Castorina Sergio, Guglielmino Claudia, Castrogiovanni Paola, Szychlinska Marta Anna, Ioppolo Francesco, Massimino Paolo, Leonardi Pietro, Maci Christian, Iannuzzi Maurizio, Di Giunta Angelo, Musumeci Giuseppe
Polyclinic "G.B. Morgagni" Mediterranean Foundation, Orthopedics Traumatology and Rehabilitation Unit, Catania, Italy.
Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania, Italy.
Muscles Ligaments Tendons J. 2018 Jan 10;7(3):504-513. doi: 10.11138/mltj/2017.7.3.504. eCollection 2017 Jul-Sep.
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.
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.
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.
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.
IV. Case series, low-quality cohort or case-control studies.
在过去几年中，针对全膝关节置换术后提高恢复效果和降低发病率的项目，已在各种外科手术中开展，并被称为“快速康复外科”。在本研究中，我们旨在通过采用快速康复方法，为接受全膝关节置换术的骨关节炎患者的管理找到一些答案。为此，我们评估了诸如患者早期活动、更好的疼痛管理、出血情况、可能的并发症、缩短住院时间、整体恢复改善以及患者满意度等参数。
选取132例患者，其中95例采用“快速康复”方法治疗，37例采用传统方法治疗（对照组）。所有患者均住院，并在术后头三天接受相同的康复计划。
在两组中，疼痛和畸形参数改善最为迅速，而功能和活动参数在接下来的2个月内随着逐渐和渐进的改善而恢复正常。所使用的不同功能测试（Barthel、MRC、VAS）显示，与对照组相比，快速康复组的平均值显著更高。
研究结果证实，快速康复方案在全膝关节置换术后骨科中的应用可实现术后快速恢复。
IV。病例系列、低质量队列或病例对照研究。
