[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-438510-105":59,"doc-detail-438510-en":129},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":122,"head_meta":124,"extra_data":126,"updated_unix":128},105,"en","total-knee-arthroplasty-tka-post-op-clinical-practice-guideline","Total Knee Arthroplasty (TKA) Post-Op Clinical Practice Guideline","","Progression in post-operative care for total knee arthroplasty (TKA) follows time and criterion-based milestones, guided by soft tissue healing, patient demographics, and clinician evaluation. The guideline outlines the rationale for TKA as an elective procedure for arthritic knee pain and dysfunction, emphasizes early mobilization with precautions, and provides structured recommendations for outpatient rehabilitation, DVT and mechanical complication precautions, weight-bearing and range-of-motion targets, functional testing options, outcome measure collection, discharge criteria, and cautions on running and plyometrics.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/total-knee-arthroplasty-tka-post-op-clinical-practice-guideline/438510/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/total-knee-arthroplasty-tka-post-op-clinical-practice-guideline/438510.png","ImageObject",300,407,{"name":92,"@type":93},"LangkahRina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-29",true,{"@type":101,"interactionType":102,"userInteractionCount":8},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What is the purpose of total knee arthroplasty (TKA) after surgery?","Question",{"text":111,"@type":112},"TKA is used to treat arthritic knee pain and dysfunction when pain does not respond to conservative treatment and has affected health, quality of life, or daily activities. The procedure removes arthritic structures and replaces them with artificial implants.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"What precautions should be followed after TKA to reduce complications?",{"text":116,"@type":112},"Outpatient rehabilitation is expected after discharge. Monitor for red flags such as DVT signs and mechanical block/clunk, and yellow flags like persistent reactive pain or effusion that require modification of the plan of care.",{"name":118,"@type":109,"acceptedAnswer":119},"What criteria indicate progression of weight bearing, range of motion, and discharge of the assistive device?",{"text":120,"@type":112},"Weight-bearing progression targets include full active knee extension without pain on passive overpressure and normalized gait focusing on TKE, with a goal to discontinue the assistive device by post-op weeks 3–6. Discharge of the assistive device requires full active knee extension without pain, adequate quad strength and SLR performance, minimal effusion, and pain-free ambulation without visible gait deviation.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},438510,1790716234,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":138,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","TOTAL KNEE ARTHROPLASTY (TKA) POST-OP CLINICAL PRACTICE GUIDELINE  \nProgression is time and criterion-based, dependent on soft tissue healing, patient demographics and clinician evaluation. Contact Ohio State Orthopaedic Surgery Adult Reconstruction Division (614-293- 2663) if questions arise.  \nOverview  \nTotal knee arthroplasty (TKA), also known as a total knee replacement, is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic knee joint. TKA isan effective option if the patient’s pain does not respond to conservative treatment and has caused a decline in their health, quality of life, or ability to perform activities of daily living. This procedure removes the arthritic structures that make up the knee joint and replace them with artificial implants.  \nWith advancements in modern medicine, there have been several effective surgical approaches developed for TKA. The surgeon will determine the best surgical approach to use for each individual. Patients are encouraged to participate in early mobilization while adhering to precautions in order to improve function and limit post-operative complications.  \nDisclaimer: Progression is time and criterion-based, dependent on soft tissue healing, patient demographics and clinician evaluation. If you are working with an Ohio State Sports Medicine patient and questions arise, please contact our office at (614) 293-2385.  \nFor OSUWMC USE ONLY. To license, please contact the OSU Technology Commercialization Office at [https://tco.osu.edu](https://tco.osu.edu).  \nSummary of Recommendations  \n\n| Expectations | • Outpatient rehabilitation is expected for every patient after discharge from hospital. Home Heath may be performed initially to increase mobility and achieve community distance ambulation prior to outpatient rehab. |\n| --- | --- |\n| Precautions | • Signs of DVT (Refer directly to ED)\u003Cbr>o Localized tenderness along the distribution of deep venous system\u003Cbr>o Entire LE swelling\u003Cbr>o Calf swelling >3cm compared to asymptomatic limb\u003Cbr>o Pitting edema\u003Cbr>o Collateral superficial veins\u003Cbr>• Mechanical block or clunk (Refer to surgeon or joint APP team for re-evaluation)\u003Cbr>• Lack of full knee extension by 4-6 weeks (Refer to surgeon/or APP team for re-evaluation)\u003Cbr>• AD required for ambulation after post-op week 6 (MD follow up visit) |\n| Weight Bearing Progression | • ROM: Full active knee extension; no pain on passive overpressure\u003Cbr>• Strength: Able to perform strong quad isometric with full tetany and superior patellar glide and able to perform 2x10 SLR without quad lag\u003Cbr>• Effusion: 1+ or less is preferred (2+ acceptable if all other criteria are met)\u003Cbr>• 60 sec of SL stance without compensation or pain\u003Cbr>• Normalized gait pattern without assistive device – focus on TKE\u003Cbr>• Able to ascend/descent stairs with handrail or AD use Goal: DC AD by post-op week 3-6 weeks |\n| Range of Motion Progression | • Equalize knee ext AROM for symmetry\u003Cbr>• Knee flex A/PROM:\u003Cbr>o 60-90 by 2 weeks\u003Cbr>o 100 by 6 weeks\u003Cbr>o 120 by 8-12 weeks |\n| Functional Testing | • 30-second Chair Stand Test\u003Cbr>• Gait Speed\u003Cbr>• TUG\u003Cbr>• Functional Reach Test\u003Cbr>• 6-min Walk Test\u003Cbr>*Functional strength testing should be reserved for patients returning high-level activity |\n| Patient Reported\u003Cbr>Outcomes | Collect at least one of the following at initial evaluation, every 6 weeks and discharge. Be consisted with which outcome tool is collected.\u003Cbr>• Knee Injury and Osteoarthritis Outcome Score (KOOS)\u003Cbr>• International Knee Documentation Committee (IKDC)\u003Cbr>• Lower Extremity Functional Scale (LEFS) |\n| Criteria to\u003Cbr>Discharge\u003Cbr>Assistive Device | • ROM: Full active knee extension; no pain on passive overpressure\u003Cbr>• Strength: Able to perform strong quad isometric with full tetany and superior patellar glide and able to perform 2x10 SLR without quad lag\u003Cbr>• Effusion: 1+ or less is preferred (2+ acceptable if all other criteria are met)\u003Cbr>• Weight Bearing: ","cbCaikPcWRMbebEF","https://ap.wps.com/l/cbCaikPcWRMbebEF","pdf",617711,11,"English","# Overview\n# Summary of Recommendations\n## Expectations and Precautions\n## Weight Bearing Progression\n## Range of Motion Progression\n## Functional Testing and Patient-Reported Outcomes\n## Discharge Criteria for Assistive Device\n## Considerations for Running and Plyometrics\n# Red/Yellow Flags\n# Phase I: Day 1 Post-Op to 0-6 Weeks","[{\"question\":\"What is the purpose of total knee arthroplasty (TKA) after surgery?\",\"answer\":\"TKA is used to treat arthritic knee pain and dysfunction when pain does not respond to conservative treatment and has affected health, quality of life, or daily activities. The procedure removes arthritic structures and replaces them with artificial implants.\"},{\"question\":\"What precautions should be followed after TKA to reduce complications?\",\"answer\":\"Outpatient rehabilitation is expected after discharge. Monitor for red flags such as DVT signs and mechanical block/clunk, and yellow flags like persistent reactive pain or effusion that require modification of the plan of care.\"},{\"question\":\"What criteria indicate progression of weight bearing, range of motion, and discharge of the assistive device?\",\"answer\":\"Weight-bearing progression targets include full active knee extension without pain on passive overpressure and normalized gait focusing on TKE, with a goal to discontinue the assistive device by post-op weeks 3–6. Discharge of the assistive device requires full active knee extension without pain, adequate quad strength and SLR performance, minimal effusion, and pain-free ambulation without visible gait deviation.\"}]","Total Knee Arthroplasty (TKA) Post-Op Clinical Practice Guideline | PDF",1790685552,28]