TKA And Rehab Flashcards
How were TKAs in the 70s?
Admitted 1-2 days before surgery
Bedrest 2-3 days post op
Ambulation with knee splint day 3
Knee ROM day 7
No discharge until knee flexion of 90°
How are TKAs done now?
Admitted morning of surgery
Mobilize day of surgery
WBAT
Average length of stay 3.4 days
What are the components of a TKA?
Femoral component
Plastic spacer
Tibial component
How long before average patient reaches 90° of flexion following a TKA?
10 days
What muscle group is likely weak following TKA?
Quadriceps (weakness lasts 3-6 months)
How would you treat a TKA patient during the first phase (1-2 weeks)?
Control swelling
Knee ROM 0-90°
Muscle strength 3-4/5
Ambulation with or without AD
Establish home exercise program
What is the evidence of a continuous passive motion device post TKA?
It should not be used
What is the evidence about the motor function training post TKA?
Should be included (balance, walking, movement symmetry)
What is the evidence about cryotherapy post TKA?
Should be taught to patients (use for early post op pain)
What is the evidence of neuromuscular electrical stimulation post TKA?
Start day 2 post op
Electrodes over distal VM and proximal VL
Intensity set to maximum tolerance
What are the goals for phase 2 (3-6 weeks)?
ROM 115°
Increase strength
Home care exercise program
What does pre op education help with?
Pain
Med use
Length of stay in hospital
Fear
What are the 3 main red flags that need to be monitored post TKA?
DVT
Pulmonary embolism
Infection
