查看全膝关节置换术翻修手术的来源

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您请求的操作仅限于组中的用户:物理治疗管理==手术前和手术后的物理治疗方案遵循与原发性TKR相同的路线。参见[[全膝关节置换术|physiopedia TKR]]的综合指南。最近的一项研究提倡，除了常规的物理治疗外，当患者能够舒适地下床并进行温和的ROM时，可以在手术后的下肢下放置一个小滑板。患者在术后第2天进行自行车运动。锻炼骑自行车时，膝关节屈曲度约为105°，根据座椅高度和腿长而变化。11)出院前，患者需要在楼梯上活动。患者一旦安全、可移动且舒适出院。注意:然而，由于手术的复杂性，通常采取更谨慎的方法:手术时间更长;股四头肌肌腱或髌骨肌腱的释放可能更广泛;使用复杂的技术来重建缺失的骨头。例如骨移植，骨替代，长柄种植体，螺钉和金属增强物。所有这些因素都导致了比初级TKR更长的恢复期。黄金海岸骨关节手术中心。 [http://www.gccbjs.com.au/revision-knee-replacement/ Revision knee replacement]. Available from: http://www.gccbjs.com.au/revision-knee-replacement/ (last accessed 6.4.2019) A 2004 report found that after primary TKR (and this could reasonably be extrapolated to revision TKR) found that proprioception, balance and kinaesthesia all improved with TKR. Thses results were thought to occur due to the pretensioned capsuloligamentous structures and reduced pain and inflammation.Swanik CB, Lephart SM, Rubash HE. [https://www.ncbi.nlm.nih.gov/pubmed/14960678 Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses.] JBJS. 2004 Feb 1;86(2):328-34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14960678 (last accessed 7.3.2019) The goal is to have a pain free, functional and stable knee joint, however knee [[Outcome Measures|outcomes]] are not as predictable as in a primary TKR and despite the best intentions the research finds that 10% of patients have a poor outcome. [[File:Fun fact.jpg|frameless|150x150px]]"I did 30 minutes at physiotherapy on the bike today....tomorrow I plan to use the pedals!"

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