Clinical results before and after implementation of a fast - track protocol for 507 patients who underwent total knee arthroplasty surgery: a retrospective, observational study
| dc.contributor.author | Souza, Dyego Leandro Bezerra de | |
| dc.contributor.author | Nuevo, Montse | |
| dc.contributor.author | Morral, Antoni | |
| dc.contributor.author | Fabregat, Salvi Prat | |
| dc.contributor.author | Faura, M Teresa | |
| dc.contributor.author | Segur, Josep M. | |
| dc.contributor.author | Fabrellas, Núria | |
| dc.contributor.author | Roig, Javier Jerez | |
| dc.contributor.author | Vidal, Andrea Fuente | |
| dc.contributor.authorID | https://orcid.org/0000-0001-8426-3120 | pt_BR |
| dc.date.accessioned | 2023-10-10T20:11:22Z | |
| dc.date.available | 2023-10-10T20:11:22Z | |
| dc.date.issued | 2019 | |
| dc.description.resumo | Background: Total knee arthroplasty (TKA) is a common surgical procedure for patients with advanced osteoarthritis. !is study aimed to assess the e"ects of using versus not using a fast-track protocol, including a new mobilization device called Flexet. Methods: !is is a retrospective comparative study. Two groups were formed with a total of 507 TKA patients. 283 were treated in 2010 with a standard program (S group) and 224 with a fast-track protocol (FT group) in 2016. !e variables studied were active knee #exion and extension, length of stay, and time to autonomous gait. Results: Study groups were comparable. !e mean time from surgery to autonomous gait was shorter for the FT group (4.43 hours, SD = 2.11) than for the S group (59.95 hours, SD = 16.59) (p < 0.001). Mean stay for the FT group was 2.36 nights (SD = 1.81) and 6.20 nights (SD = 1.52) for the S group (p < 0.001). Mean active #exion at hospital discharge was 89.33º (SD = 7.45) in the FT group versus 84.10º (SD = 9.01) in the S group. !e mean active extension was: -5.37º (SD = 2.49) in the FT group versus -8.60º (SD = 3.98) in the S group, (p<0.001). Conclusion: Patients in the FT group showed more signi$cant improvements (i.e., shorter length of stay, shorter time to autonomous gait, and larger active ROM in #exion and extension). However, the exact role of the Flexet device is still to be determined | pt_BR |
| dc.identifier.citation | SOUZA, Dyego Leandro Bezerra de; NUEVO, Montse; MORRAL, Antoni; PRAT-FABREGAT, Salvi; FAURA, M Teresa; SEGUR, Josep M.; FABRELLAS, Núria; JEREZ-ROIG, Javier. Clinical Results Before and After Implementation of a Fast - Track Protocol For 507 Patients Who Underwent Total Knee Arthroplasty Surgery: a retrospective, observational study. International Journal Of Physiotherapy, [S.L.], v. 9, n. 4, p. 1, 1 ago. 2019. International Journal of Physiotherapy. http://dx.doi.org/10.15621/ijphy/2022/v9i2/1235. Disponível em: https://ijphy.com/index.php/journal/article/view/1235. Acesso em: 12 set. 2023. | pt_BR |
| dc.identifier.doi | http://dx.doi.org/10.15621/ijphy/2022/v9i2/1235 | |
| dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/54968 | |
| dc.language | en | pt_BR |
| dc.publisher | International Journal Of Physiotherapy | pt_BR |
| dc.rights | Attribution-NonCommercial 3.0 Brazil | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/br/ | * |
| dc.subject | total knee arthroplasty | pt_BR |
| dc.subject | fast-track | pt_BR |
| dc.subject | rapid-recovery | pt_BR |
| dc.subject | early mobilization | pt_BR |
| dc.subject | active physiotherapy | pt_BR |
| dc.title | Clinical results before and after implementation of a fast - track protocol for 507 patients who underwent total knee arthroplasty surgery: a retrospective, observational study | pt_BR |
| dc.type | article | pt_BR |
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