Why the leg swells after the endoprosthesis of the knee joint

I. Within the first 2 weeks after the operation.

Prevention of early postoperative complications.

During this period, as well as after hip surgery, two goals must be achieved: start activation as soon as possible and prevent postoperative complications.

Early activation (getting in bed, getting up and walking) is necessary for several reasons.

First, it in itself is an important method of preventing so-called hypodynamic complications, the most formidable of which is the formation of blood clots in the veins and pneumonia.

Secondly, early involvement in active muscle movements contributes to a more complete recovery. Activity in this period should be aimed at developing movements in the operated joint.

In the absence of any special restrictions(the necessity of which is determined during the operation) it is necessary to achieve the greatest possible flexion amplitude as early as possible, since this is the most favorable period. It is necessary to understand that postponing the development of movements "for later" is fraught with difficulties and the need to use special means of rehabilitation.

In this case, the dangers that exist after endoprosthetics of the hip joint. is much smaller. Nevertheless, the need for some restrictions remains.

1. The first time after the operation, you should sit down and get up only in the presence of a physical training instructor or a doctor. As a rule, this happens on the next after the operation or on the second day.

2. Unlike hip arthroplasty, there is no need to adhere to certain positions of the operated leg. You can lie on your back or on your side. It is not necessary to turn only towards the operated leg when walking.

3. If there are no special restrictions (about which the doctor will tell you), you should strive to increase the amplitude of the movements, achieving full extension and maximum possible flexion. It will be difficult because of the pain, do not do the exercises through force, but you should perform them regularly. Thus, every day you will get to add a few degrees.

With insufficient effect from independentyou will be assigned a retention therapy (CPM), which consists in placing the limb on an automated device that will produce movements for you.

All that is required of you is to lie down andmaximally relaxing the muscles of the operated leg does not interfere with her passive movements. The danger of excessive flexion does not exist in this case, since the device is equipped with an accurate resistance limitation. That is, if there is severe pain and muscle contraction, the movement will stop.

When you start walking, do not try at onceuse the leg in full force, including, do not step on it with all the weight (although the endoprosthesis usually allows it). This can lead to additional muscle injury.

II. For a period of 2 to 6 weeks.

The load on the leg can be gradually increased, moving to walking with a cane.

As a rule, there is no need to usea bed of a certain height and use a special spacer when using the toilet, so as not to sit low. Continue to perform exercises to increase the amplitude of movements.

III. From 6 weeks after surgery until the final restoration of limb function.

Full load on the operated leg is permissible,A transition to normal household activities is possible, with the exception of significant loads and traumatic factors. It is necessary to remember and observe several rules. One should not allow sharp forcible bending in the knee joint more than 100-110 degrees and re-opening. It is not necessary to be in positions that require a long support on your knees ("on all fours").

IV. A further life with an artificial joint.

The basic rule is to remember the endoprosthesis and do not try to wear it as quickly as possible.

It must be remembered that the endoprosthesis is not a new healthy joint, but a mechanism that allows you to move and live without pain. Like any other mechanism, it gradually wears out.

The service life of its simplest modifications is 15-20years, the rate of wear depends largely on the patient himself. Avoid lifting weights (more than 10 kg for men, more than 5 - for women), long standing, jumping.

Some sports (tennis, skiing, skating) are not recommended, while others (swimming, biking, walking) are allowed.

  • Watch your own weight!
  • When climbing and descending the stairs, hold onto the railing;
  • By all methods, avoid injuries to the area of ​​the operated joint. Wear low-heeled shoes with a non-slip sole;
  • At each visit to the doctor (any specialty), warn that you have implanted an artificial joint;
  • Every year take control pictures and go to the clinic for advice. This will allow timely identification of possible problems and correct the regime.
  • Address to the operated surgeon if inthe area of ​​operation suddenly there will be pains, general or local temperature will rise, feel difficulties of movements or extraneous sounds and unusual sensations.

I am the head of orthopedics No. 1 of the clinic of the Federal Bureau of Medical and Social Expertise (Moscow, Ivan Susanin Street, 3).

The clinic accepts for treatment patients from ALL REGIONS OF RUSSIA. The following types of medical care are FREE:

  • Conservative treatment of arthrosis and osteochondrosis in a hospital;
  • operative treatment of joint pathology;
  • Endoprosthesis of joints (knee, hip, ankle, brachial);
  • operative correction of foot deformities (Hallux valgus);
  • rehabilitation after surgery.

For hospitalization, you need a passport, a MHI policy, and some tests.

To know the details, you need:

+7 (905) 595-3833 (from 9:30 to 16:30 Moscow time) or ORDER a BACK CALL (for free)

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