DR NICK VERTZYAS' Post-Operative Regime After Knee Arthroscopy

Dr Nick Vertzvas chatting to a patient about knee arthroscopy recovery


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. 


Bandaging a knee


Contact Details


DR NICK VERTZYAS ORTHOPAEDIC SURGEON 


St. Vincent's Clinic
Suite 901B, Level 9
438 Victoria Street
Darlinghurst, NSW, 2010

SPSA Bankstown Clinic
106 Bankstown City Plaza
Bankstown, NSW, 2200

All appointments phone: (02) 8382 6964.
Fax: (02) 8382 6909.


More information see Dr Nick Vertzyas at St Vincent's




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. 



THE 4 PILLARS IN RECOVERY AFTER KNEE ARTHROSCOPY


1. PAIN CONTROL

2. ELIMINATE SWELLING

3. RESTORE JOINT RANGE OF MOTION

4. RESTORE STRAIGHTENING AND LOCKING OF THE KNEE




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

Return to Sarah Key Physiotherapy Home Page


Here is The Video Outline of
sarah Key's Post Op Regime after Knee Arthroscopy


THE 10 CAREFUL STEPS OF Dr NICK VERTZYAS'S REGIME AFTER KNEE ARTHROSCOPY


1. Fingertip palpation pressures to evacuate swelling

2. Mini-flexing and extending of the knee on the bed

3. Ankle movement to help pump fluid from the foot up the leg

4. Lifting the leg up straight off the bed in preparation for standing

5. Weight transferring when standing

6. Bending and straightening the knee un-weighted in standing

7. Bracing the knee to take the first step

8. Using a block of ice on the knee and Tubigrip to replace bandage

9. Straight leg raising as an exercise

10. High-sitting on table, bending the knee to 90 degrees and straightening 


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

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