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Table 3 Common patient goals after total knee arthroplasty +

From: The AViKA (Adding Value in Knee Arthroplasty) postoperative care navigation trial: rationale and design features

Weekly 1–4 ( postoperatively )

▪ Reduce pain, swelling; improve sleeping

▪ Adhere to prescribed physical therapy routine

▪ Improve range-of-motion (extension and flexion)

▪ Move from walker → cane → no supportive device

▪ Improve mobility; increase walking distance (getting out of the house, walking up and down stairs)

▪ Reduce pain medications

Weekly 6–10 ( postoperatively )

▪ Limit pain medications to evenings and before physical therapy sessions

▪ Improve speed and stability of gait

▪ Start driving again

▪ Return to work

▪ Walk up and down stairs “reciprocally” (“foot-over-foot”)

▪ Improve range of motion (extension and flexion)

▪ Fit physical therapy into increasingly busy routine

▪ Increase time and comfort on stationary bicycle

▪ Prepare for athletic goals (tennis, biking, walking, hiking, golf, etc.)

▪ Return to regular daily walking, stretching, exercise routines

▪ Adhere to prescribed physical therapy routine

Weekly 14–22 ( postoperatively )

▪ Develop a regular routine that includes physical activity

▪ Continue to strengthen leg muscles

▪ Return to athletic activities (tennis, biking, walking, hiking, golf, etc.)

 

▪ Manage co-morbid musculoskeletal conditions

  1. +Each patient is unique and the trajectory of recovery can vary greatly; however, this table is intended to give a general sense of what many patients’ goals may be at different stages of recovery.