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General KNEE Post-Operative Instructions
GENERAL POST-OPERATIVE INSTRUCTIONS
FOR KNEE SURGERY PATIENTS
Please refer to the specific Post-Operative Instructions supplemental packet for a more detailed explanation concerning the specific procedure you will be having.
The following information is general for all knee surgeries and may differ from your exact procedure.
WOUND CARE & HYGIENE
General Knee Scopes (Requiring Only Small Portal Incisions)
Knee arthroscopies generally only require very small portal incisions to be made. Dr. Lowe usually allows you to remove the bulky dressing 48 hours after your surgery.
If you choose to remove your outer surgical dressing, please follow these guidelines. Remove the outer elastic bandage along with the white gauze pads and white surgical padding. Bleeding usually occurs following surgery so these dressings may be soiled with blood. Only remove the elastic bandage and any white gauze pads or white surgical padding. Do NOT remove either the steri-strips that are directly on the skin or the yellow medicated gauze immediately on top of the steri-strips if at all possible. You are allowed to place water-proof bandages over the portal incisions to shower. Be sure to cover the entire area with water-proof bandages including the steri-strips and yellow gauze. Once you place water-proof bandages over your portals, leave these on until your first post-op appointment since removing these will remove the steri-strips and yellow gauze.
Ligament Reconstructions (Requiring Larger Incisions)
If you are having any type of ligament reconstruction or any procedure that requires a larger incision, Dr. Lowe does NOT allow you to remove your dressings after surgery. This includes you the patient, your caregivers, or the physical therapist. An exposed wound in physical therapy is UNACCEPTABLE. Removing your surgical dressings will expose you to potentially serious infections.
Dressings will be changed on your first post-op visit and a new dressing applied. If your dressing gets EXCESSIVELY wet prior to your first post-op visit, meaning “soaked through,” please contact the office for instructions.
If you feel that the dressing may be too tight, you may loosen the elastic bandage only. Do NOT remove any of the sterile padding or gauze as this may expose you to an infection.
CPM (CONTINUOUS PASSIVE MOTION) UNIT – (IF APPLICABLE)
Your knee is a joint. All joints are designed to move. Your CPM unit is to be used to passively move your knee through a specified range of motion. This passive motion stimulates the healing process of your knee as well as helps to limit excessive scar tissue adhesions that my hinder your recovery.
If a CPM machine is ordered after surgery, Dr. Lowe will give specific instructions to your caregiver.
If a CPM machine is ordered after surgery, Dr. Lowe will give specific instructions to your caregiver.
POST-OPERATIVE BRACE – (IF APPLICABLE)
A post-operative DonJoy IROM brace may be necessary depending upon the specific procedure you will be having. This post-op brace will typically be locked in full extension and is to be worn at all times unless you are using the CPM machine, doing your exercises or using cryotherapy.
This post-op brace is necessary in order to protect your knee while your muscles are inhibited for even the simplest of tasks such as going to the restroom.
If a post-operative brace is ordered after surgery, Dr. Lowe will give specific instructions to your caregiver.
This post-op brace is necessary in order to protect your knee while your muscles are inhibited for even the simplest of tasks such as going to the restroom.
If a post-operative brace is ordered after surgery, Dr. Lowe will give specific instructions to your caregiver.
CRUTCHES (IF APPLICABLE) & WEIGHT-BEARING STATUS
Following most knee surgeries full-weight bearing on the involved leg is allowed unless otherwise instructed by Dr. Lowe after surgery. Your weight-bearing status depends upon specific procedures done during surgery that may require modifications to your status that will allow for more appropriate healing after surgery.
Dr. Lowe will instruct your caregivers of the specific weight bearing status after surgery depending upon the specific procedure that will be performed.
Crutches will be necessary to assist with balance and stability. Crutches are assistive devices so it is important to walk with as normal of gait pattern as possible within the limitations specified by Dr. Lowe.
Dr. Lowe will instruct your caregivers of the specific weight bearing status after surgery depending upon the specific procedure that will be performed.
Crutches will be necessary to assist with balance and stability. Crutches are assistive devices so it is important to walk with as normal of gait pattern as possible within the limitations specified by Dr. Lowe.