Changes to rehabilitation after total knee replacement

Sattler, Larissa Nicole; Hing, Wayne; Vertullo, Christopher J.

doi:10.31128/ajgp-03-20-5297

“…Lei et al( 11 The reduction in length of stay is associated with decrease in the incidence of postoperative complications that occur if the patient does not undergo early postoperative mobilization early (3,11,14,15). In addition, early mobilization is also able to accelerate the recovery process after patient undergoing hip surgery (9,10).…”

Section: Resultsmentioning

confidence: 99%

“…Prolong bed rest can lead to unexpected events, one of them is urinary tract infection (3). Early mobilization can prevent urinary retention and thereby reducingthe incidence of urinary tract infections (15). In addition, prolonged bed rest can cause negative effects on the urinary tract, one of them is urinary tract infection (1).…”

Section: Reducing Urinary Tract Infectionmentioning

confidence: 99%

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Aprisunadi¹,

Pandin²

2021

Preprint

View full text Add to dashboard Cite

Background: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest has the potential to increase the incidence of various complications that may increase the morbidity and mortality rate of patients after hip and lower extremities surgery. Aim: This literature review aimed to identify the effects of early mobilization in hip and lower extremity postoperative. Method: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online and Scopus, using the Boolean operator by combining several keywords according to the literature review topic, with inclusion criteria are published in the last 3 years (2019-2021), used a quantitative design, written in English and full text articles. A total of 435 articles were obtained, then screened and reviewed, so that there were 16 (sixteen) eligible articles.Result: There were 11 (eleven) effects of early mobilization, i.e. reducing length of stay, reducing the risk of deep vein thrombosis (DVT), reducing pulmonary infections (pneumonia), reducing urinary tract infections, reducing the risk of wound infection, improving extremity function and ability to walk, reducing postoperative pain, reducing the risk of pressure sores, reducing postoperative delirium, reducing readmission and lowering hospitalization costs. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.

show abstract

“…ProQuest, Science Direct, CINAHL, Medline, Wiley Online, and Scopus. Search for relevant articles using Boolean operator, such as word 'AND' and 'OR' by combining several key words as follows: The reduction in length of stay is associated with decrease in the incidence of postoperative complications that occur if the patient does not undergo early postoperative mobilization early (3,10,13,14). In addition, early mobilization is also able to accelerate the recovery process after patient undergoing hip surgery (8,9).…”

Section: Methods Searching Strategymentioning

confidence: 99%

“…Prolong bed rest can lead to unexpected events, one of them is urinary tract infection (3). Early mobilization can prevent urinary retention and thereby reducing the incidence of urinary tract infections (14). In addition, prolonged bed rest can cause negative effects on the urinary tract, one of them is urinary tract infection (1).…”

Section: Reducing Urinary Tract Infectionmentioning

confidence: 99%

“…Urinary tract infection is also recognized as the second biggest reason (subsequent of pneumonia) that causes patient readmission after pelvic surgery (15). In total knee replacement (TKR) patients who undergo early mobilization have a shorter duration of urinary catheter insertion, so that the risk of urinary tract infections is decreased (14).…”

Section: Reducing Urinary Tract Infectionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Aprisunadi¹,

Pandin²

2021

Preprint

0

View full text Add to dashboard Cite

Background: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest has the potential to increase the incidence of various complications that may increase the morbidity and mortality rate of patients after hip and lower extremities surgery. Aim: This literature review aimed to identify the effects of early mobilization in hip and lower extremity postoperative. Method: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online and Scopus, using the Boolean operator by combining several keywords according to the literature review topic, with inclusion criteria are published in the last 3 years (2019-2021), used a quantitative design, written in English and full text articles. A total of 435 articles were obtained, then screened and reviewed, so that there were 16 (sixteen) eligible articles.Result: There were 11 (eleven) effects of early mobilization, i.e. reducing length of stay, reducing the risk of deep vein thrombosis (DVT), reducing pulmonary infections (pneumonia), reducing urinary tract infections, reducing the risk of wound infection, improving extremity function and ability to walk, reducing postoperative pain, reducing the risk of pressure sores, reducing postoperative delirium, reducing readmission and lowering hospitalization costs. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.

show abstract

A Smartphone Application-Based Remote Rehabilitation System for Post-Total Knee Arthroplasty Rehabilitation: A Randomized Controlled Trial

Zhang¹,

Zhao²,

Cheng³

et al. 2024

The Journal of Arthroplasty

3

0

View full text Add to dashboard Cite

Changes to rehabilitation after total knee replacement

Cited by 13 publications

References 14 publications

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

A Smartphone Application-Based Remote Rehabilitation System for Post-Total Knee Arthroplasty Rehabilitation: A Randomized Controlled Trial

Contact Info

Product

Resources

About