Post-Operative Recovery After Knee Replacement Surgery - Orthopedics

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Artificial knee joint


Dear Dr.
Chou,
My mother is 67 years old and had a knee replacement surgery on her left knee eight months ago.
Occasionally, she experiences a sensation of warmth and swelling in her knee, but there is no pain.
What concerns me the most is that she seems to have a slight limp when walking, although it is not painful.
Shouldn't she be able to walk normally after the surgery?
I took her for a follow-up appointment, and the doctor said everything is fine, but did not provide an estimated timeline for her full recovery.
I am eager to know if it is common to walk this way after surgery, how much longer it might take, or if there is a possibility that the surgery was unsuccessful.
My mother has been diligently doing her knee flexion rehabilitation exercises at home since her discharge.
I would greatly appreciate your insights on this matter.
Thank you very much.

Ms. Li, 40~49 year old female. Ask Date: 2010/12/05

Dr. Zhou Lizhi reply Orthopedics


According to the description from the internet user, there is no significant redness, swelling, heat, pain, inflammation, or signs of infection at the site of the left knee joint replacement surgery, and the patient is able to walk.
Therefore, the surgery is unlikely to have failed.
However, the patient does experience a limp while walking.
It is important to consider three key areas of the body: 1.
spinal curvature and deformity, 2.
whether the hip joint is deformed, and 3.
whether the overall lengths of the lower limbs are equal.
Therefore, it is recommended that the user take their mother to an outpatient clinic for a comprehensive evaluation to determine the underlying cause.

Reply Date: 2010/12/05

More Info


Post-operative recovery after knee replacement surgery can be a complex and sometimes frustrating process, particularly for older adults like your mother. It’s important to understand that while knee replacement surgery is designed to alleviate pain and improve function, the recovery timeline can vary significantly from person to person. Here are some insights into what your mother might be experiencing and what you can expect moving forward.


Understanding Recovery
1. Normal Symptoms: After knee replacement surgery, it is common for patients to experience some swelling and warmth in the knee. These symptoms can persist for several months post-surgery, especially if the patient is active. The body is healing, and inflammation is a natural part of that process. As long as there is no severe pain or other concerning symptoms, this is generally considered normal.

2. Gait Changes: The fact that your mother is experiencing a slight limp while walking, despite not feeling pain, can be attributed to several factors. After surgery, the body needs time to adjust to the new joint, and muscle strength and coordination may take time to fully return. Additionally, if there was any pre-existing weakness or imbalance in the muscles around the knee prior to surgery, this could also contribute to an altered gait.
3. Rehabilitation: It’s great to hear that your mother is actively participating in rehabilitation exercises. Consistent physical therapy is crucial for regaining strength and improving range of motion. The goal is to strengthen the quadriceps and hamstrings, which support the knee joint. If she is doing her exercises diligently, she is on the right path. However, it’s essential that these exercises are done correctly to avoid any strain or injury.

4. Timeline for Recovery: Recovery from knee replacement surgery can take anywhere from three to six months for significant improvements, but full recovery can take up to a year or more. Each patient’s recovery is unique, influenced by factors such as age, overall health, and adherence to rehabilitation protocols.
5. When to Seek Help: If your mother’s limp persists or worsens, or if she experiences any new symptoms such as increased pain, instability, or swelling, it would be wise to consult her orthopedic surgeon. They may recommend further evaluation, such as imaging studies, to ensure that there are no complications such as implant issues or other underlying problems.

6. Post-Operative Expectations: It’s important to manage expectations after knee replacement surgery. While many patients do achieve significant improvements in pain and function, some may still experience minor limitations or changes in their gait. This does not necessarily indicate a surgical failure; rather, it reflects the complex nature of recovery and rehabilitation.


Conclusion
In summary, while your mother’s experience of warmth and slight swelling is common, her altered gait should be monitored. Encourage her to continue her rehabilitation exercises, and ensure she follows up with her healthcare provider for regular assessments. Recovery from knee replacement surgery is a journey that requires patience and persistence. With time and appropriate care, many patients can achieve a functional and pain-free range of motion, allowing them to return to their daily activities and enjoy a better quality of life. If you have any further concerns, do not hesitate to reach out to her healthcare team for guidance.

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