Skip to main content
SpringerLink
Log in

Rehabilitation after total knee arthroplasty

  • Chapter
Osteoarthritis of the knee

Abstract

Since the introduction of total knee arthroplasty, rehabilitation has evolved towards accelerated protocols to help the patient become independent more rapidly. When strict immobilisation was the rule in the postoperative period, rehabilitation was laborious, requiring manipulation under anaesthetic in 20 to 30% of cases (3) and hospital stay lasted two or three weeks. The abandon of postoperative immobilisation, better management of pain and return to early weight bearing have led to a considerably shorter hospital stay, reduced manipulation under anaesthetic (14) and above all better functional recovery at the end of rehabilitation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anouchi YS, McShane M, Kelly F et al. (1996) Range of motion in total knee replacement. Clin Orthop 331: 87–92

    Article  PubMed  Google Scholar 

  2. Colwell CW, Morris BA (1992) The influence of continuous passive motion on the results of total knee arthroplasty. Clin Orthop 276: 225–8

    PubMed  Google Scholar 

  3. Coutts RD, Toth C, Kaita JH (1984) The role of continuous passive motion in the rehabilitation of the total knee patient. In: Hungerford DS, Krackow KA, Kenna RV. Total knee arthroplasty: a comprehensive approach. Williams and Wilkins, Baltimore: 126–32

    Google Scholar 

  4. Emerson RH, Ayers C, Head WC et al. (1996) Surgical closing in primary total knee arthroplasties: flexion versus extension. Clin Orthop 331: 74–80

    Article  PubMed  Google Scholar 

  5. Johnson DP (1990) The effect of continuous passive motion on wound-healing and joint mobility after knee arthroplasty. J Bone Joint Surg (Am) 72: 421–6

    CAS  Google Scholar 

  6. Kumar PJ, McPherson EJ, Dorr LD et al. (1996) Rehabilitation after total knee arthroplasty: a comparison of two rehabilitation techniques. Clin Orthop 331: 93–101

    Article  PubMed  Google Scholar 

  7. Lachiewicz PF (2000) The role of continuous passive motion after total knee arthroplasty. Clin Orthop 380: 144–50

    Article  PubMed  Google Scholar 

  8. Lotke PA, Faralli VJ, Orenstein EM et al. (1991) Blood loss after total knee replacement. Effects of tourniquet release and continuous passive motion. J Bone Joint Surg (Am) 73: 1037–40

    CAS  Google Scholar 

  9. Lynch AF, Bourne RB, Rorabeck CH et al. (1988) Deep-vein thrombosis and continuous passive motion after total knee arthroplasty. J Bone Joint Surg (Am) 70: 11–4

    CAS  Google Scholar 

  10. Lynch JA, Baker PL, Polly RE et al. (1990) Mechanical measures in the prophylaxis of postoperative thromboembolism in total knee arthroplasty. Clin Orthop 260: 24–9

    PubMed  Google Scholar 

  11. MacDonald SJ, Bourne RB, Rorabeck CH et al. (2000) Prospective randomised clinical trial of continuous passive motion after total knee arthroplasty. Clin Orthop 380: 30–5

    Article  PubMed  Google Scholar 

  12. Maloney WJ, Schurman DJ, Hangen D et al. (1990) The influence of continuous passive motion on outcome in total knee arthroplasty. Clin Orthop 256: 162–8

    PubMed  Google Scholar 

  13. Mauerhan DR, Mokris JG, Ly A et al. (1998) Relationship between length of stay and manipulation rate after total knee arthroplasty. J Arthroplasty 13: 896–900

    Article  PubMed  CAS  Google Scholar 

  14. McInnes J, Larson MG, Daltroy LH (1992) A controlled evaluation of continuous passive motion in patient undergoing total knee arthroplasty. JAMA 268: 1423–28

    Article  PubMed  CAS  Google Scholar 

  15. Pope RO, Corcoran S, McCaul K et al. (1997) Continuous passive motion after primary total knee arthroplasty. Does it offer any benefits? J Bone Joint Surg (Br) 79: 914–7

    Article  CAS  Google Scholar 

  16. Ritter MA, Gandolf VS, Holston KS (1989) Continuous passive motion versus physical therapy in total knee arthroplasty. Clin Orthop 244: 239–43

    PubMed  Google Scholar 

  17. Romness DW, Rand JA (1988) The role of continuous passive motion following total knee arthroplasty. Clin Orthop 226: 34–7

    PubMed  Google Scholar 

  18. Salter RB, Simmonds DF, Malcolm BW et al. (1980) The biological effect of continuous passive motion on the healing of full thickness defects in articular cartilage. An experimental investigation in the rabbit. J Bone Joint Surg (Am) 62: 1232–51

    CAS  Google Scholar 

  19. Sbraire N (1999) Facteurs prédictifs de la rééducation fonctionnelle après prothèse totale du genou. MD thesis, Université de Lyon, né 90

    Google Scholar 

  20. Ververeli PA, Sutton DC, Hearn SL et al. (1995) Continuous passive motion after total knee arthroplasty. Analysis of cost and benefits. Clin Orthop 321: 208–15

    PubMed  Google Scholar 

  21. Vince KG, Kelly MA, Beck J et al. (1987) Continuous passive motion after total knee arthroplasty. J Arthroplasty 2: 281–4

    Article  PubMed  CAS  Google Scholar 

  22. Yashar AA, Venn-Watson E, Welsh T et al. (1997) Continuous passive motion with accelerated flexion after total knee arthroplasty. Clin Orthop 345: 38–43

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre orthopédique Santy, 24, avenue Paul Santy, 69008, Lyon, France

    M. Bonnin

  2. Centre de rééducation Iris, 271, rue des Sources, BP 22, 69280, Marcy L’Étoile, France

    M. Westphal, V. Biot, A. Giroud, J. Mathelin & J. Roberto

  3. Le Val Rosay, centre de réadaptation fonctionnelle, 133, route de Saint-Cyr, 69370, Saint-Didier-au-Mont-d’Or, France

    C. Jacquemard

Authors
  1. M. Bonnin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Westphal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Jacquemard
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. V. Biot
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Giroud
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. Mathelin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. J. Roberto
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag France, Paris

About this chapter

Cite this chapter

Bonnin, M. et al. (2008). Rehabilitation after total knee arthroplasty. In: Osteoarthritis of the knee. Springer, Paris. https://doi.org/10.1007/978-2-287-74175-3_14

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-74175-3_14

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-74174-6

  • Online ISBN: 978-2-287-74175-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation