Critical Rehabilitation for Partial and Total Knee Arthroplasty: Guidelines and Objective Testing to Allow Return to Physical Function, Recreational and Sports Activities

Preface
Reference
Contents
Contributors
1: Introduction: Epidemiology of Knee Arthroplasty in a Younger Patient Population
1.1 Introduction
1.2 Historic Annual Numbers and Incidence Rates of Primary TKA in the USA
1.3 Projected Volume of TKA
1.4 Impact of Athletic Knee Injuries on Future Osteoarthritis and TKA
1.5 Conclusions
References
2: Preoperative Nutrition and General Health Concerns, Patient Indications, and Selection Criteria
2.1 Preoperative Nutrition: Effect of Malnutrition on Total Joint Arthroplasty Outcomes
2.2 Effects of Preoperative Obesity and Underweight States
2.3 Effects of Preoperative Vitamin D Deficiency
2.4 Indications for Bariatric Surgery Before TKA
2.5 Strategies to Improve Nutritional Status
2.6 Patient Indications and Selection Criteria
References
3: Advances in Surgical Techniques for Robotic Computer-Navigated Total and Unicompartmental Knee Arthroplasty
3.1 Evolution of Robotic Arthroplasty
3.1.1 Patient Satisfaction and Goals of Robotic Design
3.1.2 Surgeon Interest
3.1.3 Robotic Technologies
3.1.4 Other Technologies
3.2 Limitations
3.3 Outcomes
3.3.1 Radiographic/Alignment Outcomes After Robotic-Assisted TKA
3.3.2 Radiographic/Alignment Outcomes After Robotic-Assisted UKA
3.3.3 Radiographic/Alignment Outcomes After Robotic-Assisted TKA Using Adjustable Versus Conventional Cutting Blocks
3.4 Clinical/Patient-Reported Outcomes
3.4.1 Clinical and Patient-Reported Outcomes After TKA
3.4.2 Clinical and Patient-Reported Outcomes After UKA
3.5 Summary
References (EndNote Traveling Library)
4: Advanced Surgical Techniques for Tibiofemoral Unicompartmental Knee Replacement
4.1 Indications
4.2 Contraindications
4.3 Implant Design
4.4 Robotic Technology
4.5 Clinical Examination
4.6 Surgical Technique
4.7 Postoperative Management
4.8 Complications and Leading Causes of Failure
4.9 Survivorship Rates
4.10 Illustrative Cases
References
5: Effect of Preoperative Rehabilitation on Clinical Outcomes and Function After Knee Arthroplasty
5.1 Introduction
5.2 Randomized Controlled Trials
5.3 Effect of Trials on Strength and Function Before Surgery
5.4 Effect of Trials on Strength and Function After Surgery
5.5 Systematic Reviews and Meta-analyses
5.6 Conclusions
References
6: Postoperative Rehabilitation Part I: Strategies and Protocol to Avoid Complications and Return to Daily Activities in Postoperative Weeks 1–12
6.1 Introduction
6.2 Modalities
6.3 Range of Motion and Weight-Bearing
6.4 Patellar Mobilization and Muscle Flexibility
6.5 Strengthening
6.6 Blood Flow Restriction Training
6.7 Balance, Gait, and Proprioceptive Training
6.8 Aerobic Conditioning
References
7: Postoperative Rehabilitation Part II: Strategies for Successful Return to Physical Activities and Athletics in Postoperative Weeks 13–52
7.1 Introduction
7.2 Strengthening and Conditioning
7.3 Recommended Testing for Return to Sports Training
7.4 Results of Studies From the Authors’ Clinic
References
8: Common Patient-Reported Outcome Measures for Knee Arthroplasty Patients
8.1 Introduction
8.2 Mandated Collection of PROMS in the USA
8.3 Knee Society Score
8.4 Western Ontario and McMaster Universities Osteoarthritis Index
8.5 Oxford Knee Score
8.6 Knee Injury and Osteoarthritis Outcome Score (KOOS)
8.7 KOOS Joint Replacement Survey (KOOS JR)
8.8 Short Form-36 and Short Form-12
8.9 PROMIS Global-10 Short Form
8.10 Activity Rating Scoring Systems
References
9: Common Objective Measurements for Strength, Balance, and Function in the Arthroplasty Patient
9.1 Introduction
9.2 Common Measurements for Strength
9.2.1 Isometric Tests
9.2.1.1 Knee Flexion and Extension
9.2.1.2 Hip Abduction
9.2.2 Isokinetic Testing Knee Flexion and Extension
9.2.3 1-Rep Max Leg Press and Knee Extension
9.3 Common Measurements for Balance
9.3.1 Balance Evaluation Systems Test (BESTest)
9.3.2 Mini-BESTest
9.3.3 Brief-BESTest
9.3.4 Berg Balance Scale (BBS)
9.3.5 Y-Balance Test
9.3.6 Static Postural Control on Force Platform
9.4 Common Measurements for Function (Table 9.8)
9.4.1 6-Minute Walk Test
9.4.2 10-Meter Walk Test
9.4.3 Timed Up and Go (TUG) Test
9.4.4 30-Second Chair-Stand Test
9.4.5 Stair-Climb Test
9.4.6 Sit-to-Stand (Repeated Chair-Stand) Test
9.4.7 Single-Leg Squat
9.4.8 Single-Leg Hop Test
9.5 Physical Activity Guidelines
9.6 Test Batteries
9.6.1 Performance-Based Knee Function Test
9.6.2 Performance Batteries by Stratford
9.6.3 Aggregated Locomotor Function Score
9.6.4 Short Physical Performance Battery
9.6.5 Authors’ Return to Activity Test Battery
References
10: Recommended Guidelines for Physical Activity and Athletics After Knee Arthroplasty
10.1 Introduction
10.2 Current Physical Activity Guidelines for Healthy Adults
10.3 Sports and Recreational Activities After TKA
10.4 Objective Measured Physical Activity After TKA
10.5 Recommended Sports and Recreational Activities
10.6 Authors’ Discussion
References
11: Return to Work Following Knee Arthroplasty
11.1 Introduction
11.2 Patient-Reported Outcome Measures in Working KA Patients
11.3 Return to Work Timing Following TKA and UKA
11.4 Prognostic Factors for Not Returning to Work
11.5 Interventions Aimed at Improving Return to Work After KA
11.6 Discussion
11.6.1 Cost-Effectiveness of KA From a Personal and Societal Perspective
11.6.2 UKA or TKA?
11.7 Conclusion
References
12: Key Factors for Achieving Expectations in Patient Satisfaction and Quality of Life After Knee Arthroplasty
12.1 Introduction
12.2 Validated Patient Satisfaction and Quality of Life Scales
12.3 Predictors of Satisfaction
12.4 Predictors of Dissatisfaction
12.5 Conclusions
References
Index