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Total Knee Replacement (TKR)

Before Surgery

Before Surgery

Joint School

Prior to your surgery you will be sent a home circumstance form; please complete all relevant information, including heights of all furniture. This will help our Therapy team assess for equipment (blank forms available below)

You will also be invited to attend Joint School, this is an educational group session with your therapy team to help you prepare for your operation. Any equipment requirements can be ordered prior to surgery when in Joint School.  It is highly recommended by your surgeon and us that you attend.  These take place on a Tuesday at 10:30 at:

Physiotherapy Department
2nd Floor
Calderdale Royal Hospital
01422 224198

Link: Home circumstance form

Once equipment has been ordered Loan stores will contact you for delivery. PLEASE do not turn the equipment away as this will result in the whole order being cancelled; this could result in your discharge being delayed after your surgery has been completed.

Start to plan your return home

How will you manage at home?  Start to think today how the shopping, cleaning , cooking will be done. Will friends or family be able help with smaller tasks? In the kitchen if you live alone, get prepared fill the freezer, move items to work surface.  You might need a seat in the kitchen or bathroom to rest on so you don’t need to stand for a long time.

You may need a trolley if you live on your own, to carry things from the kitchen because on discharge you be walking with a walking aid for example sticks, crutches or Zimmer frame; we can supply kitchen trolleys.

Other things to consider:

  • We can supply raised toilet seat/frames 
  • Chair/Bed raisers, some cannot be raised
  • We are unable to provide chairs
  • Stair rails you need at least one
  • We will provide Zimmer frames, crutches or sticks for use on the ward and at home.

All items except dressing aids are provided by social services. Small dressing aids for example helping hands or sock aids have to be self-purchased.  Alternative supplier

If you have any issues with equipment before or after your surgery please call:

  • Halifax-01422-306726 / 01422 306728
  • Huddersfield   01484 728970  or  0845-340-4432

Pre-Op Exercises  

When at joint school you will be shown exercises which must be completed before and after your surgery. These will ensure that your muscles are strong and improve your recovery. Please complete the exercises 3 times daily. If the exercises are too painful please speak to your physiotherapist.

To download the exercises click here.

On the day of surgery

  • Please remove any Jewellery, Piercings, Nail polish or Acrylic nails prior to surgery
  • Please do not bring valuables into the hospital with you.
  • Mobile phones are allowed.
  • Please do not bring plants/flowers
  • Please pack comfortable, loose fitting clothing and suitable footwear which allow for swelling.
  • Dressing aids – PLEASE BRING THESE INTO HOSPITAL TO ENABLE INDEPENDENT DRESSING.  

On the ward

On the ward

Therapy

Following your surgery you will be taken to the ward; either on 8B or 8A. Therapy will see you 3 hours post-surgery and if you’re well enough will help you out of bed and teach you your exercises.

Therapy will review you twice a day, this will involve practising walking, completing your exercises and practising independent washing and dressing. You will also need to complete your exercises independently 3 times a day.

Length of stay following a knee replacement averages 2-3 days, some people do go home within 24 hours. You will only go home once you’re medically fit and you’re safe to return home.

Pain

Managing pain levels is important post -surgery. When on the ward you will be given regular pain relief. If you feel that your pain killers aren’t working please let the ward staff know ASAP.  It is important that you take the pain relief for the best recovery. The therapy team will provide ice to help with pain relief and reduce swelling. 

Visitors on the ward

  • Visiting time is 10.00am-8.00pm 
  • Meal times are protected 12.00-1.00pm and 5.00-6.30pm
  •  2 Visitors to a bed. 
  • Please discourage anyone from sitting on your bed or chair due to the risk of cross contamination.

 

Recovery & continued therapy

Recovery & continued therapy

You will return home with a knee bend of 80-90 degrees. It is VITAL that you continue with your exercises to maintain this movement on discharge.  In particular focusing on:

  • Flexion exercise
  • Extension exercise

 

Long term recovery and return to normal function depends on maintaining good movement

Once home you will be able to:

  • Make simple/light meals
  • Wash and dress yourself
  • Have a shower once advised (after 10-14 days)
  • Occupational therapist can complete ward based assessments if required, for washing/dressing, transfers.
  • Kitchen activities if required.

Once home you will not be able to:

  • No Heavy shopping
  • No Heavy cleaning
  • No Changing bedclothes
  • No Carrying heavy items
  • You are unable to drive for  6 weeks after surgery.  Once permission has been given off your consultant to resume driving you are then advised to inform your insurance company this should be done prior to driving

If you live in Halifax

We are an early supported discharge team. Once home we will contact you to arrange your first assessment visit. This will be within 48 hours of discharge. Visits start from 8.30am Monday to Sunday.  If you live in a hard to access area please inform us prior to visits. Please inform us if you plan on staying with a relative or friend on discharge.

All provided equipment belongs to Social Services. Please do not bring any used equipment back to the hospital. To return loaned items contact loan stores who will arrange collection for you.

Halifax-01422-306726

Please do bring back any walking aids; we will recycle these!

If you live in Huddersfield

As a Huddersfield patient your after care will be completed by the Locala therapy team. They will be contacted on the day of your discharge. Locala work  Monday to Friday.

Locala 08453 404432 (check!!)

All provided equipment belongs to Social Services. Please do not bring any used equipment back to the hospital . To return loaned items contact loan stores who will arrange collection for you.

Huddersfield 0845-340-4432

Please do bring back any walking aids; we will recycle these