As a result of your consultation, it may be decided that you require surgery. Dr. Waghchoure will explain the procedure and what is involved during and following your procedure.

Information regarding the before surgery medical workup, checklist and instructions will be explained and provided to you. Click here for information brochure.

Prior to discharge, you will be given detailed information about the precautions to be taken at home and rehabilitation program to be followed. Click here for information brochure.

For a planned surgery, it is advisable to get admitted on the evening prior to your day of surgery. It will help us ensure that the necessary pre-operative investigations and medical/anaesthesia fitness for the surgery are complete.

For most of the patients, average stay after surgery is between 2-5 days, depending on the type of surgery. Discharge is planned when medical condition is stable, pain is adequately controlled with oral medications, able to eat and urinate and when physical and occupational goals are successfully met. Bracing, rehabilitation and after surgery instructions will be provided to the patient at discharge.

For arthroscopic knee surgeries, 2-3 keyhole incisions allow access to most of the structures inside the knee. For ligament reconstruction surgeries, where we need to harvest a graft to recreate the native ligament, an additional linear incision of 3-5 cm is required. Complex multi-ligament reconstructions require multiple incisions.

The incision for TKR is on the front aspect of the knee, which is approximately 10-12 cm in length. It starts 3-4 finger breadth above the upper border of knee cap and extending below up to the tibial tuberosity (bony prominence below the knee cap). We aim to provide a cosmetic scar which will be visible as a linear scar after few months. It is also important to remember that a scar takes a full year to mature. During this time, your body is trying to remodel and improve the scar tissue. However, some people might develop a thick scar called as ‘hypertrophic scar’, due to tendency to deposit excessive collagen during the healing of wound.

Most surgical wounds heal completely by 11-15 days after surgery. Therefore, first visit with Dr Waghchoure will be at 2 weeks after surgery to assess optimum wound healing and recovery.

Physiotherapy/ Rehabilitation forms an integral part of orthopaedics and sport medicine treatment. If a surgery is not indicated, Dr Waghchoure will communicate with the physiotherapist to provide you the exercises that could improve your condition.

If you need a surgical management like ACL reconstruction or TKR, you will be advised for pre-rehab and referred to a physiotherapist to improve the knee range and the muscle strength. This also prepares the patient for post-operative (after surgery) rehabilitation and a subsequent faster recovery.

Following discharge after surgery, you are required to contact the physiotherapist who will help in optimum post-operative recovery. Dr Waghchoure will communicate with concerned physiotherapist regarding the details of your surgery and rehabilitation protocol so as to ensure smooth transition and recovery.

Before discharging home, a check dressing is done using a splash proof dressing material. Extra-dressings will be provided with you at discharge which can be used to change the dressing if it gets soaked by the wound fluid or if it comes off at any moment.

Even though the dressing material covering the surgical wound is splash proof, water can damage the adhesive property of the dressing and seep inside the wound. So, we recommend to keep the dressing dry using a plastic wrap while taking a shower.

Blood clot formation also called as ‘Deep Vein Thrombosis’ (DVT) is a potential complication seen after Total Knee Replacement, in high risk population. A blood clot from your leg can travel to your lungs and cause serious health complications. Preventing a blood clot from forming is the best treatment. Early post-operative mobilization, rehabilitation, wearing support stockings (TED Stockings) and use of anti-coagulants (blood thinning medications) prevent the formation of blood clots. You will be evaluated and counselled if you fall in high risk category and necessary preventive measures will be taken.

Swelling over foot and ankle is common in immediate post-operative period. Usually, the swelling increases on walking and exercises (gravity dependent), whereas it reduces with elevation of leg over pillows. In first few weeks, if there is increasing swelling, redness, heat and pain in calf, it is advisable to contact doctor as this may be a sign of blood clot.

We encourage immediate weight bearing and walking following surgeries such as TKR and ACL reconstruction. Certain surgeries where repair of meniscus, cartilage or multiple ligaments is performed, weight bearing will be delayed and a brace will be used to protect the repair till it heals. Your recovery will be guided using a surgery specific rehabilitation protocol provided to your physiotherapist.