Knee Replacement: Information for Patients and Carers

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Knee Replacement: Information for Patients and Carers"

Transcription

1 Directorate of Surgical Care Department of Orthopaedics Knee Replacement: Information for Patients and Carers This information is for patients who are considering having a knee replacement. What is a Knee Replacement? A Knee Replacement is a surgical procedure in which the diseased parts of the knee joint are removed and replaced with new artificial parts. The damaged parts are replaced with new parts made of metal and plastic. Your knee joint has three parts: your thigh bone (the femur), shin bone (the tibia) and knee cap (the front of your knee called the patella). This type of joint is called a hinge joint as it allows your knee to move in the same way that a hinge on a door allows a door to move. Where the bones meet, they are covered in a hard, slippery material called cartilage. This helps them to slide over each other easily. The whole joint is held together with tough bands of tissue called ligaments and lubricated with a special fluid. Arthritis can damage the surfaces where the three parts of your knee slide over each other. This can be painful, and may stop your knee bending the way it should. It also can make your knee weak and sometimes bends it out of shape. Page 1 of 13

2 During a knee replacement operation, the surgeon removes the rough, damaged surfaces and replaces them with new, smoother surfaces made from metal and plastic. Two of the three surfaces can be replaced, such as: The bottom of your thigh bone The top of your shin bone The back of you knee cap There are two types of knee replacement. A total knee replacement resurfaces your whole knee. A partial knee replacement (called a unicompartmental knee replacement) resurfaces only the inner or outer half of your knee. Partial knee replacements only work for people with arthritis in one half of the knee (which for most people is the inner half). This operation can be done through a smaller cut then a total knee operation. Usually you can move you knees again more quickly than after a total knee replacement and may go home sooner. A Knee Replacement is done to: Relieve your pain. Help you to move more easily, especially when you re walking or climbing stairs. Reduce the risk of your knee from giving way or locking. Help you live as good and full a life as possible. Why do I need this Operation? Many people have arthritis in their knees. Only a small number of people need a knee replacement. You and your doctor may consider a knee replacement if: Your knee hurts most of the time, and the pain is getting worse. Pain keeps you awake at night. Your knee is so stiff or painful that you cannot/are able to walk properly. Your knee stops you from doing things you used to do, such as working, going out with friends, gardening, housework or shopping. Page 2 of 13

3 Your knee makes you rely more on others than you want to. You have tried other treatments such as painkillers, physiotherapy or physical aids but they either have not worked or have caused side effects. Your knee is making you depressed or anxious. Your knee keeps giving way, or locking up. You are well enough to go have a major operation. What are the alternatives to Knee Replacement? There are a number of things you can do to help manage your arthritis. Staying active. Gentle exercise may help and it could lessen your pain. Try swimming, walking or cycling if you can. Keeping you weight down. Extra weight may put a strain on your knees. This may make your pain worse. If you are overweight, losing weight can help. Seeing a Physiotherapist. Physiotherapists can teach you specific exercise to strengthen your knee and keep it mobile. Physical aids. There are many different devices to help you move around more easily and confidently, including walking sticks, other walking aids and shock-absorbing shoes. There are also a range of treatments that help support your knee, such as braces, splints, and special knee tape. Medication to ease the Pain There is no cure for osteoarthritis but you can take painkillers to ease the pain. There are two types: paracetamol or a group of drugs called non-steroidal antiinflammatory drugs (NSAID s). Your doctor will probably suggest you try paracetamol first. Paracetamol causes fewer side effects than NSAID s. If you take NSAID s, they may irritate your stomach or cause stomach ulcers. Other medication is given to try and prevent this. Some NSAID s are available as creams or gels to rub on you sore knee. If you do not want to take tablets, you can try creams or gels, but we do not know how they compare with other kinds of painkillers. Page 3 of 13

