Knee Replacement: Hospital Stay And Recovery

Knee replacement surgery is a common procedure, with over 600,000 people in the United States undergoing it each year. The surgery typically involves removing damaged bone and cartilage and replacing them with metal and plastic parts. Following the procedure, patients usually stay in the hospital for one to three days to recover and manage their pain. Some patients may be discharged on the same day, depending on their overall health, age, and support system. During their hospital stay, patients work with physical therapists to restore strength and mobility and learn to perform basic daily functions.

Hospital stay duration

The duration of a patient's hospital stay after knee replacement surgery depends on several factors, including their overall health, age, support system, and how well they recover in the surgical suite. While some patients may be discharged on the same day as their surgery, others may need to stay for one to three nights. During this time, patients work with physical therapists and occupational therapists to ensure they can move around and perform basic daily functions.

In some cases, patients may be candidates for outpatient joint replacement surgery, which allows them to recover at home with appropriate screening, low health risks, and adequate social support. However, it is important to consider the possible risks associated with this option. For those who require a more aggressive therapy program, a short stay at an extended-care facility or rehabilitation centre may be necessary before returning home.

The recovery process after knee replacement surgery is crucial. Patients are encouraged to walk as normally as possible, using crutches or a walker for several weeks to a month, followed by a cane for a couple of weeks. Regular exercise designed to restore strength and mobility to the knee is essential for a full recovery. Additionally, patients should gradually return to everyday activities and follow recommendations for elevating their legs and applying cold packs to reduce swelling.

The hospital stay duration also provides an opportunity for patients to receive antibiotics through an IV to prevent infection. Pain management is another important aspect, and most patients find that the pain is manageable with medication. Patients should not drive until they feel their reflexes are normal and can manipulate vehicle control pedals without discomfort. On average, patients can resume driving between three and six weeks after surgery.

Post-surgery recovery

Knee replacement surgery is a procedure that involves replacing all or some of the knee joint with a prosthetic joint made of metal and plastic. It is typically done to alleviate pain and improve mobility for people with arthritis or knee injuries. While the surgery is generally safe and effective, the recovery process can vary from person to person and may take up to a year for a full recovery.

The length of the hospital stay after knee replacement surgery can vary. Some patients may be discharged on the same day as the surgery, while others may stay overnight or for a few days. The decision to discharge a patient is made by the surgeon, taking into account factors such as the patient's overall health, home environment, and support system.

Once discharged from the hospital, patients will continue their recovery at home or in a rehabilitation facility. It is common to experience pain and swelling after knee replacement surgery, and patients are typically advised to rest with their legs elevated and apply cold packs to reduce discomfort. Committing to a rehabilitation plan, which includes physical therapy exercises, is crucial for regaining strength and mobility in the knee. Patients may be instructed to walk short distances frequently and perform specific exercises to improve their range of motion.

The first 12 weeks after surgery are crucial for recovery, and most patients use a walker or assistive device during this period. By week six, many individuals can resume most of their usual activities, although a gradual return to everyday tasks is recommended. It is important to follow the surgeon's and physical therapist's advice on when it is safe to return to work, household chores, and more strenuous activities. While recovery varies, most people can expect to regain an active lifestyle and experience improved knee function and quality of life following knee replacement surgery.

Outpatient options

Knee replacement surgery is a common procedure, with over 600,000 people in the United States undergoing it each year. While it is routine, a hospital stay is usually required for observation and to manage any post-operative pain or discomfort. However, with advancements in surgical procedures, outpatient options are now available for certain patients.

Outpatient joint replacement surgery may be an option for patients who have been appropriately screened, have a relatively low health risk, and have adequate social support at home to assist with postoperative recovery. It is important to consult with your doctor about the possible risks associated with outpatient surgery, as it may not be suitable for everyone.

For those who are good candidates, there is the possibility of going home the same day as the surgery. This decision is made based on factors such as the patient's overall health, age, and support system, and how well they recover in the surgical suite recovery room.

