TKA Protocol. Swelling control and Range of Motion are 2 of the most important components of rehabilitating a TKA. - ppt download

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It is important to prevent swelling instead of trying to reduce it after it happens Swelling will: Increase Pain Limit patient’s ability to flex and extend knee “Shut down” the muscles around the knee This will ultimately delay the patient’s recovery and limit how well they will perform their exercises
Swelling control and Range of Motion are 2 of the most important components of rehabilitating a TKA
It is important to prevent swelling instead of trying to reduce it after it happens Swelling will: Increase Pain Limit patient’s ability to flex and extend knee Shut down the muscles around the knee This will ultimately delay the patient’s recovery and limit how well they will perform their exercises
Knee ROM is very important and is best to start ASAP after surgery Patients are racing against the clock with scar tissue production after surgery
Patient’s activity status is: Limited Patient may get up to : Go to the bathroom Work with therapies Perform exercises
Secure polar ice wrap snugly to the knee with gray wrap or an Ace wrap. Compression will also control swelling. Provide moderate compression when securing polar ice wrap Always protect skin with TED hose and another thin layer, such as pillow case or towel..
Patient’s knee should be straight as possible with heel slightly off the edge..
The pillow is designed to elevate the leg while keeping the knee as straight as possible. Patients should be in the pillow at least 4 hours per an 8 hour shift..
Total Knee Replacement Exercises
Tighten the muscle in the front of thigh. Hold for 5 counts. Repeat 10 times. Attempt to get your knee as straight as possible.
Pull towel towards you lifting heel in the air. You may use hand to push down on your thigh to stabilize. Hold for 5 counts. Repeat 10 times..
To help you bend the knee further, place a towel under your thigh or around your ankle. With both hands pull towel towards your body, sliding the heel closer towards your buttocks. Hold for 30 counts. Repeat 3 times..
Keeping your operated leg straight, lift your heel off of bed approximately 18 inches. Repeat 10 times. When, and only when, you can lock your knee fully straight, you will begin Leg Lifts..
Patients should perform their exercises at least 4 times per day and record in their exercise log of the, Caring For Your Knee booklet