After your surgery, you are likely to go home with a dressing and an elastic bandage around your knee. Proper care is crucial to your wound healing and minimizing the risk of infection. In this blog, we are going to talk about how to take care of your wound to allow your recovery!

1. DO NOT Get the Dressing on Your Knee Wet If Your Dressing is Not Waterproof

After coming back from the hospital, you are probably in so much pain that the last thing you think about is taking a shower. If you do end up being sick of marinating in your own sweat, here is the catch: RESIST THE TEMPTATION TO TAKE A SHOWER. Don’t get me wrong: we are not advocating bad hygiene here. Before your health care provider says it’s okay to remove your dressing (usually 48 hours after surgery), you should clean yourself with a damp washcloth instead. You may shower again after your dressing is removed.

2. DO NOT Soak Your Dressing Even If It's Waterproof

You may wet your dressing lightly in a standing shower. However, at this point, it’s not recommended to take a bath. Depending on the manufacturer, your waterproof dressing may become detached when submerged in water. If you are not sure what kind of dressing you have, avoid getting it wet altogether.

3. DO NOT Remove Your Bandage and Dressing until Your Health Care Provider Says So

If you need to change your dressing for any reason, wash your hands before you change your dressing to minimize the risk of infection. Put the elastic bandage over the new dressing and wrap the elastic bandage loosely around your knee. You should start wrapping from the calf and work it up towards your leg and knee. Check out this blog here to see how to do it. DO NOT wrap it too tightly. Keep wearing the elastic bandage until your health care provider tells you it is OK to remove it.

4. Do Not Put Anything around Your Wound to Avoid Infection

You may have read somewhere about a miracle cream/ointment that may help your wound heal faster or prevent leaving a scar. However, the reality is, putting any cream/ointment that’s outside of your health care provider’s prescription delays wound healing and traps moisture in your wound, which bacteria LOVE! By doing so, you are increasing your risk of infection!

5. After Your Dressing is Removed, Keep Your Stitches Dry until Removed

You can finally shower at this point! To keep your stitches dry, wrap your leg in a plastic wrap to keep them from getting wet until your stitches have been removed. Speak to your health care provider to make sure it is okay to do so.

6. After You Get Your Stitches Removed, You May Get Your Incision Site Wet When You Shower

If your stitches are DISSOLVABLE, they will disappear on their own in about 3 weeks. If you are not sure about what kind of stitches you have, ask your health care provider.

If your stitches are not dissolvable, check in with your health care provider to get them removed when it is time - usually this is 14 days after surgery.

After the stitches are removed, make sure you PAT DRY the incision site for optimal healing. Keeping the operated site wet may increase the risk of infection. Rubbing the skin around your incision can irritate the site so avoid doing this.

7. If You are Prescribed Antibiotics, Remember to FINISH ALL OF THEM

Don’t try to save your antibiotics for the next time as soon as you feel better! You must finish THE ENTIRE COURSE OF YOUR PRESCRIPTION! Saving a portion of your antibiotics exposes you to the risk of developing superbugs, which are very difficult to treat with antibiotics. See your pharmacist if you have any questions regarding your prescription.

Now that you have survived the surgery, it's time to start your rehabilitation! You can read our blog here to learn more about how you can keep up with your rehab exercises!

If you are just starting your ACL, knee replacement or hip replacement recovery, download Curovate for a 5-day trial! Curovate will guide you through daily exercises, track your progress, and measure your knee range of motion -- all through your phone!

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Reference
Yao, K., Bae, L., & Yew, W. P. (2013). Post-operative wound management. Australian Family Physician, 42(12), 867–870.

Ma, B., & Zieve, D. (n.d.). ACL reconstruction - discharge: MedlinePlus Medical Encyclopedia. Retrieved July 19, 2020, from https://medlineplus.gov/ency/patientinstructions/000189.htm