This document, authored by Jared T. Lee, MD, outlines the rehabilitation plan following a Partial Knee Arthroplasty.
The document includes three phases:
- **Phase 1 (Weeks 0-2):** Focuses on reducing swelling and edema, minimizing pain, restoring range of motion (ROM), DVT prevention, and independent ambulation. Restrictions include WBAT (Weight Bearing As Tolerated), wearing Ted hose, and not driving until off narcotics. Therapeutic exercises include edema control, ROM restoration, NMES, isometric quadriceps strengthening, and core strengthening.
- **Phase 2 (Weeks 2-6):** Aims to reduce swelling and pain, restore ROM, and achieve independence with ADLs. Restrictions remain WBAT and no driving until off narcotics. Therapeutic exercises include progressing the exercise program, single-leg balance, step-ups, prone HS curls, heel raises, and aquatic therapy.
- **Phase 3 (Weeks 6-12):** Goals include full ROM, minimal pain, increased resistance exercises, and normalizing postural/pelvic and LE control. Exercises progress to wall squats, mini lunges, single-leg step-ups, leg press, open-chain knee exercises, and advanced balance and proprioception activities. Criteria for discharge include surgeon clearance, specific hamstring and quadriceps strength indices, Y-Balance anterior reach measurement, and no complaints of pain or instability.
The phases progress from initial post-operative care to full return to activity, with increasing levels of exercise intensity and functional demands.