MIS Joint Replacement is a step forward in hip and knee replacement because it may provide a number of potential benefits, which may include the following: a shorter hospital stay, faster recovery, and much less scarring.
Here are some exercises that your doctor may recommend to help speed your recovery:
Low Impact Aerobic Exercise – Swimming and riding a stationary bike are great low impact exercises that help build strength in your knee. Stop any exercise that causes increasing pain.
Short-Arc Knee Extensions – Roll up several towels in a roll 6-8 inches thick. Lay in bed with the towels under one knee. Bend the other knee. Keeping your knee on the towels, lift your foot to straighten the knee. Hold for a few seconds and lower the foot.
Ankle Pumps – While lying in bed, point your toes downward and then bring your toes back up towards your head, tightening your calf.
Heel Slides – Slide your heel along the bed pulling your foot towards you as your knee bends.
Straight Leg Raise – Start by tightening your quadriceps, the muscles in the front of your thigh. Then with toes toward the ceiling, lift your leg 6-12 inches from the bed.
Quadriceps Sets – Lie on your back, legs straight. Tighten the muscle in the front of your thigh as you press the back of your knee toward the bed. Hold for a few seconds, then relax the leg.
Standing Knee Bends – Stand while holding onto a steady surface, such as a table. Bend your knee as far as it will go comfortably. Hold for a few seconds and lower the leg.
Increasing upper body strength is also important because of the need to use a walker or crutches after knee replacement.
Bicep Curls – In a sitting position, keep you elbow close to your body and your wrist straight. Bend you arm, moving your hand up to your shoulder, then lower slowly.
Triceps Extensions – Sit, leaning forward from the waist. Bend your elbow so that your forearm is parallel to the floor. Then straighten your elbow as you extend your arm behind you.
Seated Press Ups – Sit in a sturdy chair with armrests. With palms on the armrests, press down to lift yourself from the chair. Hold for 3-5 seconds. Bend your elbows slowly to ease back down.
Talk to your doctor before starting any exercise program and remember to call your doctor if you experience increased pain or swelling in your knee after exercise.
Here are some exercises that your doctor may recommend:
Low Impact Aerobic Exercise – Swimming and riding a stationary bike are great low impact exercises that help build strength. Stop any exercise that causes increasing pain.
Short-Arc Knee Extensions – Roll up several towels in a roll 6-8 inches thick. Lay in bed with the towels under one knee. Bend the other knee. Keeping your knee on the towels, lift your foot to straighten the knee. Hold for a few seconds and lower the foot.
Ankle Pumps – While lying in bed, point your toes downward and then bring your toes back up towards your head, tightening your calf.
Heel Slides – Slide your heel along the bed pulling your foot towards you as your knee bends.
Straight Leg Raise – Start by tightening your quadriceps, the muscles in the front of your thigh. Then with toes toward the ceiling, lift your leg 6-12 inches from the bed.
Quadriceps Sets – Lie on your back, legs straight. Tighten the muscle in the front of your thigh as you press the back of your knee toward the bed. Hold for a few seconds, then relax the leg.
Standing Knee Bends – Stand while holding onto a steady surface, such as a table. Bend your knee as far as it will go comfortably. Hold for a few seconds and lower the leg.
Increasing upper body strength is also important because of the need to use a walker or crutches after surgery.
Bicep Curls – In a sitting position, keep you elbow close to your body and your wrist straight. Bend you arm, moving your hand up to your shoulder, then lower slowly.
Triceps Extensions – Sit, leaning forward from the waist. Bend your elbow so that your forearm is parallel to the floor. Then straighten your elbow as you extend your arm behind you.
Seated Press Ups – Sit in a sturdy chair with armrests. With palms on the armrests, press down to lift yourself from the chair. Hold for 3-5 seconds. Bend your elbows slowly to ease back down.
Talk to your doctor before starting any exercise program and remember to call your doctor if you experience increased pain or swelling after exercise.
Total Joint Replacement – Less Invasive, Faster Recovery
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Publications
Publications in Peer Reviewed Journals
Incavo SJ
, Kristiansen TK: Retrieval of a Broken Intramedullary Nail. Clinical Orthopaedics and Related Research 210:201-202, September, 1986.
Incavo SJ
, Alvarez RG, Trevino SJ: Occurrence of the Plantaris Tendon in Subcutaneous Rupture of the Achilles Tendon. Foot and Ankle 8(2): 110-111, October, 1987.
