Janet was one of the first patients to have a knee replacement with Dr. Alan Valadie and the Mako Robot. We asked her about her experience, you can read her response below.
- Why did you choose Coastal Orthopedics?
I had planned to have my surgery in Pennsylvania, it too was to be robotic, and I had great faith in the surgeon. However, during the planning stage with the surgical coordinator I learned, I was responsible for many pre-op tasks, such as contacting my insurance company concerning medication coverage. Also, I would need to make all PT appointments after the surgery. The process felt very fragmented to me and not personal.
My trainer at Anna Maria Community Center recommended Coastal Orthopedics, especially Dr. Alan Valadie for knee replacement. She had seen many positive outcomes with others in the gym.
My surgery with the Coastal Orthopedics team was all-inclusive. I experienced a package deal: all my appointments and needs (pre-op & post-op) were organized by the outpatient total joint replacement facilitator and she kept in contact with me prior to my surgery. I had all my medications prior to the surgery, which was great. There was no rushing to the pharmacy on the way home. It also gave me the opportunity to review everything with a clear mind prior to my surgery.
The surgery is only one part of the process, I gained confidence with my interactions with the entire team. The team includes receptionists, coordinators, OR personnel, and physical therapists (and PTAs). I believe everyone’s courtesy, knowledge and professional efficiency gave me the assurance in my selection of Dr. Valadie and Coastal Orthopedics.
- Being familiar with robotic knee surgery, why were you looking for a surgeon that offered this technology?
I only wanted to have robotic-assisted knee replacement because I knew from both research and my nurse work experience that this type of surgery was more precise to one’s anatomy. This precision is known to decrease trauma by decreasing edema and pain, thus expediting recovery. I can attest to this; my surgery and post-op recovery was much easier than I expected.
I also wanted a surgeon with experience, who didn’t jump on bandwagon with new processes/techniques. After speaking with Dr. Alan Valadie, he shared how he made the decision to bring robotic-assisted TKR surgery into the practice. He was the man I wanted to ‘fix’ my knee.
- What was your experience like the day of your surgery at the surgery center?
My surgery day! My husband tells everyone (sometimes multiple times) he cannot believe that he dropped me off at the surgery center at 6:30 am and returned at 12:30 pm to pick me up to go home. And that I had a new knee and was walking with a walker.
Being a health professional, I know what is to occur, thus my anxiety was high! At the surgery center the staff was awesome! I loved watching camaraderie among the staff. From the time I walked in the door, I felt at ease. My preop experience was excellent with my nurse Alma – I did not even know the anesthesiologist administered the leg block – his technique was smooth.
I don’t remember much post-op except I had no pain. My non-medical family reports discharge instructions were very clear and easy to follow.
Ambulation into my home was easy, again no pain. I was home by 1:30 pm, sitting in my recliner, my leg elevated and ice on my knee.
- How has your recovery been?
My recovery has been smooth sailing. I did not expect it to be so easy!
I was very fearful of post-op pain and edema, however, my experience with both was minimal. I strictly adhered to the icing schedule and ambulated every 1-2 hours.
To be home so quickly after surgery, in familiar surroundings, and having family near, I believe it helped speed the healing process. It was just so comfortable to be home. If I wanted something, it was easily available.
I cannot deny there was pain, but it was at most a 4/10. I would consider the pain more of a discomfort when comparing pre-surgery knee pain. Taking the medication as scheduled was key.
The Physical Therapists and PTA’s that I worked with were awesome. I worked mostly with Shari White PTA. She has a very casual/calming/fun personality while being professional. The PT staff noted I was progressing very quickly; they were able to challenge me while not allowing me to get ahead of myself. I reached knee flexion goal of 120 degrees within 2 weeks post-op.
I was delighted that I was able to go to WDW for a short visit 4 weeks post-op. I did take it easy with the distances I walked, but I was there!
At 5 weeks post-op I rode my bicycle around the neighborhood. I also returned to walking at Robinson Preserve 3x/week, increasing my distance every day. I am back to walking the dog once or twice a day.
I must remind myself that I recently had TKR and need to take it easy at times.
- Any tips for patients considering a knee replacement?
Most important is to prepare yourself to the highest level of physical and nutritional status that you can. I did have a private trainer for 6 weeks (3x/week) prior to my surgery. I also independently exercised pre & post-op exercises. Including those that increase flexion and extension. I continued to walk as much as I could. Keep your muscles as strong as you can pre-surgery – it pays off post-surgery. I was shocked at how much strength I did lose post-op, but know I was still ahead of the game because of my pre-op prep.
Postoperatively I encourage you to follow the icing, ambulating, and medication instructions. My pain/discomfort was minimal (remember I was expecting the worst pain ever). Ambulation was key, it is not only for your knee but for your entire body (keeps all the organs working properly).
If possible, have family/friends available to assist you – that was crucial during the first week. Especially for the icing & ambulating. I was able to set up my post-op needs in advance of my surgery because Coastal Orthopedics had my post-op care set up. I just had to focus on my recovery, not worry about getting rides to appointments or my nutrition. I also had a backup plan in case one of my helpers was not available.
Most importantly – motivate yourself! Positive self-motivation will expedite your recovery!
Thank you, Janet, for this great review!
