Our Summary

This research aimed to understand how knee replacement surgery changes patients’ experiences and their reliance on support networks. The study involved interviewing ten patients who underwent knee replacement surgery at different stages: before the surgery, 2-4 weeks after, 6 months after, and 12 months after. The researchers found that the surgery journey changes the patient’s interaction with health professionals, their informal relationships, and the support they need and give to others. The study points out the importance of having a balance between formal support (like healthcare professionals) and informal support (like family and friends). It suggests that after surgery, patients benefit from immediate and long-term follow-ups, which can boost their confidence and help them recover. However, inadequate or poorly timed support can have negative impacts on a patient’s mental and social well-being.

FAQs

  1. How does knee replacement surgery affect patients’ interactions with health professionals and their social networks?
  2. What is the importance of having a balance between formal and informal support for knee replacement surgery patients?
  3. What is the recommended timing and frequency of follow-up for knee replacement patients, and why is this important?

Doctor’s Tip

One helpful tip a doctor might tell a patient about knee replacement is to follow the post-operative rehabilitation plan diligently. This includes doing prescribed exercises, attending physical therapy sessions, and taking medications as instructed. By following the plan, patients can improve their range of motion, strength, and overall function of the knee, leading to a successful recovery and better long-term outcomes.

Suitable For

Patients who are typically recommended knee replacement surgery are those who are experiencing severe knee pain, stiffness, and limited mobility that is not responding to other treatments such as medication, physical therapy, or injections. These patients may have conditions such as osteoarthritis, rheumatoid arthritis, or injuries to the knee joint that are causing significant pain and impairment in daily activities. Additionally, patients who have tried conservative treatments without success and have a strong desire to improve their quality of life and mobility may also be recommended for knee replacement surgery. It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if knee replacement surgery is the best option for their specific condition.

Timeline

Before knee replacement surgery:

  • Patient experiences chronic knee pain, limited mobility, and difficulty performing daily activities.
  • Patient consults with orthopedic surgeon and undergoes pre-operative assessments and tests.
  • Patient receives information about the surgery, risks, benefits, and rehabilitation process.
  • Patient may seek emotional support from family, friends, or support groups.

2-4 weeks after knee replacement surgery:

  • Patient undergoes surgery and begins post-operative rehabilitation.
  • Patient experiences pain, swelling, and limited mobility in the operated knee.
  • Patient may require assistance with daily activities and may feel frustrated or anxious about recovery.
  • Patient receives follow-up care from healthcare professionals and may start physical therapy.

6 months after knee replacement surgery:

  • Patient experiences improved knee function, reduced pain, and increased mobility.
  • Patient may resume some activities but may still have limitations.
  • Patient continues with physical therapy and follow-up appointments with healthcare professionals.
  • Patient may rely on family and friends for support during the recovery process.

12 months after knee replacement surgery:

  • Patient experiences significant improvement in knee function, pain relief, and mobility.
  • Patient may return to normal activities or engage in new physical activities.
  • Patient may have occasional discomfort or stiffness in the knee.
  • Patient continues with occasional check-ups with healthcare professionals and may no longer require as much support from family and friends.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with knee replacement surgery?
  2. What is the expected recovery timeline after knee replacement surgery?
  3. Will I need physical therapy after the surgery, and if so, for how long?
  4. What activities should I avoid or modify after knee replacement surgery?
  5. How long will the knee replacement last, and what is the likelihood of needing a revision surgery in the future?
  6. What type of anesthesia will be used during the surgery, and what are the potential side effects?
  7. What can I do to prepare for the surgery to optimize my recovery outcomes?
  8. Are there any lifestyle changes or modifications I should make after the surgery?
  9. Will I need assistive devices (such as a cane or walker) after the surgery, and if so, for how long?
  10. How can I manage pain and discomfort during the recovery process?

Reference

Authors: Johnson EC, Horwood J, Gooberman-Hill R. Journal: Disabil Rehabil. 2016 Dec;38(26):2550-63. doi: 10.3109/09638288.2016.1138549. Epub 2016 Feb 10. PMID: 26860900