These rehabilitation guidelines are presented in a criterion based progression. A total knee replacement is a surgical operation aiming to replace a wornout joint. A knee replacement recovery timeline is difficult to predict. The information presented is intended for general information and educational purposes. I will be sharing the timeline of my own recovery over a period of the first year after surgery and i hope it will help those of you.
Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. Exercises after the knee replacement or simply total knee replacement protocol is equally important as the surgery itself. Each case can be very different depending on the goals of the patient, the age of the. You may get different instructions from your surgeon, doctor or physiotherapist. Overview of total knee replacement 4 overview of total hip replacement 5 preparing for surgery 6 exercise. Recovering from a partial or total knee replacement and. To prevent this, postoperative rehabilitation protocol or exercises are very. A patients guide to total joint replacement and complete care. The full rehabilitation program may not be necessary. Total knee arthroplasty protocolbrigham and womens hospital phase i. Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems. After a total knee replacement, a person will need to stay in the hospital for. A total knee replacement tkr is usually done as the surgical treatment option for advanced osteoarthritis of the knee joint. Initiate gentle strengthening exercises with the primary goal of activating the quadriceps.
Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. Make sure you check with the surgeon before you start using any protocol. Beginning 34 days after surgery, you may apply heat under the knee or to the thigh muscle well. During stage i, continue with rice rest, ice, compression, and elevation. This procedure replaces your damaged knee joint with an artificial knee implant. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day and walk for 30 minutes, 2 or 3 times a day during your. Ice on the operated knee while elevating the leg above your heart helps reduce swelling. Also, obtain a copy of the operative report from the surgeon. Exercise guide for knee replacement surgery please bring this guide to the hospital.
General time frames are given for reference to the average. Total knee replacement exercise booklet sunnybrook hospital. According to my doctor, my recovery was pretty much what he expected and nothing remarkable. Cpm 0 100 started in recovery room for minimum of 4 hours. Knee implants consist of 1 a metal piece attached to the end of your thigh bone, 2 a metal and plastic or allplastic piece attached to the top of. If you have too much pain in your knee to exercise, or if any of. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Physiotherapy exercises following total knee replacement. More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living.
Beginning 34 days after surgery, you may apply heat under the knee or to the thigh muscle well above the incision for 1015 minutes before you exercise. Keep affected leg as straight as possible and tighten muscles on top of thigh. Regular exercise to restore strength and mobility to your knee and a gradual return to everyday activities are important for your full recovery after knee replacement. Apply ice for 10 15 minutes to the operated knee or thigh especially after exercise. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do. Knee replacement exercise booklet weight bearing as.
The intent of this physical therapy protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient who has undergone a total knee arthroplasty. Rates of total knee arthroplasty tka have doubled in recent years 1. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Knee total knee arthroplasty brigham and womens hospital. Exercise guide for knee replacement surgery grand river.
Rehabilitation strategies for optimisation of functional. Walking is a good exercise but is no substitute for your stretching and exercises. It is important to be patient, to be an active participant in your exercise program, and to strictly follow the. Appointments begin physical therapy 3 x week for the first 24 weeks rehabilitation goals active quadriceps muscle contraction safe isometric control for ambulation passive knee rom 090. The knee joint is made up of the femur thigh bone, the tibia shin bone, the patella knee cap and cartilage usually worn out because of oa. Total knee exercises why should i exercise my knee. Total knee arthroplasty tka is an elective operative procedure to treat an arthritic knee. Recovery may take longer, but once youve recovered, results are usually good. If you are having any problems with the exercises, please call sports. Rehabilitation protocol this rehabilitation protocol was developed for patients who have had a cemented total knee arthroplasty.
During the surgery, the knee joint is replaced with artificial material. This will help you move easier and get back to doing the activities you enjoy. Ankle exercises point your feet up and down in a pumping motion. Outpatient rehabilitation guidelines for total knee. The most common form of damage seen is osteoarthritis. Effects of virtual exercise rehabilitation inhome therapy. Rehabilitation guidelines following total ankle arthroplasty. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength.
Total knee arthroplasty protocol brigham and womens. When you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. Total knee arthroplasty protocol brigham and womens hospital. Do the exercises selected by your physical therapist in the right phase 1, 2, or 3 for your stage of recovery.
Rehabilitation guidelines following total ankle arthroplasty rehabilitation is vital to regaining motion, strength and function of the ankle after surgery. The projected increased use in the united states has substantial implications for healthcare financing and postoperative clinical management 1. This guideline is designed to progress the individual through rehabilitation to functional activity participation. The end of the femur is removed and replaced with a. General time frames are given for reference to the average, but individual patients will progress at different rates depending on. Our outpatient knee replacement program eliminates hospital stays and supports your recovery. Although physical therapy pt is effective for promoting functional recovery after tka 2, the provision of posthospital rehabilitative care is highly variable and has been cited as. Patients who have had a prior patellectomy or failed total knee replacement may require modifications in regards to the progression of weight bearing and knee motion as discussion. Postoperative instructions for total knee replacements. It is not intended to replace the advice of your health care provider. The knee can be replaced as often as necessary, although results tend to be slightly less effective each time. Department of physical medicine and rehabilitation, boston, ma.
Please refer to the before during and after hip and knee replacement. High risk patients only concurrent patellar realignment, mcl repair, lack quad control, difficulty with balancecoordination x x range of motion minimum goals. Exercise guide for knee replacement surgery vancouver. Contact your health care provider if you believe you have a health problem. The patients guide to outpatient total knee replacement. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Recovery and rehabilitation times will vary according to the type of surgery a person has. In this stage, youll get back on your feet and return to an active lifestyle. For example, according to patientreported outcomes. The first pfc total knee system was designed and implanted by dr.
Knee implants consist of 1 a metal piece attached to the end of your thigh bone, 2 a metal and plastic or. Total hip and knee arthroplasty tka and tha have been quoted to be some of the most successful operations and performed in an increasing number of patients every year around the world to reduce pain and improve function culliford et al. Everyones time frame for recovery will be different. Total knee replacement home exercise program phase i. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. We have used an arthritic knee as the basis for this explanation of total knee replacement. Rehabilitation protocol summary for total knee replacement postoperative weeks postop months 12 34 56 78 912 4 5 6 brace. A patients guide to total joint replacement surgery hip and knee, is a comprehensive, essential overview of everything having to do with total knee replacement surgery at hss, from an overview of the procedure and hospital maps to nutrition tips and illustrated physical therapy exercises. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. The intent of this physical therapy protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient who has undergone a total knee.
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