Dressing and Wound Care
- It is not uncommon to have a small amount of bloody drainage on the dressing within the first 48 hours after surgery. This typically does not require treatment and should not cause concern unless it is expanding.
- You may remove your dressing after 24-48 hours, unless instructed otherwise. At this time, transition to a thigh-high TED stockings (this may be put on at first Physical Therapy appointment). This is very important to keep the swelling down. You will wear this until you follow-up with Dr. Borque. Please leave the Steri-Strips in place and do not place any ointment (antibacterial or other) over the wounds. You may cover with regular band aids if desired. No further dressings are necessary unless there is persistent drainage.
- For the first 3 days, in the shower please cover your wounds with a plastic bag in order to keep it dry. You may get the wounds wet after 3 days, but do not scrub the wounds for 2 weeks and do not submerge underwater in a bath tub, hot tub, or swimming pool for at least 3 weeks. Pat dry with a towel afterwards.
Achieving Full Extension
- Achieving full extension is the most important goal after surgery. Beginning the night of, or the day after surgery, begin sets of 10 of the straightening exercises Dr. Borque showed you (think: fire the quad muscle to drive the back of the knee into the bed). Do as many of these daily as you can.
- Physical therapy will start within 5 days of surgery. This will be arranged when your surgery is scheduled. If 3 days before your surgery, you have not been notified of your physical therapy appointment, please contact Dr. Borque’s office.
Activities
- You must use your crutches when up and about. Your weight bearing will be determined by Dr. Borque the day of surgery. If you aren’t sure, limit your weight bearing until you see your physical therapist who will review your precautions with you.
- Your knee was injected with numbing medicine at the conclusion of your surgery, this will last 8-12 hours, please rest the first 2-3 days after surgery.
- Do not engage in activities which increase pain or swelling in you affected joint.
- Return to school 2 to 3 days after surgery; return to work depends on your type of employment.
Medications and Pain
- Pain is to be expected after any surgical procedure. We prescribed you a narcotic for your post-operative pain. Please follow the directions given on the bottle by the pharmacist.
- Your medications will be sent to the pharmacy by noon the day before your surgery. Please pick up your medications before the day of surgery, to avoid any issues with the pharmacy being able to fill your medications.
- The following prescriptions have been sent electronically: Norco 5/325mg (for pain- take as needed). Zofran 4mg (for nausea or vomiting- take as needed). Colace (for constipation- take as needed). Please ensure you are not allergic to any of the medications prior to filling the prescriptions.
- Based on your age Dr. Borque might also prescribe 325mg enteric-coated Aspirin daily for 2 weeks. If so, this will be sent to your pharmacy.
- Please take the medications you were prescribed when you arrive home after surgery. You may safely combine these medications, though you may find that you do not require pain medication beyond the first week after surgery.
- Nausea, constipation, headaches, drowsiness, and itchiness are common side effects of the pain medications. Please use the medication prescribed for nausea or constipation. If the side effects become unbearable, discontinue pain medication use and call our office.
- If you are having difficulty sleeping you may take Benadryl 50mg or Melatonin over the counter.
- Tylenol may be taken for a low-grade fever which is common in the first few days after surgery. As long as your temperature does not exceed 101.1 degrees than you can proceed with post-operative care. Please notify us if your temperature exceeds this.
- Typically, your pain should be managed with the medications given; however, if you have excessive discomfort contact Dr. Borque’s office.
- Pain medications CANNOT be refilled by our office after 4:00pm on Fridays. Please make sure you have enough pain medication to last through the weekend.
- Do not drive or operate heavy machinery when taking these medications.
Nerve Block
- NOT ALL KNEE SCOPES WILL REQUIRE NERVE BLOCKS. If you have a nerve block to further control your pain, please refer to the handout that the hospital gave you at discharge with any questions regarding this. You can contact the pain nurse at 281-276-8484 with any questions regarding your block, Monday-Friday 7AM-2PM. After 2PM and on the weekends, please call 281-276-8204.
- Your nerve block will last approximately 48 hours after it is inserted. The anesthesia nurse at the hospital will explain how and when to pull the pain pump on the day of surgery. If any bleeding occurs when you remove this block please apply pressure until the bleeding has stopped.
Swelling
- Swelling is common after any injury or surgical procedure. Decreasing swelling through elevation ABOVE your heart, AND avoidance of activity is the key to success.
- You may begin elevating your surgical site ABOVE your heart with pillows and use an ice pack, but please use sparingly as to not get your dressing wet. When elevating, please try to keep the pillows under your heel (rather than your knee) as much as possible while this is less comfortable, it helps achieve full extension of the most important goal in the first 2 weeks post-operatively.
- If the swelling becomes so large that the dressing begins to become tight, then please loosen the outer layer covering your wound so you can fit at least two fingers underneath it.
- If your swelling is still not decreasing with the instructions listed above and you are experiencing severe pain at the site of swelling then please call us immediately.
Diet
- There are no specific restrictions on your diet after surgery, however, it is prudent to start with clear liquids and advance to solid food as you are able.
- Be sure to drink plenty of liquids and avoid alcohol the evening of surgery.
Additional Factors
- PLEASE GO TO EMERGENCY ROOM IF: you experience shortness of breath, chest pain, loss of consciousness, severe pain that cannot be controlled with the medication given to you, excessive bleeding that cannot be controlled, or inability to urinate.
- Some people do experience a sore throat after surgery along with a minor form of laryngitis. This is most likely due to anesthesia using a tube to help you breathe during surgery. If you do become concerned about your sore throat or feel as though this might be a new sickness please inform your primary care physician.
For any questions or concerns please contact Ashley or Maribel, Dr. Borque’s assistants, at 281-275-0580 or 281-275-0416.