Jenkins c1, barker kl, pandit h, dodd ca, murray dw. Total ankle arthroplasty physical therapy protocol 02 weeks non weight bearing in splint. It is not intended to replace the advice of your health care provider. Ankle exercises point your feet up and down in a pumping motion. Although the physiotherapy team and hospital staff will help you with your rehabilitation, it is important that you take an active role in this process. If you do not see a therapist for advice before surgery, try doing the. Total knee replacement massachusetts general hospital. 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. It is important to be patient, to be an active participant in your exercise program, and to strictly follow the guidelines outlined in the enclosed packet. We want the blood to drain out of the knee on to the dressings rather than buildup in your knee and cause swelling and pain. A patients guide to total joint replacement and complete care.
Implants may also need replacement for infection, pain or other factors as determined by your doctor. This unified protocol should now be further evaluated in order to refine the protocol and verify the strength of these recommendations. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Total knee replacement arthroplasty is the surgical resurfacing of the damaged surfaces of your knee, and one of the most effective ways to reduce pain and restore mobility. Pdf total knee replacement tkr techniques researchgate. This helps you get back your knee s range of motion and strength. For patients who are recovering from knee surgery, please refer to the following protocols as advised by your physical therapist. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do. Physical therapy after total knee replacement if youve had knee replacement surgery, chances are very high that youll feel far less pain and can move around much better than before. Rom range of motion this defines the amount of mobility in your knee prom passive range of motion mobility exercises remain completely passive without the use of muscles to move your knee aarom acitve assisted or partner.
The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr. Exercises after the knee replacement or simply total knee replacement protocol is equally important as the surgery itself. If you are unable to tolerate any of the exercises due to pain, do not continue. Total knee arthroplasty protocol center for sports. It is not intended to be a substitute for appropriate. Physical therapy exercises to do after total knee replacement.
Total joint replacement clinical approach september 2018. Postoperative instructions for total knee replacements. Total knee replacement home exercise program phase i. General time frames are given for reference to the average, but individual patients will progress at different rates depending on. Exercise guide for knee replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. Total knee arthroplasty replacement is a complex procedure that involves the removal and replacement of both the tibial and femoral weight bearing surfaces of the knee. Download our knee replacement booklet anderson orthopaedic. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. 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. Outpatient rehabilitation guidelines for total knee arthroplasty. Primary weight bearing as tolerated wbat revision 50% weight bearing x 6 weeks bed mobility and transfers heel slides, arom, aarom, prom as tolerated.
Total knee arthroplasty tka is an elective operative procedure to treat an arthritic knee. Exercise guide for knee replacement surgery vancouver. Rehabilitation guidelines for unilateral total knee. Important to work on nwb hip knee le exercises to maintain strength slr, saq, sidelye hip abd, etc. You have made the decision to have a total knee replacement to decrease your pain, regain function, and increase your quality of life. It contains exercises and advice to help you recover to the best of your ability, and provides guidance so that you know what to expect. Our outpatient knee replacement program eliminates hospital stays and supports your recovery. Initiate gentle strengthening exercises with the primary goal of activating the quadriceps. Patellofemoral joint replacement protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Doing exercises to strengthen your legs will help you recover faster.
Total shoulder arthroplasty hemiarthroplasty protocol. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. Imagine that you become completely painfree after the surgery but unable to bend knees and having difficulty in doing daily activity. Revision total knee replacement is more complex and takes longer to perform than primary total knee replacement. 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. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Knee replacement rehabilitation rehab is a series of exercises you do after your surgery. Sitlie with knee straight arom hip and knee 26 weeks 2 week md visit. This protocol provides you with general guidelines for the initial stage and progression of total ankle replacement rehabilitation. The information presented is intended for general information and educational purposes. General time frames are given for reference to the average, but patients will progress at different rates depending on. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement.
