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Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement

(1) Background: to ensure satisfactory outcomes in patients who have undergone total hip or knee replacement, it is crucial to prioritize postoperative rehabilitation process and its management rather than the successful surgery alone. The goal of our study was to investigate the outcomes of rehabil...

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Autores principales: Fedonnikov, Alexander S., Andriyanova, Elena A., Kiselev, Anton R., Norkin, Igor A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8472343/
https://www.ncbi.nlm.nih.gov/pubmed/34574900
http://dx.doi.org/10.3390/healthcare9091126
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author Fedonnikov, Alexander S.
Andriyanova, Elena A.
Kiselev, Anton R.
Norkin, Igor A.
author_facet Fedonnikov, Alexander S.
Andriyanova, Elena A.
Kiselev, Anton R.
Norkin, Igor A.
author_sort Fedonnikov, Alexander S.
collection PubMed
description (1) Background: to ensure satisfactory outcomes in patients who have undergone total hip or knee replacement, it is crucial to prioritize postoperative rehabilitation process and its management rather than the successful surgery alone. The goal of our study was to investigate the outcomes of rehabilitation process after the total hip or knee replacement, including local orthopedic follow-up, communication with local health authorities, patients’ satisfaction regarding rehabilitation, and their functional performance after the surgery. (2) Methods: the study included 523 patients who underwent total hip replacement, and 650 patients who underwent total knee replacement. All patients were surveyed via formalized phone interviews containing questions related to postoperative rehabilitation parameters and outcomes. (3) Results: in postsurgical period, nearly 70% of patients had regular local orthopedic follow-up. Lack of the latter at the local level was indicated by approximately 10% of patients, and the rest of the respondents note the practice of sporadic follow-up. Half of patients reported pains of various severity. Good physical activity (e.g., ability to walk unassisted within their residential district) was acknowledged by about a quarter of patients. Ability to walk unassisted was reported by just 54.5% of patients. (4) Conclusions: the disproportion between generally high patient satisfaction of rehabilitation management (>80%) and low feedback level on the part of local health authorities (9.4%) demonstrated lack of communication between the key parties involved in the rehabilitation process.
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spelling pubmed-84723432021-09-28 Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement Fedonnikov, Alexander S. Andriyanova, Elena A. Kiselev, Anton R. Norkin, Igor A. Healthcare (Basel) Article (1) Background: to ensure satisfactory outcomes in patients who have undergone total hip or knee replacement, it is crucial to prioritize postoperative rehabilitation process and its management rather than the successful surgery alone. The goal of our study was to investigate the outcomes of rehabilitation process after the total hip or knee replacement, including local orthopedic follow-up, communication with local health authorities, patients’ satisfaction regarding rehabilitation, and their functional performance after the surgery. (2) Methods: the study included 523 patients who underwent total hip replacement, and 650 patients who underwent total knee replacement. All patients were surveyed via formalized phone interviews containing questions related to postoperative rehabilitation parameters and outcomes. (3) Results: in postsurgical period, nearly 70% of patients had regular local orthopedic follow-up. Lack of the latter at the local level was indicated by approximately 10% of patients, and the rest of the respondents note the practice of sporadic follow-up. Half of patients reported pains of various severity. Good physical activity (e.g., ability to walk unassisted within their residential district) was acknowledged by about a quarter of patients. Ability to walk unassisted was reported by just 54.5% of patients. (4) Conclusions: the disproportion between generally high patient satisfaction of rehabilitation management (>80%) and low feedback level on the part of local health authorities (9.4%) demonstrated lack of communication between the key parties involved in the rehabilitation process. MDPI 2021-08-30 /pmc/articles/PMC8472343/ /pubmed/34574900 http://dx.doi.org/10.3390/healthcare9091126 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fedonnikov, Alexander S.
Andriyanova, Elena A.
Kiselev, Anton R.
Norkin, Igor A.
Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title_full Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title_fullStr Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title_full_unstemmed Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title_short Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement
title_sort rehabilitation process issues and functional performance after total hip and knee replacement
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8472343/
https://www.ncbi.nlm.nih.gov/pubmed/34574900
http://dx.doi.org/10.3390/healthcare9091126
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