare team so that adjustments can be made to support their recovery.

Suitable For

Patients who are typically recommended for knee replacement surgery are those who have severe knee pain and stiffness that limits their daily activities and quality of life. Common conditions that may lead to the need for knee replacement include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and other degenerative joint diseases. Patients who have not experienced relief from other conservative treatments such as medication, physical therapy, and injections may be considered for knee replacement surgery.

Additionally, patients who have significant difficulty walking, climbing stairs, and performing activities of daily living due to knee pain and dysfunction may also be recommended for knee replacement. It is important for patients to have realistic expectations about the outcomes of knee replacement surgery and be committed to the post-operative rehabilitation process to achieve the best results.

Ultimately, the decision to undergo knee replacement surgery is individualized and should be made in consultation with a healthcare provider who can assess the patient’s specific condition, overall health, and treatment goals.

Timeline

Before knee replacement surgery:

  • Patient meets with orthopedic surgeon to discuss options and determine if knee replacement is necessary
  • Patient undergoes pre-operative tests and evaluations to ensure they are a suitable candidate for surgery
  • Patient receives education on the surgery, recovery process, and expectations following surgery
  • Patient may participate in prehabilitation exercises to strengthen the muscles around the knee

After knee replacement surgery:

  • Patient is monitored in the hospital for a few days to manage pain and ensure proper healing
  • Patient begins physical therapy to regain strength and mobility in the knee
  • Patient may experience some pain and swelling in the knee, which gradually improves over time
  • Patient works with healthcare providers to develop a plan for discharge, including home care and follow-up appointments
  • Patient continues physical therapy and exercises at home to continue improving function and mobility in the knee.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with knee replacement surgery?
  2. What is the expected recovery time and rehabilitation process after surgery?
  3. What restrictions or limitations will I have after surgery, and for how long?
  4. How should I manage pain and discomfort following the surgery?
  5. What type of physical therapy or exercise regimen will be recommended for optimal recovery?
  6. How long will it take for me to resume my normal activities, such as driving or going back to work?
  7. What should I do to prevent complications such as blood clots or infections after surgery?
  8. Will I need any assistive devices, such as a cane or walker, after the surgery?
  9. What should I expect in terms of follow-up appointments and monitoring after the surgery?
  10. Are there any specific lifestyle changes or precautions I should take to protect my new knee joint in the long term?

Reference

Authors: Causey-Upton R, Howell DM, Kitzman PH, Custer MG, Dressler EV. Journal: Orthop Nurs. 2019 Jan/Feb;38(1):6-14. doi: 10.1097/NOR.0000000000000513. PMID: 30676569