Are you awake during a knee replacement?

Knee replacement surgery is usually performed either under general anaesthetic (you're asleep throughout the procedure) or under spinal anaesthetic or epidural (you're awake but have no feeling from the waist down).
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Can you be awake during knee replacement surgery?

Most knee or hip replacement surgery is performed under regional anesthesia, when patients are awake. Previous research has primarily focused on patients' experiences during general anesthesia.
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Is knee replacement the most painful surgery?

Here's What We Know About Post-Op Joint Pain

Typically, knee replacement surgery hurts more than hip replacement surgery (sorry, knee people). After surgery, pain is no longer achy and arthritic but stems from wound healing, swelling and inflammation.
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How long does a total knee replacement surgery take?

Knee replacement recovery time and recuperation

Total knee replacement surgery generally takes about 60 to 90 minutes, but you should expect to be in the operating room for over two hours. Rehabilitation (physical therapy) will begin within 24 hours of surgery.
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Are you put to sleep when you have a knee replacement?

General anesthesia: This option will put you completely to sleep. A breathing tube is inserted to control your breathing. Spinal anesthesia: This option involves the injection of a local anesthetic into your lower back to provide numbness, loss of pain and/or loss of sensation to the lower half of your body.
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Why more patients are choosing to stay awake during surgery



How painful is a total knee replacement?

Pain is to be expected after the initial knee replacement, but it should not be severe. The first few days after surgery should include the highest level of pain, but your doctor will send you home with pain medication adequate for your pain level.
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What is the fastest way to recover from a knee replacement?

5 Tips to Speed Up Recovery After Knee Surgery
  1. Follow All Physician Recommendations. You should always heed all of your surgeon's instructions and advice. ...
  2. Walk Frequently Once You're Allowed. ...
  3. Eat Healthy Foods. ...
  4. Get Plenty of Sleep. ...
  5. Do Physical and Occupational Therapy Exercises.
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Can you go home the same day after knee replacement?

Though routine and common, a hospital stay may be required following the procedure. But with advances in surgical procedures, it's possible to go home the same day after your knee replacement surgery.
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What is the best age for a knee replacement?

In summary, TKA performed between the ages of 70 and 80 years has the best outcome. With respect to mortality, it would be better to perform TKA when the patients are younger. Therefore, the authors of these studies believe that from 70 to 80 years of age is the optimal range for undergoing TKA.
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What is the most commonly reported problem after knee replacement surgery?

Knee Stiffness

One of the most common problems people experience after knee replacement is a stiff knee joint. Often these symptoms can cause difficulty with normal activities including going down stairs, sitting in a chair, or getting out of a car.
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What is the average hospital stay for a knee replacement?

The average hospital stay after total knee replacement is three days and most patients spend several more days in an inpatient rehabilitation facility. Patients who prefer not to have inpatient rehabilitation may spend an extra day or two in the hospital before discharge to home.
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What you Cannot do after knee replacement?

After your surgery, avoid stools, sofas, soft chairs, rocking chairs, and chairs that are too low. When getting up from a chair, slide toward the edge of the chair, and use the arms of the chair, your walker, or crutches for support to get up.
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How long after a knee replacement can you drive?

You can resume driving when you can bend your knee enough to get in and out of a car and control the car properly. This is usually around 6 to 8 weeks after your surgery, but check with your physiotherapist or doctor whether it's safe for you to drive.
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Can I ask to stay awake during surgery?

Not every hospital offers patients the “awake” option, even in surgeries for which it's conducive, because it requires a customized experience. The surgeon must also be willing and the patient must be able to handle the procedure without becoming overly stressed or anxious.
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What type of anesthesia is used for total knee replacement?

The most common types of anesthesia for total knee replacement are general, spinal, and epidural.
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Do you have a catheter after knee replacement?

The knee will be well bandaged and leg will be propped up or elevated. The patient may have a urinary catheter, a drain at the incision site, and an IV delivering fluids. The catheter, if present, is often removed in the first few hours. The incision drain and IV may remain for the duration of the hospital stay.
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Will a knee replacement get rid of arthritis?

Knee surgery may temporarily relieve pain from arthritis, but it does not cure the condition. Managing your arthritis will still be necessary to reduce pain in the knees, even after joint surgery.
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Can you be left alone after knee replacement?

Orthopedics. Most patients, even if they live alone, can safely go directly home from the hospital after hip or knee replacement surgery, according to a recent study.
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Do you need a knee replacement if you are bone on bone?

Bone-on-Bone Arthritis

Before considering knee replacement, the patient should have X-rays that show bone touching bone somewhere in the knee. Patients who have thinning of the cartilage but not bone touching bone should not undergo knee replacement surgery, except in rare circumstances.
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Is knee replacement a major surgery?

A knee replacement is major surgery, so is normally only recommended if other treatments, such as physiotherapy or steroid injections, have not reduced pain or improved mobility. You may be offered knee replacement surgery if: you have severe pain, swelling and stiffness in your knee joint and your mobility is reduced.
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How soon after knee replacement can you shower?

A Loyola Medicine study suggests it may not be necessary for knee replacement patients to wait up to two weeks after surgery before showering, as many surgeons now require. The study compared patients who were allowed to shower two days after surgery with patients who had to wait 10 to 14 days.
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Which is worse hip or knee replacement?

A hip replacement is a much less painful operation. People are on crutches for a while, and then their hips feel normal. But it takes six months to a year to recover from total knee surgery, and even then, the knee just doesn't feel normal.
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Can you climb stairs after knee replacement?

For the first several weeks after TKR, you will likely go up/down stairs one foot at a time (non-reciprocally). The pattern to follow is: “Up with the good leg, Down with the bad (operated)”. As you get stronger, I encourage you to try to climb stairs alternating one foot per step; holding on to the banister will help.
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What is the best painkiller after a knee replacement?

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs are a great option for non-narcotic pain medications, such as ibuprofen (Motrin) and naproxen (Aleve).
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What do I need at home after knee replacement?

This room should house anything you may need, including:
  1. pillows for elevating the lower leg.
  2. a bedside commode or urinal if the bathroom isn't accessible.
  3. a bed that isn't too high or low off the ground.
  4. ice packs for the knee.
  5. a telephone, or cellphone and a charger, to call for help.
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