Incavo SJ
, Muller DL, Krag MH, Gump D: Vertebral Osteomyelitis Caused by Clostridium Difficile, A Case Report and Review of the Literature. Spine, 13(1): 111-113, 1988.
Incavo SJ
, DeCoster T, Howe JG: Femoral Head Histology Under Tharies Surface Replacement. Orthopaedic Review 17(3): 273-277, 1988.
Incavo SJ
, Moreland MS: Giant Synovial Cyst of the Hip Joint. Orthopaedic Review 17(5): 609-612, June, 1988.
Incavo SJ
, Arms S, Pope M, Ostgaard H: Strain in the Lateral Ligaments of the Ankle. Foot & Ankle 9(2): 59-63, 1988.
Incavo SJ
, Howe JG: Hip Arthroplasty after Biplanar Femoral Osteotomy. Journal of Arthroplasty 4(1): 79-86, March, 1989.
Incavo SJ
, Mogan JV, Hilfrank RPT. Extension Splinting of Palmer Plate Avulsion Injuries of the Proximal Interphalangeal Joint. Journal of Hand Surgery (14)4: 659-661, July, 1989.
Incavo SJ
, Kristiansen T: Primary Hyperparathyroidism and Multiple Pathologic Fractures: Restoration of Normal Bone Histology Following Excision of a Parathyroid Adenoma. Journal of Bone and Joint Surgery 72-A: 1558-1561, 1990.
Incavo SJ
, DiFazio F, Wilder D: Strength of Cerclage Fixation Systems, A Biomechanical Study. Clinical Biomechanics 5(4): 236-238, 1990.
Incavo SJ
, DiFazio F, Wilder D, Howe JG, Pope MH: Longitudinal Crack Propagation Around a Femoral Prosthesis. Clinical Orthopaedics and Related Research 272: 175-180, 1991.
Incavo SJ
, Howe JG: Prevention of Longitudinal Crack Propagation Around a Femoral Prosthesis: A Study of Cerclage Wire Fixation. Clinical Biomechanics 8:274-276, 1993.
Incavo SJ
, DiFazio F, Howe JG: Cementless Hemispheric Acetabular Components: Two-to-Four Year Results. Journal of Arthroplasty 8(6): 573-580, 1993.
Incavo SJ
: Operative Treatment of Distal Femoral Fractures Proximal to Total Knee Replacements. Journal of Bone and Joint Surgery 75A: 27-34, 1993.
Incavo SJ
, Ninomiya J, Howe JG, Mayor MB: Failure of the Polyethylene Liner Leading to Notching of the Femoral Component in Bipolar Prostheses. Orthopaedic Review 22(6): 728-732, 1993.
Incavo SJ
, Ronchetti PJ, Howe JG, Tranowski JP: Tibial Plateau Coverage in Total Knee Arthroplasty. Clinical Orthopaedics and Related Research 299: 81-85, 1994.
Incavo SJ
, Ronchetti PJ, Choi JH, Wu H, Kinzig M, Sörgel F: Penetration of Piperacillin/Tazobactam in Cancellous and Cortical Bone Tissues. Antimicrobial Agents and Chemotherapy, 38(4): 905-907, 1994.
Incavo SJ
, Johnson CC, Beynnon BD, Howe JG: Posterior Cruciate Ligament Strain Biomechanics in Total Knee Arthroplasty. Clinical Orthopaedics and Related Research 309:88-93, 1994
Incavo SJ
, Ames SE: Allograft-Host Size Mismatch in Revision Total Hip Replacement. Orthopaedic Review, 23(10): 832-836, 1994.
Incavo SJ
, Ames SE, DiFazio FA, Howe JG: Cementless Hemispheric Acetabular Components: A 4-8 Year Follow Up Report. Journal of Arthroplasty 11 (3): 1-6, 1996.
Incavo SJ
, Beard DM, Pupparo F, Ries M, Wiedel J: Fractures Around Loose Cemented Femoral Prostheses. The American Journal of Orthopedics 1:35-41, 1997.
Incavo SJ
, Beynnon BD, Johnson CC, Churchill DL: Knee Kinematics in Total Knee Arthroplasty: A Comparison of Different Tibial Designs With and Without the Posterior Cruciate Ligament. The American Journal of Knee Surgery 10(4): 209-215, 1997.
Incavo SJ
, Schneider R, Elting J: The Effect of Surface Coating of Femoral Prostheses Implanted Without Cement: A Two to Four Year Follow-up Study. The American Journal of Orthopedics 5:355-361, 1998.
