Seminars in Arthroplasty
Volume 17, Issue 2 , Pages 61-65, June 2006

Education and Rehabilitation of the High-Performance Knee Arthroplasty Patient

  • Arnold D. Scheller, MD

      Affiliations

    • Pro Sports Orthopedics, Inc., Brookline, Massachusetts.
    • Corresponding Author InformationAddress reprint requests to Arnold D. Scheller, MD, Pro Sports Orthopedics, Inc., 235 Cypress Street, Brookline, MA 02445.
    • ,
  • Heather Hayden, PT, DPT, MS

      Affiliations

    • Tufts University School of Medicine, Boston, Massachusetts.
    • ,
  • Edward Lacerte, Med, PT, SCS, L/ATC, CSCS

      Affiliations

    • Pro Sports Orthopedics, Inc., Brookline, Massachusetts.
    • Boston Celtics, 840 Winter Street, Waltham, MA 02451.
    • ,
  • James Gaydos, MSPT

      Affiliations

    • New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120.

Rehabilitation is essential to the success of any total knee arthroplasty (TKA). The following is an aggressive TKA protocol divided into four phases: Phase I, Early Mobilization Phase; Phase II, Work Phase (routine daily activities, walking, golf); Phase III, Power Phase (closed kinetic chain activities, low impact sports); Phase IV, Return to Functional Level (limited open-chain kinetic sports). The goals of this program are achieving early and maximal range of motion and strength, while minimizing stresses at fixation sites until sufficient bone ingrowth takes place. It consistently results in improved scores on all functional tests and fulfills patients’ rehabilitation needs.

Keywords:  rehabilitation , daily activities

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 This work was supported in part by Stryker Orthopedics.

PII: S1045-4527(06)00026-5

doi:10.1053/j.sart.2006.05.001

Seminars in Arthroplasty
Volume 17, Issue 2 , Pages 61-65, June 2006

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