Total Joint Replacement — Total Knee Arthroplasty (TKA)

Brigham and Women's Faulkner Hospital · Dept. of Rehabilitation Services

Weight-Bearing

WBAT with device unless otherwise noted by surgical team

Key Restrictions

Avoid torque/twisting forces through knee especially when WB; no exercises with weights/resistance initially; nothing behind operative knee; towel roll at ankle for extension; towel roll at trochanter for neutral alignment

Timeline & Phases

3+ phases: Phase I (POD 0-3), Phase II (Day 3 - Wk 6, with early Wk 0-3 and late Wk 3-6 sub-phases), additional phases

Notes

ROM goals: >=80 flex and <=-10 ext Phase I, >=0-110 Phase II; revision TKA progress Phases I-II cautiously; updated 2022 version of BWH protocol; detailed perioperative pain management (spinal, general, adductor canal block). [Archived copy — original Brigham and Women's Faulkner Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2024-05-21.]

Surgeon / Author

Dept. of Rehabilitation Services

Published

Revised April 2022 (original April 2017)