TY - JOUR
T1 - Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay
T2 - A prospective, case-control clinical trial
AU - Arienti, Chiara
AU - Pollet, Joel
AU - Buraschi, Riccardo
AU - Piovanelli, Barbara
AU - Villafañe, Jorge Hugo
AU - Galeri, Silvia
AU - Negrini, Stefano
N1 - Copyright © 2020, Turkish Society of Physical Medicine and Rehabilitation.
PY - 2020/12
Y1 - 2020/12
N2 - 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.
AB - 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.
U2 - 10.5606/tftrd.2020.6266
DO - 10.5606/tftrd.2020.6266
M3 - Article
C2 - 33364559
VL - 66
SP - 398
EP - 404
JO - Turkish Journal of Physical Medicine and Rehabilitation
JF - Turkish Journal of Physical Medicine and Rehabilitation
SN - 2587-0823
IS - 4
ER -