Physical Therapist Management of Total Knee Arthroplasty
Overview
Overview
- In 2013, 662,545 total knee arthroplasties (TKAs) were performed, making it the most commonly performed orthopedic surgery in the lower extremity.
- The number of TKAs performed annually in the United States is expected to increase by 855% between 2012 and 2050, equating to 2,854 procedures per 100,000 US citizens over 40 years of age.
- Globally hip and knee OA was ranked as the 11th highest contributor to disability among almost 300 health conditions.
- TKA consists of resection of the diseased or degenerative articular surfaces of the knee, replacing the surface with metal and polyethylene prosthetic components.
- The clinical practice guideline is based on a systematic review of published studies with regard to the physical therapist management of patients undergoing TKA and is an educational tool to guide qualified clinicians through a series of treatment decisions in an effort to improve the quality and efficiency and reduce unwarranted variation of care.
- This pocket guide addresses the physical therapist management of adult patients with knee osteoarthritis undergoing primary TKA. It is not intended to address management of revision or partial TKA, pediatric patients, or patients with rheumatoid arthritis. In addition, this pocket guide is not intended to address nonoperative management of patients with osteoarthritis.
Recommendations
Recommenda...
...ve Exercise ProgramPhysical therapists should de...
...eoperative EducationIt is the consensus of the wo...
...ontinuous Passive Movement Device (CPM) Use for Mo...
...ical therapists should teach and encourage use of...
...ysical ActivityIt is the consensus of...
...tion Training (balance, walking, movement, s...
...stoperative Knee Range of Motion Exer...
...mmediate Postoperative Knee Flexion Du...
...cular Electrical Stimulation (NMES)Physical the...
...and Intensity of Strengthening Exercise...
...rs: Body mass index (BMI); Depression; Preoperativ...
...ors: Tobacco AND Patient SupportIt is the...
...ve Physical Therapist SupervisionSupervise...
...p- vs. Individual-Based TherapyPhysical...
...Therapy: Postoperative TimingPhysical therapi...
...Therapy: Discharge PlanningIt is the...
...es AssessmentIt is the consensus of the wo...