Total Knee Replacement surgery is the best treatment for arthritis when all conservative treatments have failed. The procedure has very gratifying results & completely relieves the patient of pain & discomfort. Physiotherapy & post operative exercises play a crucial role in the success of the surgery & are extremely important for the best results.

1. Post – Operative
Exercises After a Total
Knee Replacement
Surgery
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2.  Phases of Recovery after a Total Knee Replacement
Surgery (TKR):
 Early Post-operative Exercises
 Initial Activity Phase
 Advanced Exercises & Activities
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3. Early Post-operative Exercises
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4. Quadriceps Sets
Tighten your thigh muscle and straighten your knee. Then
Hold for 5 to 10 seconds.
Repeat 10 times, rest a minute and again repeat. Repeat several
times till the thigh muscles get fatigued.
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5. Straight Leg Raises
Tighten the thigh muscles with knee fully straightened. Lift leg at
an angle of 45 degrees and hold for 5 to 10 seconds and then
slowly lower.
Positions for doing the exercises – Lying position, Sitting on a
Chair or bed.
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6. Ankle Pumps
Rhythmically move foot up and down by contracting calf
muscles. Repeat this exercise for two to three minutes, thrice an
hour a day. Continue doing the exercise until swelling subsides.
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7. Knee Straightening Exercises
Place a small towel just above the heel and tighten
your thigh. Try to straighten your knee so as to
touch the back of the knee to bed. Hold for 10
seconds. Repeat several times a day.
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8. Supported Knee Bends
Bend your knee while sliding foot on the bed. Hold the
position for 5 to 10 seconds and then straighten. Repeat
several times a day.
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9. Sitting Supported Knee Bends
Exercise Position – Sitting at bed side or in a chair. Place
foot behind the heel of operated knee and straighten the
knee, holding the position for5 to 10 seconds. Repeat
several times.
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10. Sitting Unsupported Knee Bends
Exercise Position – Sitting at bed side or in a chair with
feet resting on floor.
Slowly straighten your knee and hold the position for 5
– 10 seconds. Then lower the knee and repeat the
exercise several times.
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11. Early Activity Phase
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12. Weight Bearing
During early Activity Phase, start bearing weight on the leg
undergone TKR. Balance your weight on the crutches and your
body. Stand comfortably and erect with your weight evenly
balanced on your walker or crutches.
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13. Progression from Weight Bearing to Walking
 Start progressing from Standing erect to Walking. Advance your
walker or crutches a short distance; then reach forward with your
operated leg with your knee straightened so the heel of your foot
touches the floor first.
 Start normal walking with following the sequence of heel strike, foot
flat, heel off and then toe off. Walk rhythmically and smoothly as per
the guidance of your physiotherapist or surgeon.
 Adjust the length of your step and speed as necessary to walk with an
even pattern. Gradually put more weight on your leg. Progress from
walking with a walker to walking with a cane.
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14. Return to Activity Stage
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15. Standing Knee Bends
Stand erect holding a support. Bend your knee as much as
you can. Hold the position for 5 to 10 seconds. Straighten
the knee and repeat the exercise several times.
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16. Assisted Knee Bends
Exercise Position – Lye on your back placing a
folded towel over your operated knee and drop
the towel to your foot. Bend your knee and apply
gentle pressure through the towel to increase the
bend.
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17. Advanced Phase Exercises
 Multiple Angle Isometrics
 Light Isotonic Exercises – using weight-cuffs on ankle. The
exercises are used for strengthening of knee joint muscles
(Quadriceps and Hamstrings)
 Resisted Straight Leg Raising
 Closed chain mini – squats
 Lunges
 Stair Climbing
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18. Stair Climbing and Descending
Always lead up the stairs with your good knee and down the
stairs with your operated knee. Remember, "up with the
good" and "down with the bad."
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19. More Advanced Exercises
 Stationary Bicycling
 Stretching Exercises
 Aquatic Exercises
 Stair Climbing
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20. For More Details:
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Write to us at- info@indicure.com
Call- +91 98184 62127
+91 93200 36777