Year: 2023 | Month: December | Volume: 13 | Issue: 12 | Pages: 160-167
DOI: https://doi.org/10.52403/ijhsr.20231220
Structured Early Rehabilitation Program with Multidisciplinary Approach after Total Knee Arthroplasty for Severe Osteoarthritis: A Case Report
Putu Feryawan Meregawa1, Pande Putu Agung Willa Kesawa Putra2
1Department of Orthopaedic & Traumatology, 2Resident of Orthopaedic & Traumatology, Prof. Dr. IGNG Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
Corresponding Author: Pande Putu Agung Willa Kesawa Putra
ABSTRACT
Osteoarthritis (OA) is a degenerative joint disorder affecting the knee, affecting 22.9% of adults aged 40 and above. Total knee arthroplasty (TKA) is a successful treatment, but several studies reported post-operative stiffness, inability to squat or kneel, and other symptoms have a negative impact on the patient's prognosis. Recent guidelines advise that patients should be mobilized and gone exercise as soon as feasible after surgery because early function and mobilization are crucial for the success of a short stay program. Therefore, we want to present a case of patient with OA Kellgren and Lawrence grade IV and indicated for Total Knee Arthroplasty who was mobilized the same day after the surgery. A 63-year-old male patient with bilateral knee pain, causing stiffness and difficulty walking, sought medical attention. Despite pharmacological therapy, the patient's quality of life deteriorated. He diagnosed advanced osteoarthritis of the left knee, classified as Kellgren and Lawrence grade IV. Total Knee Arthroplasty was recommended to relieve pain and correct malalignment. We collaborated with medic rehabilitation division and anaesthesiologist to create an early rehabilitation program. After three months, the patient's functional outcome is satisfactory with good range of motion, quality of life, and a KSS of 80 and WOMAQ of 14. Patient with osteoarthritis who undergo total knee arthroplasty is advisable to follow early rehabilitation program since it improves the KSS and WOMAQ score following three months post-surgery.
Key words: Osteoarthritis, Total Knee Arthroplasty (TKA), Early rehabilitation program, KSS, WOMAQ