Tighten your thigh muscles and press your knee as flat as possible. A patients guide to total joint replacement and complete care. Bend your operated knee, sliding the heel up the bed towards your buttocks as a far as possible. If you do need a replacement, or think its time to seriously consider it, harvards total knee replacement guide is invaluable. Straighten your knee so that no more than three finger widths can fit behind the knee on a hard surface 5 degrees of bend measure knee bend sit on chair with feet flat and toes touching a wall bend your knee by easing forward on the chair measure the gap between the wall and your knee as shown below and record it. The information presented is intended for general information and educational. Overview of total knee replacement the knee joint is the largest joint in the body. Apply ice to your incision area for 20 to 30 minutes after exercising to help lessen discomfort. 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.
In order to get the best function possible from your knee, it is important that you perform the exercise. To regain smooth, painfree movement, the end of the femur is resurfaced with a metal implant and the tibia and patella are resurfaced with plas tic implants or implants made of both metal and plastic. Total knee arthroplasty tka is a viable treatment for symptomatic osteoarthritis of the knee refractory to conservative measures. Total knee replacement uconn musculoskeletal institute. With appropriate activity modification, knee replacements can last for many years. Total knee arthroplasty an overview sciencedirect topics. Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. Proposed rehab protocol for total knee replacement. Home exercise program following knee surgery during your hospitalization, you have had knee surgery.
Total knee replacement manual and therapyrehab protocol. When the patellofemoral joint the joint between the patella and the distal femur is stiff. Total knee replacement a total knee replacement, also known as total knee arthroplasty, involves removing damaged portions of the knee, and capping the bony surfaces with manmade prosthetic implants. Total knee replacement total knee replacement tkr is performed in patients with severe loss of knee cartilage due to injury or inflammation, wear and tear due to various types of arthritis or other aging. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities. This procedure replaces your damaged knee joint with an artificial knee implant. Physical therapy exercises to do after total knee replacement.
It is important to be patient, to be an active participant in your exercise program, and to strictly follow the. Pdf total knee replacement tkr techniques researchgate. Total knee replacement a total knee replacement, also known as total knee arthroplasty, involves removing damaged portions of the knee, and capping the bony surfaces with manmade prosthetic. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Exercise guide for knee replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. Exercise guide for knee replacement surgery vancouver. It is important to be patient, to be an active participant in. Total knee replacement total knee replacement tkr is performed in patients with severe loss of knee cartilage due to injury or inflammation, wear and tear due to various types of arthritis or other agingrelated changes in the knee. Total knee replacement manual and therapyrehab protocol dr. Contact your health care provider if you believe you have a health problem. In order to have the most successful outcome from your joint replacement surgery, your total.
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. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cant do. Total knee arthroplasty protocol brigham and womens. Decrease variations in the care of total knee replacement. This booklet is designed to provide you with information about having a total knee joint replacement. 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. The patients guide to outpatient total knee replacement. Initiate gentle strengthening exercises with the primary goal of activating the quadriceps. Realistic activities following total knee replacement include unlimited walking, swimming, golf, driving, light hiking, biking, ballroom dancing, and other lowimpact sports. More than 90 percent of individuals who undergo total knee.
The knee joint is located at the meeting point of the thigh bone femur and the shin bone tibia. Put the bike in a spot that will be easy for you to access. Total knee replacement preop exercises straight leg raises lie on your back with one leg bent and the other leg straight, raise your straight leg off bed 1012 inches. Perform throughout the day, 10 per hour while awake. Patients who have a desk job are able to return to work on the average within 24 weeks. Fortunately, this surgical procedure has proven to be a very effective and. Heel slides lie on your back, bend your knee and slide your heel along bed toward your buttocks. Absence from work the time frame for returning to work after a total knee replacement varies depending on you and your job. We have used an arthritic knee as the basis for this explanation of total knee replacement. It is important to be patient, to be an active participant in your exercise program, and to strictly follow. A total knee replacement repositions the knee into proper alignment and replicates the original function, allowing for a nearnormal range of motion.
Its the joint that allows the leg to bend and straighten. This will help you move easier and get back to doing the activities you enjoy. Do both ankles at the same time or alternating feet. The knee cap patella covers the area where the two bones meet. Pdf on jan 1, 2004, r l kane and others published total knee replacement find, read and cite all the research you need on researchgate. Total knee replacement home exercise program phase i, page 3 x16588 82018 ahc total knee replacement. Total knee replacement tkr, also referred to as total knee arthroplasty tka, is one of the most. Total knee arthroplasty tka is an elective operative procedure to treat an arthritic knee. Slowly return your leg to the starting position by completely straightening your knee. Make sure you check with the surgeon before you start using any protocol. A total knee replacement may also involve replacing the undersurface of the kneecap patella with a smooth plastic dome see figure 2. The knee is going to be warm and swollen for a long time 9 months to 1 year.
Acknowledgments this edition of the guide would not have been. Total knee replacement home exercise program phase i. Dec 29, 2017 knee replacement surgery also known as knee arthroplasty arthrowplastee can help relieve pain and restore function in severely diseased knee joints. To get the best results from your surgery, it is important that you do your exercises consistently and correctly.
