With an increasing demand for knee replacement procedures, clinicians require up-to-date information on surgical and rehabilitation techniques. Starting with an overview of the history of knee arthroplasty, this course compares minimally invasive and traditional knee arthroplasty methods such as mobile-bearing versus fixed-bearing surfaces. Dr. John O’Halloran describes the phases of postoperative rehabilitation and range of motion methods, including continuous passive motion and neuromuscular electrical stimulation, using numerous patient demonstration videos. The course finishes with an in-depth discussion of recommendations for return to activity following knee arthroplasty. This is the third course in a four course series. Please be sure to also watch:
Current Concepts in Joint Replacement
Shoulder Arthroplasty: Return to Function
Hip Arthroplasty: Improving Gait
Dr. John W. O’Halloran, PT, DPT, OCS, ATC, CSCS, Cert. MDT, is a licensed Physical Therapist and Athletic Trainer with over 25 years of experience in the field of rehabilitation. He is a board certified orthopaedic clinical specialist by the American Physical Therapy Association. He earned his post-professional Doctor of Physical Therapy from Temple University. He is a member of the American Physical Therapy Association (APTA) and the National Athletic Trainers Association (NATA) as well as a member of the Sports and Orthopedics and the Private Practice Sections of the APTA. In 2014, Dr. O'Halloran received the North Carolina Physical Therapy Associations Clinical Excellence Award. Dr. O’Halloran is the sole owner of O’Halloran Rehabilitation, a division of O’Halloran Consulting, LLC. Dr. O’Halloran has served as director of physical therapy/sports medicine at Southeastern Orthopedics in Greensboro, North Carolina as well as co-owner of GOSMC Properties, LLC. He has also worked in a variety of settings including universities and hospitals. Dr. O’Halloran is also a former orthopedic instructor at the physical therapy assistant program at Guilford Technical Community College in Greensboro, North Carolina. In 1999, he became credentialed with the McKenzie Institute in the mechanical diagnosis and treatment of the spine. Dr. O’Halloran is also a certified functional capacity evaluator in the Blankenship Method. His unique evaluation and treatment skills make him a sought after clinical instructor for physical therapy and athletic training topics. He has spoken both locally and internationally on topics such as sports specific rehabilitation of the shoulder, spine rehabilitation and treatment of foot and ankle injuries. Dr. O’Halloran has studied orthopedic and sports therapy abroad in Australia and New Zealand. His post graduate work has included manipulative therapy. His wide range of clinical experience and continued desire to further his education, combined with advanced post graduate training, allows him to provide evidenced based rehabilitation and treat complex musculoskeletal conditions.
Nearly 500,000 people in the US annually need a knee arthroplasty. Through a demonstration with a postoperative total knee arthroplasty patient, Dr. O’Halloran shares common manual therapies for knee rehabilitation.
In this chapter, Dr. O’Halloran provides an overview of the history of knee arthroplasty and examines different surgical techniques, such as minimally invasive versus traditional arthroplasty and mobile-bearing versus fixed-bearing. Other techniques, including unicompartmental surgery and computer-assisted surgery, are reviewed.
Restoring functional balance and range of motion following knee arthroplasty is critical for successful patient rehabilitation. Using multiple patient videos, Dr. O’Halloran outlines the phases of postoperative rehabilitation, how to implement range of motion rehab techniques, and when to utilize continuous passive movement and neuromuscular electrical stimulation.
Dr. O’Halloran describes the return to function process after knee arthroplasty, including appropriate activities and when to partake in them.