Knee Replacement Among Athletes

Knee replacement surgery is a life changing decision,commitment to staying active and following the
especially for athletes. There are many factors tophysical therapy routine laid out by their doctor.
consider and questions to be answered. How much aRecovery time for a knee replacement can take as
titanium knee replacement weighs, recovery time forlittle as 90 days and full range of motion in the knee
double knee replacement, the resulting range ofcan be achieved with regular stretching and
motion, are all important considerations. Additionally,strengthening exercises.
the duration of stiffness after total kneeA limiting factor to the stretching and mobility is the
replacement and other long term complications ofduration of stiffness after total knee replacement
knee replacement are things to fully understandsurgery. In the first 3 -7 days there is very little
before an informed decision can be reached.mobility in the joint and the muscles will not regain
Knowing what to expect after surgery contributes totheir normal flexibility without consistent range of
much more positive results during recovery. It is thismotion exercises. As noted previously, within 90 days
positive mindset combined with realistic expectationsfull mobility can be achieved, but without continued
that enables an athlete to have a quicker recoveryattention, the muscles can stiffen up again. Long
and the possibility of returning to as many normalterm care is vital to keeping the knee as healthy as
activities as possible.possible and limiting the duration of stiffness after
Of the many questions that arise, one that occurs toknee surgery.
and affects athletes more than the typical patient, is:An important question to ask the surgeon is: "What
"How much does a titanium knee replacementare the long term complications of knee
weigh?" While the good news is the entire prosthesisreplacement?" While this will vary from patient to
weighs less than a pound, it does weigh more thanpatient and is influenced to a large degree by overall
the natural bone and cartilage. Along with regainingphysical health, there are a few problems that may
the flexibility in the joint, strength training will beoccur. Usually long term complications affect less than
needed to increase the muscle strength beyond5% of knee replacements according to Dr. Mervyn J.
what was needed before surgery. The recoveryCross the director of AIMS (The Australian Institute
time after knee replacement to achieve the desiredof Musculo-Skeletal Research) and Director of
results will be more intensive for a dedicated athlete.Orthopaedics for the 2000 Olympics. He lists post
Recovery time for a double knee replacement issurgical infection, blood clots, loosening of the joint,
different for well trained and motivated athletes.Haemarthrosis which is bleeding within the joint, and
According to the Mayo clinic, three to six weeks ofnerve injury as some of the possibilities.
total rest is required before resuming normal, lowWhile there have been great advances in medical
impact activities. It can take as much as a month totechnology, a successful outcome is determined by
regain the range of motion needed to drive a car.the patient's attitude and willingness to do the
These limitations apply to the typical patient: over 65,necessary therapy. Based on their experience, many
mostly sedentary and experiencing arthritis in thedoctors have somewhat low expectations for
joint. New advances in procedures and painrecovery and may not be very encouraging. It is up
management techniques have allowed patients toto the patient to find and follow an exercise program
climb stairs within a week of the knee replacementthat has already shown proven results. Equally
surgery. With the proper motivation, commitment toimportant is finding a trainer or mentor who has a
exercise, and a can-do attitude even better resultspositive attitude toward recovery from knee surgery
can be obtained, according to researchers at Brownand who can teach any athlete the same mindset.
University.Believing it can be done and working with someone
Knee replacement range of motion is a majorwho has already achieved the desired results is the
concern for anyone wishing to continue their athletickey to returning to normal activities and remaining
pursuits. The deciding factor is the patients ownfree from pain.