Knee Replacement - Revision (TKR)

Removal of the old knee joint and replacement with another artificial joint

Speciality Orthopaedics
Urgency elective, urgent
Duration 2 to 4 h
Blood Loss 500 ml to 1.5 litre
Anaesthesia General Anaesthetic +/- Nerve Block
Anaesthesia II Combined Spinal + Epidural, Epidural, +/- Nerve Block, +/- Sedation
Nerve Blocks Femoral, Sciatic, +/- Nerve Catheter
Procedures Arterial line, Central line, Urinary catheter, +/- Tourniquet, +/- Transfusion
Pain moderate-severe (++++)
Post-op Pain Nerve Block up to 10-30 hours, Nerve Catheter (a few days), Spinal up to 5-10 hours
Post-op Pain II Tablets, Suppositories, Injection (im, iv), +/- PCA
Hospital Stay 7 to 14 days
Full Recovery 8 to 12 weeks
Additional Info significant pain after operation -->good pain relief required as above for early mobilisation (usually after 24h), if nerve blocks fail then pain relief with PCA

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