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Related Concept Videos

Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Oct 14, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Does Partial Knee Replacement Allow Return to High-Demand Activities?

Hashim Al-Musawi1, Mo Hassaballa2, Jonathan Manara3

  • 1Trauma and Orthopaedics, University Hospitals of Bristol, Bristol, GBR.

Cureus
|November 5, 2021
PubMed
Summary
This summary is machine-generated.

Partial knee replacement (PKR) patients regain significant function, engaging in activities from light walking to high-impact sports. The Oxford Knee Score for Activity and Participation Questionnaire (OKS-APQ) effectively measures this diverse range of postoperative functional improvements.

Keywords:
function improvementhigh demand activitiesoxford knee scorepartial knee replacementpatient reported outcome measures

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Area of Science:

  • Orthopaedic Surgery
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Partial knee replacement (PKR) encompasses medial, lateral, and patellofemoral arthroplasty.
  • Assessing functional recovery post-PKR is crucial for patient outcomes.
  • Existing patient-reported outcome measures (PROMs) guide treatment efficacy evaluation.

Purpose of the Study:

  • To evaluate functional improvements after partial knee replacement (PKR).
  • To utilize the postoperative Oxford Knee Score for Activity and Participation Questionnaire (OKS-APQ) for assessment.
  • To understand the spectrum of activities patients can perform post-surgery.

Main Methods:

  • A retrospective review of 318 patient records undergoing PKR within three years.
  • A postal survey distributed to eligible patients using OKS-APQ, Tegner Activity Score (TAS), and custom questions.
  • Inclusion criteria focused on PKR patients without mobility-affecting comorbidities.

Main Results:

  • A 64% response rate (205 out of 318) was achieved.
  • Patients reported a wide range of activities: 29% low demand (walking), 43% domestic/moderate sports (golf, swimming), 21% higher demand (dancing, cycling), and 7% high-impact (skiing, heavy gym).
  • Ceiling and floor effects of the OKS-APQ were analyzed based on patient responses.

Conclusions:

  • The postoperative Oxford Knee Score for Activity and Participation Questionnaire (OKS-APQ) effectively captures diverse functional recovery levels post-PKR.
  • Patients undergoing partial knee replacement demonstrate a broad spectrum of functional capabilities, from low-demand activities to high-impact sports.
  • The study highlights the utility of PROMs in quantifying functional gains and guiding rehabilitation strategies after knee arthroplasty.