Dr. Vaishali Suri (P.T.)
Knee Replacement: Surgery is Only Half the Story
Total knee replacement (TKR) is one of the most commonly performed orthopaedic surgeries in India, with over 250,000 procedures annually. It is highly successful for end-stage knee osteoarthritis — but the surgical outcome is strongly influenced by post-operative physiotherapy. Patients who receive early, structured physiotherapy achieve better range of motion, strength, function, and pain outcomes than those with minimal rehabilitation.
Phase 1: In-Hospital and Immediate Post-Discharge (Days 0–14)
Physiotherapy begins within hours of surgery in hospital. Goals: prevent deep vein thrombosis (DVT) through early mobilisation, achieve straight-leg raise, begin knee bending (flexion), and mobilise with walking aids. On discharge (typically Day 2–4), home physiotherapy should begin immediately — many patients benefit from home visits at this stage.
Phase 2: Early Rehabilitation (Weeks 2–6)
Goals: achieve 90° knee flexion by Week 6 (target for most daily activities), reduce swelling, progress to walking without aids on appropriate surfaces. Key exercises: heel slides, quad sets, short arc quads, terminal knee extension, step-ups. Swelling management: ice 20 minutes after exercises, elevation, compression.
Phase 3: Strengthening (Weeks 6–12)
Goals: achieve 120° knee flexion (target for comfortable stair climbing and sitting), progress to single-leg exercises, return to driving (typically 6–8 weeks for right knee replacement). Key exercises: stationary cycling, leg press, mini-squats, step-ups and step-downs.
Phase 4: Return to Full Function (Months 3–6)
Goals: return to all daily activities, social activities, and low-impact recreational activities. Walking for exercise, swimming, and cycling are all appropriate. High-impact activities (running, jumping sports) are generally discouraged after TKR.
TKR Rehabilitation at Realign Rehab Clinic
At Realign Rehab Clinic, NIT-5, Faridabad, we provide both clinic and home visit physiotherapy for post-TKR patients. Contact us to begin your recovery.