4 You may also be able to have an injection into your knee to lessen the pain. The two most common drugs injected into the joint are steroids and hyaluronic acid, which occurs naturally within the joint. They can both help reduce the pain in your knee. The effects of steroids may only last for a few weeks but the effects of hyaluronic acid can last for a few months. Arthroscopy If medicines and injections have not helped your symptoms, some surgeons may try putting a tiny camera into your knee and washing out the joint to try and reduce your pain and stiffness. Your surgeon may also put small instruments into your knee joint to cut out some of the damaged tissue. The Operation and what I can expect? Prior to your operation you will be asked to attend a pre-operative assessment clinic. At this appointment the operation will be discussed with you again, making sure that you are fit and well and that you still wish to go ahead with the operation. You will have the opportunity to ask any questions you may have. What happens during a Knee Replacement? A knee replacement is a major operation and takes between 60 to 90 minutes. You will be given either a general anaesthetic (a drug that puts you to sleep) or an epidural (an injection into your spine). If you have an epidural, the lower part of your body will be numb. You will not be able to see the surgery but you may be able to hear what is happening. You may also be given a light anaesthetic with your epidural to sedate you and you will not hear what is going on during the operation. A nurse or the anaesthetist (the doctor who deals with you anaesthetic) will talk to you. Operating theatres are much noisier than people think. You may hear drilling and the sound of monitors checking you heart rate and blood pressure. The surgeon makes quite a long cut, usually over the front of your knee. The bottom end of your thighbone is trimmed to remove the damaged surface and then shaped with a saw to fit the metal bit of the knee replacement. The damaged top end of your shinbone is sawn off to make a flat surface. The new parts are fitted over both bones and tested to make sure they fit and the joint works well. Page 4 of 13

5 In some people, the surgeon may also fit a new surface on the back of your kneecap. When the new parts are fitted and working, the surgeon will close the wound using stitches or clips, and then cover it with a large dressing. If you are having only half of your knee replaced, the surgeon will only prepare and fit the new parts over the damaged half. Some people need a blood transfusion because they have lost some blood in the operation. There are many different types of artificial knee parts. Some need special cement to keep them in place, others do not. The British Orthopaedic Association and the British Association for Surgery of the Knee recommend artificial implants that have been used for at least 10 years, as they have been shown in research studies to work well. Newer artificial parts may be used but you will need to have a check up you back for a check-up every year after the operation. What can I expect? Immediately after your Operation When you leave the operating theatre you will go to the recovery area until you are fully awake. A drain with 2 or 3 tubes going directly into the operation site. This helps prevent blood collecting in your new joint. The nursing team will measure and record the amount of drainage. The drain allows this blood to be returned to you, after filtration. This reduces the need for a blood transfusion in your post-operative period. The drain is usually removed after about 24 to 48 hours as you condition dictates and your Consultant surgeon advises. A large dressing will cover the wound. This is to maintain cleanliness and absorb any fluid and is usually changed two days after surgery to a lighter dressing. The wound will be closed with stitches or metal staples. A blood pressure cuff will be placed on your arm to record your blood pressure at regular intervals. An oxygen mask may be placed over your mouth and nose. This assists you in the waking up process. Page 5 of 13

6 You will also have a tube in your bladder to drain urine into a bag by your bed. You can control your own pain relief using a machine that gives you a pain killer when you press a button via a drip called a Patient Controlled Analgesia. You will receive fluid through a tube in your arm called an intravenous infusion (IV) until you are able to drink normally. You may have nausea and vomiting. If this occurs, medication will be given to help with this. You will be given instructions in deep breathing by the Physiotherapist to minimise lung congestion after surgery. You should breathe deeply 2-3 times every hour and cough frequently to help keep you lungs clear. You will be able to start eating and drinking, as you feel able. A high protein diet (meat, fish, eggs and pulses) is recommended to help with healing. On the day of your operation you will remain resting on your bed. The morning following surgery (1 st day post operatively), the nursing team will assist you in carrying out all of your needs. You will normally have an x-ray to check the position of the new joint. You will be encouraged to use your new joint by standing and walking with help from the Physiotherapist and nurses and use of walking aids. (Initially a walking frame progressing to crutches/sticks). The Physiotherapist will visit you each day to ensure progress in your walking, knee exercise and bending. Each day you will become more independent and require less help from the Nursing team. How well you regain strength and mobility is, in part dependent upon how well you follow your exercise programme. This part of your rehabilitation is something that only you can achieve. If there are no complications after surgery, most people stay in hospital for approximately five days. Page 6 of 13

7 Discharge from Hospital Discharge planning plays a major role with in the nursing care provided and the nursing documentation used in the hospital. As early as your pre-operative visit we are preparing for your return home. When you are ready to go home your discharge arrangements will be organised and finalised. You will have a follow up appointment in Clinic usually six weeks after discharge. This will be arranged before you leave hospital or will be posted to you shortly afterwards. Your General Practitioner will be notified of your discharge and you will be given a copy of this letter. Medications, if you need any to take home will be provided and explained to you. Your recovery at Home Wound care A District Nurse will visit you at home to remove your stitches or staples days after surgery. Keep the wound clean and dry. Avoid soaking the wound in water until the wound has sealed and dried. Observe for signs of infection redness, heat, soreness and inflammation. Diet Some loss of appetite is common for several weeks after surgery. A balanced diet high in protein (meat, fish, eggs and pulses) is important to promote tissue healing and restore muscle strength. Activity Exercise is a critical component of home care. You should be able to resume most normal activities within 3-6 weeks following surgery. Some pain with Page 7 of 13

