Knee surgeon
After Surgery

After Surgery

During the postoperative period, different care and precautions must be considered. In addition, depending on the type of surgery, different types of aids are used for the postoperative period of Dr. Gelber’s surgeries.

Postoperative Care

Surgical dressing

The dressing placed over the wounds may become wet or stained with blood.

This to some extent is normal and comes from knee fluids generated during surgery and in the first few days after surgery.

If your dressing looks soaked with blood, you should go to the emergency room or contact Dr. Gelber. Wounds should not be wet directly with shower water and should be protected with a waterproof bag until the stitches are removed. In case you accidentally got wet, remove the bandages, dry the wound with a sterile gauze and then cover the wounds again with another gauze with Betadine/Chlorhexidine and fix it with tape.

Activity

Although the recommended activity depends on the type of surgery, avoid excessive movement in the first few days as this will cause inflammation and pain.

 Perform the exercises we have recommended, unless otherwise indicated, several times a day.

The most important things during the first phases is to regain full extension of the knee and begin to bend it.

Secondarily, the aim will be restoring the muscle strength.

Pain Control

You will notice that your knee is sore and swollen for the first few days. To improve this, it is recommended:

Precautions

A few lines of fever for 2 or 3 days after surgery are very common.

This does not indicate any infection. However, if you notice that you have a fever of more than 37.8º or it persists after 4 or 5 days after surgery, contact Dr. Gelber.

Also if you have pain that you cannot control with the prescribed medications or the skin in the surgery area is hot, red and very painful, do not hesitate to call us.

Vehicle driving

Normally you can return to driving once you have no significant pain and your knee has good mobility.

Keep in mind that you need good mobility to avoid delayed reactions while driving your car. Try performing a test in a quiet area and note that pressing any of the pedals does not cause pain or discomfort.

People who require external aids such as crutches to move, are also not allowed to drive.

Sexual Activity

You can resume sexual activity as soon as you feel ready.

Crutches

After knee surgeries, crutches are used to avoid putting weight or load on the operated leg and to facilitate mobility. To use them correctly:

  1. Height adjustment: Place the crutches so that the tops are comfortably under the armpits without lifting them, and the handles are at hip height, with the elbows slightly bent.
  2. Walking posture: When walking, the crutches should go forward first, followed by the healthy leg. The operated leg should be raised or slightly supported, but without putting weight on it.
  3. Movement: Move forward in a coordinated manner: first with the crutches, then with the non-operated leg, and finally, move the operated leg without putting weight on it.
  4. Going up and down stairs: To go up, first go up with the healthy leg and then the crutches. To go down, lower the crutches first and then the healthy leg.
  5. Maintain balance: Use the crutches to distribute your weight between your hands and your healthy leg, making sure to maintain an upright and controlled posture.

 

These and other activities using crutches can be seen in the video.

Cold-Compression Cryopush

The CRYOPUSH is a therapeutic device that combines cold and compression to reduce inflammation and relieve pain in musculoskeletal injuries. To use it correctly after a knee surgery:

  1. Preparation: Make sure the affected knee is clean and dry. Place the Cryopush firmly with the hole centered on the kneecap.
  2. Programs: Activate the Cryopush by adjusting the pressure and time as recommended by Dr. Gelber. Programs 1, 4, and 7 are recommended.
  3. Time of use: Leave the Cryopush on the affected area for the recommended 10 minutes.
  4. Frequency: Repeat treatment as directed, usually several times a day. Initially every 2 hours.

 

It is important not to use the Cryopush for longer than recommended and always follow safety guidelines to avoid skin damage from excessive cold.

CPM machine

The continuous motion device (CPM) or Kinetec is used to regain mobility in the knee after surgery. Its main function is to passively mobilize the joint, helping to reduce stiffness and improve flexion and extension of the knee in a controlled manner.

How to use:

  1. Positioning: Adjust the device so that the leg is properly aligned within the device. The knee should be centered, with the foot resting firmly on the base and the thigh held firmly.
  2. Setting parameters: The range of motion, speed, and duration of the session will be adjusted on a case-by-case basis. Typically, you start with a small, gentle movement, gradually increasing as your recovery progresses. The general aim is to increase 5 to 10º every day.
  3. Beginning of treatment: Once adjusted, turn on the device and allow it to perform passive movement of the knee. No effort is required, the device will move your leg back and forth.
  4. Duration and frequency: Sessions typically last between 30 and 60 minutes, several times a day, depending on the recommendations in each case.
  5. Monitoring: During use, make sure you are comfortable and pain-free. You may feel tension and some discomfort, but pain should be avoided.

Remember to follow Dr. Gelber’s specific instructions, and not to push your knee beyond its capacity during the early stages of recovery.