Accelerated rehabilitation after THA allowed shorter stays and better functional results

April 29, 2022

1 minute read

Disclosures: The authors report no relevant financial information.

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According to the results, patients who underwent accelerated rehabilitation after total hip replacement surgery experienced shorter hospital stays and better functional outcomes compared to patients who underwent conventional rehabilitation.

Researchers randomly assigned 60 patients undergoing THA for hip arthritis to participate in either conventional rehabilitation after a normal hospital stay or an accelerated rehabilitation program. The researchers mobilized the patients in the conventional group 1 to 3 days after the procedure based on general condition and pain tolerance, while the patients in the accelerated group were mobilized on the day of the procedure 3 to 5 hours after leaving the operating room and being transferred to the operating room. normal orthopedic service. The researchers assessed hip function before surgery and at 6 and 12 weeks after surgery using the WOMAC score and the Harris Hip Score (HHS).

The results showed that the conventional group had an average length of stay of 7.8 days compared to 4.5 days in the accelerated group. The researchers identified one dislocation in both groups, as well as one case of heart failure and readmission in the conventional group. Patients in the conventional group had an average HHS of 69.3 at 6 weeks and 82 at 12 weeks postoperative compared to 79 at 6 weeks and 91 at 12 weeks postoperative in the accelerated group, according to the results. The researchers noted that the difference in HHS between the two groups was statistically significant.

“This approach requires careful implementation and dedicated patients and staff to maintain satisfactory care throughout the treatment process,” the authors wrote.

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