8 activity and at night is common for several weeks after surgery. Your activity programme should include: A graduated walking programme to slowly increase your mobility, initially in your home and later outdoors as directed by your Physiotherapist. Specific exercises several times a day to restore movement and strengthen your knee as directed by the Physiotherapist. If the mobility and exercise goals set by the Physiotherapist are not met, Outpatients Physiotherapy may be recommended. Driving You may start to drive when your knee bends sufficiently so you can enter and sit comfortably in your car and when your muscle control provides adequate reaction time for braking and acceleration. Do not drive until you are confident about controlling your vehicle in an emergency. Always check with your insurance company first. Most individuals resume driving about six weeks after surgery please discuss this with you Consultant Surgeon. Returning to work You can usually return to work within 6-12 weeks or as directed by your Consultant. Sexual Activity This may be resumed, as you feel able following surgery. Avoiding problems after Surgery Blood Clot Prevention Continue to wear your compression stockings for six weeks following your surgery. Two pairs will be supplied on your discharge from hospital. To be worn both during the day and night. Warning signs of possible blood clots in your leg include: Increasing pain in your calf Tenderness or redness above or below your knee Page 8 of 13

9 Increasing swelling in your calf, ankle and foot Notify your General Practitioner if you develop any of these signs. Preventing Infection The most common causes of infection following knee replacement surgery are from bacteria that enter the blood stream during dental procedures, urinary tract infections or skin infections. These bacteria can implant around the knee replacement and cause an infection. You should inform you Doctor or Dentist of your recent operation prior to any surgical procedure or dental work. Warning signs of a possible knee replacement infection are: High temperature Increasing redness/tenderness or swelling of the knee wound Leakage of fluid from the knee wound Increasing knee pain with activity and rest Notify your General Practitioner if you develop any of these signs. Avoiding Falls A fall may damage your new knee. You should continue to use the walking aid provided until you have improved balance, flexibility and strength. Remove potential hazards, such as rugs and cables, from your home environment to maximise your safety. Realistic expectations about Knee Replacement Surgery Knee replacement is an optional operation. The decision to have the operation is made by you. An important factor in deciding whether to have the surgery is understanding what the procedure can and cannot do. Page 9 of 13

10 Following surgery, you will be advised to avoid some types of activity for the rest of your life, including jogging and high impact sports. Expected level of activity after surgery includes: Walking Swimming Golf Normal stair climbing Ballroom dancing Driving Gardening If you decide surgery is not for you, there will be continued deterioration of the joint, which may be managed by other treatment options including medications, injections, physiotherapy or other types of surgery. What are the benefits from a Knee Replacement? Reduction in pain which limits everyday activities. Reduction in pain while resting. Reduction in knee inflammation that does not improve with rest or medications. Reduction in knee deformity. Reduction in knee stiffness. What are the risks of Knee Replacement? Infection (less than 2 out of 100 people) may occur in the wound or deep around the prosthesis (artificial joint). To prevent this, antibiotics are given during the operation and following surgery. Major or deep infections may require more surgery and removal of the prosthesis. Any infection in your body can spread to your joint replacement. Page 10 of 13

11 Blood clots are a common complication of surgery and may be caused by several factors. Decreased mobility causes sluggish movement of blood through your leg veins and may cause a Deep Vein Thrombosis (DVT). Blood clots may be suspected if pain and swelling develop in your calf. If this occurs, your consultant may consider tests to check the vein of your leg. Several measures may be used to reduce the possibility of blood clots, including: 1) Drugs such as aspirin, which reduces the thinness of your blood 2) Drugs such as Heparin and Warfarin which reduce the tendency of the blood to clot 3) Elastic stockings 4) Exercises to increase blood flow in the leg muscles Loosening of the prosthesis within the bone may occur. This may cause pain and an other operation may be necessary. Swelling. All patients develop localised swelling of the knee, lower leg and ankle. It may take up to three months for this to settle down and disappear. Reduced movement in the new knee improvement of knee motion is a goal of the operation, but restoration of full motion is uncommon. Pressure sores may develop due to immobility initially post-operatively. The nursing team will assess you for a special mattress depending on your individual needs and assessed risk score. You will also be reminded to change/alter your position frequently and the nurses will check your heels, elbows and buttocks regularly. These measures will help to reduce the risk. Medical Complications all major operations carry a risk of a stroke or heart attack, particularly in patients with previous similar problems. Although uncommon, when these complications occur, they can prolong or limit your recovery and may occasionally be very serious. How is your new Knee different? An artificial knee is not the same as a normal knee, but following your knee replacement you will be able to carry out many normal activities under your Consultant Surgeon s advice. Page 11 of 13

