Physical Therapy Outcomes for a 63-Year-Old Female Status-Post Minimally Invasive Total Knee Arthroplasty: A Retrospective Case Report
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 6:00 PM
Abstract
Osteoarthritis (OA) is a leading cause of disability, and individuals with severe OA often opt to undergo an elective total knee arthroplasty (TKA). Minimally invasive TKAs are described in literature as an alternative technique that overall promote an earlier return to function. Minimally invasive techniques have shown immediate post-operative benefits, however, limited research is available that describes the short and long term physical therapy outcomes between the traditional and MIS techniques. The purpose of the case report was to describe the outcomes following a MIS TKA as well as to describe the exercise progression and physical therapy interventions utilized to return a patient to all functional activities. The patient was a 63-year-old female who presented to outpatient physical therapy status-post left minimally invasive total knee arthroplasty. She presented to physical therapy on postoperative day two with chief complaints of knee pain, decreased mobility, and difficulty ambulating. The patient completed 19 treatment sessions and showed clinically significant improvements in functional outcomes measures such as the Timed Up and Go (TUG) and Lower Functional Extremity Scale (LEFS). She also demonstrated improvements in both active and passive ROM, stair negotiation, and gait with an overall decrease in post-operative pain. This particular case report demonstrated the exercise progression of a patient following a MIS TKA as well as how various factors such as a low pain threshold, anxious behaviors, and polypharmacy lead to the individualized plan or care.
Faculty / Staff Sponsor
Dr. Dale Schuit
Physical Therapy Outcomes for a 63-Year-Old Female Status-Post Minimally Invasive Total Knee Arthroplasty: A Retrospective Case Report
Osteoarthritis (OA) is a leading cause of disability, and individuals with severe OA often opt to undergo an elective total knee arthroplasty (TKA). Minimally invasive TKAs are described in literature as an alternative technique that overall promote an earlier return to function. Minimally invasive techniques have shown immediate post-operative benefits, however, limited research is available that describes the short and long term physical therapy outcomes between the traditional and MIS techniques. The purpose of the case report was to describe the outcomes following a MIS TKA as well as to describe the exercise progression and physical therapy interventions utilized to return a patient to all functional activities. The patient was a 63-year-old female who presented to outpatient physical therapy status-post left minimally invasive total knee arthroplasty. She presented to physical therapy on postoperative day two with chief complaints of knee pain, decreased mobility, and difficulty ambulating. The patient completed 19 treatment sessions and showed clinically significant improvements in functional outcomes measures such as the Timed Up and Go (TUG) and Lower Functional Extremity Scale (LEFS). She also demonstrated improvements in both active and passive ROM, stair negotiation, and gait with an overall decrease in post-operative pain. This particular case report demonstrated the exercise progression of a patient following a MIS TKA as well as how various factors such as a low pain threshold, anxious behaviors, and polypharmacy lead to the individualized plan or care.