Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

Original Article, 504 - 513
doi: 10.11138/mltj/2017.7.3.504
Tag this article
Abstract
Enhanced HTML Full text PDF
Background: During the last years, programs to enhance postoperative recovery and decrease morbidity after total knee arthroplasty, have been developed across a variety of surgical procedures and referred to as “Fast-Track Surgery”. In this study we aimed to find some answers in the management of osteoarthritic patients subjected to total knee arthroplasty, by using the Fast-Track methodology. To this purpose we evaluated parameters such as early mobilization of patients, better pain management, bleeding, possible complications, reduced hospitalization time, an overall improved recovery and patient satisfaction.
Methods: 132 patients were selected, of which, 95 treated with “Fast Track” method and 37 treated with traditional method (control group). All the patients were hospitalized and underwent the same rehabilitation program for the first three days after surgery.
Results: In both groups, the parameters of pain and deformity demonstrated the most rapid improvement, while those of function and movement were normalized as gradual and progressive improvement over the next 2 months. The different functional test used (Barthel, MRC, VAS) showed that the mean values were significantly greater in Fast Track group when compared to the control.
Conclusion: The results of the study confirm that the application of the Fast Track protocol in orthopaedics after total knee replacement results in rapid post-surgery recovery.
Level of evidence: IV. Case series, low-quality cohort or case-control studies.

Vol. 8 (No. 2) 2018 April/June

  1. Percutaneous trigger finger release with an MS64 scalpel
    Mifsut-Miedes D., Valverde Navarro A.A., Rivelles J.R.
    doi: 10.11138/mltj/2018.8.2.135
  2. The effect of choice reaction time task on pre-landing muscle timing in athletes with and without chronic ankle instability
    Fereydounnia S., Shadmehr A., Talebian Moghadam S., Olyaei G., Jalaie S.
    doi: 10.11138/mltj/2018.8.2.142
  3. Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy
    Cardoso Leffa T., Galvão Novelli J., Biff dos Santos G., Maciel Bello G., da Silva Santos M., Martins Silveira M., Leindecker R.C., Boff Daitx R., Baptista Dohnert M.
    doi: 10.11138/mltj/2018.8.2.150
  4. The undefined anatomical variations of the deltoid ligament bundles: a cadaveric study
    Zamperetti M., Guelfi M., Biz C., Pantalone A., Salini V., Oliva X.M., Ruggieri P., Mirapeix R.M.
    doi: 10.11138/mltj/2018.8.2.163
  5. The reproducibility of manual and fixed tensioning in anterior cruciate ligament reconstruction
    Stevens R., Chandrasenan J., Ali F., Haslam P., Nicolaou N.
    doi: 10.11138/mltj/2018.8.2.172
  6. Arthroscopic management of anterior inferior iliac spine impingement: a systematic review
    Fioruzzi A., Jannelli E., Ivone A., Perelli S., Fontana A., Giai Via A.
    doi: 10.11138/mltj/2018.8.2.178
  7. Low revision rate and excellent subjective outcome of primary ACL repair with a minimum follow-up of 5 years
    Nau T., Teuschl A., Ebner A., Jung I., Schenk C.
    doi: 10.11138/mltj/2018.8.2.185
  8. Box-loop technique in the management of complex elbow instability: a prospective controlled trial
    Vicenti G., Solarino G., Carrozzo M., Bizzoca D., Marinelli A., Rotini R., Moretti B.
    doi: 10.11138/mltj/2018.8.2.191
  9. Simvastatin does not adversely affect Achilles tendon properties in a diet induced hypercholesterolemia rat model
    Choi D.S., Shetye S.S., Tucker J.J., Huegel J., Soslowsky L.J.
    doi: 10.11138/mltj/2018.8.2.199
  10. Quality assessment of muscle injury classification in sports: a systematic literature review
    SantAnna J.P.C., de Almeida A.M., Pedrinelli A., Hernandez A.J., Fernandes T.L.
    doi: 10.11138/mltj/2018.8.2.206
  11. Laser therapy penetration depth: a near-infrared study on a horse tendon model
    Monici M., Gnerucci A., Falconi T., Bani D., Cialdai F., Fusi F., Romano G.
    doi: 10.11138/mltj/2018.8.2.222
  12. Quantitative elastography of Achilles tendon using Shear Wave Elastography (SWE): correlation with zonal anatomy
    Petitpierre F., Perez J.T., Bise S., Fournier C., Hauger O., Dallaudière B.
    doi: 10.11138/mltj/2018.8.2.229
  13. Regional differences in anterior cruciate ligament imaging biomarkers: T2 and T2* values
    Schmitz R.J., Wang H-M., Kraft R.A., Shultz S.J., Ross S.E., Henson R.A., Perrin D.H.
    doi: 10.11138/mltj/2018.8.2.238
  14. Ligaments vs tendons in joint reconstruction: a review of histology and biomechanics
    Ge S.M., Alnaif N., Azzi A.J., Zadeh T.
    doi: 10.11138/mltj/2018.8.2.246
  15. The immediate effects of whole body vibration on cervical joint position sense in subjects with forward head posture
    Salami A., Roostayi M.M., Sadat Naimi S., Shadmehr A., Baghban A.A.
    doi: 10.11138/mltj/2018.8.2.255
  16. Muscular injuries after tendon rupture in the rotator cuff of animal models. Systematic review
    Terrón V.M., Muiños-López E., Granero-Moltó F., Esteban M.A., Prosper F., Pérez-Ruiz A., Pons-Villanueva J.
    doi: 10.11138/mltj/2018.8.2.261
  17. Complete midsubstance rectus femoris ruptures: a series of 27 athletes treated operatively
    Lempainen L., Kosola J., Niemi P., Orava S., Pruna R.
    doi: 10.11138/mltj/2018.8.2.276
  18. Internal obturator muscle indirect injury in groin pain syndrome: a systematic review of the literature
    Bisciotti G.N., Corsini A., Vuckvovic Z., Cena E., Bisciotti A., Belli A., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.283
  19. Potential MRI findings associated with inguinal hernia and inguinal canal posterior wall weakness in athletes
    Bisciotti G.N., Auci A., Cena E., Corsini A., Bisciotti A., Eirale C., Parra F., Gassaghi G., Di Marzo F., Vuckvovic Z., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.290
Last Viewed articles: la lista degli ultimi x visitati.
  1. Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study
    Castorina S., Guglielmino C., Castrogiovanni P., Szychlinska M.A., Ioppolo F., Massimino P., Leonardi P., Maci C., Iannuzzi C., Di Giunta A., Musumeci G.
    doi: 10.11138/mltj/2017.7.3.504
credits