Early rehabilitation after elective total knee arthroplasty

Early rehabilitation after elective total knee arthroplasty

Authors

  • Claudio Lisi Physical Medicine and Rehabilitation Unit, I.R.C.C.S. Policlinico San Matteo Foundation, Pavia, Italy & Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
  • Patrick Caspani Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
  • Marco Bruggi Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
  • Ettore Carlisi Physical Medicine and Rehabilitation Unit, I.R.C.C.S. Policlinico San Matteo Foundation, Pavia, Italy & Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
  • Donatella Scolè Physical Medicine and Rehabilitation Unit, I.R.C.C.S. Policlinico San Matteo Foundation, Pavia, Italy
  • Francesco Benazzo Orthopaedic and Traumatology Clinic, I.R.C.C.S. Policlinico San Matteo Foundation, Pavia & University of Pavia, Italy
  • Elena Dalla Toffola Physical Medicine and Rehabilitation Unit, I.R.C.C.S. Policlinico San Matteo Foundation, Pavia, Italy & Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

Keywords:

early rehabilitation, knee, arthroplasty

Abstract

Background and aim of the work: Outcomes after TKA surgery are supposed to be related to the intensity and type of post-operative rehabilitation. Aim of this paper is to describe our early rehabilitation protocol following TKA with mini-invasive surgery in the immediate post-operative period and analyze functional recovery and changes in pain scores in these patients. Methods: in this observational study, data were collected on 215 total knee arthroplasty patients referred to Orthopedics and Traumatology inpatient ward from July 2012 to January 2014, treated with the same early start rehabilitation protocol. We recorded times to reach functional goals (sitting, standing and assisted ambulation) and pain after the treatment. Results: length of hospital stay in TKA was 4.6±1.8 days, with a rehabilitation treatment lenght of 3.3±1.3 days. The mean time needed to achieve the sitting position was 2.3±0.7 days, to reach the standing position was 2.6±1.0 days to reach the walking functional goal was 2.9±1.0 days.  Pain NRS scores remained below 4 in the first and second post-operative day and below 3 from the third post-operative day. Conclusion:Our study confirms that rehabilitation started as soon as 24 hours after surgery with mini-invasive approach, enables early verticalization of patients and early recovery of walking with a good control of pain. 

 

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Published

18-10-2017

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Section

ORIGINAL ARTICLES

How to Cite

1.
Early rehabilitation after elective total knee arthroplasty. Acta Biomed [Internet]. 2017 Oct. 18 [cited 2024 Apr. 24];88(4 -S):56-61. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/5154

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