POSTOPERATIVE INSTRUCTIONS – KNEE ARTHROSCOPY WITH ACL RECONSTRUCTION
October 1, 2018
You can walk and bend your knee as much as tolerated. Use your crutches and brace for the first 2-3 weeks. Do not go for long walks or stand on your feet for extended periods of time. This will cause swelling and pain. Wear the brace at all times when not icing or bathing. Have the brace locked in extension while ambulating until your follow-up visit.
A continuous passive motion (CPM) machine will be provided for you – you should use this machine for a minimum of 4 hours a day, for 2 weeks postoperatively. Begin at 0-40 degrees and then progress 5-10 degrees of flexion daily as tolerated.
An ice machine will be provided to you prior to your surgery. This will help decrease swelling and pain after your surgery. Use the ice machine as much as possible when you get home at intervals of 20 minutes on and off. You should keep the ice machine for approximately two weeks. Do not use the ice machine while you are sleeping.
If you did not receive an ice machine – you should use ice packs over the surgical site regularly throughout the day.
In addition to icing your knee, elevate your knee so that your toes are above your nose. This elevates your knee above your heart and will help reduce swelling.
If you were given a nerve block for anesthesia, it will wear off over 18-24 hours. During this time you will have little to no feeling in the body part where you had surgery (i.e. leg). To control your pain during this transition while the nerve block is wearing off, you are to eat first and then begin taking the pain medication (e.g. Vicodin, Percocet, etc) immediately when you get home from surgery. This will prevent you from having severe pain. Take the pain medication every 4 hours until you go to bed.
You have been given an antibiotic medication – please take this as prescribed until completion of the medication.
Please take 325mg of Aspirin daily for the first two weeks after surgery.
A sleeping medication (e.g. Ambien) is also provided to help you sleep at night. Take one tablet 30 minutes before you plan to sleep.
Keep your surgical dressing clean and dry. Do not remove your dressing until your first post-operative visit. You may take a shower with a plastic bag over your leg to keep the dressing clean and dry.
Do not take a bath or submerge your knee in water until your incisions are checked at your first post-operative visit.
You may drive 1-2 weeks after surgery if you are not taking pain medication. If your right leg is the operative side, then you must have good control of your leg prior to driving.
It is normal to have an elevated temperature during the first 2-3 days post-operatively. Please call our office if your temperature is above 101oF, if there is increased redness around the incision sites, or if there is increased drainage from the incision sites.
If you have any difficulty using anti-inflammatory medications or aspirin or have a history of ulcer disease, please let us know.