Total Knee Arthroplasty: Current Concepts in Physical Therapy Management

About the Course:
In the United States, total knee arthroplasty is one of the most common elective surgical procedures with more than 700,000 procedures performed each year. Research is ongoing, but most experts contend that for the most successful postoperative outcome, rehabilitation is an essential component of recovery.  Physical therapists must have an in-depth knowledge of current best practice for this population to maximize their return to function and quality of life. Additionally, with the emergence of new reimbursement models for Total Joint Replacement care, it is essential for physical therapy practitioners to utilize the most appropriate outcome measures in data collection and reporting.  The purpose of this intermediate level course is to provide physical therapists and physical therapist assistants with a comprehensive overview of the many considerations surrounding knee replacement surgery, including the relevant anatomy, epidemiology, patient selection criteria, surgical considerations, common postoperative complications, and rehabilitation strategies.  This course discusses the pre and postoperative patient management, rehabilitation goals and treatment in the acute, post-acute, and functional recovery stages.  This course, which is relevant for physical therapists and physical therapy assistants, provides evidence-based research that supports rehabilitation treatment methods and outcomes following total knee arthroplasty while highlighting the areas in need of further study.  

Learning Objectives:
  • Describe the epidemiological trends for total knee arthroplasty.
  • Explain the anatomical components of the knee and how degenerative changes may influence the need for knee replacement surgery.
  • Identify the indications for total knee arthroplasty, as well as preoperative planning and rehabilitation.
  • Summarize the surgical approaches to total knee arthroplasty and potential complications and how they may impact rehabilitation and recovery.
  • Discuss postoperative physical therapy interventions and expected outcomes following total knee arthroplasty.
  • Describe future considerations in delivering care to patients following total knee arthroplasty.
About the Author:
Diane M. Heislein, PT, DPT, OCS,
is a licensed physical therapist with over 30 years of clinical practice primarily in the practice area of orthopedics. She received a bachelor of science degree in physical therapy from the University of Lowell, a post-professional master of science degree in orthopedic and sports physical therapy and a doctor of physical therapy degree from the MGH Institute of Health Professions. Dr. Heislein received board certification as a clinical specialist in orthopedics (OCS) from the American Board of Physical Therapy Specialties in 1992, 2002, and 2010. She holds a full-time faculty appointment at Boston University’s College of Health and Rehabilitation Sciences: Sargent College as the director of the physical therapy programs, where she teaches the lower extremity musculoskeletal system course, which includes the examination and treatment of patients following knee arthroplasty. In addition, her clinical practice is focused on acute care management of orthopedics, including post-surgical patients, with a high volume of joint arthroplasty patients at the Massachusetts General Hospital. Dr. Heislein has authored several textbook chapters and a clinical summary for the APTA on physical therapy management of patients following arthroplasty surgery.

How to Receive Credit:
  • Read the entire course online or in print which requires a 4-hour commitment of time.
  • Depending on your state requirements you will be asked to complete:
  • An affirmation that you have completed the educational activity.
  • A mandatory test (a passing score of 75 percent is required). Test questions link content to learning objectives as a method to enhance individualized learning and material retention.
  • Provide required personal information and payment information.
  • Complete the mandatory Self-Assessment and Course Evaluation.
  • Print your Certificate of Completion.

Resolution of Conflict of Interest
Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2019: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.