Knee Arthroscopy with ACL Reconstruction

You can read about Knee Arthroscopy with ACL Reconstruction. Knee arthroscopy is a minimally invasive technique that orthopedic surgeons can use to assess and, in most cases, treat a range of diseases of the knee. During the procedure, the orthopedist makes small incisions or portals in the affected joint and then uses a tiny camera and fiber optics to illuminate the interior. Images taken with the camera are then projected onto a screen in the operating suite.

Knee Arthroscopy with ACL Reconstruction

WOUND CARE

  • Remove surgical dressings 3 days following your surgery. Please leave the steri-strips covering the surgical site intact.
  • After removing the dressings, shower as normal letting soapy water run over the surgical site.
  • Do NOT fully submerge your body in water (i.e. in a bath tub or pool).
  • A small amount of drainage from the surgical site is common. You may reinforce the affected area with a sterile gauze pad or bandage.
  • Swelling in the affected extremity is common. To decrease swelling, elevate the affected extremity above the level of your heart.

ACTIVITY

  • You will be given crutches and taught how to use them before you leave the hospital. Use the crutches for assistance with ambulation. You will remain “toe touch” weight bearing.
  • You may gently bend and extend your knee on your own.
  • Be cautious with ambulating stairs with your crutches.
  • To help reduce swelling, elevate the affected extremity several times throughout the day above your heart level, and apply ice 20 minutes on and 20 minutes off up to 4 times per day.

PHYSICAL THERAPY

  • Physical therapy should begin within one week of your surgery. We recommend outpatient therapy for approximately 4-6 months on average, starting with 2-3 times per week. At the 4-8 week mark, you may be able to decrease therapy to 1-2 times per week based on your progress.
  • During the first 4 months, your physical therapist will be working on your range of motion and strengthening exercises with a step-wise approach.
  • At approximately 6 months from your surgery, it is expected that you should be able to return to sports, running, and high intensity exercises, however, this is patient dependent.
  • If you are looking into getting back into a sport more quickly and would like to supplement physical therapy with ACL-specific training at the 4 month mark or later, the TACL program may be recommended through our Sports Performance Team. Please inquire at your orthopedic appointment if you are interested in this program.

PAIN MANAGEMENT

  • If you have used a particular pain medicine (Percocet or Vicodin) that has worked well for you in the past, please inform the physician or PA prior to the procedure.
  • Take the medication as prescribed. Use the least amount of narcotic pain medication as possible.
  • Use Ibuprofen (ex. Advil) 200-800mg three times per day to help with pain and swelling in addition to narcotic pain medicine. (Do not exceed greater than 2400 mg of Ibuprofen daily)
  • Call the office if you continue to have uncontrollable pain.

EMERGENCIES

Call the office if you experience: (401-218-6005)

  • Numbness in toes
  • Pain uncontrolled by pain medicine
  • Painful swelling
  • Surgical site opens
  • Increased redness at surgical site
  • Foul drainage
  • Fever > 101º F for 24 hours or shaking chills
  • Difficulty breathing

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