[Preoperative rehabilitation before lower limb arthroplasty : Knowledge and perspectives]

Area of Science:

• Orthopedic Surgery
• Patient Care Management
• Primary Care Medicine

Background:

• Hospital stays for lower limb arthroplasty are shortening, necessitating changes in patient management.
• Effective pre- and post-operative strategies are vital for quality care, patient safety, and satisfaction within reduced hospital durations.

Purpose of the Study:

• To review current knowledge on preoperative information, education, and rehabilitation for primary care physicians managing lower limb arthroplasty patients.
• To guide primary care physicians in optimizing patient preparation and postoperative care amidst decreasing hospital lengths of stay.

Main Methods:

• Literature review focusing on preoperative patient information, education, and rehabilitation strategies.
• Synthesis of evidence regarding the role of primary care in the perioperative management of lower limb arthroplasty.

Main Results:

• Isolated physical rehabilitation is not recommended for lower limb arthroplasty patients.
• Patient-centered information and education are recommended, particularly for patients at risk of complex postoperative outcomes.
• Interdisciplinary collaboration is essential for coordinating care effectively during shortened hospital stays.

Conclusions:

• Rethinking pre- and post-operative management is essential due to shorter hospital stays in lower limb arthroplasty.
• Patient-centered information and education are key components of effective perioperative care, especially for at-risk individuals.
• Integrated, interdisciplinary approaches are necessary to ensure quality and safety in the context of reduced hospitalizations.