Physical Therapist Management of Total Knee Arthroplasty

Publication Date: June 16, 2020

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

...ommendatio...

Preoperative Exercise ProgramPhysical therap...


...rative EducationIt is the consensus...


...ive Movement Device (CPM) Use for Mobili...


...yotherapyPhysical therapists should tea...


...tyIt is the consensus of the work group that phys...


...or Function Training (balance, walking, movem...


...operative Knee Range of Motion ExerciseIt...


...ate Postoperative Knee Flexion Duri...


...ectrical Stimulation (NMES)Physical therapists s...


...and Intensity of Strengthening Exerci...


...rs: Body mass index (BMI); Depression;...


...gnostic Factors: Tobacco AND Patient Su...


...erative Physical Therapist SupervisionSupervise...


...Individual-Based TherapyPhysical therap...


...apy: Postoperative TimingPhysical therapis...


...Therapy: Discharge PlanningIt is the con...


Outcomes AssessmentIt is the consensus...