Which ambulation progression is recommended immediately post-op after TKA?

• A. NWB with crutches
• B. WBAT with walker
• C. FWB with walker
• D. WBAT with crutches

Answer: (B)

Early ambulation after total knee arthroplasty centers on loading the knee safely to promote healing, reduce complications, and restore function. Weight-bearing as tolerated with a walker is the typical starting plan because it lets the patient bear as much weight as is comfortable while the walker provides stability and safety during early gait training. This approach supports moving with a more normal gait pattern, helps with circulation to prevent clots, and minimizes knee stiffness without overloading the joint too soon. Nonweight bearing would unnecessarily delay rehabilitation and mobility, while full weight bearing with a walker can be appropriate in some protocols but is not as universally defined as WBAT in the immediate postop period. Using crutches instead of a walker offers less stability, which can be more challenging early on.