How you prepareBy Mayo Clinic staff
An orthopedic surgeon performs knee replacement procedures. Before the procedure, the surgeon takes your medical history and performs a physical examination to assess your knee's range of motion, stability and strength. X-rays can help determine the extent of knee damage.
Knee replacement surgery requires anesthesia to make you comfortable during surgery. Your input and personal preference help the team decide whether to use general anesthesia, which renders you unconscious during the operation, or spinal or epidural anesthesia, during which you are awake but can't feel any pain from your waist down.
Your doctor or anesthesiologist may advise you to stop taking certain medications and dietary supplements before your surgery. You'll likely be instructed not to eat anything after midnight before your surgery.
Plan ahead for your recovery after surgery
For several weeks after the procedure, you may need the assistance of crutches or a walker. Make advance arrangements for transportation home from the hospital and help with everyday tasks such as cooking, bathing and doing laundry. If you live alone, your surgeon's staff can suggest a temporary caretaker.
To make your home safer and easier to navigate during recovery, consider making the following improvements:
- Create a total living space on one floor since climbing stairs can be difficult.
- Install safety bars or a secure handrail in your shower or bath.
- Secure handrails along your stairways.
- Obtain a stable chair with a firm seat cushion and back, and a footstool to elevate your leg.
- Arrange for a toilet-seat riser with arms if you have a low toilet.
- Try a stable bench or chair for your shower.
- Remove all loose carpets and cords.
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- Total knee replacement. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00389. Accessed Aug. 29, 2012.
- Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed Aug. 29, 2012.
- Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1678/0.html. Accessed Aug. 29, 2012.
- DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-3143-7..X0001-2--TOP&isbn=978-1-4160-3143-7&uniqId=230100505-57. Accessed Aug. 29, 2012.
- Martin GM, et al. Complications of total knee arthroplasty. http://www.uptodate.com/index. Accessed Aug. 29, 2012.
- Stuart MJ (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 17, 2012.