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

Chiara Arienti, Joel Pollet, Riccardo Buraschi, Barbara Piovanelli, Jorge Hugo Villafañe, Silvia Galeri, Stefano Negrini

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)398-404
Number of pages7
JournalTurkish Journal of Physical Medicine and Rehabilitation
Volume66
Issue number4
DOIs
Publication statusPublished - Dec 2020

Fingerprint

Dive into the research topics of 'Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay: A prospective, case-control clinical trial'. Together they form a unique fingerprint.

Cite this