Methods of rehabilitation treatment after revision knee Arthroplasty

Abstract

Purpose: To determine the most effective approach to the rehabilitation of patients after revision TKA of the knee joint. Materials and methods: An analysis of scientific sources in the international electronic databases PubMed and Scopus was conducted in the period from 2015 to 2025, 12 relevant sources were selected that met the inclusion criteria and covered various aspects of revision arthroplasty and postoperative rehabilitation. Results and their discussion: Patients undergoing primary total knee arthroplasty (TKA) usually demonstrate good functional outcomes and improved joint performance. However, complications are frequent and often arise after surgery, particularly with revision procedures. These complications include a higher risk of infection, thrombosis, and implant failure. Although many patients report improvements in function and reductions in pain, only about 60% achieve full functional recovery following revision TKA. Several key factors influence the success of the procedure, such as the number of previous interventions, preoperative functional status, overall health, and psychosocial factors. It has been established that intensive rehabilitation programs with personalized load selection are the most effective. At the same time, the lack of standardized protocols and the low level of evidence of available studies make it difficult to formulate clear clinical recommendations. Further randomized studies are needed to develop optimal rehabilitation strategies. Conclusions: Despite the gradual improvement in functional status, the final results of revision TKA are inferior to the primary one. The lack of standardized rehabilitation protocols and the low quality of available evidence necessitate further randomized studies and the development of optimal treatment strategies for this category of patients.