Riabilitazione nella protesi di ginocchio

An increasing number of people is undergoing knee replacement because of great functional restraints caused by articular pain, expecting to get quality-of-life improvements. The selection of candidates who need a preoperative rehabilitation path, and an early and intensive post-operative rehabilitation program can help to achieve a better outcome. The aims of a rehabilitation program are: to get autonomy in posture transitions, bed-chair and WC transfers; walk with crutches for at least 100 meters and climb stairs; regain operated side quadriceps neuromuscular control; full extension and 90° of flexion recovery; absence of anemia and stability of blood parameters; healed surgical wound; apyrexia; pain control. The patient is discharged with the following indications: continuation of thrombosis prophylaxis with low molecular weight heparin until 40th postoperative day; use of elastic stockings until 2 months post-surgery; check-up with the orthopaedic surgeon after 40 days; continuation of kinesitherapy at home 2/3 times a week.