Dr Nick Vertzyas does over 400 hip and knee replacements every year, and over 90 knee arthroscopies.
Nick completed his advanced training in Orthopaedic Surgery in Sydney. In 2004 he did a Hip and Knee Arthroplasty Fellowship at the Harvard University in Boston. Only one Australian is selected each year to do this.
Dr Vertzyas is Conjoint Lecturer at the UNSW. He is a Clinical Senior Lecturer at the Notre Dame University in Sydney. He is the Chairman of Orthopaedics at The St Vincent's Private Hospital. Nick voluntarily assists the Australian Orthopaedic Association, in the training, selection and examination of advanced trainees.
Pain control, reducing swelling, restoring joint range and bracing the leg straight are the 4 important points in the immediate aftermath of knee arthroscopy. Medication is necessary for at least 48 hours.
Achieving a straight knee after surgery gives the knee the best chance of a 100% recovery. If the knee stays swollen after surgery - apart from being more painful - it will be more difficult to achieve best results. Failing to walk properly on the knee after arthroscopy may ultimately cause the procedure to fail.
The video below takes you through Phase 1 of knee rehabilitation after arthroscopy. It is suggested that you watch the video before your procedure so that you know what to do when you wake up in the Recovery Room.
See more valuable information on joint cartilage and Preventing Knee Arthritis
Read more about what conservative treatment can do in Knee Physiotherapy
Read more about Arthroscopy Knee Surgery
See more information on Knee Problems
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Gentle fingertip pressures as if bending the butterfly's knees, to evacuate excess swelling from the knee
Gentle knee bending-and-straightening on the bed through a tiny range
Circular and up-and-down ankle movements to pump fluid from the foot up past the compression bandage at the knee
Lifting the straight leg up off the bed, in preparation for getting it to the floor
With the leg to the floor, straightening the knee with small and gentle bouncing movements to coax the leg straight
Weight transferring through the straight knee in preparation for taking the first steps
Straightening the knee while weight-bearing requires the bracing action of vastus medialis through the last 15 degrees
This stepping through action on the braced knee minimises bone-against-bone erosion of the cartilage bed and should be the blue-print for all future steps - all 10,000 per day!
Applying a block of ice to the skin around the knee
to reduce pain and swelling after exercising
By 24 hours the bandage is replaced with doubled-over Tubigrip and 'straight-leg-raise'
lifting the leg exercises on the bed commence
By the end of the 2nd day post-op, starting the knee straightening from 90 degrees
Bringing the toes back helps straighten the knee, with no extension lag