Total Joint Replacement — Total Knee Arthroplasty (TKA)

Insall Scott Kelly Institute

Weight-Bearing

WBAT with walker progressing to WBQC then straight cane

Key Restrictions

CPM 0-100 deg started in recovery room min 4 hrs; increase ~10 deg/day; towel roll under ankle when CPM not in use; do not allow knees forward of toes in wall slides; limit sitting to 45 min single session

Timeline & Phases

3 phases: Phase I (Wk 1, day-by-day POD 1-5), Phase II (Wks 2-5), Phase III (Wks 6-8)

Notes

ROM goals: 0-70 POD1, 0-80 POD2, 0-90 POD3, 0-95 POD4, 0-100 POD5, 0-115 Wk 2-3, 0-120 Wk 3-4, 0-125 Wk 4-5; CPM use is standard; includes pre-op PT session; very detailed day-by-day inpatient progression