Pain Control Protocol

Post-surgical pain is a major concern for all patients. We take great care in alleviating pain by a combination of methods. Patients are explained in detail what to expect after surgery and the plan for mobilisation and discharge well ahead. All post-op exercise programs are commenced before the surgery itself. Patients are given spinal anaesthesia in most cases. They also receive regional anaesthetic infiltration and nerve blocks at the time of surgery. In the ward top-up, narcotic pain medication is prescribed as required. Cryotherapy is given for 48 hrs after surgery.

Infection Control Protocol

Routine pre-op screening for septic focus is carried out during the Pre-surgical counselling visit. Prophylactic antibiotics are administered as per the guidelines of the American Academy of Orthopedic Surgeons. A urinary catheter is placed for patients who choose to undergo both knee surgeries simultaneously. Centrally air-conditioned Operation Theatres with Positive Pressure ventilation and surgical hoods are used

DVT Prophylaxis Policy

All patients are put on Spirometer chest physiotherapy for 1 week. Chemical prophylaxis is administered as per the guidelines of the American Academy of Orthopedic Surgeons. Early mobilisation and intensive physiotherapy are given to all patients.

What To Expect

Start walking with a walker 1 day after surgery. Can use a portable commode or walk to the toilet with assistance

Climb stairs 3 days after surgery with minimal assistance

Discharge home 5 days after surgery - Physiotherapist will visit you at home frequently as required

Suture removal at home 10 days after surgery - No need to visit the hospital until 3 weeks

3 months after surgery most patients are able to achieve the following;

A scar is about 6 inches long. Occasional clunking noise on certain movements

The knee looks straight. No bow legs or knock knees!

No pain on walking, standing/getting up from chair or commode

Climb up and down stairs easily with no pain or stiffness

No use for walking aids like walkers, crutches or stick

No swaying to sides whilst walking, as you used to, before surgery

Get in and out of a car quickly without having to manoeuvre to clear the door.

Can stand up from a low chair or settee

Can stand for a long time without looking out for a chair

Can sit comfortably with your legs crossed.

At 1 year, Can squat, on the floor or kneel for praying but may need assistance to get up. Pre-Anaesthetic evaluation is typically done 1 week prior to admission for surgery. Kindly arrive at 8 AM preferably on empty stomach and be prepared to spend 3 hrs in the hospital.