Int茅r锚t d鈥檜n programme pr茅op茅ratoire simplifi茅 de r茅茅ducation 脿 domicile sur la dur茅e de s茅jour des patients op茅r茅s d鈥檜ne proth猫se totale de genou

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• 作者：S.-W. Huang ; ^{137419@gmail.com} ; P.-H. Chen ; Y.-H. Chou
• 关键词：Total knee arthroplasty ; Knee osteoarthritis ; Preoperative rehabilitation ; Home rehabilitation ; Inpatient
• 刊名：Revue de Chirurgie Orthop篓娄dique et Traumatologique
• 出版年：2012
• 期刊代码：pca328_18770517
• 类别：med
• 出版时间：May, 2012
• 卷：98
• 期：3
• 页码：227-228
• 文件大小：188 K

摘要

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Summary

In patients with severe knee osteoarthritis (OA), total knee arthroplasty (TKA) is performed for both symptom relief and to achieve better function in daily life. Implementation of efficient TKA rehabilitation programs with shorter length of stay (LOS) and reduced medical expenditures is an important issue in clinical practice. However, the effectiveness of preoperative rehabilitation programs is still under debate. Most preoperative rehabilitation programs last many weeks and may be more expensive than TKA. The purpose of this study was to investigate the effects of a simplified, easy-to-learn, and less time-consuming preoperative rehabilitation education program on TKA patients.

Materials and methods

In this randomzied controlled study, we allocated all the patients into study and control group according to chart number. The study group, which comprised 126 patients, participated in a 40-min preoperative home rehabilitation education program 4 weeks prior to TKA. One hundred and seventeen patients in the control group did not participate in this preoperative program.

Results

The study group required a shorter hospital LOS (mean, 7.12 days; P = 0.027) and had less hospitalization-related medical expenditures (mean, 123726 New Taiwan dollars [NTD], equivalent to 4266.4 United States dollars [USD] or 3022.1 [Euros]), (P = 0.001) than the control group. However, the study group showed no significant improvement in function when compared to the control group.

Discussion

Our study demonstrates that a simplified preoperative rehabilitation program can reduce LOS and increase cost savings. This program was recommended as a routine protocol for OA patients before admission for TKA.

Level of evidence

Level II. Prospective randomized study.