Final answer:
A patient with a bilateral total knee replacement on the first day post-op allowing weight bearing will likely have a guarded gait with cautious steps, using walking aids for support. The progression toward normal gait will involve carefully increasing joint mobility and muscle strength while managing pain effectively.
Step-by-step explanation:
The type of gait expected for a patient who has undergone a bilateral total knee replacement, and is on the first day post-op allowing weight bearing, would likely be a guarded gait. This type of gait is characterized by cautious and deliberate steps, often with the assistance of walking devices such as a walker or crutches. Since it's the first day post-operatively, the patient's knees may still be very sensitive and weak, leading to limited mobility and careful movement.
The physiotherapist would likely advise on the extent of weight bearing depending on the surgical technique and implant used but generally, initial ambulation may be toe-touch or partial weight bearing, progressively increasing as tolerated. The goal is to gradually increase joint mobility and muscle strength while preventing complications such as joint stiffness or blood clots. It's important to monitor the patient's pain levels and provide adequate pain relief to facilitate early mobilization, which is crucial for the recovery process.