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Outpatient Total Knee Replacement: What to Expect
Outpatient Total Knee Replacement: What to Expect

Total knee replacement (TKR) surgery has long been a trusted solution for individuals suffering from severe knee pain due to osteoarthritis or other joint conditions. With advancements in medical technology and surgical techniques, outpatient total knee replacement has become a viable and increasingly popular option for many patients. If you're considering outpatient TKR, here’s what you can expect.

What makes Outpatient Knee Replacement possible?

Outpatient TKR is made possible by improved anesthesia, minimally invasive surgical techniques, and advanced rehabilitation protocols. The procedure is suitable for otherwise healthy, motivated patients with strong support systems at home, ensuring they can manage their recovery independently.

The Benefits of Outpatient Total Knee Replacement

The percentage of patients opting for outpatient total knee arthroplasty (TKA) surged from 0.4% in 2012 to 14.1% in 2020.1 This shift highlights key advantages, including shorter recovery times and the comfort of healing at home, which often accelerates the process. Outpatient surgeries also tend to lower healthcare costs and minimize the risk of hospital-acquired infections. With proper support, most patients begin physical therapy within a day or two, promoting a quicker return to daily life.

What to Expect Before Surgery

Before your outpatient knee replacement, you’ll undergo a thorough evaluation to determine if you’re a good candidate for this type of procedure. Prehabilitation exercises may be recommended to strengthen muscles that support the knee. Education on post-op care and lifestyle adjustments will be provided. It’s essential to follow pre-surgical instructions closely, including stopping certain medications and arranging transportation home after the surgery.

During the Procedure: What Happens in the Operating Room?

Outpatient TKR uses advanced techniques, often including minimally invasive methods that reduce muscle and tissue disruption. This results in less pain and quicker recovery times compared to traditional surgery. General or spinal anesthesia will be used to ensure you are comfortable and pain-free during the procedure. The damaged portion of the knee joint will be removed and replaced with a prosthetic joint made of metal and plastic.

Recovery and Aftercare: What to Expect at Home

After your outpatient knee replacement, you'll be monitored for a few hours in a recovery room before being discharged to go home. Pain management and physical therapy exercises will be crucial for your recovery. You’ll likely start with gentle exercises to regain mobility and strength. With the proper support at home and consistent physical therapy, many patients are able to walk with assistance a few hours after the procedure and resume regular activities in a few weeks.

Outpatient total knee replacement offers a faster recovery, lower costs, and a more comfortable post-surgical experience compared to traditional inpatient procedures. If you’re healthy, have a solid support system, and are committed to following the recovery plan, outpatient TKR may be a great option for you. Consult with Dr. El-Yussif to find out if you’re a candidate.

AUTHOR: Dr. Eddie El-Yussif is a Board-Certified, Fellowship-Trained Orthopedic Surgeon specializing in knee replacement. With a commitment to advanced, patient-centered care, Dr. El-Yussif focuses on innovative treatments for knee arthritis and other orthopedic conditions related to the knee. Serving the greater Detroit area, he combines expertise and compassion to help patients restore mobility and improve their quality of life.

Reference:

1.https://pubmed.ncbi.nlm.nih.gov/37011701/