The Effects of Continued Rehabilitation After Primary Knee Replacement

Abstract

Introduction: Tasks of rehabilitation after arthroplasty are to provide painless joint movements, to improve the range of motion, to establish a scheme of walking, to achieve independence in activities of daily living. The aim of the study is to determine the effects of continued rehabilitation on the range of the knee motion and reducing the swelling after total knee replacement. Methods: The study was conducted from 2011 to 2013 and included 140 patients of both sexes, aged 45 to 85 with implanted endoprosthesis based on primary osteoarthritis. They were divided into two groups, experimental, which after early rehabilitation continued ongoing rehabilitation for a period of three weeks, while the control group after completion of early rehabilitation began rehabilitation two months from the surgery for a period of three weeks. The range of motion in the knee joint and the extent of the knee joint in the medium of patella were measured in both groups during the admission and discharge from rehabilitation. In the experimental group, control measurements were carried out three months after surgery. Results: In both groups, there was a significant reduction of the swelling at the discharge in relation to the admission while in the experimental group there was no change on the control of the joint swelling after three months in relation to the release from rehabilitation. In the experimental group, the range of motion of flexion and extension was improved at the discharge in relation to the admission as well as the flexion during the control while the range of motion of extension wasn't significantly changing during the control examination. In the control group, the extension and flexion were significantly improved at the discharge compared to the admission. Comparing both groups, the results showed that there was a significant improvement in flexion movements in the experimental group during rehabilitation in comparison to the control group, while the range of motion of the extension was not significantly different in these two groups. Comparing the range of motion of the experimental group on the control examination and the control group at discharge, it is demonstrated significant improvement in flexion and extension in the experimental group. Conclusion: Results of monitoring the reduction of the swelling and the return of the range of motion confirm the advantage of continuous rehabilitation.

Relationship between patients’ subjective involvement in postoperative rehabilitation and quality of life after arthroscopic treatment for osteoarthritic knee – cross-sectional study

“…Questions 1, 3, and 4 were presented on a scale of 1-10, and question 2 involved a single choice from a-do. The questions were developed based on the literature [8,13,14,19]. This part was created to supplement the questions on postoperative rehabilitation (respondents' subjective assessment of using postoperative rehabilitation, the scope of knee movements, and the use of supporting devices).…”

“…osteoarthritis causes mobility problems or creates difficulties in everyday activities [8]. Using assistive devices or walking aids, such as a cane or crutch, can reduce pain in patients with knee osteoarthritis [30].…”

“…Knee arthroscopic debridement is a significant advance in the treatment of severe pathological osteoarthritis, but it does not provide a full guarantee of improving the QoL of patients; therefore, rehabilitation is integrated with arthroscopy. This is mainly focused on the possibly of gaining painless movements after surgery, improving the range of motion, and striving for independence in everyday activities [3,7,8]. Patients who follow recommendations have a higher overall QoL [9]; hence, health care professionals who provide education for patients, conduct treatment, and support the treatment process, should constantly monitor and recognize variables affecting patients› QoL.…”

Mobile rehabilitation support versus usual care in patients after total hip or knee arthroplasty: study protocol for a randomised controlled trial

“…Over three million THA and TKA procedures were performed in 2017 around the world [5], which is an increase of 40% compared to the number in 2007 [6,7]. The involvement of patients in postoperative rehabilitation is important to promote recovery, relieve pain, enhance muscle strength, optimise physical function and improve health-related quality of life (HRQoL) [8,9].…”

Correlation between the Laboratory Test Results and Knee Functional Improvement of Pre- and Post-Total Knee Replacement Operation

“…As AAOS defined, optimal threshold for CRP and ESR was 149 mm/hour and 14.5 mg/dL in PJI knee [6]. The average monthly cost for PJI knee was $50.000 while the average cost of a year was 250 million dollars among United States patients [7].…”