Philippossian Robin, Luthi François, Pichonnaz Claude
Service d'orthopédie et de traumatologie, Département de l'appareil locomoteur, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.
Service de réadaptation de l'appareil locomoteur, Clinique romande de réadaptation, 1950 Sion.
Rev Med Suisse. 2021 Dec 8;17(762):2147-2150.
The shortening of hospital stays implies rethinking the pre- and post-operative management of lower limb arthroplasty. Optimal preparation of the patient and anticipation of the postoperative process are necessary to limit the length of stay and ensure quality, safety and patient satisfaction. This article summarises what is known about preoperative information, education and rehabilitation for primary care physicians. Physical rehabilitation is not recommended in isolation. However, patient-centred information and education is recommended for those at risk of complicated postoperative outcomes. Interdisciplinary collaboration is needed to coordinate the whole process effectively in a context of shortened lengths of stay.
住院时间的缩短意味着要重新思考下肢关节置换术的术前和术后管理。对患者进行最佳准备并对术后过程有所预判，对于限制住院时间、确保医疗质量、安全及患者满意度而言是必要的。本文总结了基层医疗医生所了解的关于术前信息、教育及康复的内容。不建议单独进行物理康复。然而，对于有术后并发症风险的患者，建议提供以患者为中心的信息和教育。在住院时间缩短的情况下，需要跨学科协作来有效协调整个过程。