Incavo SJ
, Howe JG: Is Impedance Plethysmography A Safe Test After Total Joint Replacement? Vascular Surgery, 32(3): 255-261, 1998.
Incavo SJ
, Johnson CC, Beynnon BD: The Transepicondylar Axis Approximates the Optimal Flexion Axis of the Knee. Clinical Orthopaedics and Related Research 356: 111-118, 1998.
Incavo SJ
, Churchill DL: The Role of the Posterior Cruciate Ligament in TKA. Techniques in Orthopaedics 14(4):267-273, 1999
Incavo SJ
, Lily J, Churchill DJ, Bartlett C: Knee Arthrodesis Using a Proximal Interlocking Nail. Journal of Arthroplasty 15 (7): 871-876, 2000
Incavo SJ
: The Effects of Patellar Preparation for Total Knee Arthroplasty on Patellar Strain. Journal of Arthroplasty 15 (6): 778-782, 2000
Incavo SJ
, Johnson CC, Churchill DL, Beynnon BD: Bending Stiffness, Torsional Stability, and Insertion Force of Cementless Femoral Stems. American Journal of Orthopaedics 4:323-327, 2001
Incavo SJ
, DiFazio FA, Dayton MR: Extensively Coated Femoral Components in Revision Total Hip Replacement Current Opinion in Orthopaedics, Volume 13, Issue 1, 2001.
Incavo SJ
, Johnson CC, Beynnon BD: Femoral Stem Insertion Generates High Bone Cement Pressurization. Clinical Orthopaedics and Related Research. 393:335-344, 2001
Incavo SJ
, Johnson CC, Beynnon BD: The Influence of Femoral Rollback on Patello-Femoral Contact Loads in TKA. Journal of Arthroplasty 16 (7): 909-918, 2001
Incavo SJ
, Churchill DL, Beynnon BD: Effects of Early vs. Late Polymethylmethacrylate Intrusion into Cancellous Bone. Frank Stinchfield Award. Clinical Orthopaedics and Related Research 405:39-45, 2002
Incavo SJ
, Churchill DL, Beynnon BD: The Tibial Axis and Patellar Position in Relative to the Femoral Epicondylar Axis During Squatting. Journal of Arthroplasty, 18(8):1048-1055, 2003
Incavo SJ
, Coughlin KM, Pappas C, Beynnon BD: Anatomic Rotational Relationships of the Proximal Tibia, Distal Femur and Patella: Implications for Rotational Alignment in Total Knee Arthroplasty. Journal of Arthroplasty 18(5):643-648, 2003
Incavo SJ
, Havener TW, Benson E, McGrory BJ, Coughlin KM, Beynnon BD: Efforts To Improve Cementless Femoral Stems In THR: 2 To 5 Year Follow-Up Of A High-Offset Femoral Stem With Distal Stem Modification (Secur-Fit Plus). Journal of Arthroplasty, 19(1):61-67, 2004
Incavo SJ
: Clinical Performance of a Highly Crosslinked Polyethylene at Two Years in Total Hip Arthroplasty: A Randomized Prospective Trial. Journal of Arthroplasty 18(7):55-59, 2003
Incavo SJ
, Mihalich RM, Coughlin KM: Technical Note. A Stem-Allograft Composite for Femoral Revision in Total Hip Arthroplasty. Journal of Arthroplasty 18(8):1064-1066, 2003
Incavo SJ
, Morris HB, Baker D: Femoral Component Revision Using an Extensively Hydroxyapatite-Coated Stem. Journal of Arthroplasty, 19(1):8-13, 2004
Incavo SJ
, Coughlin KM, Beynnon BD: Femoral Component Sizing in Total Knee Arthroplasty: Size Matched Resection Versus Flexion Space Balancing. Journal of Arthroplasty, 19(4):493-497, 2004
Incavo SJ
, Mullins ER, Coughlin KM, Banks SA, Banks A, Beynnon BD: Tibiofemoral Kinematic Analysis of Kneeling After Total Knee Arthroplasty. Journal of Arthroplasty, 19(7):906-910, 2004
Incavo SJ
: 5 Points on Knee Arthrodesis after Total Knee Arthroplasty. American Journal of Orthopedics, 33(1):494, 2004.
