Dergiler / Turkish journal of physical medicine and rehabilitation / 2020 / Cilt: 66 - Sayı: 4

Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay: A prospective, case-control clinical trial

Sayfa
398–404
DOI
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At discharge, intra-group analysis showed significant differences in both groups in all functional outcomes, except for pain, while the inter-group LOS was also significantly different (p<0.001).conclusion: Our study results indicate that LOS can be reduced by FTR, yielding the same results in functional recovery and autonomy as CR.

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Amaç & Hipotez:Objectives: The aim of this study was to compare the impact of fast-track rehabilitation (FTR) and conventional rehabilitation (CR) on early recovery pattern after fast-track surgery for knee arthroplasty and conventional total knee arthroplasty (TKA).Patients and methods: This prospective, case-control study included a total of 43 adult patients (10 males, 33 females; mean age 69 years; range, 50 to 82 years) who were clinically stable and admitted for rehabilitation after fast-track surgery for knee arthroplasty or conventional TKA January 2016 and August 2016.
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Temel Bulgular & Veri:The patients were divided into two groups as the FTR and CR treatment groups.
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Sonuç & Katkı:At discharge, intra-group analysis showed significant differences in both groups in all functional outcomes, except for pain, while the inter-group LOS was also significantly different (p<0.001).conclusion: Our study results indicate that LOS can be reduced by FTR, yielding the same results in functional recovery and autonomy as CR.
🔬Tür:Araştırma Makalesi
📍Kapsam:2016 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objectives: The aim of this study was to compare the impact of fast-track rehabilitation (FTR) and conventional rehabilitation (CR) on early recovery pattern after fast-track surgery for knee arthroplasty and conventional total knee arthroplasty (TKA).Patients and methods: This prospective, case-control study included a total of 43 adult patients (10 males, 33 females; mean age 69 years; range, 50 to 82 years) who were clinically stable and admitted for rehabilitation after fast-track surgery for knee arthroplasty or conventional TKA January 2016 and August 2016. The patients were divided into two groups as the FTR and CR treatment groups. The FTR program was designed as a patient-focused care, early mobilization, and standardized postoperative milestones. The CR program was designed by standard postoperative rehabilitation care. Primary outcomes were the length of stay (LOS) in the hospital and knee function. Secondary outcomes were pain and activities of daily living.results: At baseline, both groups were similar in terms of demographic data and primary outcomes. At discharge, intra-group analysis showed significant differences in both groups in all functional outcomes, except for pain, while the inter-group LOS was also significantly different (p<0.001).conclusion: Our study results indicate that LOS can be reduced by FTR, yielding the same results in functional recovery and autonomy as CR.

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Bu Makaleye Atıf Yap

ARIENTI, C., POLLET, J., BURASCHI, R., PIOVANELLI, B., E, J. H. V., GALERİ, S., NEGRINI, S. (2020). Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay: A prospective, case-control clinical trial. Turkish journal of physical medicine and rehabilitation, Cilt: 66 - Sayı: 4, 398–404. https://ajindex.com/articles/375126

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Kaynakça (12)

  1. Grayson CW, Decker RC. Total joint arthroplasty for persons with osteoarthritis. PM R 2012;4(5 Suppl):S97-103
  2. Singh JA, Vessely MB, Harmsen WS, Schleck CD, Melton LJ 3rd, Kurland RL, et al. A population-based study of trends in the use of total hip and total knee arthroplasty, 1969- 2008. Mayo Clin Proc 2010;85:898-904
  3. Torre M, Romanini E. The Italian ArthroPlasty Registry: a model to export?. Recenti Prog Med 2016;107:218-24. 4. den Hertog A, Gliesche K, Timm J, Mühlbauer B, Zebrowski S. Pathway-controlled fast-track rehabilitation after total knee arthroplasty: a randomized prospective clinical study evaluating the recovery pattern, drug consumption, and length of stay. Arch Orthop Trauma Surg 2012;132:1153-63
  4. Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop 2008;79:168-73
  5. Yasunaga H, Tsuchiya K, Matsuyama Y, Ohe K. Analysis of factors affecting operating time, postoperative complications, and length of stay for total knee arthroplasty: nationwide web-based survey. J Orthop Sci 2009;14:10-6
  6. Petersen MK, Andersen NT, Søballe K. Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: a follow-up study involving 61 patients. Acta Orthop 2008;79:160-7
  7. Husted H, Jensen CM, Solgaard S, Kehlet H. Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation. Arch Orthop Trauma Surg 2012;132:101-4
  8. Larsen K, Hansen TB, Søballe K, Kehlet H. Patient-reported outcome after fast-track knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2012;20:1128-35
  9. Khan F, Ng L, Gonzalez S, Hale T, Turner-Stokes L. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst Rev 2008;(2):CD004957
  10. Benz T, Angst F, Oesch P, Hilfiker R, Lehmann S, Mueller Mebes C, et al. Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study. BMC Musculoskelet Disord 2015;16:317
  11. Husted H, Lunn TH, Troelsen A, Gaarn-Larsen L, Kristensen BB, Kehlet H. Why still in hospital after fast-track hip and knee arthroplasty? Acta Orthop 2011;82:679-84
  12. Villafañe JH, Isgrò M, Borsatti M, Berjano P, Pirali C, Negrini S. Effects of action observation treatment in r