Outpatient knee replacement surgery typically involves a less invasive approach, such as partial knee replacement, which can result in less pain and better overall satisfaction. It is important to note that even as an outpatient, physical therapy and a gradual return to everyday activities are crucial for a full recovery.

If you are considering outpatient knee replacement surgery, it is essential to discuss all options and potential risks with your doctor to determine the best course of treatment for your specific condition.

Physical therapy

Knee replacement surgery requires a hospital stay of one to three days on average. During this time, patients recover from anaesthesia and surgery, and are closely monitored by healthcare professionals. Patients are encouraged to start moving and walking, with the support of specialists, as early as the day of surgery. This early mobilisation is crucial for a faster recovery and better outcomes.

In-Hospital Physical Therapy:

During the hospital stay, patients typically work with a physical therapist to learn essential skills for daily living. This includes teaching patients how to use a walker, crutches, or cane, ascend and descend stairs, and get in and out of bed safely. Patients are also encouraged to start walking short distances within their hospital rooms to promote blood circulation and prevent blood clots.

Early Post-Discharge Therapy:

The first six weeks after surgery are focused on improving the range of motion. Patients continue to work with their physical therapist, who prescribes exercises to increase mobility and flexibility. These exercises may include hamstring stretches, quadricep sets, and ankle pumps. Patients are advised to elevate their legs and apply ice to manage pain and swelling. Walking becomes an essential part of the routine, with doctors recommending walks of 20 to 30 minutes, two to three times a day. This helps strengthen the knee and prevent the formation of scar tissue.

Intermediate Recovery Phase:

From week six to week 16, the focus shifts to rebuilding strength. Patients progress to using elastic bands, ankle weights, and light handheld weights in their exercises. They continue their walking programs and gradually return to everyday activities, always in consultation with their healthcare team. By month three, many patients can consider returning to some form of sport.

Long-Term Recovery:

The final phase of recovery occurs between months 10 and 12. Patients continue their knee workouts once a week while incorporating other activities into their routines. It is important to maintain the prescribed exercise regimen until the knee is fully recovered, which can take up to 12 months.

Post-op medication

Knee replacement surgery often requires a hospital stay of one to three days. During this time, patients are monitored in the recovery room and receive medication to manage their pain. After surgery, patients may experience moderate to severe pain, for which doctors may prescribe opioids or other painkillers. However, opioids can cause side effects such as nausea, trouble breathing, and difficulty urinating, and they can also be addictive. Therefore, doctors may recommend a combination of different pain medications to manage pain effectively.

In addition to pain medication, doctors may prescribe antibiotics to prevent skin and soft tissue infections, which can occur after surgery. Antibiotics are typically administered through an IV while the patient is still in the hospital. Blood thinners are also commonly prescribed to prevent blood clots, which can be life-threatening. Patients may be prescribed aspirin to take twice daily with food for 30 days. Alternatively, they may resume taking an anticoagulant such as Coumadin, Plavix, Eliquis, or Xarelto. It is important to discuss any conditions or concerns with the doctor before discharge.

To aid in recovery, doctors may recommend anti-inflammatory medications to reduce post-operative pain and swelling. Muscle relaxants, such as methocarbamol and cyclobenzaprine, may also be prescribed to limit opioid use. Patients should follow their doctor's instructions and take their prescribed medications as directed. It is important to note that narcotic pain medications may impact a patient's ability to drive, and they should refrain from driving until they are no longer taking these medications and feel they can safely operate a vehicle.

During their hospital stay, patients will work closely with physical therapists to restore strength and mobility to the knee. They will be encouraged to move and walk, initially with the assistance of crutches or a walker, and gradually increase their physical activity to reduce the risk of developing deep vein thrombosis (DVT). Patients may also be advised to rest with their legs elevated and apply cold packs to reduce swelling. The hospital stay provides an opportunity for patients to learn how to safely perform daily activities and build strength before returning home to continue their recovery.

Frequently asked questions