Incavo SJ
, Pappas CN: Diagnosis and Classification of Avascular Necrosis of the Hip, Seminars in Arthroplasty, 15(3): 140-144, 2004
Incavo SJ
, Martell J, Coughlin K, Beynnon B: Simultaneous Bilateral THA Using a Cementless Stem. American Journal of Orthopedics, 24(4): 177-182, 2005
Incavo SJ
, et al. Continuous, Intra-articular Infusion of Bupivacaine After Total Knee Arthroplasty Leads to Potentially Toxic Serum Levels of Local Anesthetic. Reg Anesth Pain Med, 30(4):414-415, 2005.
Incavo SJ
, Beynnon BD: The Use of a Hydroxyapatite Coated Primary Stem in Revision Total Hip Arthroplasty. Journal of Arthroplasty, 21(1): 66-73, 2006.
Incavo SJ
. Periprosthetic Fracture After Total Hip Arthroplasty. Seminars in Arthroplasty, 16(2):119-126, 2005.
Incavo SJ
. Component Loosening in Total Hip Arthroplasty. Seminars in Arthroplasty, 16(2):161-170.
Incavo SJ
, Beynnon BD, Abate JA, Urse JS, Kelly S. The Safety and Efficacy of a New, Adjustable Plate Used for Proximal Tibia Opening Wedge Osteotomy in the Treatment of Unicompartmental Knee Osteoarthrosis. The Journal of Knee Surgery, 20(1):6-14, 2007.
Incavo SJ
, Kapadia C, Torney R. Use of an Intramedullary Nail for Correction of Femoral Deformities Combined with Total Knee Arthroplasty. Journal of Arthroplasty, 22(1):133-135, 2006.
Incavo SJ
, Doohen RR, Gamada K, Banks S, Beynnon BD. Kneeling Kinematics After Total Knee Arthroplasty: Anterior-Posterior Contact Position of a Standard and a High-Flex Tibial Insert Design. Journal of Arthroplasty, 22(2):160-165, 2007.
Incavo SJ
, Wild JJ, Coughlin KM, Beynnon BD. Early Revision for Component Malrotation in Total Knee Arthroplasty. Clinical Orthopedics and Related Research, 458:131-136, 2007
Incavo SJ
, Beynnon BD. Total Hip Arthroplasty with the Secur-Fit and Secur-Fit Plus Femoral Stem Design: A Brief Follow-up Report at 5-10 Years. J Arthroplasty. 2008; 23(5): 670-676.
Incavo SJ
, Shields WH. The Anatomy of the Acetabulum: What is Normal? Clin Orthop Relat Res. 2009;467(4):868-75.
Incavo SJ
, Russell RD, Mathis KB, Adams H. Initial Results of Managing Severe Bone Loss in Infected Total Joint Arthroplasty Using Customized Articulating Spacers. J Arthroplasty. 2009;24(4):607-13.
Incavo SJ
, Klebuc M, Varner K. Management of Posttraumatic Extensive Bone Loss and Osteomyelitis Using a Customized Articulating Knee Spacer. The Knee, 15(4): 268-71, 2008
Incavo SJ
, Mineo MT, Dinh T. Vesicoacetabular Fistula in a Chronically Infected Total Hip Arthroplasty. J Arthroplasty. 2009 Jun 1. Epub ahead of print.
Incavo SJ
, Noble PC. Guidelines for Implant Placement to Minimize Impingement During Activities of Daily Living after Total Hip Arthroplasty. Accepted for publication, Journal of Arthroplasty, October 2009.
Incavo SJ
, Thompson MT, Gold JE, Patel RV, Icenogle K, Noble PC. Which Procedure Better Restores Intact Hip Range of Motion: THR or Resurfacing? A Combined Cadaveric and Computer Simulation Study. Accepted for publication, Journal of Arthroplasty, January 2010.
Incavo SJ
, Dickson J, Haynes RJ. Surgical Treatment of Congenital Dislocation of the Hip in Children Between One and Three Years of Age, A Mean Eighteen Year Nine Month Follow-Up Study. Orthopedics, 33(3):162, 2010. Available online at www.orthosupersite.com/view.asp?rID=60992.
Incavo SJ
, Mathews V, Parsley B, Noble P. Hip Arthroplasty after Intramedullary Hip Screw Fixation: A Perioperative Evaluation. Submitted to Orthopedics.
Incavo SJ
, Noble PC. Does an Enhanced Surface Finish Improve Acetabular Fixation in Revision THR? Submitted to Journal of Arthroplasty, January 2010.
Incavo SJ
, Gold JE, Exaltacion JF, Thompson MT, Noble PC. Does Acetabular Retroversion Affect Hip Arthroplasty Surgery? Submitted to Clinical Orthopaedics and Related Research, January 2010.
