Total Knee Replacement

Question 1

TKJR post op day 1

Answer 1

Check WB status PWB or WBAT Aim to get out
of bed (frame or crutches) and mobilize Chest Physio, circulation exercises
ROM exercises hip/knee/ankle good leg
Bed exercises operated leg PROM/AAROM Static quads
IRQ
SLR
Knee flexion and extension (+overpressure) Knee flexion while SOEOB May use CPM for knee ROM – to 60*
Day 1 – PROM/AAROM flex/ext knee ex Sit out in chair
Ice packs or cryocuff/iceman

Question 2

TKJR post op day 2

Answer 2

Continue with bed exercises, chest physio, circulation exercises
Progress knee ROM exercises, aim 90* and SLR by day 4 or pre-D/C
Mobilize with crutches or walker PWB/FWB
If doing well, start IRQ in sitting, flexion in
sitting
Promote extension in bed, flexion in sitting

Question 3

TKJR post op day 3/4

Answer 3

Aim 90* flexion and SLR pre D/C Progress mobility
Stairs
D/C usually around day 4
HEP
F/U with knee class or OPD if available Independent with mobility & stairs