Poster 47 Gigantism of the Right Lower Extremity in a Patient with Klippel‐Trenaunay Syndrome: A Case Report

Abstract

Interventions: None. Main Outcome Measures: Length of stay (LOS), admission and discharge Functional Independence Measure (FIM) scores, FIM efficiency. Results or Clinical Course: The study included 28 male and 71 female patients ages 26.7 to 86.9 years, mean of 65.3 years (standard deviation [SD]10.8). Four patients had a diagnosis of rheumatoid arthritis, 95 had osteoarthritis. Mean length of time between surgery and admission to AIR was 4.4 days (SD 3.2, range 1-33 days). Mean LOS in rehabilitation was 11.5 days (SD 4.2, range 3-24 days). Mean admission and discharge FIM scores were 87.4 (SD 11.5) and 111.0 (SD 16.7), respectively, with a mean FIM gain of 25.9 (SD 10.3). The mean FIM efficiency was 2.37 (SD 0.96). Eight patients required at least 1 transfer to an acute care hospital. Complications leading to transfer to acute care included sepsis, cardiac arrhythmias, knee dislocation and small bowel obstruction. Ninety-three patients were discharged home, 4 patients were discharged to skilled nursing facilities, and 2 patients were transferred to acute care and did not return to rehabilitation. Conclusions: This is the first study reporting functional outcomes of patients with simultaneous bilateral TKA in the acute inpatient rehabilitation setting. Our data indicate that patients with bilateral TKAs demonstrate functional gains in AIR based on FIM gains and FIM efficiency scores. Only 8% of patients in our cohort required transfer to acute care due to complications during inpatient rehabilitation, and 94% of patients were discharged home.