Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Oct 18;88(4S):56-61.
doi: 10.23750/abm.v88i4-S.5154.

Early rehabilitation after elective total knee arthroplasty

Claudio Lisi  1 , Patrick Caspani, Marco Bruggi, Ettore Carlisi, Donatella Scolè, Francesco Benazzo, Elena Dalla Toffola
Affiliations

Early rehabilitation after elective total knee arthroplasty

Claudio Lisi et al. Acta Biomed. .

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.

Keywords: arthroplasty; early rehabilitation; knee.

PubMed Disclaimer

References

    1. Brown NM, Sheth NP, Davis K, et al. Total Knee Arthroplasty Has Higher Postoperative Morbidity Than Unicompartmental Knee Arthroplasty: A Multicenter Analysis. J Arthroplasty. 2012;27:86–90. - PubMed
    1. Dabboussi N, Sakr M, Girard J, Fakih R. Minimally invasive total knee arthroplasty: a comparative study to the standard approach. N Am J Med Sci. 2012;4:81–5. - PMC - PubMed
    1. Benazzo F, Rossi SM. The trivector approach for minimally invasive total knee arthroplasty: a technical note. J Orthop Traumatol. 2012;13:159–62. - PMC - PubMed
    1. Bozic KJ, Beringer D. Economic considerations in minimally invasive total joint arthroplasty. Clin Orthop Relat Res. 2007;463:20–5. - PubMed
    1. Shankar NS. Minimally invasive technique in total knee arthroplasty-history, tips, tricks and pitfalls. Injury. 2006;37:S25–30. - PubMed