Multidisziplinäre Rehabilitation und multimodale Fast-Track-Rehabilitation in der Knieendoprothetik: Schneller, besser, günstiger? Eine Umfrage und systematische Literaturrecherche
Quack V, Ippendorf AV, Schenker H, Nebelung S, Rath B, Tingart M, Luering C, Betsch M (2015)
Publication Type: Journal article
Publication year: 2015
Journal
Book Volume: 54
Pages Range: 245-251
Journal Issue: 4
Abstract
Introduction: The aim of multidisciplinary rehabilitation after total knee replacement (TKA) is to reduce postoperative complications and costs and enable faster convalescence. The goals of fast-track rehabilitation, as a multidisciplinary concept, are to reduce the length of hospital stay and achieve early functional improvements by optimizing the perioperative setting. Method: A literature review was carried out for the years 1960-2013. The search terms were: rehabilitation, training, physiotherapy, physical therapy, recovery, exercise program, knee surgery, TKA, total knee replacement, arthroplasty, intensive, multidisciplinary, accelerated, rapid or fast track. Only randomized controlled trials and metaanalyses were included. A survey was also performed to assess care as actually offered in orthopaedic rehabilitation clinics in North Rhine-Westphalia. Results: A total of 729 articles were identified of which 11 studies were included. Fast-track rehabilitation can significantly reduce both the duration of hospital stay and costs after TKA. Current studies showed that a better short-/middle-term clinical outcome might be achieved with multidisciplinary rehabilitation. However, a difference in the long-term outcome could not be observed. Our survey shows that most patients are admitted to a rehabilitation clinic in a state of poor general condition as well as decreased mobility and knee range of motion. Conclusions: Fast-track rehabilitation facilitates a shortened hospital stay as well as cost saving. It probably can be used to optimize the condition of the patient before admission to a rehabilitation facility.
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Germany (DE)How to cite
APA:
Quack, V., Ippendorf, A.V., Schenker, H., Nebelung, S., Rath, B., Tingart, M.,... Betsch, M. (2015). Multidisziplinäre Rehabilitation und multimodale Fast-Track-Rehabilitation in der Knieendoprothetik: Schneller, besser, günstiger? Eine Umfrage und systematische Literaturrecherche. Rehabilitation, 54(4), 245-251. https://doi.org/10.1055/s-0035-1555887
MLA:
Quack, V., et al. "Multidisziplinäre Rehabilitation und multimodale Fast-Track-Rehabilitation in der Knieendoprothetik: Schneller, besser, günstiger? Eine Umfrage und systematische Literaturrecherche." Rehabilitation 54.4 (2015): 245-251.
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