Pre-Op Tips for Revision Knee Replacement Surgery

Pre-op for knee replacement revision requires careful planning and preparation. This second surgery addresses problems from your first knee replacement. The procedure might involve replacing worn parts, fixing loose components, or treating infections.

Revision knee surgery differs from your initial replacement. Your surgeon will remove the original implant and insert new components. The surgery often takes longer than the first procedure. Recovery may also require more time and effort.

While preparing for a revision procedure is similar to preparing for your initial procedure, it is important to keep in mind that further preparation and more intensive recovery will provide greater results. For a revision, it is often recommended to participate in extensive prehabilitation to strengthen yourself prior to surgery. It is also often recommended to get up and moving almost immediately after surgery.

This guide will walk you through the steps to take before your revision surgery, which can make a real difference in your outcome.

1.   Stop Smoking and Cut Back on Alcohol

Smoking slows down healing and raises the risk of infection. Your body needs good blood flow to repair tissues after surgery. However, nicotine reduces oxygen delivery to your healing knee.

Quit smoking at least four weeks before surgery. If quitting feels hard, ask your doctor about nicotine replacement options. Even cutting back on smoking can help your body heal better.

Reduce alcohol intake in the weeks before surgery. Alcohol weakens your immune system, affects blood clotting, and can cause problems with anesthesia and pain medications.

2.   Start Gentle Exercise

Building strong leg muscles before surgery can help you recover faster. This process of building strength before surgery is known as prehabilitation.

Prehabilitation allows patients to strengthen muscles that will support their new knee and improve their ability to move after surgery. Because getting active and walking quickly following revision surgery is recommended to reduce scar tissue from forming, creating a strong foundation through prehabilitation can make all the difference for recovery.

Choose low-impact exercises that are easy on your knees. You can try swimming, cycling on a stationary bike, or gentle stretching. A physical therapist can create a safe exercise plan for you.

Start your prehabilitation plan as soon as your surgeon gives the green light. It takes time to build strength, so begin several weeks before surgery.

3.   Prepare Your Home for Recovery

Set up a safe and comfortable space for when you return home. Remove tripping hazards like rugs and cords, and clear paths between your bedroom, bathroom, and kitchen.

Install grab bars in the bathroom and shower. A raised toilet seat and a sturdy shower chair can also make things easier.

If possible, arrange to stay on the main floor to avoid stairs. Keep essential items within easy reach near your bed or favorite chair.

4.   Plan for Transportation and Help

You will not be able to drive right after surgery. So, arrange for reliable transportation on surgery day and for follow-up appointments. You may need rides for several weeks.

Get help with daily tasks like grocery shopping, cooking, and cleaning during your recovery.

5.   Manage Chronic Conditions

Keep chronic conditions like diabetes and high blood pressure under control before surgery. Poorly managed conditions can lead to complications. Work closely with your doctor to optimize your health.

If you have diabetes, monitor your blood sugar levels carefully. High blood sugar slows healing and raises the risk of infection. Your doctor may adjust your medications before and after surgery.

Take blood pressure medications as prescribed unless your surgeon advises otherwise. Stable blood pressure helps ensure safe anesthesia and reduces bleeding risks. Let your surgical team know about any major changes.

6.   Review Pain Management Plans

Talk to your surgical team about how pain will be managed after surgery. Knowing your plan can ease anxiety about post-surgery discomfort. There are many options for controlling pain.

Learn about different pain medications and their side effects. Some people prefer non-narcotic options, while others may need stronger medications at first. Your team will create a plan tailored to your needs.

7.   Anticipate Less Bed Rest Than Your First Surgery

Following knee replacement revision surgery, your orthopedic team will encourage you to begin moving and walking much sooner than you may expect, often within hours of your procedure. This approach is specifically designed to prevent the formation of excessive scar tissue, which can significantly impact your recovery and long-term joint function.

Unlike your initial knee replacement, where you may have had a more gradual introduction to movement, revision surgery requires a more aggressive early mobility protocol due to the increased risk of scar tissue buildup from previous surgeries.

Your physical therapist and medical team understand that this may feel challenging, especially when compared to your first experience. However, this proactive approach is essential for optimizing your healing process.

8.   Understand the Recovery Timeline

Recovery from revision knee surgery takes longer than a first knee replacement. Initial healing takes 6-8 weeks, but full recovery may take 6-12 months. Everyone heals at their own pace.

You will likely need assistive devices like a walker, crutches, or a cane for the first few weeks. Most people gradually progress to full weight-bearing within 2-6 weeks.

Physical therapy will start soon after surgery and continue for several months. Early sessions focus on preventing blood clots and maintaining flexibility. Meanwhile, later sessions build strength and improve function.

9.   Set Realistic Expectations

The results of revision surgery may differ from your first knee replacement. Some people see excellent improvements, while others experience more modest results. Your surgeon will help set realistic goals.

Recovery takes patience and dedication to your rehabilitation program. Progress may feel slow at times, especially compared to your first surgery. However, consistent effort in physical therapy leads to the best outcomes.

Be prepared for temporary changes in your daily life. You may need time off work and help with household tasks. Mentally preparing for these adjustments can make the process smoother.

Pre-Op for Knee Replacement Revision in Central Maryland

The orthopedic surgeons at The Centers for Advanced Orthopaedics: Orthopaedic Associates of Central Maryland Division are among the most trusted and experienced in knee surgery in Central Maryland. Our services include diagnostics, treatment, and physical therapy and rehabilitation. If you choose us for knee care, expect comprehensive and top-notch treatment.

Our board-certified, fellowship-trained orthopedic surgeons, Dr. Sam Sydney and Dr. Ke Xie, specialize in complex knee and hip revision procedures. Dr. Joseph Serino, who recently joined our practice, also brings extensive expertise in revision surgeries.

To schedule a consultation, call our office today at (410) 644-1880 or use our online scheduling tool.

We look forward to serving you!