Abstract
The goals of any rehabilitation protocol should be to control pain, improve ambulation, maximise range of motion, develop muscle strength, and provide emotional support. Over 85% of TKA patients will recover knee function regardless of which rehabilitation protocol is adopted but the process can be facilitated by proper pain control, physical therapy, and emotional support. The remaining 15% of patients will have difficulty obtaining proper knee function secondary to significant pain, limited preoperative motion, and/or the development of arthrofibrosis. This subset will require a special, individualised rehabilitation program, which may involve prolonged oral analgesia, continued physical therapy, more diagnostic studies and occasionally manipulation. Controlling pain is the mainstay of any treatment plan. The program described herein has been used at Ranawat Orthopaedics over the last 10 years in more than 2000 TKAs.
