STAGE 1: FIRST 6 WEEKS
Aims:
Extension to 0 degrees (may not be possible if pt had long pre-op history of fixed flexion deformity)
Increasing flexion: Aim for as much flexion as possible
Wean off walking aids as comfort, swelling and gait allows
Achieve independence with home exercise programme
Treatment
Swelling management
Gait re-education
Stretches
Exercises: Knee ROM, stabilising muscle strengthening, proprioceptive, core stability and balance
Hydrotherapy and electrotherapy: if available and thought to be appropriate
Manual therapy: Soft tissue and joint mobilisations as felt appropriate
STAGE 2: 6 weeks and onwards
Aims:
Safe and independently mobile without aids
Ascend and descend stairs reciprocally
Fully independent in ADLs
Return to leisure activity (impact and pivoting sports not recommended)
Treatment
As Stage 1 plus:
Exercises: muscle strengthen through range, dynamic stabilisation exercises
Proprioception / balance – wobble boards, trampette etc as appropriate (higher level expected of PFJR and UKR than TKR)
