Total Joint Replacement — Total Knee Arthroplasty (TKA)

Sanford Health

Weight-Bearing

WBAT unless modified WB indicated by physician

Key Restrictions

Avoid torquing/twisting motions of knee; revision TKA progress with more caution; communicate with MD regarding kneeling, running, high-impact restrictions

Timeline & Phases

6 phases: Phase I (pre-op education and exercises), Phase II (inpatient/acute care, 5-90 deg AAROM), Phase III (wks 0-3, AROM 5-100 deg, 4-6 visits), Phase IV (wks 3-6, AROM 0-110 deg, functional tests), Phase V (wks 6-9, AROM 0-120 deg, reciprocal stairs, WOMAC or KOOS), Phase VI (wks 9+, return to activity, 0-1 visits)

Notes

System-level guideline; criterion-based; ROM goals: 5-90 deg Phase II, 5-100 Phase III, 0-110 Phase IV; NMES/biofeedback recommended; includes outcome measures (WOMAC, KOOS JR)