Cargando…

Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty

Inpatient rehabilitation (IR) is a common postoperative protocol after total knee replacement (TKA). Because IR is expensive and should therefore be justified, this study determined the difference in knee function one year after TKA in patients treated with IR or outpatient rehabilitation, fast-trac...

Descripción completa

Detalles Bibliográficos
Autores principales: Rak, Dominik, Nedopil, Alexander J., Sayre, Eric C., Masri, Bassam A., Rudert, Maximilian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697033/
https://www.ncbi.nlm.nih.gov/pubmed/36422110
http://dx.doi.org/10.3390/jpm12111934
_version_ 1784838458704920576
author Rak, Dominik
Nedopil, Alexander J.
Sayre, Eric C.
Masri, Bassam A.
Rudert, Maximilian
author_facet Rak, Dominik
Nedopil, Alexander J.
Sayre, Eric C.
Masri, Bassam A.
Rudert, Maximilian
author_sort Rak, Dominik
collection PubMed
description Inpatient rehabilitation (IR) is a common postoperative protocol after total knee replacement (TKA). Because IR is expensive and should therefore be justified, this study determined the difference in knee function one year after TKA in patients treated with IR or outpatient rehabilitation, fast-track rehabilitation (FTR) in particular, which also entails a reduced hospital length of stay. A total of 205 patients were included in this multi-center prospective cohort study. Of the patients, 104 had primary TKA at a German university hospital and received IR, while 101 had primary TKA at a Canadian university hospital and received FTR. Patients receiving IR or FTR were matched by pre-operative demographics and knee function. Oxford Knee Score (OKS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and EuroQol visual analogue scale (EQ-VAS) determined knee function one year after surgery. Patients receiving IR had a 2.8-point lower improvement in OKS (p = 0.001), a 6.7-point lower improvement in WOMAC (p = 0.063), and a 12.3-point higher improvement in EQ-VAS (p = 0.281) than patients receiving FTR. IR does not provide long-term benefits to patient recovery after primary uncomplicated TKA under the current rehabilitation regime.
format Online
Article
Text
id pubmed-9697033
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96970332022-11-26 Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty Rak, Dominik Nedopil, Alexander J. Sayre, Eric C. Masri, Bassam A. Rudert, Maximilian J Pers Med Article Inpatient rehabilitation (IR) is a common postoperative protocol after total knee replacement (TKA). Because IR is expensive and should therefore be justified, this study determined the difference in knee function one year after TKA in patients treated with IR or outpatient rehabilitation, fast-track rehabilitation (FTR) in particular, which also entails a reduced hospital length of stay. A total of 205 patients were included in this multi-center prospective cohort study. Of the patients, 104 had primary TKA at a German university hospital and received IR, while 101 had primary TKA at a Canadian university hospital and received FTR. Patients receiving IR or FTR were matched by pre-operative demographics and knee function. Oxford Knee Score (OKS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and EuroQol visual analogue scale (EQ-VAS) determined knee function one year after surgery. Patients receiving IR had a 2.8-point lower improvement in OKS (p = 0.001), a 6.7-point lower improvement in WOMAC (p = 0.063), and a 12.3-point higher improvement in EQ-VAS (p = 0.281) than patients receiving FTR. IR does not provide long-term benefits to patient recovery after primary uncomplicated TKA under the current rehabilitation regime. MDPI 2022-11-21 /pmc/articles/PMC9697033/ /pubmed/36422110 http://dx.doi.org/10.3390/jpm12111934 Text en © 2022 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
Rak, Dominik
Nedopil, Alexander J.
Sayre, Eric C.
Masri, Bassam A.
Rudert, Maximilian
Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title_full Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title_fullStr Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title_full_unstemmed Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title_short Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty
title_sort postoperative inpatient rehabilitation does not increase knee function after primary total knee arthroplasty
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697033/
https://www.ncbi.nlm.nih.gov/pubmed/36422110
http://dx.doi.org/10.3390/jpm12111934
work_keys_str_mv AT rakdominik postoperativeinpatientrehabilitationdoesnotincreasekneefunctionafterprimarytotalkneearthroplasty
AT nedopilalexanderj postoperativeinpatientrehabilitationdoesnotincreasekneefunctionafterprimarytotalkneearthroplasty
AT sayreericc postoperativeinpatientrehabilitationdoesnotincreasekneefunctionafterprimarytotalkneearthroplasty
AT masribassama postoperativeinpatientrehabilitationdoesnotincreasekneefunctionafterprimarytotalkneearthroplasty
AT rudertmaximilian postoperativeinpatientrehabilitationdoesnotincreasekneefunctionafterprimarytotalkneearthroplasty