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Related Experiment Video

Updated: Mar 5, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Rehabilitation after total joint replacement: a scoping study.

Deborah L Snell1,2, Julia Hipango1, K Anne Sinnott2

  • 1a Department of Orthopaedic Surgery and Musculoskeletal Medicine , University of Otago Christchurch , Christchurch, New Zealand.

Disability and Rehabilitation
|March 24, 2017
PubMed
Summary
This summary is machine-generated.

Rehabilitation after joint replacement is beneficial, but optimal approaches remain unclear. Comorbidities, rather than specific interventions, may predict outcomes, highlighting the need for further research into monitoring and therapeutic attention.

Keywords:
Total hip replacementexercise-based physiotherapyhome-based exercise programsrehabilitationtherapeutic attentiontherapy alliancetotal knee replacement

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Evidence-Based Practice

Background:

  • Vast evidence exists for rehabilitation post-joint replacement, but quality varies, hindering clinical application.
  • Identifying key issues and research gaps in joint replacement rehabilitation is crucial.

Purpose of the Study:

  • To map key issues in rehabilitation following hip and knee replacement.
  • To highlight potential avenues for future research in this field.

Main Methods:

  • A scoping study was conducted, reviewing research from January 2013 to December 2016.
  • Effectiveness of rehabilitation after total hip and knee replacement was evaluated.

Main Results:

  • Thirty studies and seven systematic reviews were analyzed, predominantly focusing on physiotherapy exercise post-total knee replacement.
  • Rehabilitation, whether clinic-based or home-monitored, shows benefits, but intervention specifics (type, intensity, duration) lack consistent outcome association.
  • Comorbidities appear to be stronger predictors of rehabilitation outcomes than specific approaches.

Conclusions:

  • Physiotherapy-based rehabilitation post-hip and knee replacement is beneficial.
  • Optimal intervention details and monitoring strategies require further investigation.
  • Comorbidities significantly influence outcomes, irrespective of the rehabilitation method.