12 You may feel some numbness in the skin around the incision. You may also feel some stiffness, particularly with excessive bending activities. Improvement of knee motion is a goal of the operation but restoration of full motion is uncommon. The motion prior to surgery predicts the motion of your knee replacement after surgery, i.e. stiff knees tend to produce stiff knee replacements. Most patients can expect to straighten the replaced knee fully and to bend the knee sufficiently to go up and down stairs and get in and out of a car. Kneeling is usually uncomfortable, but is not harmful. Occasionally, you may feel some soft clicking of the metal and plastic with knee bending or walking. This is quite common and not normally associated with any problems. Your new knee may activate metal detectors in airport security. Inform the security staff about your knee replacement if the alarm is activated. These differences often reduce over time and most people find them to be minor problems compared to pain and limited function they experienced prior to surgery. How long do artificial Knees last? About 95 out of a 100 total knee replacements are successful for up to 10 years. The major long term problem is loosening of the artificial joint. This occurs because the bone erodes away from the cement often as a result of wear of the plastic. Loosening is partly related to your weight and activity. A loose painful knee can often be replaced. The results of a second operation are not as good as the first, and the risks of complication are higher. Who to contact for more information If you need more information or assistance please do not hesitate to contact the telephone numbers are as follows: and ask for the extension number you require or if you have a direct dial facility phone and key in the extension number below: Orthopaedic Pre Assessment Sister Ext 5144 Page 12 of 13

13 During Office Hours 8.00am 5.00pm Or Ward 19 Ext 5140 If you want any more information you could also contact the NHS Direct, which is a reliable and comprehensive source of advice and information. Telephone: www. nhsdirect.nhs.uk Page 13 of 13

This information is for patients who are considering having a hip replacement.

This information is for patients who are considering having a hip replacement. Directorate of Surgical Care Department of Orthopaedics Hip Replacement: Information for Patients and Carers This information is for patients who are considering having a hip replacement. What is a hip

More information

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107 Information for Patients Hip Replacement Department of Orthopaedic Surgery Tel: 01473 702107 DMI ref: 0134-08.indd(RP) Issue 3: February 2008 The Ipswich Hospital NHS Trust, 2005-2008. All rights reserved.

More information

Total knee replacement

Total knee replacement Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage

More information

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy AFFIX PATIENT DETAIL STICKER HERE Forename.. Surname NHS Organisation. Responsible surgeon. Job Title Hospital Number... D.O.B.././ No special requirements OPERATION:..... Proximal tibial osteotomy Distal

More information

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Total Knee Replacement Further Information and Feedback: Tell us how useful

More information

Total hip replacement

Total hip replacement Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic

More information

YOUR GUIDE TO TOTAL HIP REPLACEMENT

YOUR GUIDE TO TOTAL HIP REPLACEMENT A Partnership for Better Healthcare A Partnership for Better Healthcare YOUR GUIDE TO TOTAL HIP REPLACEMENT PEI Limited M50 Business Park Ballymount Road Upper Ballymount Dublin 12 Tel: 01-419 6900 Fax:

More information

Procedure Information Guide

Procedure Information Guide Procedure Information Guide Total hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that the

More information

Procedure Information Guide

Procedure Information Guide Procedure Information Guide Resurfacing hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that

More information

Total Knee Replacement

Total Knee Replacement Dr C.S. Waller MB BS FRCS(Ed) FRACS FA(Orth)A Specialist Hip and Knee Surgeon Total Knee Replacement If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities

More information

Knee arthroscopy advice sheet

Knee arthroscopy advice sheet Knee arthroscopy advice sheet During an arthroscopy, a camera is inserted into the knee through two or three small puncture wounds. It allows the surgeon to look at the joint surfaces, cartilage and the

More information

Shared Decision Making

Shared Decision Making Deciding what to do about osteoarthritis of the knee This short decision aid is to help you decide what to do about your knee osteoarthritis. You can use it on your own, or with your doctor, to help you

More information

Further information You can get more information and share your experience at www.aboutmyhealth.org

Further information You can get more information and share your experience at www.aboutmyhealth.org OS01 Total Hip Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset

More information

Total Knee Arthroplasty (Knee Replacement) PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Condition and treatment

Total Knee Arthroplasty (Knee Replacement) PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Condition and treatment The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v4.00-04/2011 SW9337 Total Knee Arthroplasty

