Effect of Fast Inpatient Rehabilitation After TKA

Peking University

Status: Unknown

Conditions: Rehabilitation; Total Knee Arthroplasty

Treatments: Combination Product: Fast Inpatient Rehabilitation

Study type: Observational

Funder types: Other

Identifiers

NCT04458480

M2019113

Details and patient eligibility

About

Rehabilitation is an important part of the post-operative treatment after TKA by consensus. This study intends to analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.

Full description

Rehabilitation, which is an important part of the post-operative treatment after TKA, could effectively alleviate symptoms of pain and swell, as well as improve knee joint and general function. It has reached a consensus that post-TKA rehabilitation should contain muscle strengthening, ROM, proprioceptive, balance training and physical factor therapy, etc. This study intends to use observational cohort study methods with exposure factor of fast inpatient rehabilitation after TKA, establish a TKA exposure group and a control group of TKA without inpatient rehabilitation, analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.

Enrollment: 60 estimated patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Initial unilateral TKA patients due to osteoarthritis, rheumatoid arthritis, etc.
• Satisfactory operative knee joint ROM: knee flexion ≥120° and extension ≥ 0°.
• Prior informed consent by patients.

Exclusion criteria

• Complication of other medical conditions and disability to cooperate with rehabilitation.
• Complication of other conditions affecting bilateral lower limbs such as fracture, tumor, neurologic disorder, etc.
• Deep venous thrombosis of lower limbs with exception of inter-muscular venous thrombosis.

Trial design

60 participants in 2 patient groups

Exposed Group

Description:

Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge.

Treatment:

Combination Product: Fast Inpatient Rehabilitation

Control Group

Description:

Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge.