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.

Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay: A prospective, case-control clinical trial / C. Arienti, J. Pollet, R. Buraschi, B. Piovanelli, J.H. Villafane, S. Galeri, S. Negrini. - In: TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION. - ISSN 2587-0823. - 66:4(2020), pp. 398-404. [10.5606/TFTRD.2020.6266]

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

C. Arienti
Primo
;
S. Negrini
Ultimo
2020

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.
Fast-track rehabilitation; Knee; Knee arthroplasty; Length of stay; Rehabilitation;
Settore MED/34 - Medicina Fisica e Riabilitativa
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/879282
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