Coming Unhinged
The leg bone that is not considered to be part of the knee.
The Fibula
Walking on a downhill slope increases the activity of this muscle group
Quadriceps
The average life expectancy of a knee prosthesis.
15-20 years
The two most common pathologies that lead to a TKA.
Osteoarthritis and Rheumatoid Arthritis
This therapeutic treatment is considered just as effective as lidocaine injections.
Dry Needling
The knee ligaments left intact following TKA surgery.
LCL and MCL; Possibly the PCL
A strong activation of the Quadriceps will create a pull in this direction.
Lateral
Reduces pain; Improves strength, ROM, and functional task performance.
High-Intensity Pre-Op Training
Although the risk is low, major complications follow TKA surgery include:
Blood Clots and Infection
The Popliteus muscle “unlocks” the knee in the Screw-Home Mechanism by rotating the femur in this direction.
Externally
This intervention prior to TKA surgery will help decrease post-TKA pain.
Dry Needling
Commonly used metals in a TKA
Titanium Alloy and Polyethylene
When standing up from a chair, the arthrokinematics in the knee move the bones this way. (Think Convex-Concave).
Femoral condyles roll anteriorly, tibia slides posteriorly
This pre-TKA intervention promises to get patients back to pre-op knee flexion and abduction baseline within 1 month post-op.
High-Intensity Pre-Op Training
During a TKA, the possible osteotomies performed include:
Proximal tibia, distal femur, anterior and posterior femoral condyles, and retropatellar surface