Knee and Hip Replacement Rehabilitation

Knee and Hip Replacement Rehabilitation

Knee and Hip Replacement Rehabilitation

 

In order to increase the success of hip replacement surgery, it is important to start rehabilitation before surgery. Then;

• Performing exercises to strengthen the hip and knee muscles
• Reaching the maximum range of motion without pain
• Mediating breathing exercises and coughing methods for the prevention of pulmonary complications and removal of secretions
• Strengthening the gluteus medius of the hip to avoid straining the prosthesis

It is necessary to pay attention to points such as: It is very important to teach the positions that will prevent hip dislocation, transfer and walking activities as well as exercises on the first day after the surgery.

Rehabilitation After Hip Replacement Surgery

Mobilization of the patient, especially with a wheelchair, is very important on the 1st and 2nd days after the operation. In cement technique applications, patients can be given crutches for 6 weeks and a walking stick for 4-6 months. For non-cement techniques, toe walking for 6-8 weeks, partial weight walking for 8-12 weeks, full weight walking after 12 weeks can be done. It is important that patients undergo this rehabilitation process under the supervision of experienced physiotherapists and rehabilitation specialists. The rehabilitation program is adjusted according to the patient:

first week; Active flexion and extension exercises or isometric exercises for hip and knee muscles, sitting in a highchair, walking with a walker, stomach, back and arm strengthening exercises with active support of the hip joint, after measures are taken to position, prevent deep vein occlusion and improve lung function. attention should be paid.

Second week; Exercises that increase joint mobility and hip muscle strength, switching to crutches while walking independently with crutches, ladder activities and situations that should be considered in daily life activities should be taught.

Knee Replacement Rehabilitation

When is a knee prosthesis needed?

• Enhanced joint wear due to osteoarthritis (calcification)
• Rheumatic diseases that completely limit joint mobility, such as rheumatoid arthritis or ankylosing spondylitis
• Damages in the knee joint due to infection and trauma,

Knee replacement may be required for patients with complaints such as

Pre-Operative Rehabilitation in Knee Replacement

To increase the success of knee replacement surgery, it is important to start rehabilitation before surgery. Initiation of rehabilitation in the preoperative period facilitates postoperative rehabilitation, accelerates the recovery of the patient and gains independence in daily life. Then;

• Learn the correct knee position.
• Take care to reduce movement restrictions in the joints.
• Do strengthening exercises especially for the anterior thigh muscles.
• Do stretches for tight or short muscles.

Rehabilitation After Knee Replacement Surgery

Early mobilization of the patient in consultation with the surgeon is important for the success of postoperative rehabilitation. A program should be applied according to the type and operation method of the prosthesis used here. Pain relief, prevention of possible complications, and joint position training are additional points to consider in the initial phase. During this time, a continuous passive motion (CPM) device is used.

On the first day after the surgery, exercise is started in bed. In the early stages, do exercises such as flexing your hips up to 3, pressing the back of your knees against the bed and releasing them for 3, pulling your ankle forward and towards you and releasing it while your leg is straight. Count to three and, with the leg extended, raise the leg to three and release.