Knee replacement

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By Mayo Clinic staff

An orthopedic surgeon — a doctor who treats muscle and bone problems — performs knee replacement procedures. Before the procedure, the surgeon takes your medical history and performs a physical examination to assess your knee's range of motion, stability and strength. An X-ray exam to determine the extent of knee damage also may done. You'll undergo a full medical exam, including blood tests, an electrocardiogram and a urine test, before surgery.

Knee replacement surgery requires anesthesia to make you comfortable during surgery. Your input and personal preference helps the team decide whether to use general anesthesia, which renders you unconscious during the operation, or spinal or epidural anesthesia, during which you are awake but can't feel any pain.

Your doctor or anesthesiologist may advise you to stop taking certain medications and dietary supplements before your surgery. You'll likely be instructed not to eat anything after midnight before your surgery.

Plan ahead for your recovery after surgery
For several weeks after the procedure, you may need the assistance of crutches or a walker. Make advance arrangements for transportation home from the hospital and help with everyday tasks such as cooking, bathing and doing laundry. If you live alone, your surgeon's staff can suggest a temporary caretaker.

To make your home safer and easier to navigate during recovery, consider making the following improvements:

  • Create a complete living space on one floor since climbing stairs can be difficult.
  • Install safety bars or a secure handrail in your shower or bath.
  • Secure handrails along your stairways.
  • Obtain a stable chair with a firm seat cushion and back, and a footstool to elevate your leg.
  • Arrange for a toilet-seat riser with arms if you have a low toilet.
  • Try a stable bench or chair for your shower.
  • Remove all loose carpets and electric cords.

MY00091

May 17, 2008

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