Total Knee Replacement — Rehabilitation Protocol

Dr Jobe Shatrov
MBBS (Hons), BSc. (Physio). Grad. Dip. (Surgical Anatomy), FRACS, FAOrthoA
Orthopaedic Surgeon, Knee Surgery
Phase 0: Day 0–1
Goals: Pain control, prevent clots, early mobility.
Weight-bearing: As tolerated with aids.
Exercises: Ankle pumps, quads sets, straight-leg raises, early knee bends within comfort.
Phase 1: Weeks 1–2
Goals: Extension to 0, flexion 0–90+, safe gait with aids.
Exercises: Heel slides, bike when wounds are healed, sit-to-stand, short frequent walks.
Driving: Commonly 4–6 weeks once safe braking returns and you are off strong pain medicines.
Phase 2: Weeks 2–6
Goals: Flexion toward 110–120, wean aids, improve confidence on stairs.
Exercises: Step-ups, leg press within comfort, hip and core strengthening, balance work.
Phase 3: Weeks 6–12
Goals: Everyday activities with minimal aids, build endurance.
Activities: Walking program, cycling, low-impact gym.
Ongoing gains: Strength and function continue to improve for 6–12 months.
Red flags: Fever, calf pain or swelling, chest symptoms, increasing wound discharge, uncontrolled pain. Seek urgent care.
Your plan may differ. Follow the instructions you receive from Dr Shatrov.
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