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Phase 1

Preoperative Preparation And Operative Period

Pre Op Rehabilitation begins before surgery in the pre-operative phase to ensure that the individual and their knee are ready for the operation.

  • Ensure full range of movement, especially normal hyperextension, i.e. so the knee extends to the same as the other leg.
  • Exercises to maintain quadriceps and hamstring muscle strength. Start balance control exercises
  • Advice session in the physio department for familiarisation with post op exercises and hospital stay.

Initial Post Operative Period
The aim is to go home comfortable and ready for rehabilitation on the first postoperative day. Sometimes it is possible to go on the day of surgery. The dressings are changed on the 1st postoperative day along with instruction on using crutches the exercises to be performed for the first 2 weeks.

Crutches are required for the first 2 weeks taking partial weight on the leg.

Instructions on Discharge from Ward

The following is a list of instructions and expectations given before leaving the ward.

  • Keep the wound dry for 3 days or until the wound has sealed.
  • Instruction on use of Cryocuff or ice packs to control swelling.
  • Clips or Stitches to be removed at 7 days by a local surgery or district nurse.
  • Appointment for review in clinic or on the ward after 2 weeks.
  • Date for first outpatient physiotherapy appointment.
  • Work Advice: to expect to be able to return to work as follows:
    • Desk work at 3 – 4 weeks
    • Light manual work at 6 weeks
    • Heavy manual work (ladder work etc) at 3 – 4 months.
  • Driving Advice: return to driving at 3 – 4 weeks depending on knee function.

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