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Published on: January 23, 2018
Patient-reported outcome after fast-track knee arthroplasty
Kristian Larsen1, Torben B Hansen, Kjeld Søballe
1The Orthopaedic Research Unit, Department of Orthopedics, Holstebro Regional Hospital, Hospital Unit West, Holstebro, Denmark. kristian.larsen@ki.au.dk
Summary
Fast-track knee replacement patients may need more rehabilitation for early functional recovery. Good function and low pain at 4 months correlate with better quality of life and satisfaction.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Patient Outcomes Research
Background:
- Fast-track protocols aim to optimize recovery after knee arthroplasty.
- Assessing functional outcomes and patient satisfaction is crucial for evaluating surgical success.
- Identifying specific rehabilitation needs can improve patient recovery trajectories.
Purpose of the Study:
- To evaluate patient-related functional outcomes following fast-track total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA).
- To identify physical areas requiring additional rehabilitation post-surgery.
- To examine the relationship between physical function, health-related quality-of-life (HRQOL), and patient satisfaction.
Main Methods:
- A cohort of 211 fast-track knee arthroplasty patients were studied.
- Patients received standard rehabilitation with an exercise plan and one outpatient visit.
- Health-related quality-of-life (HRQOL) and functional outcomes were assessed using validated questionnaires at multiple time points pre- and post-operation.
Main Results:
- Four months post-operation, HRQOL was comparable to population norms, but physical function scores remained significantly lower.
- Physical function scores at 4 and 12 months post-surgery were below background population norms.
- Absence of significant pain and good functional abilities at 4 months were associated with higher HRQOL and patient satisfaction.
Conclusions:
- Early functional outcomes suggest a potential need for enhanced postoperative rehabilitation following fast-track TKA and UKA.
- Achieving minimal pain and good functional abilities early post-surgery is linked to improved long-term HRQOL and patient satisfaction.
