JORR
Journal of Orthopedics Research and Rehabilitation

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers in orthopaedic surgery, physical therapy and rehabilitation, physiotherapy, neurology and clinic anesthesiology and reanimation.

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Case Report
Post-operative complications and rehabilitation challenges following total knee replacement: a case report
Abstract
Total knee replacement (TKR) is a widely performed surgical procedure for advanced osteoarthritis (OA), aimed at relieving pain and restoring joint function. However, post-operative complications, including persistent pain, joint stiffness, and poor adherence to rehabilitation protocols, can impair functional recovery and quality of life. This case report describes a 56-year-old female, Mrs. Valarmathi, who presented with persistent right knee pain, stiffness, and mobility limitations following a TKR performed for severe OA. Clinical evaluation revealed reduced range of motion, muscle weakness, altered gait mechanics, kinesiophobia, and moderate depressive symptoms. Despite structured physiotherapy interventions involving cryotherapy, TENS, passive and active mobilization, and strengthening exercises, the patient's progress was hindered by poor home program compliance. Subsequent development of a suspected joint infection requiring aspiration further complicated her recovery. The case highlights the multifactorial challenges in post-TKR rehabilitation, including musculoskeletal impairments, psychosocial barriers, and lack of patient adherence. Early physiotherapy, patient education, psychological support, and close follow-up are essential to prevent complications and enhance functional outcomes. This case underscores the importance of a comprehensive, multidisciplinary approach to TKR rehabilitation. Patient education and adherence to home exercises are critical to optimizing recovery and preventing avoidable setbacks.

Keywords : Total knee replacement, osteoarthritis, rehabilitation, physiotherapy, case report, kinesiophobia, postoperative complications

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Article available in :
Volume 3, Issue 3, 2025
Page : 76-82
https://doi.org/10.51271/JORR-0056
Article Information
Received : 21 May 2025
Accepted : 05 Tem 2025
Published : 12 Tem 2025
Corresponding Author :

Sureshkumar Radjajy: College of Physiotherapy, Sri Venkateswaraa Medical College Hospital and Research Centre, Puducherry, India

[email protected]
Citation : Suresh S, Thiruvarangam B. Post-operative complications and rehabilitation challenges following total knee replacement: a case report. J Orthop Res Rehabil. 2025;3(3):76-82.

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