Early ambulation after total knee arthroplasty prevents patients with osteoarthritis and rheumatoid arthritis from developing postoperative higher levels of D-dimer

Nakao, Shigetaka; Takata, Shigeo; Uemura, Hirokazu; Nakano, Shunji; Egawa, Hiroshi; Kawasaki, Yoshiaki; Kashihara, Michiharu; Yasui, Natsuo

doi:10.2152/jmi.57.146

Cited by 30 publications

(23 citation statements)

References 13 publications

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“…Once the short-term sequelae from the surgical procedure resolved, the difference appeared to become evident. Early postoperative walking decreases complications such as deep venous thrombosis following knee arthroplasty [31][32][33] , and we expected to find an improvement in mobility to explain the improved twelve-week Lysholm knee score. However, we were unable to demonstrate whether there was a difference in early mobilization times because of a large variation in those times.…”

Section: Discussionmentioning

confidence: 96%

Nerve Block of the Infrapatellar Branch of the Saphenous Nerve in Knee Arthroscopy

Hsu

Nuber

et al. 2013

The Journal of Bone & Joint Surgery

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Section: Discussionmentioning

confidence: 96%

Nerve Block of the Infrapatellar Branch of the Saphenous Nerve in Knee Arthroscopy

Hsu

Nuber

et al. 2013

The Journal of Bone & Joint Surgery

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“…The timing of this examination seemed too early to detect subclinical DVT because some cases of subclinical and clinical VTE developed 7 days or later after TKA [7,14]. Nakao et al [15] reported the cut-off value of D-dimer for DVT is 10.0 lg mL À1 7 days after TKA and early ambulation after TKA prevents high D-dimer levels from developing postoperatively. In our study, the mean D-dimer values on days 7 and 14 were less than 10 lg mL À1 and no patient showed clinical symptoms of VTE during a hospitalization period that exceeded 1 month.…”

Section: Postoperative Daysmentioning

confidence: 99%

Deep venous thrombosis was not detected after total knee arthroplasty in Japanese patients with haemophilia

2015

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Combined thrombo-prophylaxis with mechanical and pharmacological methods is recommended in patients undergoing total knee or hip arthroplasty. As patients with 'untreated inherited bleeding disorders such as haemophilia' are at risk of bleeding, no prophylaxis has been prescribed for these patients. However, a retrospective study reported subclinical deep venous thrombosis (DVT) in 10% of patients with haemophilia undergoing major orthopaedic surgery. In this study, we aimed to evaluate the risk of DVT after total knee arthroplasty (TKA). We examined 38 TKA in 33 Japanese patients with haemophilia using ultrasonography. We did not detect DVT. The risk of DVT in patients with haemophilia after TKA may be lower than that in the general population. However, as patients with haemophilia progress in age, venous thromboembolism should be considered as a potential problem.

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“…In a recent review article it was concluded that there were significant physical benefits associated with inpatient mobilization and no evidence for associated risk of adverse events (Kalish, Lee, & Dabney, 2013). Benefits included less pain (Augustin, de Quadros, & Sarmento-Leite, 2010), less risk of delirium (Schweickert et al, 2009) or adverse events such as deep vein thrombosis (Chandrasekaran, Ariaretnam, Tsung, & Dickison, 2009; Nakao et al, 2010), urinary tract infections (Kurabe, Ozawa, Watanabe, & Aiba, 2010; Langhorne et al, 2010) or pneumonia (Clark, Lowman, Griffin, Matthews, & Reiff, 2013; Kurabe et al, 2010), and no increase in falls (Clark et al, 2013; Fisher, Galloway, et al, 2011). Moreover, ambulation and other types of physical activity helped to prevent the all too common functional decline noted in older hospitalized patients (Cumming et al, 2011; Langhorne et al, 2010).…”

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confidence: 99%

Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients

Wells

Galik

Holtzman

et al. 2016

Journal of Trauma Nursing

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To overcome challenges associated with optimizing function and physical activity among hospitalized older adults we developed Function Focused Care for Acute Care (FFC-AC). The purpose of this study was to test the feasibility and preliminary effectiveness of this intervention. We hypothesized that hospitalized trauma patients exposed to FFC-AC would: (1) maintain or improve function, spend more time in physical activity and have fewer adverse events between admission and discharge; and (2) maintain or improve function, have less fear of falling, fewer depressive symptoms, less pain, be more physically resilient and be less likely to experience adverse events at one month post discharge compared to those exposed to FFC-Education Only (EO). FFC-AC was implemented by a Research Function Focused Care Nurse who worked on the participating units for 20 hours a week for 16 months to implement the three components of FFC-AC. The sample included 89 older orthopedic trauma patients the majority of whom were female (N=59, 66%), white (N= 82, 92%) and not married (N=53, 59%). At discharge and/or 30 days post discharge participants in the treatment site showed greater improvement in function, less fear of falling and better physical resilience when compared to those in the FFC-EO site. Future research is needed to continue to work on engaging staff in function focused care approaches and optimizing the hospital environment and policies to support nurses in this type of care approach.

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Early ambulation after total knee arthroplasty prevents patients with osteoarthritis and rheumatoid arthritis from developing postoperative higher levels of D-dimer

Cited by 30 publications

References 13 publications

Nerve Block of the Infrapatellar Branch of the Saphenous Nerve in Knee Arthroscopy

Nerve Block of the Infrapatellar Branch of the Saphenous Nerve in Knee Arthroscopy

Deep venous thrombosis was not detected after total knee arthroplasty in Japanese patients with haemophilia

Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients

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