Total Joint Replacement — Total Knee Arthroplasty (TKA)

University Orthopedics (Brown University) · Adult Reconstruction Division

Weight-Bearing

WBAT

Key Restrictions

No pillow under knee at any point; no sleeping in recliner with knees bent; towel/pillow behind calf for extension; emphasize terminal knee ext stretching at 3 wks if not straight

Timeline & Phases

4 phases: Phase I (0-3 days), Phase II (3 days - 4 wks), Phase III (4-8 wks), Phase IV (8-12 wks); full functional return ~12 wks

Notes

ROM goals: 0-90 PROM Phase I, 0-120 AROM Phase II, symmetrical Phase III; manipulation if not 5-90 by wk 4 or 0-90 by wk 6; Quad Index targets: 85% Phase III, 90% Phase IV; criterion-based

Surgeon / Author

Adult Reconstruction Division