Total Knee Replacement and Rehabilitation: The Knee Owner's Manual

by Daniel J. Brugioni, Jeff Falkel Ph.D., P.T.

Overview

While several treatment options exist for knee arthritis patients, end-stage treatment is total knee arthroplasty (TKA or total knee replacement). For patients to achieve maximum benefits of this surgical correction, they need understand and manage many important details both before and in the first year after surgery.

This comprehensive guide explains everything from the preoperative decision-making process to the surgery itself, how to prepare your home for post-surgery rehabilitation, and a week by week description of how to rehabilitate yourself following your TKA. The road to recovery is laid out clearly in this book in such detail that there are no surprises. It concentrates extensively on postoperative rehabilitation, which is vital to the success of a TKA, and as important as the surgery itself.

This book contains 145 exercises, 190 illustrations and photos, and questions and answers at the end of each chapter. It empowers patients with the knowledge they need to take charge of their own rehabilitation program.

Product Details

ISBN-13:	9780897934398
Publisher:	TURNER PUB CO
Publication date:	07/26/2004
Pages:	320
Sales rank:	684,216
Product dimensions:	7.70(w) x 9.30(h) x 0.70(d)

Table of Contents

	Acknowledgments	xi
	Introduction	1
	The Need for a Book on TKA	1
	The Authors' Personal and Professional Experience	3
	Why This Book, and Why Now?	4
1	Knee Arthritis: Why Do My Knees Hurt So Much?	7
	Osteoarthritis	9
	Traumatic Arthritis	10
	Rheumatoid Arthritis	10
	Other Forms of Arthritis	10
	Diagnosing Arthritis	11
	Common Questions and Some Answers	12
2	Treatment Options: What Can I Do to Get Rid of the Pain?	15
	Lifestyle Changes	16
	Medications	19
	Injections	20
	Arthroscopy	21
	Cartilage Replacement	22
	Osteotomy	23
	Total Knee Replacement	24
	Selecting a Surgeon	26
	TKA Surgical Technique	26
	Bilateral TKA	29
	Common Questions and Some Answers	30
3	Getting Ready: Preparing Your Home and Yourself for Surgery	33
	Home Preparation	34
	Basic Presurgery Home Exercises	38
	Planning Your Postsurgery Exercise Program	42
	Presurgery Exercises Using the Total Gym	44
	Cardiovascular and Endurance Exercise	49
	Weight Control	50
	Walker, Crutches, or Cane?	50
	Common Questions and Some Answers	52
4	The Total Knee Operation: What to Expect Before, During, and Immediately After Surgery	55
	Preoperative Preparation	56
	Blood Donation	57
	Smoking	58
	Medication Adjustments	58
	Anesthesia	59
	NPO	61
	The TKA Surgical Procedure	61
	The Recovery Room	63
	The ICU	63
	The Hospital Room	64
	Dealing with Pain and Other Potential Complications	65
	Preventing Blood Clots	67
	The CPM Machine	69
	Common Questions and Some Answers	70
5	Postoperative Days One Through Five: Am I Ready for Rehab?	73
	Day One: Beginning Physical Therapy	74
	First Attempts to Walk	78
	Range-of-Motion Exercises	79
	Breathing Exercises	81
	Days Two Through Five: Continuing Physical Therapy	81
	Care of Your Surgical Incision	84
	Ice and Elevation	85
	Personal Care	86
	Discharge from the Hospital	87
	Common Questions and Some Answers	88
6	Week One: You Want Me to Do What?!	91
	Home Physical Therapy	92
	Regaining Range of Motion	93
	Range-of-Motion Exercises	94
	Pain Control	99
	Anticoagulant Medication	100
	Restarting Your Regular Medications	101
	Control of Swelling	101
	Strengthening Exercises	103
	Getting Around at Home	109
	Get Some Rest: Your New Knee Will Thank You	109
	Common Questions and Some Answers	110
7	Week Two: Will I Ever Be Normal Again?	113
	Follow-Up Visit to Your Surgeon	114
	Scar Management	115
	Getting In and Out of the Car	116
	Walking and Endurance Training	118
	Stairs: No Longer the Enemy!	118
	Home Physical Therapy	120
	Home CPM Machine	121
	Taking Charge of Your Own Rehabilitation	121
	Range-of-Motion Exercises	121
	Home Strengthening Exercises	128
	Thera-Band Exercises	130
	Common Questions and Some Answers	132
8	Week Three: This Isn't As Bad As I Thought It Would Be	135
	Outpatient Physical Therapy	136
	Continuing Self-Directed Physical Therapy	138
	Range-of-Motion Exercises	141
	Futebol Exercises	143
	Walking With or Without a Cane	149
	Soft-Tissue and Scar Management	151
	Common Questions and Some Answers	153
9	Pool Therapy: The TKA's Best Friend	157
	When to Start Pool Therapy	158
	Finding a Pool	158
	Hot vs. Cool Water--or Both?	159
	Getting Into and Out of the Water	159
	How Long and How Often?	160
	Range-of-Motion Exercises	160
	Water-Walking Exercises	166
	Water Plyometric Exercises	169
	Swimming for Exercise	173
	Pool Therapy with Other Exercises	175
	Common Questions and Some Answers	175
10	Week Four: I Made It to My "Olympics"!	177
	The Transition from Outpatient to Self-Directed Physical Therapy	178
	Picking and Choosing from the Exercise "Smorgasbord"	179
	Stationary-Cycling Exercises	180
	Futebol Exercises	180
	Exercises Using the Total Gym	183
	Stationary Rowing	189
	Ice vs. Heat	190
	Starting to Live Again!	190
	Standing Still	190
	Sitting Tolerance	191
	Driving	191
	Returning to Work	192
	Sleeping Through the Night	192
	Daily Activities	193
	Going for a Walk	193
	Common Questions and Some Answers	194
11	One to Three Months: Don't Stop Now!	197
	Reversing Muscular Atrophy	198
	Preventing Injury	199
	Range-of-Motion Exercises	201
	Endurance Training	201
	Soft-Tissue Mobilization	203
	When Will I Walk Normally Again?	204
	Exercises to Improve Walking	205
	Preventive Antibiotics	207
	Common Questions and Some Answers	209
12	Three Months to Six Months: I Think I Need a Vacation	211
	Precautions for Living with Your TKA	212
	Range-of-Motion Exercises	214
	Strength and Endurance Exercises	216
	Losing the Cane	219
	Balance Training	220
	Common Questions and Some Answers	225
13	Six Months to One Year: I Should Have Done This Years Ago!	227
	Is It Time to Have the Other Knee Replaced?	228
	Getting Stronger	229
	Balance Training	230
	Balance-Board Exercises	231
	When Can I Start Doing ---- Again? (Fill in the Blank)	234
	Common Questions and Some Answers	238
14	One Year to Life: My Knee Is My Best Joint	241
	Common Questions and Some Answers	244
Appendix A	Potential Complications of Total Knee Arthroplasty	245
	Medical Complications	245
	Surgical Complications	246
	Revision of the TKA	250
	Common Questions and Some Answers	251
Appendix B	Index of Exercises	254
	Range-of-Motion Exercises	254
	Strengthening Exercise	255
	Balance Exercises	257
	Hot-Tub and Pool Exercises	258
	Futebol Exercises	260
	Thera-Band Exercises	260
	Walking Exercises	261
	Notes	262
	Index	264