NIKISA’s approach to rehabilitation of Joint Knee Replacement Patients

Post Joint Knee Replacement operation recovering Joint Knee Replacement patients are divided into one of the following two categories right at the time of admission to NIKISA Hospital.

    1. Phlegm build-up

Treatment of Post Joint Knee Replacement operation patients who require Critical care:

Treatment patients who do not require Critical care

NIKISA GC & RH has been providing services for speedy and proper recovery of patients after their Joint Knee Replacement surgery. We provide the following services to the recovering patient.

  1. Well-appointed single bed wards: NIKISA GC & RH has allocated a set of wards for the recovery of patients recovering from Joint Knee Replacement operation.
    1. All the wards are provided on Single Occupancy basis.
    1. These wards are fully equipped and have been designed keeping in mind the requirement of Joint Knee Replacement operation patients.
    1. Corridors have been provided with rails for holding while walking.
    1. Toilets are at floor level for easy mobilization of patients both on foot and also on wheel chairs.
    1. Grab bars have been provided in bathroom and toilets.
    1. Bed required for the convenience of patient will be provided. Option of utilising Fowler beds with air bed or luxury single bed or luxury double bed is provided to the patient.
    1. Every ward is provided with attached bath rooms with hot and cold-water supply, western commode, Meals table, T V, Fridge, Nurse call facility, newspaper and Drinking water.
    1. Services of Nurses and ward boys is available on 24 X & basis.
    1. The wards are centrally air conditioned. (on account of Covid 19 restrictions AC is not being used for the present). Every ward is provided with pedestal fan.
    1. Continuous passive motion equipment will be installed right within the ward so that the operated knee can be provided with best possible care. Attendants and nurses are well trained in providing services using this machine. Other required physiotherapy equipment will be provided at the ward itself to promote proper and quick recovery.
    1. Attendant and nurses will be available on call on 24 X 7 basis.
  • Medical and Diet care:
    • The patients are examined and treated by a team of NIKISA doctors on a daily basis. In addition, whenever required our Specialists provide consultation to the patients. Every surgeon gives instructions regarding post Joint Knee Replacement operation care. We ensure proper implementation of doctor’s instructions. In fact, feedback is provided to the surgeon on a daily basis regarding the recovery of the patient. In case any complication the surgeon will be consulted.
    • Proper nutrition and taking medication as per the prescription of nutritionist and the treating doctor respectively is of paramount importance in post Joint Knee Replacement operation recovery. Our Nutritionist will guide the patients and their families on dietary requirement of the patients. Patients can get their diet from their homes. External catering services are also available. 
    • Some Post Joint Knee Replacement operation patients suffer from disorders like diabetes and hypertension. We monitor the vital parameters and take corrective action.
    • Most post Joint Knee Replacement operation patients get into a sedentary status, especially in-home settings and many develop secondary complications arising out of poor hygiene. Bed sores, urine and incontinence are very common in recovering post Joint Knee Replacement operation patients; therefore, we monitor the patients for these secondary complications and take remedial actions.
    • Secondary Injuries arising out of unexpected fall is very common in post Joint Knee Replacement operation patients. When untrained personnel handle post Joint Knee Replacement operation patients some might suffer from limb and girdle fractures. As trained personnel handle the patients, possibility of fall at NIKISA Hospital is very remote.    
    • Medicines and other consumables can be bought by patient’s caretakers from the Hospital Pharmacy or from any other pharmacy and provided to the treating doctors and nurses.
  • Physiotherapy:
    • A separate Physiotherapy section has been created to aid speedy recovery of the operated patients, be it orthopaedic or any other type of surgery. To know more about Physiotherapy facilities available please click Physiotherapy section
    • Rehabilitating after surgery starts with a complete physical therapy evaluation, looking at things like range of motion, strength and the surgeon’s recovery protocol. After examining each patient, the Physiotherapist will craft a plan based on the goals to be achieved. Using their knowledge of healing, the Physiotherapist will make sure that the recovering patient progresses safely and quickly through the four stages of rehabilitation so that the rehabilitation goals are met;
  • Restoring motion; A typical protocol following an orthopaedic procedure starts with gentle or passive therapy. The physical therapist assists the patient with range of motion for the particular joint.
  • Active range of motion: After follow up the surgeon or when the protocol indicates, the patient will gradually progress through assisted and active range of motion exercises. During this phase, the physical therapist will also provide guidance regarding resuming activity.
  • Strengthening: Once active range of motion is restored, strengthening phase of physiotherapy is initiated. That will involve a variety of exercises and many different equipment.
  • Restoring optimal movement: The last phase of recovery puts all the pieces together to help the patient to move efficiently and effectively through all of the daily tasks that the patient needs to perform.