Post-Operative Care and Rehabilitation After UK Partial Knee Surgery

Postoperative Issues Following UKA (Unicompartmental Knee Arthroplasty)

Hello Dr.
Chen, my mother underwent a UK-style partial knee surgery on October 12 due to arthritis caused by a car accident.
After returning home to rest, 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 a uterine fibroid issue two years ago, and since then, she has hardly had any nutritional supplements, leaving her with low energy and poor spirits.
After the surgery, her energy and appetite have worsened, and she is concerned that nutritional supplements might trigger the fibroids.
What can we do to help her with nutrition and wellness? Does she need to start rehabilitation exercises at home now? Currently, due to knee pain, she can only walk by favoring the other leg, and compared to her healthy leg, her affected leg's calf has noticeably lost muscle.
How soon must she start rehabilitation? How long before she should begin climbing stairs?

Liao Xiaojie, 30~39 year old female. Ask Date: 2020/10/26

Dr. Chen Yongxue reply Orthopedics

Hello,
1.
If the pain is severe, it is recommended to use oral pain relievers, as topical treatments are generally less effective for pain relief.

2.
Uterine fibroids will not recur due to food intake, so there is no need for concern.

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

Reply Date: 2020/10/26

More Info

Post-operative care and rehabilitation after UK partial knee surgery are crucial for ensuring a successful recovery and regaining functionality. Given your mother's recent surgery on October 12, it is essential to address her concerns regarding pain management, nutrition, rehabilitation, and overall well-being.

Pain Management
After knee surgery, it is common for patients to experience pain and discomfort. While topical pain relief creams and patches can provide some relief, they are often less effective than oral pain medications. If your mother is experiencing significant pain, it is advisable to consult her physician about appropriate oral analgesics. These medications can help manage pain more effectively and allow her to engage in rehabilitation exercises more comfortably.

Nutrition and Health Supplements
Your mother's history of uterine fibroids raises valid concerns about dietary choices and supplements. However, it is important to note that food and dietary supplements do not trigger the recurrence of fibroids. To support her recovery, focus on a balanced diet rich in nutrients that promote healing. This includes:
- Protein: Essential for tissue repair. Include lean meats, fish, eggs, dairy, legumes, and nuts.

- Vitamins and Minerals: Vitamins C and D, calcium, and magnesium are crucial for bone health and recovery. Incorporate fruits, vegetables, whole grains, and dairy products.

- Hydration: Ensure she drinks plenty of fluids to stay hydrated, which is vital for overall health and recovery.

If she is hesitant about supplements due to her medical history, consider discussing with her healthcare provider or a registered dietitian who can provide tailored advice.

Rehabilitation
Rehabilitation is a critical component of recovery after knee surgery. It is generally recommended to start rehabilitation exercises as soon as it is safe to do so, often within a few days post-surgery. Early mobilization helps prevent stiffness and promotes circulation, which is essential for healing. Here are some guidelines:
1. Initial Exercises: Begin with gentle range-of-motion exercises and isometric contractions of the quadriceps and hamstrings. These can often be done while seated or lying down.

2. Progressive Loading: As her pain decreases and she gains strength, she can gradually increase the intensity and duration of her exercises. This may include standing exercises and eventually walking with assistance.

3. Physical Therapy: If possible, enrolling her in a physical therapy program can provide structured rehabilitation. A physical therapist can design a personalized exercise regimen that considers her specific needs and limitations.

Mobility and Stair Climbing
Regarding mobility, it is essential to use assistive devices like crutches or a walker until she can bear weight comfortably on her operated leg. The timeline for returning to stair climbing varies based on individual recovery but typically occurs within a few weeks post-surgery, depending on her progress in rehabilitation.
- Stair Climbing: Initially, she may need to practice going up and down stairs with assistance. It is generally recommended to wait until she can walk independently and has regained sufficient strength and balance.

Conclusion
In summary, your mother’s post-operative care should focus on effective pain management, a balanced diet to support recovery, and a structured rehabilitation program. Encourage her to communicate openly with her healthcare provider about her pain levels, nutritional concerns, and rehabilitation progress. With proper care and commitment to her recovery plan, she can regain her strength and mobility over time.

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