More information

Total knee replacement: The enhanced recovery programme

Total knee replacement: The enhanced recovery programme INFORMATION FOR PATIENTS Total knee replacement: The enhanced recovery programme Aim This leaflet aims to explain the enhanced recovery programme after total knee replacement surgery, and outline what

More information

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Revision Total Hip Replacement Further Information and Feedback: Tell us how

More information

Total Knee Replacement Surgery

Total Knee Replacement Surgery Total Knee Replacement Surgery On this page: Overview Reasons for Surgery Evaluation Preparing for Surgery Your Surgery Risks Expectations after Surgery Convalescence Also: Partial Knee Replacement Overview

More information

Total Hip Replacement

Total Hip Replacement NOTES Total Hip Replacement QUESTIONS DATES PHONE NOS. Compiled by Mr John F Nolan FRCS for The British Hip Society 2009. A patient s information booklet 16 1 Introduction This booklet has been produced

More information

Total Knee Replacement

Total Knee Replacement Total Knee Replacement Contents Introduction Total Knee Replacement Preparing for surgery Pre-op visit Day of surgery After surgery (In Hospital) After surgery (In Rehab) Exercise Program and Physical

More information

.org. Total Knee Replacement. Anatomy

.org. Total Knee Replacement. Anatomy Total Knee Replacement Page ( 1 ) If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to

More information

Femoral artery bypass graft (Including femoral crossover graft)

Femoral artery bypass graft (Including femoral crossover graft) Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to

More information

Total Hip Replacement Surgery Home Care Instructions

Total Hip Replacement Surgery Home Care Instructions Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy)

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Date of admission Date of surgery Expected Length of Stay in hospital We will aim to discharge you

More information

Total Hip Arthroplasty (Hip Replacement) PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Condition and treatment

Total Hip Arthroplasty (Hip Replacement) PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Condition and treatment The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v4.00-04/2011 SW9336 Facility: Total Hip

More information

Should I have a knee replacement?

Should I have a knee replacement? Introduction Should I have a knee replacement? Knee replacement is an operation to remove the arthritic parts of the knee and replace them with an artificial joint made of metal and plastic. It can either

More information

Ulnar Nerve Decompression/Transposition

Ulnar Nerve Decompression/Transposition Department of Neurosurgery Ulnar Nerve Decompression/Transposition What happens when you are in hospital page 2 Ulnar Nerve Decompression/Transposition This leaflet explains what to expect when you are

More information

Treating your abdominal aortic aneurysm by open repair (surgery)

Treating your abdominal aortic aneurysm by open repair (surgery) Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,

More information

A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion

A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion The foot and ankle unit at the Royal National Orthopaedic Hospital (RNOH) is a multi-disciplinary

More information

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5 Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

HEADER TOTAL HIP REPLACEMENT SURGERY FROM PREPARATION TO RECOVERY

HEADER TOTAL HIP REPLACEMENT SURGERY FROM PREPARATION TO RECOVERY HEADER TOTAL HIP REPLACEMENT SURGERY FROM PREPARATION TO RECOVERY ABOUT THE HIP JOINT The hip joint is a ball and socket joint that connects the body to the legs. The leg bone is called the femur. The

More information

Recovering from a broken hip

Recovering from a broken hip Recovering from a broken hip Information for patients, relatives and carers Who will will look look after after me me during during my hospital my hospital stay? stay? A multidisciplinary team of healthcare

More information

No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments. For Knee Replacement Surgery

No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments. For Knee Replacement Surgery No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments For Knee Replacement Surgery Table of Contents Here s how it works....2 Why does my knee

More information

Knee Microfracture Surgery Patient Information Leaflet

Knee Microfracture Surgery Patient Information Leaflet ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 Knee Microfracture Surgery Patient Information Leaflet Table of Contents 1. Introduction

More information

A Guide Total Knee Replacement

A Guide Total Knee Replacement A Guide To Total Knee Replacement Surgical Services treating you well Introduction This booklet has been written to help you prepare for your operation. Specific practice may vary slightly from surgeon

More information

KNEE ARTHROSCOPY. Dr C.S. Waller. Orthopaedic Surgeon

KNEE ARTHROSCOPY. Dr C.S. Waller. Orthopaedic Surgeon KNEE ARTHROSCOPY Dr C.S. Waller Orthopaedic Surgeon Specializing in surgery of the hip and knee 83826199 What is Arthroscopy? Arthroscopy involves the inspection of the inside of the knee joint with a

More information

TOTAL HIP REPLACEMENT

TOTAL HIP REPLACEMENT TOTAL HIP REPLACEMENT Information Leaflet Your Health. Our Priority. Page 2 of 9 What is a hip replacement? A hip replacement is an operation in which the damaged surfaces of the hip joint are removed

