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Which gait would you use for the first day post-op right knee replacement, with weight bearing allowed?

1) Non-weight bearing gait
2) Partial weight bearing gait
3) Full weight bearing gait
4) Assisted weight bearing gait

1 Answer

6 votes

Final answer:

On the first day post-op after a knee replacement surgery with weight-bearing allowed, the recommended gait is an assisted weight-bearing gait. This gait balances mobilization with the protection of the new knee, using walking aids for support, while following the post-operative instructions from the surgical team.

Step-by-step explanation:

Choosing the Right Gait After Knee Replacement Surgery

After a knee replacement surgery, particularly on the first day post-op where the patient is allowed to bear weight, the recommended gait would typically be an assisted weight-bearing gait. This is because the muscles and soft tissues around the knee are healing, and the alignment of the prosthetic components relies on gradual loading to ensure that the knee can adapt correctly without undue stress. Careful weight bearing with assistance helps in maintaining alignment and avoiding excessive force that could compromise the surgical outcome.

Medical professionals often suggest using walking aids such as crutches, a walker, or a cane to help support the patient's weight and to provide stability during the initial stages of recovery. Furthermore, maintaining strengthening exercises and following a physiotherapy regimen are key to ensuring proper function and longevity of the knee joint. It is critical to follow the surgeon's post-operative instructions and work with a physical therapist to determine the appropriate amount of weight bearing during the recovery phase.

The partial weight bearing gait or assisted weight-bearing gait is preferred over non-weight bearing or full weight-bearing gaits immediately following surgery, as it balances the need for mobilization with the protection of the surgical site. As healing progresses, the patient's weight-bearing status can increase under professional guidance.

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