Wednesday, July 8, 2009

Avoiding Problems After Knee Surgery

By Dr. Richard Edelson

Preventing Blood Clots

After surgery, you will want to be on the lookout for blood clots. Be sure to follow the instructions that your orthopedist will provide.

Here Are The Signs to Watch Out For

A blood clot in the leg may cause the following:

Swelling the lower leg, specifically the foot, calf and ankle.

You may feel calf pain.

Swelling, redness, and tenderness of the knee.

You may suddenly experience chest pain.

When your chest hurts, you may need to cough.

A blood clot that has traveled to your lung may cause the following:

Shortness of breath without warning.

Be sure to call your doctor right away if you have this sign.

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Infection Prevention

Following total knee replacement surgery, you may have a tendency to get an infection at the site of the surgery. The reason for this is that bacteria may get into your blood because of some other condition. Some examples are dental procedures, urinary tract infections, or infections of the skin. When this happens, bacteria may travel to the site of your surgery and cause infection around the knee replacement.

You will be given a prescription for antibiotics after your surgery. It is very important that you take these as directed to avoid having an infection develop.

Knee Replacement Infection: What to Watch Out For

Your knee may feel painful both when you are active and when you are resting.

You may experience shaking and chills.

You may experience tenderness, redness, and swelling around the knee replacement.

Your temperature may rise to above 100F and persist at this level.

Your knee wound may drain.

Call your physician if you have any of these signs.

How to Avoid Falls

If you fall soon after your surgery, it can damage your new knee. Then you may need more surgery. Try to avoid stairs until your knee has completely recovered and it is mobile and strong. Be sure to use a support device such as hand rails, walker, crutches or a cane. At least have someone assist you until your knee is completely strong and flexible and you have regained your balance.

Your physical therapist and your surgeon will assist you in determining which assistive devices will work best for you. They will also help you decide when it is time to stop using an assistive device.

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