ALGORITHM FOR EARLY AMBULATION IN INDIVIDUALS UNDERGOING NON-CONVENTIONAL HIP ENDOPROSTHESIS.

Area of Science:

• Orthopedic Oncology
• Rehabilitation Medicine

Background:

• Bone metastases are increasingly common, with proximal femur involvement being frequent.
• Prosthetic hip replacement is crucial for restoring mobility and function in these patients.

Purpose of the Study:

• To develop and evaluate an algorithm for encouraging early ambulation in patients with hip arthroplasty for bone metastases.
• To improve patient recovery and minimize complications through enhanced mobility protocols.

Main Methods:

• An algorithm was designed by a multidisciplinary orthopedic oncology team.
• The algorithm incorporates patient-guided milestones for safe mobility progression.
• Focus on promoting early ambulation for timely hospital discharge.

Main Results:

• Patients achieved sitting position at a mean of 1.64 days.
• Ambulation was initiated at an average of 3 days post-surgery.
• The algorithm proved effective in facilitating early mobilization.

Conclusions:

• The developed algorithm is effective for inpatient rehabilitation of hip arthroplasty patients with bone metastases.
• Personalized milestones within the algorithm enhance patient confidence and promote early ambulation.
• This approach supports faster recovery and improved functional outcomes.