Improved functional status following total knee replacement. Repeat 10 times every hour to help prevent blood clot formation and pump. Brimer, in a comprehensive guide to geriatric rehabilitation third edition, 2014. Surgery is just one part of the treatment for knee arthritis what you do before. Ankle exercises point your feet up and down in a pumping motion. Knee preoperative education book will help you plan and prepare. Intended audience, care setting, and patient population these measures are. More than 90 percent of individuals who undergo total knee replacement experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon. Be sure to ice it after your physical therapy sessions. Patella kneecap mobility is vital for optimal knee health and is a must amongst knee surgery prehab exercises.
Ice on the operated knee while elevating the leg above your heart helps reduce swelling. It will explain how you can prepare for your operation, what to. With extensive patient education and a comprehensive. Knee replacement exercise booklet weight bearing as tolerated. The first step when making the decision about knee replacement is to meet with your surgeon to see if you are a candidate for total knee replacement surgery. In order to get the best function possible from your knee, it is important that you perform the exercise program described below. Total knee arthroplasty total knee replacement has been proven to be a predictably successful procedure with reliable pain relief, increased knee function, and im provement in quality of life 19,27.
Total knee arthroplasty has proven to be a consistent treatment providing improved function and pain relief for endstage knee arthritis. Knee replacement exercises are a vital part of the recovery process to ensure you get the best results from your new knee. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. Perform exercises one 1 and two 2 fifteen 15 times every hour. Ensure the organization has scheduled at least one joint replacement surgery during the time. Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems. Mar 31, 2020 when you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. It is not intended to replace the advice of your health care provider. Physiotherapy exercises following total knee replacement. During stage i, continue with rice rest, ice, compression, and elevation. Your surgeon replaces the surfaces of the thigh bone and shin bone that connects to the knee. Total hip and total knee replacement is evaluated under the diseasespecific care certification manual and has three components. In tkr, the worn cartilage is surgically removed and replaced with combination metal and plastic implants. Knee replacement when medications, physical therapy and other conservative methods of treatment no longer relieve pain, total knee replacement surgery may be considered.
Total knee exercises why should i exercise my knee. Total knee replacement home exercise program phase ii. 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. Surgery is just one part of the treatment for knee arthritis what you do before and afterwards will have a big impact on your recovery. In this stage, youll get back on your feet and return to an active lifestyle.
When you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. When the patellofemoral joint the joint between the patella and the distal femur is stiff, affected by degeneration, or is unhappy the knee is unhappy. The procedure involves cutting away damaged bone and cartilage from your thighbone, shinbone and kneecap and replacing it with an artificial joint prosthesis made of metal alloys. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Background severe knee osteoarthritis, as well as the surgical procedure of total knee replacement that aims to reduce its symptoms, cause great deterioration on the proprioceptive system. Total knee replacement tkr techniques statpearls ncbi. Knee replacement exercise booklet weight bearing as.
Do the exercises selected by your physical therapist in the right phase 1, 2, or 3 for your stage of recovery. The result is stiff, unstable movement, and, of course, accompanying pain. A total knee replacement is a surgical operation aiming to replace a wornout joint. The current concepts of total knee arthroplasty have been devel oped gradually over the last 25 years and have led to a consolidation of. Total knee joint replacement surgery a guide for patients and their caregivers. 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. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. You have decided to have total knee replacement surgery. 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. Knee replacement surgery has been available to arthritic patients for more than 35 years. After a knee replacement, you can get up and about very quickly. Provide both total hip and total knee joint replacement procedures. Knee replacement exercises guide knee pain explained.
Knee replacement replaces the damaged bone and cartilage and can be an effective option to relieve pain, improve mobility and help people return to doing the activities they love. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. Total knee arthroplasty total knee replacement has been proven to be a predictably successful procedure with reliable pain relief, increased knee function, and im provement in quality of life 19,27, 35. Postoperative instructions for total knee replacements.
Youll find a list of critical questions to ask your doctor about his or her credentials. The information presented is intended for general information and educational purposes. Total knee replacement most total knee replacement operations involve replacing the joint surfaces at the end of the thigh bone femur and at the top of the shin bone tibia. Also, obtain a copy of the operative report from the surgeon. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength. Our outpatient knee replacement program eliminates hospital stays and supports your recovery. There are 5 main types of knee replacement surgery. Begin with both knees straight or you may bend your nonoperated knee to a comfortable position. Apply ice for 10 15 minutes to the operated knee or thigh especially after exercise. Ankle pumps gently point toes up towards your nose and down towards the surface. Total knee joint replacement surgery amazon web services. The most common form of damage seen is osteoarthritis.
289 41 1167 67 677 1452 1304 513 328 231 12 1222 1080 657 1154 889 524 535 427 1513 1503 924 218 244 1295 1162 126 315 1197 15 1232 1307 12 114 1131 885 1410 802 527 943 268 711 909 1400 946 478 115 1359