Access Keys:
Skip to content (Access Key - 0)

Total Knee Arthroplasty Post-operative Rehabilitiation

Background

  • The total knee arthroplasty (TKA) is performed on individuals with advanced osteoarthritis resulting in pain and limited function. 
  • More than 450,000 TKA's are performed in the U.S. each year and this number is expected to double by 2020 (2,69)
  • Approximately 40% of patients with unilateral TKA progress to a TKA in the uninvolved knee by 10 years (48,65)

Protocols

Considerations in Rehabilitation

Muscular Impairments

A post-operative strength deficit of the quadriceps has been well documented in those having undergone a TKA (5,42,52,55,67,70,79,85).  This deficit can persist even years after surgery (5,6,29,71,72,85). Patient's produce less thatn half of their preoperative torque at one month post-op (52,54,57,79).  Atrophy of 5% to 20% has een reported in the first month as well, compared to pre-operative values (54,62,67).  Strength rarely compares to those of healthy age-matched subjects(6,72) or to that of the non-operative knee (5,6,42,52,85).   Long-term results show a 30 to 48% strength deficit of the quadriceps compared to healthy age-matched individuals (23,52,53,85).  To summarize, strength rapidly declines immediately post-op and then slowly recovers to levels only slighty above pre-operative values (Meier et al, 2008). 

Hamstring strength deficits after TKA have also been documented (5,29,42,51,72). 

Peer Review

OrthopaedicsOne Peer Review Workflow is an innovative platform that allows the process of peer review to occur right within an OrthopaedicsOne article in an open, transparent and flexible manner. Learn more

Instructions for Authors

Read our Instructions for Authors to learn about contributing or editing articles on OrthopaedicsOne.

Content Partner

Learn about becoming an OrthopaedicsOne Content Partner.

Academic Resources

Resources on Total Knee Arthroplasty Post-operative Rehabilitiation from Pubget.

Error rendering macro 'rss' : The RSS macro is retrieving an HTML page.
Orthopaedic Web Links

Internet resources validated by OrthopaedicWebLinks.com

Related Content

Resources on Total Knee Arthroplasty Post-operative Rehabilitiation and related topics in OrthopaedicsOne spaces.

Page: Subacromial Decompression Rehabilitative Protocol (OrthopaedicsOne Articles)
Page: Physical therapy for patellofemoral pain syndrome (OrthopaedicsOne Articles)
Page: Proximal Realignment Rehabilitative Protocol (OrthopaedicsOne Articles)
Page: Rotator Cuff Repair Rehabilitative Protocol (OrthopaedicsOne Articles)
Page: Rotator Cuff Repair Protocol - Small (OrthopaedicsOne Articles)
Page: Rotator Cuff Repair Protocol - Medium to Large (OrthopaedicsOne Articles)
Page: Rotator Cuff Repair Protocol - Massive (OrthopaedicsOne Articles)
Page: Total Knee Arthroplasty Post-operative Rehabilitiation (OrthopaedicsOne Articles)
Page: Total Knee Arthroplasy Protocol (Shawn Maloney) (OrthopaedicsOne Articles)
Page: Physical Therapy of the Foot and Ankle (OrthopaedicsOne Articles)
Showing first 10 of 30 results