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Robotic Knee Replacement FAQs
Q&A: Partial Knee Resurfacing
Hospital for Special Surgery more joint replacements of any hospital in the world. This allows us to optimize your care in every way. It is well established that fewer post-operative complications occur if surgery is performed at a joint replacement center.
HSS has been rated the top orthopedic hospital by US News and World Report for the last five years. Our nursing staff has also been recognized with the prestigious Magnet Award for Nursing Excellence.
At HSS, you will find the best surgeons, the best hospital, and the best nurses -- a winning combination for successful outcomes.
It depends on your occupation. It is never a mistake to take more time off in the beginning of your recovery, as it will give you time to focus on your surgery. I recommend taking at least 1-2 weeks off for partial knee replacement. Keep in mind that you may still be using a cane at 1-2 weeks and it may be difficult to commute.
I do not like your stitches or staples to get wet. Therefore, you may shower when you get home, but the incision will need to be covered. I recommend using saran wrap around the area to prevent it from getting wet. The stitches or staples will be removed at the first follow up appointment 7-14 days after the surgery; thereafter, it is safe to get the incision wet.
You do not need a card to get through the airport; however, your implant will likely set off the metal detector. In this day and age, you will need to be hand-screened, so please leave extra time when you travel. We do provide an implant card for your convenience, which will be available postoperatively.
Yes, MRI are perfectly safe with a partial knee replacement. An MRI in the area of the joint implant, however, will not yield good pictures because of artifact created by the metal. MRI of a joint replacement should be performed at a facility with experience with techniques used to suppress the metal artifact.
Surgical healing usually takes 6-8 weeks. However, the tissues remain swollen which can cause discomfort for some time. This is usually manageable with over the counter medications like Aleve or Tylenol although sometimes prescribed pain pills are necessary. Over time, the knee tissues begin to soften and become more natural.
Fluid can accumulate in the legs due to the effect of gravity. It is not unusual that you didn't have it in the hospital, but it got worse when you went home (because you are doing more!) To combat this, you should elevate your legs at night by lying on your back and placing pillows under the legs so that they are above your heart. There are also TEDS stocking (the white stockings from the hospital) that you can put on during the day - have someone help you on with them in the morning, use them during the day, and then take them off at night. If you did not get the TEDS from the hospital, you can purchase knee high, medium (15-20 mm Hg) compression surgical stockings at most drug stores.
In general, I like to see you before you fly. If you are traveling by car, you should be sure to take frequent breaks so that you don't feel too stiff when getting up. On an airplane, I like you to wear compression stockings (if within 1 month postop), and take a couple of walks during the flight. Having an aisle and bulkhead seat will help you get more space. If you are going to fly within 6 weeks of the surgery, I recomend blod thinners to prevent blood clots. Call the office for more information.
I recommend minimizing high impact activities after partial knee replacement. The parts are man-made and have a finite life span. High impact activities are those where the entire body is off the ground and all your weight lands on one leg. As such, running, jumping, and even jogging are high impact while cycling, stairmaster, elliptical, golf and walking are low impact. As a general rule, I recommend limiting high impact activities so as to extend the longevity of your implant.
All implants have a limited life expectancy that depends on several factors including a patient's weight, activity level, quality of bone stock and compliance with the doctor's orders. However, alignment and positioning are also are very important factors affecting the life expectancy of an implant. The goal of the robotic partial knee replacement is to achieve the absolute best alignment and positioning for your implant to help it last as long as possible. Most studies have demonstrated a 90% implant survival rate at 10 years.