Author

Erin Syverson

Date of Award

5-2021

Document Type

Thesis

First Advisor

Cindy Flom-Meland

Keywords

Bilateral TKA, bilateral knee ROM, total knee arthroplasty, end-stage osteoarthritis

Abstract

Background and Purpose: A bilateral total knee arthroplasty (TKA) is a surgical procedure that has seen success in managing end-stage osteoarthritis of the knee joint. This case study evaluates the usefulness of physical therapy following bilateral TKA and deliberates the outcomes the patient experienced.

Case Description: The patient was a 62-year-old male who received postoperative physical therapy in an outpatient orthopedic clinic for a total of 8 weeks. The patient demonstrated decreased bilateral knee range of motion (ROM), decreased bilateral gross lower extremity (LE) strength, increased pain and swelling in both knees, and decreased endurance for ambulation.

Intervention: Therapy provided to the patient emphasized the use of traditional TKA exercises as well as functional exercises. These exercises were used to assist in increasing bilateral knee ROM, bilateral knee strength, and the overall functional mobility of the patient.

Outcomes: Throughout the course of treatment, the patient was able to increase his knee ROM bilaterally, LE strength, decrease his pain and swelling, and increase his endurance for ambulation.

Discussion: The patient responded favorably to treatment, and many of the goals created were achieved. A clinical practice guideline on the management of total knee arthroplasty was recently released during the writing of this case study, and it can be referenced for the most current research on the examination and treatment for patients with total knee replacement.

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