Incavo SJ
, Schmid S, Sreenivas K, Thompson M, Ismaily S, Noble P. Medial-lateral Knee Ligament Balance: Does Alignment Matter? In process Submitted to Journal of Bone and Joint Surgery, February 2010.
Book Chapters
Incavo SJ
: Alpine Skiing Injuries, Chapter in Winter Sports Medicine, Human Kinetics Publishers, Inc., 1989.
Incavo SJ
: Injuries in Cross-Country Skiing, Chapter in Winter Sports Medicine, Human Kinetics, Publishers, Inc., 1989
Incavo SJ
: Proximal Tibial Osteotomy. The Arthritic Knee, CD-ROM, American Association of Orthopaedic Surgeons, 2000.
Incavo SJ
, Beynnon BB, Coughlin KM: In vitro Kinematics of the Replaced Knee, Chapter in Total Knee Arthroplasty – A Guide to Better Performance, Springer-Verlag GMbH & Co. Kg, pp. 152-158, 2005.
Incavo SJ
. Complications After Total Hip Arthroplasty. Guest Editor, Seminars in Arthroplasty, 16(2), 2005.
Incavo SJ
, Dayton M. Knee Arthrodesis with an Intramedullary Nail after Failed Total Knee Arthroplasty, In: Operative Techniques: Total Knee Replacement, Bermedica Productions, LTD 2009.
Incavo SJ
, Dayton M. Managing Complications After TKA: Persistent Infection with Arthrodesis, In: Master Techniques in Orthopedic Surgery, Knee Arthroplasty, Lippincott, Williams and Wilkins, 2009
Incavo SJ
, Dayton M. Total Knee Arthroplasty: Medial Parapatellar Approach, in Advanced Reconstruction of the Knee, American Academy of Orthopaedic Surgeons and the Knee Society. In Press, 2009.
Patents
Doctor Stephen J. Incavo is committed to excellence by pledging to provide the highest quality of orthopedic care possible. Along with the treatment of immediate or chronic problems, we strive to integrate the doctrine of prevention in all our treatment plans as a way to alleviate possible future difficulties. Doctor Incavo uses longer-lasting hip implants, knee implants and the latest computer navigated surgical technologies, to ensure patients are getting the best possible treatment. Over the past 15 years, Doctor Incavo has performed over 300 hip replacement and knee replacement surgeries annually, specializing in complex cases.
Treatment of the Arthritic Hip & Arthritic Knee
Hip Replacement, Knee Replacement & Shoulder Replacement Surgery
Revision of Failed Hip and Failed Knee Replacements
Minimally Invasive Hip Replacement & Knee Replacement Surgery
Computer-Assisted Hip Replacement & Knee Replacement Surgery We are pleased to have you as a patient. If you have any questions, always feel free to contact our office and our trained staff will assist you in any way possible.
American Academy of Orthopedic Surgeons (AAOS) The latest source for Legislation, educational, health care policy and research information. The site includes the bylaws and position papers of the AAOS, and the latest federal and state laws enacted that pertain to the practice of orthopedics and medicine.
American Association of Hip & Knee Surgeons (AAHKS)
An information source for latest trends in joint replacement surgery about the hip and knee.
The Knee Society (www.kneesociety.org)
To advance the knowledge of the knee joint in health and disease.
Arthritis Foundation
Discusses non operative means of dealing with arthritis. Gives local resources that are available.
Texas Chapter of the Arthritis Foundation
The Arthritis Foundation, Texas operates across the state to assist nearly 3.7 million people affected by the disease and provide current information for people with arthritis and their families. If you are a person with arthritis or a related disease, know someone who has arthritis, work with people with arthritis, or are just interested in finding out how to help find a cure for this disease, the Arthritis Foundation has something to offer you.
The Methodist Hospital System The Methodist Hospital corporation is a nonprofit health care organization based in Houston, Texas. It has extended the world-renowned clinical and service excellence of its founding entity, The Methodist Hospital, through a network of community based hospitals and an acclaimed home health care agency.
About Stryker
Build your personal guide to joint replacement and receive a personalized brochure, a listing of specialists in your area, specific information on your joint pain and other helpful online tools to take back your life.
Technology
Trident® Ceramic Hip Information
Computer-Assisted Surgery
Stryker Orthopaedics Announces Knee System With Leading Wear-Resistant Technology: X3(R)
Minimally Invasive Hip Joint Replacement
Minimally Invasive Knee Joint Replacement
Partial Knee Resurfacing
Total Knee Implants Designed With Women in Mind