Brian S. Parsley, M.D, flag

Proceeding to Knee Replacement

Once you have decided to have a knee replacement, a number of things must be done. You may be asked to see an internal medicine specialist for a more thorough medical evaluation prior to your surgery. While you are in the hospital, you will be routinely followed by your medical doctor, or by a designated medical doctor who practices at the hospital where your surgery is scheduled. In many cases, we will not consult the internist until you are already in the hospital. In either case you may return to your regular doctor after you leave the hospital. In some cases we will ask you to see the rheumatologist before your surgery. A rheumatologist is a specialist in the medical treatment of arthritis.

If you smoke it is important for you to quit two weeks prior to surgery.

If you are taking any anti-inflammatory medications, discontinue them at least 10 days prior to surgery. Anti-inflammatory medications that should be discontinued include:

  • Ascriptin
  • Voltaren
  • Aspirin products
  • Anaprox
  • Clinoril
  • Ansaid
  • Indocin
  • Advil/Nuprin/Mediprin
  • Meclomen
  • Feldene
  • Motrin/Ibuprophen
  • Tolectin
  • Nalfon
  • Lodine
  • Naprosyn/Alleve
  • Daypro
  • Diet Pills
  • Orudis/Oruval
  • Any Nonsteroidal Anti-Inflammatory

Estrogen (Premarin) or methotrexate should be discontinued one month prior to surgery.

If you are taking steroids (i.e. Prednisone), they should be continued. Ask your doctor if you have any questions about any medications you are currently taking.

Sections of the booklet

The History of Total Knee ReplacementThe History of Total Knee ReplacementThe History of Total Knee Replacement
When is Knee Replacement Necessary?When is Knee Replacement Necessary?When is Knee Replacement Necessary?
What is Total Knee Replacement?What is Total Knee Replacement?What is Total Knee Replacement?
Your EvaluationYour EvaluationYour Evaluation
Deciding on SurgeryDeciding on SurgeryDeciding on Surgery
Proceeding to Knee ReplacementProceeding to Knee ReplacementProceeding to Hip Replacement
What About Blood Donations?What About Blood Donations?What About Blood Donations?
Your Hospital AdmissionThe History of Your Hospital AdmissionThe History of TotYour Hospital Admission
Your Anesthesiologist Your Anesthesiologist Your Anesthesiologist
Vascular ImagingVascular Imaging Vascular Imaging
What is an Operative Permit?What is an Operative Permit? What is an Operative Permit?
The Day of Your SurgeryThe Day of Your Surgery The Day of Your Surgery
If You Experience PainIf You Experience PainIf You Experience Pain
Your Physical TherapyYour Physical Therapy Your Physical Therapy
Going Home After Total Joint ReplacementGoing Home After Total Joint Replacement Going Home After Total Joint Replacement
Follow Up Doctor AppointmentFollow Up Doctor AppointmentFollow Up Doctor Appointment
Infection PrecautionsInfection PrecautionsInfection Precautions
Resuming Normal ActivitiesResuming Normal ActivitiesResuming Normal Activities
In SummaryIn SummaryIn Summary
  • surgicalhospital.com
  • memorialhermann.org
  • faithinpractice.org
  • aahks.org
  • thehealthmuseum.org/index.aspx
  • https://med.uth.edu/ortho/
  • bcm.edu