Post-Operative Care and Rehabilitation After UK Partial Knee Surgery - Orthopedics

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Postoperative Issues Following UKA (Unicompartmental Knee Arthroplasty)


Hello Dr.
Chen, my mother underwent a British-style partial knee surgery on October 12 due to arthritis caused by a car accident.
After returning home for recovery, her leg has become very sore.
Can she use regular pain relief ointments or patches, or are there other health supplements and wellness methods we can consider? My mother had uterine fibroid issues two years ago, and since then, she has hardly had any dietary supplements, leaving her feeling low on energy and spirit.
After the surgery, her energy and appetite have worsened, and she is afraid that dietary supplements or medications might trigger the fibroids.
How can we help her with nutrition and wellness? Should she start rehabilitation exercises at home now? Currently, due to knee pain, she can only walk favoring the other leg, and compared to her healthy leg, her affected leg's calf muscle is noticeably smaller.
How long "must" she wait to start rehabilitation? How long "must" she wait before she can start climbing stairs?

Liao Xiaojie, 30~39 year old female. Ask Date: 2020/10/22

Dr. Chen Yongxue reply Orthopedics


Hello,
1.
If the pain is severe, it is recommended to use oral pain relievers as they are more effective; topical treatments have poor analgesic effects.

2.
Uterine fibroids will not recur due to food intake, so please rest assured.

3.
Muscle atrophy should not be too severe; it generally improves gradually after starting rehabilitation.
As for the rehabilitation timeline, it will vary depending on the surgical method, so it is best to consult your attending physician.
Thank you.

Reply Date: 2020/10/22

More Info


Post-operative care and rehabilitation following a UK partial knee surgery, also known as unicompartmental knee arthroplasty, is crucial for ensuring optimal recovery and restoring function. Here are some guidelines and recommendations based on your mother's situation:

Pain Management
After surgery, it is common for patients to experience pain and discomfort. For your mother, using topical analgesics such as pain relief patches or creams can provide some relief, but they may not be as effective as oral medications. If the pain is significant, it is advisable to consult her physician about appropriate oral pain relief options. Over-the-counter medications like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can be beneficial, but they should be used under medical supervision, especially considering her medical history.


Nutritional Support
Regarding her nutritional needs, it is essential to ensure she receives a balanced diet to support healing. While there may be concerns about her previous uterine fibroids, it is important to note that diet alone does not trigger their recurrence. Encourage her to consume a variety of foods rich in vitamins and minerals, particularly those high in protein, calcium, and vitamin D, which are vital for bone health and recovery. Foods like lean meats, fish, dairy products, leafy greens, nuts, and seeds can be beneficial. If she is hesitant about certain foods, consider consulting a nutritionist who can provide tailored advice that takes her medical history into account.


Rehabilitation and Physical Activity
Rehabilitation is a critical component of recovery after knee surgery. It is generally recommended to start gentle range-of-motion exercises as soon as possible, often within the first few days post-surgery, to prevent stiffness. Your mother should be encouraged to perform exercises that promote knee flexion and extension, as well as strengthening exercises for the quadriceps and hamstrings. However, these should be done under the guidance of a physical therapist to ensure they are appropriate for her condition.

As for walking, she may need to use a walker or crutches initially to avoid putting too much weight on the affected leg. The timeline for transitioning to full weight-bearing activities varies by individual, but most patients can start walking with minimal assistance within a few weeks. It is crucial to listen to her body and avoid pushing through pain.


Stair Climbing
Regarding stair climbing, it is typically recommended to wait until she has regained sufficient strength and balance in her leg. This may take several weeks to a few months, depending on her progress. A physical therapist can provide guidance on when it is safe for her to begin climbing stairs and can teach her the proper technique to do so safely.


Monitoring Progress
Keep an eye on her recovery progress. If she experiences increased pain, swelling, or any unusual symptoms, it is essential to contact her healthcare provider. Regular follow-ups with her surgeon or orthopedic specialist will help monitor her recovery and make any necessary adjustments to her rehabilitation plan.

In summary, post-operative care after UK partial knee surgery involves effective pain management, nutritional support, and a structured rehabilitation program. Encourage your mother to engage in physical therapy, maintain a balanced diet, and gradually increase her activity level while being mindful of her body's signals. With time and proper care, she should be able to regain strength and mobility in her knee.

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