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Shelbourne Releases New Information on Knee Replacement
Date:7/20/2009

study, all but 8 of them achieved adequate symptom relief with rehabilitation and decided against having surgery. The mean IKDC survey score at final follow up was comparable to what is considered a normal score for people aged 51 to 65. Patients reported decreased pain severity and frequency following completion of this rehabilitation program.

Components of the Treatment
Treatment involved a structured rehabilitation program focused on improving knee extension first, followed by knee flexion once progress on extension slowed. The final phase of rehabilitation focused on improving strength through quadriceps exercises and low impact exercise on a stationary bike, elliptical, or stair climber machine.

The Elite Seat®, manufactured by Kneebourne Therapeutic, was used with many of these patients to improve knee extension. This device can be used independently by the patient to provide a constant, prolonged stretch to the knee to improve extension and achieve hyperextension equal to the normal knee. The Elite Seat is also useful for treating any knee condition associated with extension loss including osteoarthritis, postoperative knee stiffness, acute anterior cruciate ligament (ACL) tears, and arthrofibrosis.

Summary
These findings highlight the efficacy of improving range of motion in patients with arthritic knees. Preoperative rehabilitation before ACL reconstruction surgery is now considered standard-of-care, but very few surgeons require preoperative rehabilitation before total knee replacement. Many patients are looking for ways to avoid having a knee replacement surgery, but are not given other options if medications fail to control their symptoms. This study shows that by implementing preoperative total knee replacement rehabilitation, many patients may be able to avoid surgery. For those patients who pursue the surgery, their recovery and outcome will be improved by maximizing the available range of motion b
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