TKR & UKR Rehabilitation

This may be a total knee replacement or partial (unicompartmental) replacement. Unicompartmental replacements will probably progress more quickly and achieve a greater degree of knee flexion.

 

ACUTE STAGE

1. Reduced swelling and pain
2. Knee flexion at least 90 ° hopefully 110.
3. Able to demonstrate control on ascending and descending steps
4. Full weight bearing, may need walking aid as appropriate for general condition

SEVEN DAYS

  • Increase weight bearing as able
  • Active hamstrings
  • Increase flexion gently

PROGRESS

Progress to full weight bearing (stick for balance) Progressive mobilising and strengthening to include : Static bike, Step work, flexion in prone lying, proprioceptive re-education etc.

CONDITIONS FOR DISCHARGE

1. Reduced swelling and pain
2. Knee flexion at least 90 ° hopefully 110.
3. Able to demonstrate control on ascending and descending steps
4. Full weight bearing, may need walking aid as appropriate for general condition