MOJ
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Research Article Volume 17 Issue 3
Methods of rehabilitation treatment after revision knee Arthroplasty
Sulima Oleksiy Mykolayovych, Bakumenko Igor Oleksandrovych, Kozik Yevhenii Volodymyrovych, Chornyi Vadim Mykolayovych
Received: April 25, 2025 | Published: May 26, 2025
Citation: Mykolayovych SO, Oleksandrovych BI, Volodymyrovych KY, et al. Methods of rehabilitation treatment after revision knee Arthroplasty. MOJ Orthop Rheumatol. 2025;17(3):50-57. DOI: 10.15406/mojor.2025.17.00699
Abstract
Purpose: To determine the most effective approach to the rehabilitation of patients after revision TKA of the knee joint. Materials and methods : An analysis of scientific sources in the international electronic databases PubMed and Scopus was conducted in the period from 2015 to 2025, 12 relevant sources were selected that met the inclusion criteria and covered various aspects of revision arthroplasty and postoperative rehabilitation. Results and their discussion : Patients undergoing primary total knee arthroplasty (TKA) usually demonstrate good functional outcomes and improved joint performance. However, complications are frequent and often arise after surgery, particularly with revision procedures. These complications include a higher risk of infection, thrombosis, and implant failure. Although many patients report improvements in function and reductions in pain, only about 60% achieve full functional recovery following revision TKA. Several key factors influence the success of the procedure, such as the number of previous interventions, preoperative functional status, overall health, and psychosocial factors. It has been established that intensive rehabilitation programs with personalized load selection are the most effective. At the same time, the lack of standardized protocols and the low level of evidence of available studies make it difficult to formulate clear clinical recommendations. Further randomized studies are needed to develop optimal rehabilitation strategies. Conclusions: Despite the gradual improvement in functional status, the final results of revision TKA are inferior to the primary one. The lack of standardized rehabilitation protocols and the low quality of available evidence necessitate further randomized studies and the development of optimal treatment strategies for this category of patients.
Keywords: revision arthroplasty, knee joint, rehabilitation, functional results, complications, KOOS, KSS
©2025 Mykolayovych, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.
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