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Total Knee Replacement: Rehabilitation Protocol*

Cincinnati Sportsmedicine and Orthopaedic Center Total knee replacement : Rehabilitation Protocol* This Rehabilitation protocol was developed for patients who have had a cemented Total knee arthroplasty. Patients who have had a prior patellectomy or failed Total knee replacement may require modifications in regards to the progression of weight bearing and knee motion as discussion in this protocol. The protocol is divided into 6 phases according to postoperative weeks (for instance, Phase I = Postoperative Weeks 1-2). Each phase has several categories including: General observation of the patient's condition (weight bearing, pain, hemarthrosis, muscle control) Evaluation of specific variables with goals identified for each Treatment and exercise program, according to frequency and duration Rehabilitation goals which must be achieved to enter into the next phase The overall goals of the operation and Rehabilitation are to: Control joint pain, swelling, hemarthrosis (minimal or none) Regain normal knee flexion and extension Regain a normal gait pattern and neuromuscular stability for ambulation Regain normal quadriceps, hamstring lower extremity muscle strength Regain normal proprioception, balance, and coordination for desired activities Achieve optimal functional

Return to strenuous activities after total knee arthroplasty carries the definite risk of failure of the prosthesis. These risks cannot always be scientifically assessed. Patients are warned to avoid running, twisting, turning, and jumping activities and to …

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