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Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement.
Alexander S Fedonnikov1, Elena A Andriyanova1, Anton R Kiselev1,2
1Institute of Public Health, Health Management and Humanitarian Problems of Medicine, Research Institute of Traumatology, Orthopedics and Neurosurgery, Saratov State Medical University, 410012 Saratov, Russia.
Postoperative rehabilitation after hip or knee replacement shows high patient satisfaction but poor communication with health authorities. This impacts functional recovery and highlights a gap in coordinated orthopedic care.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Health Services Research
Background:
- Successful total hip or knee replacement outcomes depend heavily on postoperative rehabilitation.
- Effective management of the rehabilitation process is as critical as surgical success.
Purpose of the Study:
- To evaluate rehabilitation outcomes after total hip or knee replacement.
- Key areas of focus included orthopedic follow-up, health authority communication, patient satisfaction, and functional performance.
Main Methods:
- A survey was conducted with 523 total hip replacement patients and 650 total knee replacement patients.
- Formalized phone interviews assessed postoperative rehabilitation parameters and outcomes.
Main Results:
- Nearly 70% of patients received regular orthopedic follow-up; 10% reported none.
- 54.5% of patients could walk unassisted, and half reported experiencing pain.
- Patient satisfaction with rehabilitation management was high (>80%), but feedback from local health authorities was low (9.4%).
Conclusions:
- A significant disconnect exists between patient satisfaction and health authority engagement in rehabilitation.
- The low feedback from local health authorities indicates a communication breakdown crucial for effective patient recovery.
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