What to Expect Before and After Knee Replacement Surgery

Introduction

If you’re considering knee replacement surgery, it’s natural to feel anxious or unsure about what lies ahead. Many patients ask, “What will happen before the surgery? How long will recovery take? Will I be able to walk normally again?”

In this detailed guide, Dr. Rameshwar Kumar, one of India’s most experienced orthopedic surgeons, walks you through the entire knee replacement journey — from preparation to full recovery — so you can make an informed and confident decision.

Why Understanding the Process is Important

When you know what to expect, you feel more in control and less anxious. Patients who are well-prepared mentally and physically tend to recover faster and more smoothly.

🩺 “Surgery is only one part of the journey. Preparation, mindset, and rehab make a huge difference in outcomes.” — Dr. Rameshwar Kumar

Part 1: What to Expect BEFORE Knee Replacement Surgery

1. Medical Evaluation and X-rays

The first step involves a detailed orthopedic evaluation, including X-rays, to assess the damage in your knee joint and confirm if a replacement is necessary.

2. Pre-Surgery Blood Tests & Fitness Assessment

Your overall health must be evaluated to ensure you’re fit for surgery. This includes:

Blood tests
ECG
Chest X-ray
Blood pressure and sugar level check
COVID-19/RTPCR (as per hospital protocol)

3. Medication Review

If you’re on blood thinners or certain medications, you may need to pause them a few days before surgery under your doctor’s guidance.

4. Pre-Surgery Counselling

At this stage, Dr. Rameshwar and his team will:

Explain the procedure
Address all your concerns
Guide you on what to bring on surgery day
Set realistic recovery goals

5. Preparing Your Home for Post-Surgery Recovery

Before surgery, prepare your home:

Install handrails and anti-slip mats
Arrange a comfortable bed or reclining chair
Keep essentials like a water bottle, phone, meds within easy reach

Part 2: What Happens ON the Day of Surgery

1. Admission and Final Checks

You will be admitted a few hours before surgery. The hospital team will:

Do final health checks
Shave and clean the surgical area
Start IV fluids

2. The Surgery

The procedure takes 1 to 2 hours, depending on whether you’re getting partial or total knee replacement. Dr. Rameshwar uses advanced, minimally invasive techniques to reduce pain and promote faster healing.

3. Post-Surgery Monitoring in Recovery Room

After surgery, you will be kept under close observation for a few hours to ensure everything is stable before being shifted to your room.

Part 3: What to Expect AFTER Knee Replacement Surgery

1. Hospital Stay (2-4 Days)

You’ll begin light movement with assistance from physiotherapists within 24 hours. Pain management, antibiotics, and dressings will be done as per the recovery plan.

2. Pain and Swelling

Mild to moderate pain and swelling are normal and managed through:

Medications
Ice packs
Compression stockings
Elevation of the leg

3. Physiotherapy Begins Early

Physiotherapy starts from Day 1 post-surgery. You’ll perform:

Ankle pumps
Leg raises
Knee bends (within pain limits)

🩺 “Early movement is critical. It prevents blood clots and speeds up healing.” — Dr. Rameshwar Kumar

4. Walking with Support

You’ll walk using a walker or crutches within 2-3 days, with gradual improvement in balance and strength.

5. Going Home

Most patients go home by Day 3 or 4. You’ll receive a discharge summary, medication list, and a home physiotherapy plan.

6. Follow-up Appointments

Your first follow-up will usually be within 10-14 days for:

Stitch removal (if applicable)
Wound inspection
Progress evaluation

7. Long-Term Recovery (Up to 6 Months)

6 weeks: Walking independently indoors
3 months: Walking without support, light household work
6 months: Climbing stairs comfortably, outdoor walking, and driving

Tips for a Smooth Recovery

Stick to your physiotherapy schedule
Eat a nutritious, high-protein diet
Stay positive and follow your doctor’s advice
Avoid squatting or sitting cross-legged initially

Real Patient Story:

Rajesh Kumar, 62, from Delhi, feared surgery. After undergoing knee replacement by Dr. Rameshwar, he was able to walk without support in just 4 weeks and resumed light jogging in 6 months. His message: “Don’t wait. You’ll thank yourself later.”

Conclusion

Knee replacement surgery is a powerful solution for those suffering from chronic knee pain and reduced mobility. By understanding what to expect before and after surgery, you’ll feel empowered to make the best decision for your health.

With expert care from Dr. Rameshwar Kumar, your journey from pain to pain-free is in trusted hands.

Book a Consultation with Dr. Rameshwar Kumar Today

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