Friday, June 24, 2011

Total Knee Replacement


This is a photo taken right after my total knee replacement.


This photo was taken one week after surgery! Dr. Clabeaux didn't even use stitches! My scar is healing great!

Hi, thanks for stopping by today! I wanted to share with you, a little bit about my total knee replacement. I had my right knee totally replaced on March 17, 2011 at Virginia Mason Hospital in Seattle, WA by Dr. Clabeaux. I adore Dr. Clabeaux and all the other specialists at Virginia Mason. I really feel like they see me as a person, not a patient, and they are working together to make my quality of life better. Check them out...
https://www.virginiamason.org/

Before I had my total knee replacement, Dr. Clabeaux had me take a class on total joint replacements and set me up with a website to research total knee replacements. He wanted to ensure that I had knowledge of the procedure and how it would affect me before I had the surgery.
https://www.virginiamason.org/service.cfn?id=4716

My surgery went well, but after surgery I began to have some problems. The past few surgeries I have had my blood pressure dropped. This surgery was not performed with general anesthetic, so I thought it might not drop, or at least not that much. I was wrong. First of all, let me explain what they did in leau of a general anesthetic. They first put in a pain catheter to help with the pain after surgery. They entered my leg from my groin and placed the catheter in the nerve above my knee. They put me under twilight sedation for that procedure and for the epidural spinal block they put in to help numb my lower extremeties for the surgery. I don't remember anything until I woke up, so the sedation in combination with the nerve blocks worked well! During recovery my blood pressure dropped and they admitted me to ICU instead of the orthopedic ward to recover.

I don't remember much of my first night. Somehow the next morning the nurse ended up pulling out my pain catheter. She was only supposed to turn it off! It was to be turned off so that I could regain some feeling back in my leg so that I could practice sitting up and standing and taking a few steps. My blood pressure was still extremely low, and so they would not give me additional pain medication because it would make it drop even further! That is when the trouble, or rather the PAIN, began! I remember extreme pain, and I had a difficult time rolling over on my own because it hurt so bad. I vaguely remember much after that except extreme pain, and not getting much relief because my bp was so low. The second day, I recieved a blood transfusion which helped my blood pressure a lot! They finally got my pain semi under control and I was moved to the orthopedic ward for my last night at the hospital. I was released Sunday, March 20, 2011. Since my surgery was done in Seattle, we had a 2 1/2 hour drive home. We had to make frequent stops so that I could stretch my leg, to prevent getting a blood clot.

I got home and settled onto the couch with my walker next to me. I had to use a wallker for about 3 weeks after surgery. I started phsical therapy my second day home from surgery. It was so nice to have someone come to my house! I had a rough time walking to the bathroom, and taking a shower exhausted me (I had a chair in the shower so I could sit down and shower, thanks Grandma for the loan). I remember elevating my leg for several weeks, actually I still elevate my leg if I overdo it. I also used ice pack after ice pack. If you are thinking about a total knee replacement, some things you will need post surgery are..

a walker
a cane
several ice packs
a chair for the shower
good friends/family to support you
extra pillows
you will also need antibiotics before any future dental procedures
you will need a note saying you have a total knee replacement before going
through metal detectors for the rest of your life

I worked hard and graduated from physical therapy 3 weeks after surgery! Then I earned the priveledge to use a cane! By my first post-op appointment I was walking without a cane and without any knee PAIN! Oh JOY! It was so wonderful to walk (slowly, but walking still)without my bones cracking and without pain! I was so happy I had the surgery, I can hardly wait until I can get my left knee done.

About 3 weeks after my first post-op appointment my right knee started to swell up and get warm. I was swollen from my knee, all the way down to my ankle, and it hurt to walk. I went to my GP and he did blood work and an ultrasound, which ruled out both infection and a blood clot. The pain appears to be more muscular rather than bone related. I have seen my surgeon twice about it. He has aspirated my knee twice and each culture did not grow any infection. So my leg appear to be fine. It hurts a lot when I first stand up, and then the pain subsides as I move around. I am just taking it easy, elevating it and using ice to help with the pain and swelling. My surgeon thinks it may be scar tissue. He will se me again in 3 more months and if I am still having the warmth and swelling he will send me for a second opinion. Team Medicine, that's what Virginia Mason is all about!

If you have had a total knee replacement, or are considering a total knee replacement, please leave me a comment. I would love to hear from you! Thanks for stopping by and come back soon, you never know what you might find!

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