Table 2.

Postoperative Protocol

Intraoperative

•Well-padded cooling device applied

•HKB locked in extension

Days 0-1

•Patients admitted to hospital overnight to monitor for bleeding-related complications and pain control

•Chemical DVT prophylaxis-initiated day 0

•Crutches and/or walker training day 1 with physical therapy

Weeks 0-2

•ROM: 0-90°

•Touch down weightbearing with crutches or walker

•HKB locked in extension when ambulating

Weeks 3-4

•ROM: As tolerated

•Progress to 50% weightbearing if minimal pain (pain score <3 of 10)

•HKB unlocked for ambulating

Weeks 5-6

•Progress to full weightbearing 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.