What is the role of the physical medicine and rehabilitation unit after total knee arthroplasty? Clinical practice recommendations.
Ann Readapt Med Phys
; 50(9): 729-33, 724-8, 2007 Dec.
Article
en En, Fr
| MEDLINE
| ID: mdl-17959266
OBJECTIVES: To develop clinical practice guidelines concerning the interest of post-operative rehabilitation in physical medicine and functional rehabilitation (PMR) ward after total knee arthroplasty (TKA). METHOD: The SOFMER (French Physical Medicine and Rehabilitation Society) methodology, associating a systematic literature review, collection of everyday clinical practice, and external review by a multidisciplinary expert panel, was used. Main outcomes were impairment, disability, medico-economic implications and postoperative complications. RESULTS: Post-operative rehabilitation in a PMR ward after TKA is recommended for patients because of preoperative joint stiffness, and/or associated co-morbidities. The other parameters used by French physician for post-operative rehabilitation in a PMR ward after TKA are: the self-governing of the patient at home, the wishes of the patient and the opinion of the surgeon on the post-operative functional evolution of the patients. For patients in whom sustained rehabilitation is not necessary but who cannot return home, a stay in a non-specific (non-PMR) post-operative centre could be recommended. Post-operative rehabilitation in a PMR ward after TKA could reduce the length of stay in a surgical ward and increase the functional status of patients with co-morbidities. Studies with good methodological quality are needed to evaluate the cost/benefit ratio in the French health care system. CONCLUSION: This study suggests a value of rehabilitation in a PMR ward after TKA, but good methodological quality studies are needed to evaluate the cost/benefit ratio of rehabilitation in a PMR ward after TKA in the French health care system.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo de Rodilla
Tipo de estudio:
Guideline
/
Systematic_reviews
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
/
Fr
Revista:
Ann Readapt Med Phys
Asunto de la revista:
MEDICINA FISICA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Países Bajos