• Review the operative findings, procedures and photos.
  • Make sure medications are effective and not causing problems.
    • Norco or Percocet (for pain). These excellent pain relievers are a combination of a narcotic plus Tylenol. You may take 1 or 2 tablets every 6 hours as necessary. Our use of local anesthesia during surgery often means patients require reduced amounts of pain medicine. Most patients take narcotic medication for a week or less. You may substitute Tylenol, 1-2 tablets every 6 hours.
  • Wound Care:
    • During your first clinic visit we will examine the incisions. The outer bandages may be removed a couple days after surgery. The steri-strips (small, white tape bandages) should be left in place.
    • You may shower 2-3 days after surgery. Water can be allowed to run over the incisions but you should not scrub directly on them.
  • Crutches
    • You will be partial weight-bearing (25lbs) with crutches for 6 weeks
    • Bracing:
      • If restoration involved weight-bearing surfaces – Hinged bracing with full motion
      • If restoration involved patella/trochlea – brace locked in full extension for 10 days
  • Exercises and Physical Therapy
    • Formal Physical therapy to start two weeks after surgery
    • For patella/trochlea restoration, patient will use CPM 6-8 hours/day for 6 weeks with a gradual increase in range of motion as tolerated
    • Stationary Biking/Pedlar to start the day following surgery; full range of motion of the knee is encouraged, especially focusing on extension. When using a Pedlar place a pillow under your heel with your toes up in the air to push your knee gradually all the way straight.
  • Follow Up appointments
    • Schedule your first post-op visit for approximately 7-10 days after surgery. The next appointment to follow will be at 6 weeks.
  • Notes etc:
    • Make sure you have all necessary notes and documentation for school or work. If you need a temporary parking placard this can be given to you for up to 12 weeks.