What are the recommended physiotherapy interventions for post-operative rehabilitation following knee surgery?

Post-operative physiotherapy interventions following knee surgery should begin as early as possible, ideally on the day of surgery or within 24 hours, and include mobilisation to aid recovery and functional independence. A physiotherapist or occupational therapist should provide rehabilitation that includes advice on managing activities of daily living, home exercise programmes, and mobilisation tailored to the individual's needs. Before hospital discharge, patients should receive advice on self-directed rehabilitation with clear rehabilitation goals and access to a point of contact for support. For those with difficulties managing daily activities, ongoing functional impairments, or cognitive impairments, supervised group or individual outpatient rehabilitation should be offered. Additionally, exercise programmes should focus on restoring gait patterns, passive stretches, range of movement exercises, and muscle strengthening once weight-bearing is possible. If non-weight-bearing is required, start exercises early to reduce the impact of immobility and optimise transition to gait training. Use of manual therapies, targeted stretching, and controlled motion devices may be considered to maintain joint range of movement. Regular review and education on splinting and orthotics are also recommended when applicable.