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Related Experiment Video

Updated: Jun 15, 2025

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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[Prehabilitation before total knee arthroplasty].

Christina Valle1,2, Philipp von Roth3

  • 1Medical Park Chiemsee, Birkenallee 41, 83233, Bernau am Chiemsee, Deutschland. christina.valle@tum.de.

Orthopadie (Heidelberg, Germany)
|August 27, 2024
PubMed
Summary
This summary is machine-generated.

Prehabilitation before knee replacement surgery shows mixed results, but addressing risk factors like fitness and using digital tools may improve recovery. More research is needed on optimal exercise protocols.

Keywords:
Length of stayPreoperative exerciseRehabilitationRisk factorsTotal knee replacement

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Geriatric Medicine

Context:

  • Rising prevalence of knee osteoarthritis necessitates optimizing patient condition before surgery.
  • Prehabilitation aims to enhance preoperative status for better postoperative outcomes.
  • Systematic literature search conducted across major databases (Medline, Cochrane Library, Web of Science).

Purpose:

  • To review the current evidence on the effectiveness of prehabilitation before knee joint replacement.
  • To identify modifiable risk factors and optimal strategies for prehabilitation programs.
  • To critically evaluate existing systematic reviews and meta-analyses.

Summary:

  • Evidence on prehabilitation's effectiveness is heterogeneous; some studies show benefits like reduced pain and shorter hospital stays, while others find no significant difference.
  • Prehabilitation should address modifiable risk factors including physical fitness, nutrition, comorbidities, and psychological factors.
  • Digital therapy and education are promising for implementing prehabilitation and are well-accepted by patients.

Impact:

  • Highlights the need for standardized exercise content, duration, frequency, and setting in prehabilitation protocols.
  • Suggests modern prehabilitation should incorporate musculoskeletal training and comprehensive risk factor management.
  • Informs clinical practice and future research directions for optimizing knee replacement outcomes.