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Joint replacement procedures, particularly in the hips and knees, have become increasingly prevalent. Statistics from 2006 indicate that there were 542,000 total knee replacements and 231,000 total hip replacements performed.

The prostheses used in joint replacement surgeries can be constructed from plastic, metal, or a combination of both materials. They may be cemented into place or designed to allow natural bone growth into the prosthesis in uncemented procedures.

Early total knee replacements, introduced in the late 1950s, were not adept at replicating the natural motion of the knee, resulting in high rates of failure and complications. However, advancements in technology over the past 10 to 15 years have significantly improved the design and fitting of knee implants.

Total knee replacement is often recommended when diagnostic tests, such as x-rays, indicate joint damage and when nonsurgical treatments fail to adequately alleviate moderate-to-severe, persistent pain that adversely affects a person's quality of life due to limited range of motion in the knee joint.

Previously, individuals aged 60 to 75 were considered ideal candidates for total knee replacement. However, in the last two decades, this age range has expanded to include patients over 75 who may have additional health conditions, as well as patients younger than 60 who are typically more physically active and whose implants may experience greater mechanical stress.

Approximately 90 percent of patients experience rapid and significant pain reduction, improved overall well-being, and enhanced joint functionality following total knee replacement. While most surgeries are successful, occasional failures occur, necessitating revision. Risk factors for such occurrences include being under 55 years old, male gender, obesity, and pre-existing conditions like osteoarthritis or infections.

Physical Therapy Pre and Post Surgery

There are several compelling reasons to consider engaging with a physical therapist both before and after undergoing knee replacement surgery.

• One significant advantage of physical therapy is its demonstrated effectiveness in treating arthritis. By following a physical therapist-directed program, you may be able to postpone or even avoid the need for knee replacement surgery altogether.
• Prior to undergoing surgery, seeking the guidance of a physical therapist and participating in a "prehab" program consisting of rehabilitative exercises has been shown to enhance strength and accelerate the recovery process following surgery.
• After undergoing knee replacement surgery, post-surgical physical therapy becomes crucial. Although most knee replacement patients experience a notable reduction in pain, the majority also encounter substantial muscle weakness, limited range of motion, and diminished functionality. By working with a physical therapist in the post-operative phase, you can significantly improve your strength, mobility, and overall function.

To discover more about how our physical therapy services can assist you, we encourage you to reach out to us for further information and guidance.