Patients are encouraged to begin ambulation the same day as their knee replacement surgery, with the aid of a walker or other orthopedic device. A patient typically stays in the hospital for 1 to 2 days, and longer if needed. Some may be able to go home the same day of their surgery if their medical team feels it is safe to do so. Patients who require extra attention or do not have home support may be transferred from the hospital to a rehabilitation center, but every effort is made to help the patient return to their home environment with additional support. Total knee replacement may greatly improve function, but most patients will not be able to do more than they did before the onset of arthritis. A replacement knee may feel different than a natural knee. One small study found that most people report being aware of their new knees even 12 months after surgery. Their awareness was most notable when climbing stairs, kneeling or rising from a chair. About half of the people in the study also reported symptoms such as knee stiffness (the most common), swelling, “crackling,” or numbness. These symptoms can exist even though overall knee function is improved and knee pain is decreased. These symptoms do not mean the knee replacement surgery was not successful or that patients regretted having the surgery.
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