Physiotherapy TKR Treatment in Nagpur | Dr. Unmesh Mahajan

• Bed with a Height of 20-22 Inches
• Commode Elevator or Chair of same height
• Walker
• Stick with broad base (Tripod or Quadripod)
• Ice Packs

FOLLOWING TEST TO BE DONE ON 10th DAY FROM SURGERY

• Urine Routine/ Microscopy
• Serum Creatinine
  
  

PHYSIOTHERAPY EXERCISES

• Vigorous Ankle Toe Movements
• Static Quadriceps and Static Hamstrings
• Straight Leg Raise
• Knee bending in Supine Lying
• Knee Flexion in high sitting
• HIP Abduction

• Knee flexion up to 110 Deg by day of stitch removal
• Patient should use walker for first week after surgery , then shift to a stick for another 1 week depending on patients recovery.
• While climbing stairs. Use the painful leg initially and gradully start using both legs to climb with both legs alternatively.
• You should exercise and walk at least 4 times a day and should get back to normal life as early as possible.
• Full range of motion is achieved in 6 weeks.
• Do not use weight cuffs, Pulley or Machine of any kind. (In exceptional case, only with consultation with the Concerned Surgeon.)

GENERAL INSTRUCTION

• Keep wound area dry and clean and sit in sunshine for 15 min. for initial Month
• Swelling on the foot and leg is common occurrence and in such conditions should raise the leg and put crepe Bandage from foot till knee
• Some pain is expected after surgery, but if it is decreasing gradually then it’s of no concern
• Do not lie on the side of surgery after HIP Replacement for 6 weeks. There after you may use 1 Pillow between your legs.
• Never jump or run and while walking turn slowly taking small steps
• It takes around 3 months to get fully normal. Some muscle ache will take more time to get back to normal.
• Never sit on floor or crossed legged or cross over.
• You can drive car after 7-8 weeks.
• You must take prophylactic antibiotic incase of any surgical procedure performed like tooth extraction
• Always be careful of any long duration infection in the body and take immediate antibiotics as advised by doctor.
• You can walk as much as comfortable, swim, cycle, play Golf.
• *Regular follow up must every year with the surgeon.

INFORM DOCTOR IF

• Severe pain , redness or swelling in calf.
• Sudden excruciating and increase in pain
• Blood stains on dressing
• Severe swelling in calf
• Redness or Allergic reaction
• Poor range of motions
• In case of plaster, cast breakage, or blueness or inability to move fingers or toe
  
  

PLASTER CAST INSTRUCTIONS

• Keep moving your fingers or toes, specially gripping.
• Rest the limb in raised position for 48 Hours until Plaster has completely dried. Do not cut or wet it