Total Right Knee Arthroplasty in a 52-Year-Old
MalePatient Information
Name: Robert Jones
Age: 52 years
Gender: Male
Chief Complaint: Follow-up visit 6 weeks after total
right knee arthroplasty for osteoarthritis
Setting: Orthopedic outpatient clinic
Case OverviewThis case study focuses on the
postoperative evaluation of a 52-year-old male who
underwent an elective total right knee arthroplasty (TKA)
for severe osteoarthritis. The objectives are to guide
learners through a systematic assessment, including
,history-taking, physical examination, identification of
potential complications, and development of a
comprehensive management plan. The case emphasizes
recognizing normal postoperative recovery versus
complications, optimizing rehabilitation, and addressing
patient concerns to improve functional outcomes.
Case DetailsHistory of Present Illness (HPI)Robert Jones
presents to the orthopedic clinic for a routine 6-week
follow-up after undergoing an uncomplicated total right
knee arthroplasty 6 weeks ago for severe right knee
osteoarthritis. He describes his current symptoms as
follows:
Pain:
, Severity: 3/10 at rest, 5/10 with activity (improved
from 8/10 pre-surgery).
Quality: Aching, localized to the surgical site.
Aggravating Factors: Prolonged standing,
walking, or physical therapy exercises.
Alleviating Factors: Rest and acetaminophen
provide partial relief.
Functionality:
Ambulates with a single-point cane, with a slight
limp favoring the right leg.
Reports stiffness and limited knee range of
motion (ROM), particularly with flexion.
Can climb stairs with difficulty, requiring
handrail support.