Pre-Op Information for Total Knee Replacement Patients

Before Surgery Day

Medications to stop: Blood thinners, NSAIDs (ibuprofen, naproxen, diclofenac), aspirin, and certain supplements must be stopped before surgery. Your anaesthetist and Dr Liew will provide a specific list. Do not stop any medication without guidance.

Pre-admission clinic: Attend the hospital pre-admission appointment for blood tests, ECG, and anaesthetic review. This is typically scheduled 1–2 weeks before surgery.

Fasting: No food or drink (including water) from midnight the night before surgery. Some medications may be taken with a small sip of water — confirm with our team.

Your Hospital Stay

You will be admitted on the day of surgery. After your procedure, you will spend 2–3 nights at Eastwood Private Hospital. During this time:

• Physiotherapy begins on the day of surgery — sitting out of bed and taking first steps with your physio.
• Ice packs and elevation are used to manage swelling.
• Pain relief is provided regularly — please communicate your pain levels to the nursing team.
• Your dressing is applied before discharge. You leave with medications, wound care instructions, and a physiotherapy plan.

Your first post-operative clinic visit with Dr Liew is typically at 2 weeks.

Early Recovery Milestones

Here is what to expect in the weeks after your knee replacement:

• Week 1–2: Managing at home with a walking frame or sticks. Pain managed with medications. Wound dressed. 2-week review with Dr Liew.
• Week 3–6: Increasing independence. Most patients drive an automatic car by 4–6 weeks (right knee: confirm with Dr Liew). Physiotherapy continuing.
• Month 2–3: Walking without aids. Returning to most activities. Swimming from 4 weeks post-op.
• Month 6–12: Continued strength improvement. Returning to golf and other low-impact sport.

Frequently Asked Questions