Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (22): 4019-4022.doi: 10.3969/j.issn.1673-8225.2011.22.008

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Investigation of using fast-track surgery in the rehabilitation process of patients undergoing total knee replacement

Fu Li-min, Yang Xiao-hua, Lü Yong-ming, Yan Jing, Fu Qiao, Zhang Xin   

  1. Affiliated Hospital of Chengde Medical University, Chengde  067000, Hebei Province, China
  • Received:2011-03-04 Revised:2011-04-20 Online:2011-05-28 Published:2011-05-28
  • Contact: Yang Xiao-hua, Master, Associate chief physician, Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China
  • About author:Fu Li-min, Nurse in charge, Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China cyfyyangxiaohua@163.com

Abstract:

BACKGROUND: Fast-track surgery (FTS), as a new rehabilitation concept, has been successfully used in general surgery, cardiac and thoracic surgery, etc., but it has not been applied in orthopedics till now.
OBJECTIVE: To evaluate the effects of perioperative rehabilitation therapy under the guidance of FTS theory in patients under knee replacement.
METHODS: Forty-five cases of osteoarthritis who received total knee replacement were selected as the experimental group, and they were treated under the guidance of FTS theory strictly in the perioperative period. Another 30 cases of patients undergoing total knee replacement who had traditional rehabilitation therapy before and after replacement were taken as the control group.
RESULTS AND CONCLUSION: Compared with the control group, the experiment group had a grossly decreased incidence of complications, lowered hospital costs and time of hospitalization, and had remarkably elevated HSS scores in the postoperative follow-ups. The results show that FTS therapy used in perioperative rehabilitation treatment can accelerate the recovery rate of patients, shorten the treatment period and elevate the therapeutic effect.

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