Elevating the knee with a pillow following certain surgeries might seem comfortable, but it can actually hinder the recovery process. The primary reason lies in the potential for developing a knee flexion contracture. This condition occurs when the soft tissues around the knee joint tighten, restricting the ability to fully straighten the leg. Consistent knee flexion, even during rest, can exacerbate this tightening.
Maintaining full knee extension is crucial for regaining proper range of motion and function after surgery. Allowing the knee to remain flexed, supported by a pillow, counteracts the efforts made in physical therapy to achieve and maintain complete extension. Historical practices in post-operative care have evolved, with a greater understanding of the biomechanics of healing and the importance of preventing contractures. Preventing a contracture allows patients to return to normal activities sooner and decreases the potential for long-term mobility limitations.