Early highintensity rehabilitation following total knee arthroplasty improves outcomes. This book is meant to help you get ready for and recover from your total joint replacement. Acl reconstruction rehabilitation protocol 10 caring for your knee 1 the first night and day after the surgery you can expect the bandages to get bloody. Tha is an effective option if the patients pain does not respond to conservative treatment and has caused a decline in their health, quality of life, or ability. During stage i, continue with rice rest, ice, compression, and elevation. Rehabilitation guidelines for total knee replacement 4 p a g e phase iv continued suggested therapeutic exercises continue with progression of exercises for eccentric quad control integrate return to golf, tennis, hiking, cardiovascular program advance balance and proprioception cardiovascular exercises bike riding. Patellofemoral ligament reconstruction rehabilitation program. Gallandkirby total knee and unicompartment arthroplasty postsurgical rehabilitation protocol postop days 1 7 ted hose x 6 weeks walker or crutches. Knee implants consist of 1 a metal piece attached to the end of your thigh bone, 2 a metal and plastic or. Total knee replacement implants have a normal life span of 1020 years.
Contact your health care provider if you believe you have a health problem. Total knee replacement exercise booklet sunnybrook hospital. Rehabilitation guidelines following total ankle arthroplasty. Beginning 34 days after surgery, you may apply heat under the knee or to the thigh muscle well above the. Total knee replacement ui health care university of iowa. Is able to demonstrate the beginning exercises to be performed while in the hospital. Total ankle replacement rehabilitation protocol dr. The first pfc total knee system was designed and implanted by dr. Do the recommended exercises for at least 8 weeks to allow for the muscles to get stronger.
Consensus statement for perioperative care in total hip. Proposed rehab protocol for total knee replacement. The knee joint is located at the meeting point of the thigh bone femur and the shin bone tibia. Also, obtain a copy of the operative report from the surgeon. Unicompartmental knee replacement protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Acknowledgments this edition of the guide would not have been possible without the tireless efforts and dedication of the sub. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon. Total knee arthroplasty protocol brigham and womens. Pdf total knee replacement is acknowledged as a successful and durable operation, but recovery from this surgery is often lengthy and painful.
A total knee replacement is a surgical operation aiming to replace a wornout joint. These rehabilitation guidelines are presented in a criterion based progression. This type of surgery is a big decision and this manual is intended to help you prepare for your surgery and guide you through the rehabilitation. Patient will be weight bearing as tolerated with a crutches or walker initially. Post operative total knee replacement protocol brian white, md. Total ankle arthroplasty rehabilitation is vital to regaining motion, strength and function of the ankle after surgery. Outpatient rehabilitation guidelines for total knee. After partial knee replacement, patients can kneel, but they need to be taught to do so. Total knee replacement manual and therapyrehab protocol. Physiotherapy exercises following total knee replacement. Knee replacement postop exercise booklet saskatchewan.
Make sure you check with the surgeon before you start using any protocol. To begin, your doctor will follow the line of the incision made during your primary total knee replacement. The patients guide to outpatient total knee replacement. Receives any necessary therapy to assure maximized rom and good functional strength. Its the joint that allows the leg to bend and straighten. Make sure that your patient has a follow up appointment for a wound check. 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. This procedure replaces your damaged knee joint with an artificial knee implant. 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 tka at brigham and womens hospital bwh. Total hip arthroplasty tha, also known as a total hip replacement is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic hip joint. You will work with your doctor and physiotherapist to plan this exercise program.
Patient will be weight bearing as tolerated with a rolling walking or other piece of medical equipment. Total knee arthroplasty protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. The demand for total hip arthroplasty tha and total knee arthroplasty tka is predicted to increase as a consequence of the increased prevalence of osteoarthritis, mainly resulting from longer life expectancy, the epidemic of obesity and changes in lifestyle. Then metal implants are inserted into the ends of the femur and tibia. Total joint replacement tjr is a surgical procedure in which parts of a damaged joint are removed and replaced with a metal, plastic, or ceramic device called a prosthesis. The most common form of damage seen is osteoarthritis. Knee total knee arthroplasty brigham and womens hospital.
Total knee replacement guide pdf wayne unc health care. Rehabilitation protocol this rehabilitation protocol was developed for patients who have had a cemented total knee arthroplasty. Overview of total knee replacement the knee joint is the largest joint in the body. Exercise guide for knee replacement surgery vch patient health.
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