A revision total knee replacement is an operation used to relieve pain and disability due to knee joint damage. Most patients probably undergo this operation due to loosening of their existing prosthesis over time. However, some individuals may have it due to dislocation or infection of their prosthesis.
Phase one -
Although you have been through a similar process with your previous knee replacement, recovery from a revision knee replacement may be a little slower and our physiotherapists will recognize this as they help you through your recovery.
The first phase of your recovery will be focused on managing your pain and early mobilization to prevent excessive knee stiffness developing and reduce any chances of DVT and infection. Circle’s expert physiotherapists will help you safely transfer out of bed on the day of your surgery or the following morning. You will be provided with a walking frame or elbow crutches to start to weight bear and walk. With help from your physiotherapist, you will be taught how to safely ascend and descend stairs before your discharge from hospital, and supervised while you practice. For a period of time after your revision knee replacement, there will be certain activities and movements that you will be unable to perform with your knee. Your physiotherapists will educate you on how best to avoid these movements and activities and provide some alternatives so you can return to independence as quickly as possible.
Phase two - The second phase of your recovery will focus on enabling you to be able to walk with a more normal gait pattern and wean you off the walking frame or elbow crutches to using sticks. Our physiotherapists will design a specific rehabilitation regime to help you regain strength and balance in your operated leg. At this stage, many of the exercises will be non-weight bearing and will target the quadriceps muscles (which help to extend and stabilize your knee when walking or climbing stairs/getting out of a seat) and the hip muscles (which help to stabilize your hip and pelvis when walking and standing on one leg).
Phase three - The third phase will begin when you have recovered from any acute pain associated with the surgery and when you have recovered enough strength and balance in your operated leg to commence more vigorous, weight bearing exercises. The exercises our physiotherapists prescribe during this phase will typically take into consideration your normal activity levels and sports or hobbies and will aim to increase functional strength. Examples of exercises that may be prescribed are step-ups to increase your strength and balance when climbing stairs, and shallow squats to enhance your ability to go from sitting to standing.
The Game Ready Ice Machine, electric muscle stimulator, AlterG anti-gravity treadmill, Hydro Physio aqua-jogger plus one to one physio treatment may help rehabilitation following a total knee replacement