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Total knee replacement surgery - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   my mum has swelling on her knee 1 year after her knee total replacement surgery.
User :   hello
Doctor :   Hi
User :   my mum has swellin on her knee which she had knee surgery
Doctor :  
User :   wat could be the possible cause for this
Doctor :   what surgery procedure is done on the knee?

User :   total knee replacement
Doctor :   what was the reason for her to under go total knee replacement

User :   she had arthritis really bad in her knee
User :   so the surgeon operated and done a total knee replacement
User :   but the thing she had the original operation in sep 2008
User :   she had a washout in nov 2008
Doctor :  
User :   and she hasnt got any better
User :   but know she has swellin on her knee
Doctor :   ok
Doctor :   was the swelling sudden in onset or did it appear gradually ?
User :   it was sudeen
User :   she went to see her surgeon for a check up a few weeks ago
User :   it wasnt there then
User :   it happened all of a sudden
Doctor :   ok
Doctor :   pain or restricted mobility is there?
User :   both
User :   it hurts when she walks
User :   sometimes she gets a high temperature of 38.2
User :   37.9
Doctor :  
is she on any other medications ?
User :   yes
User :   painkillers
Doctor :  
what medications
User :   arthritish tablets
User :   shes on
User :   athrotec
User :   diclofenac
User :   cocadamol
Doctor :  
is she diabetic or hypertensive?
User :   shes diabetic
User :   she takes blood pressure tablets
Doctor :  
User :   do u think there could be a possible infection again
Doctor :  
is blood thinning medication is there in her regimen
User :   no
Doctor :   in infection the swelling does occur gradually and not suddenly
User :   well before swelling
User :   her pain did increase day by day
Doctor :  
User :   and she had restricted mobility
Doctor :  
the commonest possibility is bleed into the joint
Doctor :  
Doctor :  
User :   ok
User :   is it a serious thing
User :   she anaemic 2
Doctor :   but infection can follow after the hematoma formation
Doctor :   it may resolve itself or require drainage
Doctor :  
and it is more common if the person is a diabetic and hypertensive and is taking a blood thinner medication
User :   do u think its best if we contact the surgeon again
User :   and ask him to have a look at it
Doctor :  
this is usually temporary and not of serious consequenc
Doctor :  
yes it is better surgeon has a look and decide what to be done
Doctor :  
most of the time it is simple rest and leg elevation that is sufficient
User :   when we press the swelling its quite soft
Doctor :  
Doctor :   the swelling is because of liquid ( blood + exudate) so it will be soft
Doctor :  
are you there?
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