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent MRI scan and consultation with your spinal surgeon

More information

Total knee replacement Uni-compartmental knee replacement

Total knee replacement Uni-compartmental knee replacement Your Knee Replacement at the Nuffield Orthopaedic Centre A patient s guide to: Total knee replacement Uni-compartmental knee replacement Welcome to Team Two at the NOC. Together you and your surgeon have

More information

Elbow Joint Replacement A guide for patients

Elbow Joint Replacement A guide for patients Elbow Joint Replacement A guide for patients GATESHEAD UPPER LIMB UNIT Mr Andreas Hinsche Mr John Harrison Mr Jagannath Chakravarthy Page 1 of 7 The elbow joint The elbow consists of three bones; the humerus

More information

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2 This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery

More information

ARTHROSCOPIC HIP SURGERY

ARTHROSCOPIC HIP SURGERY ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were

More information

Ankle Stabilisation Procedure

Ankle Stabilisation Procedure Ankle Stabilisation Procedure Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have been diagnosed with an unstable ankle. This leaflet

More information

A Guide. To Revision Total Knee Replacement. Patient Information Leaflet

A Guide. To Revision Total Knee Replacement. Patient Information Leaflet A Guide This leaflet is available in large print, Braille and on tape. Please contact Geoff Pennock on 0151 604 7289. To Revision Total Knee Replacement Wirral University Teaching Hospital NHS Foundation

More information

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments

More information

Hip arthroscopy Frequently Asked Questions

Hip arthroscopy Frequently Asked Questions Hip arthroscopy Frequently Asked Questions What is a hip arthroscopy? Hip arthroscopy is key hole surgery. Usually 2-3 small incisions (about 1 cm long) are made on the side of your hip. Through these

More information

Before Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation.

Before Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation. Anterior Hip Replacement - Before and After Surgery Your Hip Evaluation An orthopaedic surgeon specializes in problems affecting bones and joints. The surgeon will ask you many questions about your hip

More information

HIP JOINT REPLACEMENT

HIP JOINT REPLACEMENT HIP JOINT REPLACEMENT Information for Patients WHAT IS HIP JOINT REPLACEMENT? The hip joint is a ball-and-socket joint formed by the upper part of the thigh bone (femoral head) and a part of the pelvis

More information

You will be having surgery to remove a tumour(s) from your liver.

You will be having surgery to remove a tumour(s) from your liver. Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be

More information

Delivering Excellence. Nuffield Orthopaedic Centre NHS Trust. Information for Patients. Hip and Knee service. Total Knee Replacement NHS

Delivering Excellence. Nuffield Orthopaedic Centre NHS Trust. Information for Patients. Hip and Knee service. Total Knee Replacement NHS www.noc.nhs.uk/hipandknee/default.aspx Nuffield Orthopaedic Centre NHS Trust www.noc.nhs.uk NHS Total Knee Replacement Information for Patients Hip and Knee service Delivering Excellence Contents Page

More information

it s time for rubber to meet the road

it s time for rubber to meet the road your total knee replacement surgery Steps to returning to a Lifestyle You Deserve it s time for rubber to meet the road AGAIN The knee is the largest joint in the body. The knee is made up of the lower

More information

Enhanced recovery programme (ERP) for patients undergoing bowel surgery

Enhanced recovery programme (ERP) for patients undergoing bowel surgery Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with

More information

SlEEvE GASTRECTomY SURGERY What is a sleeve gastrectomy operation? BARIATRIC SURGERY

SlEEvE GASTRECTomY SURGERY What is a sleeve gastrectomy operation? BARIATRIC SURGERY Sleeve gastrectomy surgery This leaflet gives you general information about your surgery. Please read carefully. Share the information with your partner and family (if you wish) so that they are able to

More information

This is my information booklet: Introduction

This is my information booklet: Introduction Hip arthroscopy is a relatively new procedure which allows the surgeon to diagnose and treat hip disorders by providing a clear view of the inside of the hip with very small incisions. This is a more complicated

More information

Recovery plan: radical cystectomy Information for patients

Recovery plan: radical cystectomy Information for patients Recovery plan: radical cystectomy Information for patients Help for you following a bereavement 5 This leaflet will help you know what to expect during your time with us. Please take some time to read

More information

Total Hip Replacement

Total Hip Replacement Please contactmethroughthegoldcoasthospitaswityouhaveanyproblemsafteryoursurgery. Dr. Benjamin Hewitt Orthopaedic Surgeon Total Hip Replacement The hip joint is a ball and socket joint that connects the

More information

Arthroscopic shoulder stabilisation. Patient Information to be retained by patient

Arthroscopic shoulder stabilisation. Patient Information to be retained by patient PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Shoulder instability The shoulder is the most common joint in the body to dislocate.

