ENDOPROtherapeuticum – Follow-up treatment after hip and knee endoprosthetics

The ENDOPROtherapeuticum includes structured follow-up treatment after hip or knee replacement surgery. The goal of this concept is safe mobilisation, stable joint function, and a sustainable improvement in mobility, strength, and everyday resilience. Follow-up treatment is carried out according to clearly defined, evidence-based protocols and is closely coordinated with the surgical team.

Goals of follow-up treatment in the ENDOPROtherapeuticum

Aftercare pursues several medically relevant core goals:

• Restoration of a physiological gait pattern
• Pain reduction and swelling management
• Gradual increase in mobility and strength
• Improvement of coordination and joint stability
• Return to daily life, work and sports after defined load increase

The measures are tailored to the individual condition, surgical technique, implant type, and respective functional requirements.

Structured Course of Aftercare

1. Early phase immediately after surgery

Already in the first days after implantation of a hip or knee prosthesis, initial mobilization begins. This includes:

• safe standing and first steps
• Gait training with forearm crutches
• Promotion of mobility within the given limits
• Guidance on lymphatic drainage and relief strategies

This phase takes place in the inpatient partner clinic (e.g. curaparc clinic) and creates the transition to further therapy.

2. Outpatient or Inpatient AFTERCARE

Subsequently, either an outpatient or inpatient AFTERCARE follows, depending on individual resilience, mobility and social situation.

Typical Contents:

• device-supported exercises for muscle strengthening
• coordinative training for joint stability
• Gait training with gradual load increase
• Training of everyday movements (e.g. climbing stairs)
• MEDICAL TRAINING THERAPY

This phase is used to improve the function of the new joint in a controlled manner.

3. Advanced training phase

In this phase, the return to normal daily activities and - depending on the joint and patient group - to certain sports activities is the focus. This includes:

• Endurance training (e.g. ergometer, walking)
• Strength building programs
• Mobility training
• Advanced coordination exercises

The procedure is based on the respective recommendations for hip or knee prostheses and the healing process.

Follow-up treatment after hip replacement surgery

In Focus:

• physiological gait pattern without evasive movements
• controlled maintenance or development of hip mobility
• Stabilization of muscular guidance (especially gluteal musculature)
• correct load increase depending on implant and access

With short-stem prostheses, faster mobilisation is often possible, as bone and soft tissue preservation play a special role.

Follow-up treatment after knee replacement

Main focuses are:

• Achieving a defined degree of flexion and extension
• Avoiding adhesions and movement restrictions
• Building up the thigh and lower leg muscles
• Improving coordination and stability of the knee joint

A structured physiotherapeutic program is crucial to ensure the long-term function of the joint.

Cooperation with physiotherapy partners

For follow-up treatment, ENDOPROTHETICUM works together with PARTNER PHYSIOTHERAPISTS. The selection of measures is based on the individual findings and the operative specifications.

Regular follow-up controls by the treating team support a targeted adjustment of the therapy course.

Check-ups and follow-up appointments

A crucial component of the ENDOPROtherapeutic program is structured medical check-ups:

• Early postoperative check-ups and regular review of the healing process
• further functional checks in the first months

These appointments serve to check the joint function, X-ray control of the implant, and coordination of further treatment steps.

Building up load, everyday life & sport

The transition to everyday life occurs gradually. This includes clear recommendations on:

• Load capacity in everyday life
• Walking distances and mobility
• Timing of return to work
• suitable and unsuitable sports
• long-term protective factors for the durability of the implant

The recommendations are based on current guidelines and the team's long-standing clinical experience.

Conclusion

The ENDOPROtherapeuticum bundles all measures of structured follow-up treatment after hip and knee endoprostheses. Through an INDIVIDUAL process, regular controls and close interlocking with the operative care, a consistent therapy concept is created that supports the safe and functional recovery after endoprosthetic interventions.