The Meer’s Physiotherapy & Rehabilitation Canter provides Physiotherapy after Total knee replacement (TKR) Surgery in Lahore, Pakistan. Total knee replacement is a joint orthopedic surgery that involves replacing the knee joint’s articular surfaces(femoral condyle and Tibial plateau) with smooth mental and highly cross-linked polyethylene plastic.
Indications for Total Joint replacement is the following:
- Osteoarthritis
- Rheumatoid arthritis
- Trauma
Knee implant components:
Up to 3 Bone surfaces may be replaced into TKR;
- The Lower ends of the femur
- The upper surface of the Tibial
- The back surface of the patella
Types of Knee joint prosthesis:
- Fixed Bearing prosthesis
- Mobile Bearing prosthesis
Cemented and cementless prosthesis:
- Cemented fixation; use a fast-curing bone cement( polymethylmethacrylate).
- Cobalt-chromium alloy femur articulation with standard polyethylene Tibial surface is most common.
- Cementless focus; Relies on new bone growing into the implant’s surface for fixation.
- Hybrid fixation; for TKR, the femoral surface is inserted without cement, and the tibial and patellar components are inserted with cement.
Benefits of TKR surgery:
- Elimination of pain
- Improve Range of Motion
Risk factors of TKR :
- Genetic
- Age-related factors
- Sex; women have three times more risk than men
- Gait related factors
- Shoes; high heels, poorly fitted or worn out shoes contribute to knee strain
- work or other activities that involve jumping, jogging, or squatting
Contraindications for TKR :
- Knee sepsis
- A remote source of ongoing infection
- Extensor mechanism dysfunction
- sever vascular disease
- Recurvature deformity secondary to muscular weakness
- Obesity
- Neuropathic joint
- Past history of osteomyelitis
- Skin conditions like psoriasis
Complications after TKR:
- Infection
- Blood clot/ DVT
- Implant loosening
- Implant breakage
- Extensive joint softness
Physiotherapy after TKR:
Post. Op day 1:
- Bedside exercise; Ankle pumps, Quadriceps sets, Gluteal sets.
- Review of weight-bearing status.
- Bed mobility and transfer training; bed to/from the chair.
Post. Op day 2:
- Exercise for AROM, AAROM, and terminal knee extension.
- Strengthening exercises
- Gait training with assistive devices and functional transfer training; sit to/from stand, Toilet transfer, bed mobility.
Post. Op day 3-5 on discharge to Rehabilitation unit:
- Progression of ROM and strengthening exercises to patient tolerance level.
- Progression of Ambulation and stairs with the least restrictive devices.
- Progression of ADL Training.
Post. Op day 5-4 weeks:
- Strengthening exercises; Long arc quads/ seated leg extension, standing hip abduction and extension, knee bands, short arc quads.
- Strengthening of Quadriceps and Hamstring Muscles.
- Progression of Ambulation
- Progression of independence with ADL.
Home Exercises:
• Quadriceps sets
• Ankle pumps
• Straight Leg Raise
• Supported Leg Raise
• Prone knee flexion
• Standing knee curls
• Stepup
• Stationary cycle
When to visit a Physiotherapist?
One should visit a Physiotherapist as soon as they witness any of the above-mentioned symptoms.
Why should you visit The Meer’s Physiotherapy & Rehabilitation?
At The Meer’s Physiotherapy & Rehabilitation, you will find the best and most recent evidence-based treatment provided by experts. Our expert has a clinical experience of over 16 years and is therefore known to be the best Physiotherapist in Lahore. Our expertise includes Manual therapy such as mobilization, MWM, Taping, Traction, Soft tissue mobilization, and Instrument Assisted Soft Tissue mobilization. We provide electrotherapeutic services like TENS/EMS, Ultrasonic radiations, Shockwave therapy, Shortwave diathermy, and laser therapy. Heat therapy and Cryotherapy are also provided if and when needed.
Our expert has experience in managing different knee conditions and has treated over 20,000 patients with various knee problems. We are also experts in providing Pre and post-operative un, fractures, surgeries, and degenerative changes at Knee joints throughout his professional experience.
Our expert Dr. Mir Shakeel Ahmad (PT), has treated stroke patients through his professional experience. Dr. Mir Shakeel Ahmed (PT.) provides the best services of Stroke physiotherapy in Lahore, Pakistan.
Book An Appointment for Physiotherapy after Total knee replacement (TKR) In Lahore, Pakistan
Meer’s Physiotherapy and Rehabilitation Center provide the best treatment with evidence-based practice and help you recover earlier after knee replacement surgery . Because we care about you and want to bring you back to life and improve your quality of life. For physiotherapy at home you can contact us.
Call us at: 0322-4268894, 0337-4960979
Email us at: info@meersphysiotherapy.com