More information

GASTRIC BYPASS SURGERY

GASTRIC BYPASS SURGERY GASTRIC BYPASS SURGERY This leaflet gives you general information about your surgery. Please read it carefully. Share the information with your partner and family (if you wish) so that they are able to

More information

Total Knee Replacement

Total Knee Replacement Total Knee Replacement A Guide for Patients Produced by the British Association for Surgery of the Knee and The British Orthopaedic Association (adapted) KNEE ARTHRITIS If your knee is affected by severe

More information

LAPAROSCOPIC GASTRIC BANDING

LAPAROSCOPIC GASTRIC BANDING LAPAROSCOPIC GASTRIC BANDING This information leaflet gives you general information about your surgery. Please read the information leaflet carefully. Share the information with your partner and family

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a

More information

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle A Patient s Guide to Lateral Ligament Reconstruction of the Ankle The Foot and Ankle unit at the Royal National Orthopaedic Hospital (RNOH) is a multi-disciplinary team. The team consists of three specialist

More information

Primary and revision lumbar discectomy. (nerve root decompression)

Primary and revision lumbar discectomy. (nerve root decompression) Primary and revision lumbar discectomy (nerve root decompression) The aim of this leaflet is to help answer some of the questions you may have about having a lumbar discectomy. It explains the benefits,

More information

Cast removal what to expect #3 Patient Information Leaflet

Cast removal what to expect #3 Patient Information Leaflet Cast removal what to expect #3 Patient Information Leaflet SM466 Now your cast is off, self help is the key! Follow the advice given to you by your doctor and the staff in the clinic. Your skin will be

More information

Anterior Hip Replacement

Anterior Hip Replacement Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic health. All decisions about the management of hip replacement and arthritis management must be made in

More information

Ankle Arthroscopy and Follow-Up Physiotherapy

Ankle Arthroscopy and Follow-Up Physiotherapy Ankle Arthroscopy and Follow-Up Physiotherapy Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have agreed that you might benefit from

More information

==Knee replacement surgery and your recovery programme

==Knee replacement surgery and your recovery programme 40 Publication date: Apr 2006 Date last reviewed: May 2011 Date next review due: May 2013 Leaflet code: UCLH/S&C//SUR/ORTHO/TKR/3 University College London Hospitals NHS Foundation Trust Main switchboard:

More information

Lumbar or Thoracic Fusion +/- Decompression

Lumbar or Thoracic Fusion +/- Decompression Lumbar or Thoracic Fusion +/- Decompression PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS

More information

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,

More information

Total Knee Replacement

Total Knee Replacement Total Knee Replacement Patient Information Author ID: AW Leaflet Number: Musc 012 Name of Leaflet: Total Knee Replacement Date Produced: April 2014 Review Date: April 2016 Total Knee Replacement Page 1

More information

Knee Arthroscopy Exercise Programme

Knee Arthroscopy Exercise Programme Chester Knee Clinic & Cartilage Repair Centre Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Hospital Telephone: 01244 680 444 CKC Website: www.kneeclinic.info Email: office@kneeclinic.info

More information

Broström Lateral Ligament Reconstruction of Ankle

Broström Lateral Ligament Reconstruction of Ankle Broström Lateral Ligament Reconstruction of Ankle This leaflet aims to answer your questions about having a broström lateral ligament reconstruction of ankle under the care of Mr Sam Singh. It explains

More information

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Your Surgeon Has Chosen the C 2 a-taper Acetabular System The

More information

Total elbow joint replacement for rheumatoid arthritis: A Patient s Guide

Total elbow joint replacement for rheumatoid arthritis: A Patient s Guide www.orthop.washington.edu TABLE OF CONTENTS 1 Overview 2 Review of the condition 3 Considering surgery 5 Preparing for surgery 6 About the procedure 8 Recovering from surgery 9 Convalescence and Rehabilitation

More information

Low Back Surgery. Remember to bring this handout to the hospital with you.

Low Back Surgery. Remember to bring this handout to the hospital with you. Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your

More information

Lumbar or Thoracic Decompression and Fusion

Lumbar or Thoracic Decompression and Fusion Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS

More information

AFTER TOTAL KNEE REPLACEMENT. Living with Your New Knee

AFTER TOTAL KNEE REPLACEMENT. Living with Your New Knee AFTER TOTAL KNEE REPLACEMENT Living with Your New Knee Stepping into Recovery Before knee replacement surgery, your painful knee may have limited your activity. Movements that you once took for granted

More information

Gallbladder Surgery with an Incision (Cholecystectomy)

Gallbladder Surgery with an Incision (Cholecystectomy) Gallbladder Surgery with an Incision (Cholecystectomy) It is normal to have questions about your surgery. This handout gives you information about what will happen to you before, during and after your

More information

Epidural Continuous Infusion. Patient information Leaflet

Epidural Continuous Infusion. Patient information Leaflet Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as

More information

REPAIR OF A URINARY VAGINAL FISTULA

REPAIR OF A URINARY VAGINAL FISTULA Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of

More information

Colon Cancer Surgery and Recovery. A Guide for Patients and Families

Colon Cancer Surgery and Recovery. A Guide for Patients and Families Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,

More information

Total Knee Replacement. Patient Information

Total Knee Replacement. Patient Information Total Knee Replacement Patient Information Introduction: We would like to thank you for choosing The Institute for Advanced Bone and Joint Surgery at St. Joseph s/ Candler for your Total Joint Replacement

More information

Total Hip Replacement PATIENT INFORMATION

Total Hip Replacement PATIENT INFORMATION DEPARTMENT OF ORTHOPAEDICS Total Hip Replacement PATIENT INFORMATION Welcome to Orthopaedic Department at Warwick Hospital TOTAL HIP REPLACEMENT Welcome to the Orthopaedic Department at Warwick Hospital.

More information

Your Practice Online

Your Practice Online P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Revision Hip Replacement or arthritis management. All decisions

More information

PATIENTS GUIDE TO SPINAL SURGERY

PATIENTS GUIDE TO SPINAL SURGERY Mr Paul S. D Urso MBBS(Hons), PhD, FRACS Neurosurgeon Provider Nº: 081161DY PATIENTS GUIDE TO SPINAL SURGERY The Epworth Centre Suite 6.1 32 Erin Street Richmond 3121 Tel: 03 9421 5844 Fax: 03 9421 4186

More information

Your spinal Anaesthetic

Your spinal Anaesthetic Your spinal Anaesthetic Information for patients Your spinal anaesthetic This information leaflet explains what to expect when you have an operation with a spinal anaesthetic. It has been written by patients,

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

Surgery and cancer of the pancreas

Surgery and cancer of the pancreas Surgery and cancer of the pancreas This information is an extract from the booklet Understanding cancer of the pancreas. You may find the full booklet helpful. We can send you a free copy see page 8. Introduction

More information

Your Practice Online

Your Practice Online P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Knee replacement or arthritis management. All decisions about

More information

SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS?

SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? The spinal canal is best imagined as a bony tube through which nerve fibres pass. The tube is interrupted between each pair of adjacent

More information

GASTRIC BYPASS SURGERY

GASTRIC BYPASS SURGERY GASTRIC BYPASS SURGERY This leaflet gives you general information about your surgery. Please read it carefully. Share the information with your partner and family (if you wish) so that they are able to

More information

Total Knee Replacement

Total Knee Replacement Manchester Royal Infirmary Total Knee Replacement Department of Orthopaedic Surgery 2 What is a Total Knee Replacement? Total knee replacement is one of the most commonly performed orthopaedic operations

More information

Patella Realignment Tibial Tuberosity Transfer with Lateral Release

Patella Realignment Tibial Tuberosity Transfer with Lateral Release Patella Realignment Tibial Tuberosity Transfer with Lateral Release Alan M. Reznik, M.D. The Orthopaedic Group, LLC The knee is made of three bones, the kneecap (patella), the shin bone (tibia) and thigh

More information

Knee Arthroscopy Post-operative Instructions

Knee Arthroscopy Post-operative Instructions Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Knee Arthroscopy Post-operative Instructions PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY. THEY WILL ANSWER MOST OF YOUR QUESTIONS. 1. You may walk

More information

Arthroscopic Ankle Fusion (Arthrodesis)

Arthroscopic Ankle Fusion (Arthrodesis) Arthroscopic Ankle Fusion (Arthrodesis) Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have been diagnosed with ankle arthritis and

More information

Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence

Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and

More information

Total Knee Replacement

Total Knee Replacement Total Knee Replacement The Knee Joint A total knee replacement, also called total knee arthroplasty, is a surgery performed to remove and replace your knee joint. The knee joint, comprised of the femur

More information

Welcome to the Dudley Group Foundation Trust Orthopaedic Department.

Welcome to the Dudley Group Foundation Trust Orthopaedic Department. Total Hip Replacement Welcome to the Dudley Group Foundation Trust Orthopaedic Department. Introduction This booklet is designed to provide information about total hip replacement and what to expect before

More information