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A 38-year-old member asked:

What is the typical physical therapy protocol for total hip and total knee replacement?

3 doctor answers7 doctors weighed in
Dr. Gwo-Chin Lee
Orthopedic Surgery 23 years experience
Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program.
Dr. Frederick Buechel, jr. md
Orthopedic Surgery 26 years experience
Depends on approach: There are basic precautions for the different hip surgical approaches so you need to ask your surgeon their protocol and approach . The same with knee replacement. This is a fairly lengthy discussion for you and your surgeon
Dr. David Fisher
Orthopedic Surgery 39 years experience
Early movement: Rehabilitation following tha or tka involves early movement and strengthening of the muscles around the joint. Patients can often get out of bed and walk on the leg within hours of the surgery. They will likely use crutches or a walker for a short time and work on range of motion and strength with specific exercises for each. Improvement will be seen for 2-6 months.

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A 34-year-old member asked:

Please help! what is the physical therapy protocole for total hip and total knee replacement?

2 doctor answers3 doctors weighed in
Dr. Robert Kent
Physical Medicine and Rehabilitation 12 years experience
Too long to asnwer: Here, but there are some important goals, including safety, strengthening and walking. Hip rehab will include this plus reviewing universal hip precautions, depending on the approach of the hip replacement. Knee replacement will do the same (without hip precautions of course), but will also work to make sure you get full extension of your knee as a knee flexion contracture can be problematic.

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Last updated Dec 13, 2020

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