It’s six months since Gillian Norman Bruce had a total knee replacement at The London Independent Hospital, and she couldn’t be happier with the successful outcome.
Gillian’s problems with an arthritic knee began in 2011.
She was initially treated with steroid injections and physiotherapy in 2020.
Although X-rays showed she needed a knee replacement, circumstances delayed her treatment. So, Gillian decided to see a consultant privately.
She chose The London Independent Hospital because it’s close to her home, and she appreciated the expertise and excellent reviews of orthopaedic knee consultant Mr Deepu Sethi.
“The pain had become unbearable”
So, what was it like before the total knee operation? Gillian says: “The pain had become unbearable. I wasn’t sleeping. I felt like someone had a hot screwdriver going into my knee all the time. I was on a lot of painkillers, and my mobility was starting to suffer. I didn’t think I could take another year of it.”
Once on the patient pathway at the London Hospital, everything was straightforward – from payment to operation and recovery.
Spreading the cost of treatment
Gillian explains: “I am a self-pay patient, and Chrysalis, a partner service Circle Health Group provides, managed that side of it very well. It was helpful to spread the cost. It was like buying a sofa – you paid it off every month for a year without paying interest.”
The hospital scheduled a date with the consultant quickly. “Mr Sethi was warm and engaging – I felt confident in him as a person and his technical expertise as a surgeon,” says Gillian. “He was very calming.”
Mr Sethi quickly organised the operation, and his secretary booked Gillian a pre-assessment.
Gillian says: “From that, they understood that I have a dodgy hip on the other side and another dodgy knee, which meant they could manage the process. The continuity of care through the physiotherapy was excellent.”
The operation itself
Mr Sethi and the anaesthetist visited Gillian in the hospital before the operation and performed it in the evening under a planned epidural. In theatre, the team pulled up her leg, putting a green screen in front of her, so she couldn’t see what was happening.
As Gillian was slightly sedated, she could hear the noise of the operation, which she found fascinating. She’d been told what would happen in advance and couldn’t feel anything.
She says: “I would do an epidural again because a general anaesthetic knocks out your whole system.
The operation took a couple of hours, but the time went quickly, and it was well-managed. The feeling in my legs came back fast. The operation was at 7pm. I was back in the room at 10pm. But during the night, I was taking myself off to the loo on my own on a Zimmer.”
The importance of physiotherapy
At 10am the following morning, recovery treatment began. With support from her physiotherapist, Gillian started with small stretches, and within 12 hours was walking the corridor, albeit on a Zimmer and still in much pain, which Mr Sethi had warned her to expect.
The physiotherapist assessed her during her pre-operative assessment, then just before the operation, and again after she had had surgery. So they had got to know her and they had a baseline to compare how she went upstairs before and after treatment.
“The golden rule is to do your physiotherapy exercises,” advises Gillian. “It will make all the difference. They gave me day-one and week-one exercises, then gradually harder week-two exercises. They always gave me something achievable.
So, by the time I was discharged from physiotherapy four months after the operation, there was no swelling or anything. The outpatient physiotherapy was one of the high points of the hospital’s service.”
Less than 48 hours after Gillian’s surgery, the X-rays showed the knee was fine, and Mr Sethi discharged her from hospital, sending her home on crutches.
Recovering at home
“One thing that Mr Sethi recommended in his second meeting before the operation was to hire a cryo-cuff,” Gillian says. “It was a godsend. You put ice into it and wrap a kind of icepack from ankle to thigh, and it pumps cold water around.
So, you can feel the swelling going down. It made a real difference to recovery. He was also helpful in suggesting I get a commode, a stool for the shower, and a raised loo seat, so I came back to an equipped house.”
When Gillian left The London Independent Hospital, the ‘screwdriver’ pain had stopped, but she felt post-surgical pain, which was just as intense as Mr Sethi had warned. But six weeks later it had reduced.
Gillian also had a 20cm scar running from below to above her knee, which has faded over time.
Now, Gillian is more mobile and can walk a reasonable distance. Even at the six-week sign-off, she could walk with a stick for 3 kilometres on holiday to Devon.
What’s her advice for anyone having a knee replacement at The London Independent Hospital? “Do your physiotherapy, take your medication and do as you’re told!” says Gillian.
“Keep a diary of your exercises and meds. I saw Mr Sethi at six weeks and three months and six months, and during the first stage of recovery he phoned me personally, which I really appreciated.
He was incredibly reassuring, and I knew if there’d been a problem, he would have called me.”
Six months later, the most significant outcome is not being in pain and no longer needing to constantly take painkillers. And her mobility is massively increased.
“You’re back to having a knee like you used to have. It’s a great outcome when you’ve been in pain for a while. The only thing is that, unfortunately, for the rest of your life, you will ping away at the airport! But being pulled aside is a small price to pay.”