Top Questions for your Surgeon

Queries for Your Orthopedic Surgeon
Total Knee Arthroplasty (TKA)

General Inquiries:

• Can you share your experience in performing TKA procedures? What does a successful outcome mean to you, and how often is that achieved?

• What is the usual rate of complications, such as infections, in your practice?

• Can you provide a tailored estimate for my recovery duration? How does it compare to the average recovery time in your experience?

• What would be a realistic timeline for me to resume work, considering the nature of my job?

• Is undergoing a TKA the best option for me at this time, or should I consider waiting? What are the alternative, less invasive treatments?

• What is the expected lifespan of the artificial knee? Is there a possibility I may require a revision in the future?

• Could you explain the circumstances that would necessitate a manipulation under anesthesia (MUA) for improving range of motion post-surgery?

• Could you walk me through the potential risks associated with this surgery?

• Can you recommend a specific type of TKA procedure for me?

o The surgical methodology

o The make and model of the prosthesis. Can I see what it looks like?

o Are you proposing a cemented or non-cemented prosthesis? What are the benefits and drawbacks of each?

o Do you utilize computer-assisted surgery?

o Will the surgical method rectify my valgus/varus deformity without causing other orthopedic issues (like different leg lengths)?

o How will the kneecap/patella be handled during the procedure?

Pre-surgical Preparations:

• Should I start any specific exercises now? Do you advise pre-surgical physical therapy (pre-hab)? Can you recommend a good place for this?

• Are there any changes to my home environment that could facilitate recovery? What equipment or supplies should I have at home (e.g., shower chair, handrails, raised toilet seat, wedge cushion, ice machine, exercise tools, walker, cane, trekking poles, stair rails, etc.)?

Before the Operation:

• What should my post-surgery living arrangements look like? Would I go home or to a short-term rehab facility?

• If I am staying in the hospital, what items should I bring? How long might I stay?

• Can you give me an overview of what the surgery process will be like?

o How long will the procedure typically last?

o Will I have a urinary catheter?

o Will a tourniquet be used?

o Will I need compression stockings afterwards? Should I procure them in advance?

o What kind of anesthesia will be used?

o How will the incision be closed? Staples, stitches, or adhesive?

• What should I know about pain and medication management before surgery? Which medicines should I stop before surgery? Can I fill my post-op prescriptions in advance?

• Should I purchase a walker beforehand, or will the rehab center provide me with one?

Post-Operation Short-term Considerations:

• What will my dressing be like, and when can it be removed? Will I have to wear a brace?

• When can I shower or bathe after surgery?

• Do you advise using a CPM (continuous passive motion) machine post-surgery?

• What are the recommended strategies for pain management? Can I have the prescriptions filled in advance? Whom should I contact in your office for any medication-related concerns?

• When will the staples (if used) be taken out?

• What kind of post-op physical therapy do you recommend? Home-based or outpatient? When should I start? Is a physical therapy center with a pool preferable?

• Will you send a copy of the surgical report to my physical therapist? May I have a copy too?

• When can I resume driving post-surgery?

• Can your office provide me with a temporary disabled parking permit?

Long-term Post-Operation Inquiries:

• When is our first follow-up appointment scheduled?

• What are the long-term expectations for my knee function? Will I be able to kneel or squat? What physical activities will be permissible or advised against?

• If there is a leg length discrepancy post-surgery, what's the recommended solution? Shoe insert? Would it need to be custom-made?

• How should I care for my scar in the long run?

• Do you foresee a necessity for a knee replacement for my other knee as well?

See you soon,
//❤️ Trudy//

Disclaimer: The information provided in this blog post is for educational purposes only and is not intended as medical advice. Every individual's situation is unique, and the content may not apply to your specific circumstances. Always consult with your healthcare provider for personalized advice before starting any new exercise or treatment plan. Be On The Move encourages all readers to maintain regular appointments with their doctors and to discuss any questions they may have about their conditions or any other health concerns.