Table 3.

Postoperative Protocol

Intraoperative

•Well-padded cooling device applied •HKB locked in extension Day 0 - 1 •Patients admitted to hospital overnight to monitor for bleeding-related complications and pain control •Chemical DVT prophylaxis initiated on day 0 •Crutches and/or walker training day 1 with physical therapy Weeks 0-2 •ROM: 0-90° •Touch down weight bearing with crutches or walker •HKB locked in extension when ambulating Weeks 3-4 •ROM: as tolerated •Progress to 50% weight bearing if minimal pain (pain score <3 of 10) •HKB unlocked for ambulating Weeks 5-6 •Progress to full weight bearing as tolerated Weeks 7+ •Progress strengthening and activities as long as patient remains pain-free

DVT, deep vein thrombosis; HKB, hinged knee brace; ROM, range of motion.