Priority 5 from the Revision Knee Replacement PSP

UNCERTAINTY: What can be done after and/or before revision knee surgery (including physiotherapy and exercise) to optimise the result?  (JLA PSP Priority 5)
Overall ranking 5
JLA question ID 0093/5
Explanatory note Following any surgery a key component of the preparation and recovery phases relate to rehabilitation and prehabilition which patients undergo under the expertise and supervision of physiotherapy departments across the country. It is important to assess how these can best be conducted and indeed if there are other adjuncts which are non-physiotherapy based that can make a difference to the outcome of surgery.
Evidence

 None identified

Health Research Classification System category Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples Does rehabilitation before revision surgery improve outcomes after revision surgery? ~ What are the most effective rehabilitation techniques to return patients to normal life quicker? ~ How can the condition of the knee be improved before surgery? Weight loss? ~ How can we best prehabilitate patients prior to revision knee surgery ~ Is the p/o rehab and follow up appropriate to the patient’s needs .  Dies the follow up happens with the surgeon him/herself or in the community?  ~ Why does the knee not fully bend after surgery?
Submitted by  See data spreadsheet on JLA website
PSP information
PSP unique ID 0093
PSP name Revision Knee Replacement
Total number of uncertainties identified by this PSP. 32  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 21 May 2019