Karim Azim, Pulido Luis, Incavo Stephen
Houston Methodist Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, TX.
Am J Orthop (Belle Mead NJ). 2016 Sep/Oct;45(6):E337-E342.
Accelerated physical therapy (PT) protocols are a potential mechanism for achieving early mobilization and safe discharge from hospital after elective primary total hip arthroplasty (THA) or total knee arthroplasty (TKA). We compared 2 groups of patients who underwent elective unilateral THA or TKA-those who started PT the same day (Day 0) and those who started PT the next day (Non-Day 0). The difference in mean (SD) hospital length of stay between the Day 0 and Non-Day 0 groups was not statistically significant for THA patients, 2.26 (0.11) days vs 2.50 (0.15) days (P = .270), or TKA patients, 2.28 (0.66) days vs 2.35 (0.75) days (P > .05). A higher proportion of THA patients in the Day 0 group (16%) vs the Non-Day 0 group (6%) achieved discharge goals on postoperative day 1 (P = .04). This effect was not present for TKA patients. Day-of-surgery PT helped THA patients (but not TKA patients) achieve discharge goals on postoperative day 1.
加速物理治疗（PT）方案是在择期初次全髋关节置换术（THA）或全膝关节置换术（TKA）后实现早期活动及安全出院的一种潜在机制。我们比较了两组接受择期单侧THA或TKA的患者，一组在手术当天（第0天）开始PT，另一组在术后第二天（非第0天）开始PT。对于THA患者，第0天组和非第0天组的平均（标准差）住院时间差异无统计学意义，分别为2.26（0.11）天和2.50（0.15）天（P = 0.270）；对于TKA患者，分别为2.28（0.66）天和2.35（0.75）天（P>0.05）。第0天组的THA患者（16%）比非第0天组（6%）在术后第1天达到出院目标的比例更高（P = 0.04）。TKA患者未出现这种效果。手术当天进行PT有助于THA患者（但对TKA患者无效）在术后第1天达到出院目标。
