knee joint surgery

Question 1

compare cemented and cementless

Answer 1

cemented
- WBAT c AD and knee imobilizer
- FWB in 6 wks

cementless
- toe touch WB for 4-8 wks c AD

Question 2

discuss WB considerations

Answer 2

cane use is recommended for progression to FWB

community amb s AD is not advisable until:
- full ROM
- active knee ext
- adequate hip and knee MMT

Question 3

TKA exercise precautions

Answer 3

avoid excessive tension on wound

delay SLR in side-lying
- cemented: 2 wks
- cementless: 4-6 wks

delay unssupported WB until complete strength of hip and knee

confer c surgeon
- initiation of PRE
- PJM

Question 4

max prot phase of TKA

Answer 4

~ 4 wks

cryo, compression, elevation

heel slides
gravity assisted knee flex and ext

muscle sets c NMES
assisted SLRs
AAROM - AROM

pat mob

gait training c AD
bed mob and transfers

ankle pumps and compression stockings

Question 5

criteria to progress to mod prot phase in TKA

Answer 5

well healed incision
min pain and swelling
indep ADL and amb c AD
full ROM of active knee ext and 90° knee flexion

Question 6

mod prot phase

Answer 6

8-12 wks

low intensity stretching
stationary cycling c lower seat

multiple angle isom
light PRE - CKC

proprio and balance ex

gait and fcuntional training

aerobic ex - low impact

Question 7

criteria to progress to min prot phase in TKA

Answer 7

full active knee ext and 110° of flexion

70% or 4/5 MMT of knee and hip muscles

min to no pain during activites

Question 8

min prot phase of TKA

Answer 8

~2-3 mo.

progress lang mod prot