ROBOTIC ASSISTED KNEE SURGERY
Follow up consultation £150
Surgery Cost £11,000 - £13,000
Depending on location and procedure, inclusive of follow up consultation, surgery, follow up and physio/after care)
Most knee arthroscopies are done as a day-case procedure.
You will have very little to show for your surgery except for 2 small incisions on the front of the knee. Under a general anaesthetic a special camera is inserted into the knee joint through one of the small holes. The whole of the knee joint is inspected for damage to the joint surfaces, meniscus and ligaments. Treatment is carried out as necessary. The surgery takes 20-40 minutes on average. Local anaesthetic is injected into the joint and therefore most patients are comfortable when they wake up from the anaesthetic and this continues for a few hours.
Recovery time does depend entirely on what surgery is carried out.
Most patients will be able to mobilise and drive within a few days and should only need 2 weeks off work on average. If there is significant wear & tear inside the knee, it typically takes longer for the knee to settle down, up to 8-12 weeks in some cases. Mr Simon Garrett will give you an idea of the expected recovery time following the operation.
Following surgery, the crepe bandage should stay in place for 48 hours and the tape sutures (steristrips) can be left to fall off by themselves.
Knee arthroscopy is a safe procedure. There is a very minor risk of infection and Blood Clots, and of course on-going symptoms depending on the condition of the knee.
How long will I be in hospital?
Most patients will be able to leave after 2 or 3 days.
How soon will I recover?
Patients vary enormously. At six weeks most patients are considerably more comfortable and walking greater distances than prior to the operation. Many patients will have returned to work by this stage.
Your recovery will continue until four to six months after your operation. All patients are brought back to be assessed in a clinic at six weeks.
Younger patients will be kept under review for a number of years, but most patients over the age of sixty will be discharged with the expectation their knee is likely to last them for as long as they will need it.
What about work?
Most patients return to work about six weeks after their operation. Some more physically demanding jobs may require a week or two longer off work. Often patients return well before six weeks.
What about driving?
Most surgeons advise their patients not to drive for 4-6 weeks after knee replacement surgery. It is important that in an emergency you are able to stop the car safely.
What about sports?
Most patients are able to return to a high level of activity following hip replacement surgery. Repetitive loading such as running, may be possible but is more likely to wear your joint more rapidly. Activities that involve deep bending of your knee, such as certain yoga movements are best avoided. After three months riding, golf etc. should be fine.
What about day to day activities?
Whilst on the ward your physiotherapist will teach you how to safely get in and out of bed, give you advice on dressing, toileting etc. In particular, you will be told how to get in and out of bed, in and out of a car and in and out of a bath. Do not be frightened to resume normal sexual relations, being careful not to force your hip into an uncomfortable position. Initially it may be safer lying upon your operated side or back.You will be shown how to get in and out of bed on the ward. It is advisable to sleep on your back, though you may sleep on your operated side with a pillow between your knees to prevent your leg from turning in. For the first six weeks you can only have a walk-in shower or strip wash sitting on a high stool. You should not attempt to have a bath until after your first outpatient appointment. Should you then require any aids to enable you to get in and out of the bath contact Occupational Health.
What about the garden?
Patients are often keen to get back to gardening. The most important point is to remember to take care picking things up off the ground and your physiotherapist will advise you how to avoid putting your knee at risk. Even heavy digging should be possible by three months. Movements to avoid following surgery. You should avoid bending at the knee, twisting your waist and crossing your legs.