CALL NOW FOR AN APPOINTMENT 425.656.5060

Online Appointment Requests

For convenient scheduling, request an appointment online.

Recovering from a Total Knee Replacement (TKA) : A Surgeon / Caregivers Perspective (Part 1)

By William P. Barrett, MD on

I had the opportunity to experience recovery from a TKA through the eyes of a close family member, who I, as a joint replacement surgeon was the primary caregiver. This experience gave me a new appreciation of what our patients experience in the weeks after TKR. I will break this up into segments: pre-op, day of surgery and the first day of recoveryday 2- day 6, and weeks 2-6.

Pre-op

The key like so many things in life is making a good selection of the person who will be your surgeon. We choose a surgeon who specializes in joint replacement at a hospital that does a high volume of joint replacements. Multiple studies have been published demonstrating better results for joint replacement with surgeons who specialize in joint replacement at hospitals that do a high volume of joint procedures. That said there are orthopedic surgeons who are generalists who do a great job at joint replacement. However, this is a procedure that will put an implant in you for 20+ years, so you want the best person available to perform the procedure. In general, you want a surgeon who does a minimum of 50 joint replacement procedures per year.

Two months before surgery we began a pre-hab program to improve strength and flexibility in the leg that was going to get a new knee. The patient has to be involved in getting in the best shape possible for the procedure. The days of “ doc you have got to fix me” is over. This is a partnership where the patient has to help the surgeon help them. With this kind of partnership, everyone is pulling their oars in the same direction. We used a special soap to clean all body parts for three days pre-op to minimize the risk of infection. All medical conditions need to be optimized, i.e., high blood pressure, diabetes, obesity, anemia and you must stop smoking, and minimize drinking.  Optimizing your medical comorbidities will decrease your risks of complications after surgery.

Make sure you have arranged post-op physical therapy before surgery. Arrange for help at home for the first week after surgery. You will need help at home for a week with a TKA maybe less with a total anterior hip. Arrange people to drive you to therapy, doctor appointments, and any other commitments. Be proactive your recovery depends on it.

Go into surgery with a positive attitude knowing that you’ve done all you can to optimize your outcome and help with your recovery.

LOCATIONS

RENTON

4011 Talbot Rd S #300
Renton, WA 98055

Phone: 425.656.5060
Fax: 425.656.5047

COVINGTON

27005 168th Pl SE #201
Covington, WA 98042

Phone: 253.630.3660
Fax: 253.631.1591

Maple Valley

24060 SE Kent Kangley Rd,
Maple Valley, WA 98038

Phone: 425.358.7708
Fax: 425.656.5047

Bone and Joint Urgent Care

150 Andover Park W.
Tukwila, WA 98188

Phone: 425.979.BONE

Latest POA News

  • Proliance Bone and Joint Urgent Care

    Proliance Bone and Joint Urgent Care Is OPEN!

    ORTHOPEDIC URGENT CARE OPENS IN TUKWILA  Proliance Bone and Joint Urgent Care is the only orthopedic urgent care in the Puget Sound region.  [TUKWILA, WA, JANUARY 9, 2019] — Proliance Orthopedic Associates, a Division of Proliance Surgeons, is pleased to announce the opening of Proliance Bone and Joint Urgent Care located at 150 Andover Park …

  • Healthy Holiday Meal

    How to Stay Holiday Healthy

    Wondering how to stay healthy this holiday season? Looking for tips on your diet or exercise routine to build healthy habits? The doctors at Proliance Orthopedic Associates can help you learn more about the best practices for your health. We provide a wide variety of orthopedic services for our patients, specializing in joint replacement, sports …

  • Haloman Pro Casual

    Healing Hip Pain: Q&A with Dr. Haloman

    Dr. Haloman serves a large role as POA’s in-house hip preservation specialist, within our knee and hip services, where he treats a variety of ailments through arthroscopic surgery of the hip, shoulder, and knee. After several months practicing at POA, we realized it was time for a check-up with our newest orthopedic surgeon. Catch up with Dr. Haloman …

Dr. Barrett's Blog

  • Know the outcomes of your total joint implant system

    Several factors affect the outcome of joint replacement surgery. Most important is the skill and experience of your surgeon. Next is the patient and his/her motivation. Thirdly, is the implant. There are joint registries around the world which track the performance of various implant systems. For our anterior hip replacements, we primarily use a Pinnacle …

  • Hip and Knee Surgeons’ position paper on use of stem cell therapies for advanced osteoarthritis

    In the June 2019 issue of the Journal of Arthroplasty, the American Association of Hip and Knee surgeons, The Knee Society, and the Hip Society published a position paper on the use of stem cell therapies for advanced arthritis of the knee and hip. They all state that there is no data to justify the …

  • Recovery from Knee Replacement: 2 Perspectives (Part 5)

    I had the opportunity to experience recovery from a TKA through the eyes of a close family member, who I, as a joint replacement surgeon was the primary caregiver. This experience gave me a new appreciation of what our patients experience in the weeks after TKR. I will break this up into segments: pre-op, day of …