Therapy for Unicompartmental Knee Arthroplasty: Pre-op, Day of, and Post-op
Physical therapy is a mainstay of nonoperative treatment for degenerative diseases of the knee. Quadriceps strengthening is a key component of any physical therapy regimen, and there are many other modalities and methods therapists utilize to treat knee pain associated with degenerative joint disease. Unicompartmental knee arthroplasty (UKA) is a popular treatment option for certain patterns of degenerative joint disease of the knee. Physical therapy focused on postoperative rehabilitation begins prior to the surgery and typically continues weeks to months after the procedure. The role of therapy postsurgery may not be as necessary in many UKA patients as it is with total knee arthroplasty, but it is still a standard part of the surgical pathway. This chapter focuses on the three phases of physical therapy, preoperative, day of surgery, and postoperative, and the evidence behind the methods.
KeywordsUnicompartmental knee arthroplasty Physical therapy Rehabilitation Quadriceps strengthening Home therapy
- 1.Giangarra CE, Manske RC. Clinical orthopaedic rehabilitation a team approach. Philadelphia: Elsevier; 2018. Available from: https://www.clinicalkey.com/dura/browse/bookChapter/3-s2.0-C20130190071.Google Scholar
- 4.Frontera WR, Silver JK, Rizzo TD. Essentials of physical medicine and rehabilitation musculoskeletal disorders, pain, and rehabilitation. Philadelphia: Elsevier Saunders; 2015. Available from: https://www.clinicalkey.com/dura/browse/bookChapter/3-s2.0-C2011007549X.Google Scholar
- 15.Harvey LA, Brosseau L, Herbert RD. Continuous passive motion following total knee arthroplasty in people with arthritis. Cochrane Database Syst Rev. 2014;(2):CD004260.Google Scholar
- 16.Chughtai M, Kelly JJ, Newman JM, Sultan AA, Khlopas A, Sodhi N, et al. The role of virtual rehabilitation in total and unicompartmental knee arthroplasty. J Knee Surg. 2018.Google Scholar
- 17.Jorgensen PB, Bogh SB, Kierkegaard S, Sorensen H, Odgaard A, Soballe K, et al. The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial. Clin Rehabil. 2017;31(1):61–70.CrossRefGoogle Scholar