Outcomes of Inpatient Rehabilitation in Patients With Simultaneous Bilateral Total Knee Arthroplasty

Abstract

After undergoing simultaneous bilateral TKA, patients demonstrate functional gains when admitted to inpatient rehabilitation facilities based on FIM gains and FIM efficiency scores; 8.5% of patients in this cohort required transfer to an acute care facility as a result of complications during inpatient rehabilitation, and 93.6% of patients were discharged home.

Frequency and Characteristics of Medical Complications in Rehabilitation Settings: A Scoping Review

“…A total of 47 studies were identified relating to complications ( 2 , 17 , 25 – 69 ). Studies were conducted across a variety of international healthcare settings, including North America ( n = 22) ( 17 , 27 , 31 , 33 , 36 – 38 , 40 , 42 , 44 – 46 , 50 , 51 , 54 , 59 , 60 , 62 – 66 ), Europe ( n = 9) ( 26 , 29 , 34 , 35 , 43 , 49 , 52 , 55 , 69 ), Asia ( n = 11) ( 28 , 41 , 47 , 48 , 53 , 56 – 58 , 61 , 67 , 68 ) and Oceania ( n = 5) ( 2 , 25 , 30 , 32 , 39 ). Study cohorts included general rehabilitation ( 2 , 25 , 44 , 47 , 51 , 56 , 60 , 65 ) and rehabilitation following: cerebrovascular accident (CVA) ( 17 , 26 , 28 , 30 , 35 , 36 , 38 , 52 ,…”

“…The most commonly reported complications were infections, and non-infectious neurological alterations. Infectious complications were identified in 26 studies, with UTIs, pneumonia and cellulitis reported as the most common ( 17 , 26 – 28 , 31 , 34 – 36 , 38 , 41 , 46 – 48 , 51 – 53 , 55 , 57 – 59 , 61 , 64 , 66 – 69 ). Six studies noted infection to have occurred in over half of the study population ( 26 , 51 , 53 , 55 , 59 , 68 ).…”

“…Six studies noted infection to have occurred in over half of the study population ( 26 , 51 , 53 , 55 , 59 , 68 ). Neurological alterations were reported in 20 studies, with a variety of complications reported, including alterations in cognition, challenging behaviours, hydrocephalus, stroke progression, epilepsy, seizure and seizure-like activity ( 17 , 26 , 28 , 29 , 31 , 34 – 36 , 43 , 46 , 47 , 51 , 52 , 57 , 59 , 61 , 64 , 67 – 69 ).…”

“…A total of 30 studies ( 2 , 17 , 25 – 30 , 32 – 34 , 36 , 37 , 39 , 40 , 42 , 44 – 47 , 49 , 50 , 54 , 56 , 57 , 60 , 61 , 63 , 65 , 69 ) measured the proportion of patients RTAC following subacute care admission as ranging from 2.89% ( 28 ) to 52.38% ( 27 ) ( Table IV ). Most studies reported patients RTAC only once, 4 studies identified patients requiring > 1 RTAC ( 25 , 27 , 32 , 46 ), with McKechnie et al ( 32 ) reporting that 18 patients (4.7%) had ≥ 3 acute care transfers. Patient cohorts commonly associated with higher rates of RTAC included: spinal cord injury, post cardiac transplant and frail, older adults whereas, stroke rehabilitation cohorts were associated with lower rates ( 26 – 30 , 36 , 37 , 44 ).…”

The impact of individualized care after artificial knee replacement surgery for patients with valgus deformity of the knee†

“…It can effectively relieve knee joint pain, recover knee joint function, and improve the patients' quality of life. [4][5][6] Due to the increasing population of elderly, the patients suffer from knee joint diseases increased and the application of TKA has also become mature than before. [7][8][9] The curative effect of TKA is related not only to the type of prosthesis, the amount of annual operation, appropriate osteotomy, and proper soft tissue balance but also to perioperative nursing care.…”