From the Division of Adult Reconstruction, Department of Orthopaedics & Rehabilitation, University of Rochester (Ginnetti), Vori Health (O'Connor), Movement is Life (O'Connor), Arthroplasty Services, Brigham & Women's Hospital, Harvard Medical School (Chen), and the Division of Adult Reconstruction, Department of Orthopaedics & Rehabilitation, University of Rochester (Myers).
J Am Acad Orthop Surg. 2022 Jun 1;30(11):e799-e807. doi: 10.5435/JAAOS-D-21-00247.
Lower extremity total joint arthroplasty (TJA) has an established track record of success and a subset of patients who fail to experience desired improvements. Current TJA success can be attributed to refined surgical techniques, improved preparation of patients for surgery, and enhanced postoperative recovery protocols. One aspect of preoperative patient preparation and enhanced postoperative recovery includes training regimens intended to prepare patients for TJA and facilitate TJA functional recovery (often referred to as using the jargon prehabilitation and rehabilitation). The importance of prehabilitation and rehabilitation is open to debate because of historically insufficient and inconsistent evidence. This review aims to provide direction for future investigative efforts by presenting an overview of current preoperative and postoperative TJA training/exercise programs within the framework of utility, timing, form, setting, and cost.
下肢全关节置换术（TJA）已有成功的记录，但仍有一部分患者未能达到预期的改善效果。目前 TJA 的成功可以归因于手术技术的改进、患者手术准备的改善以及术后恢复方案的增强。术前患者准备和增强术后恢复的一个方面包括旨在为 TJA 做准备并促进 TJA 功能恢复的训练方案（通常被称为使用术语“术前康复”和“术后康复”）。由于历史上证据不足且不一致，术前康复和术后康复的重要性存在争议。本综述旨在通过在效用、时机、形式、地点和成本的框架内介绍当前 TJA 术前和术后训练/锻炼方案，为未来的研究工作提供方向。
