Accelerated rehabilitation following Oxford unicompartmental knee arthroplasty: five-year results from an independent centre

作者：Smith Toby O^*; Chester Rachel; Glasgow Malcolm M; Donell Simon T

来源：European Journal of Orthopaedic Surgery and Traumatology, 2012, 22(2): 151-158.

DOI：10.1007/s00590-011-0797-7

• Unicompartmental knee replacement
• Accelerated
• Rehabilitation
• Mid-term
• Clinical outcomes

The purpose of this study was to analyse the midterm outcomes of an accelerated rehabilitation programme for unicompartmental knee arthroplasty. One hundred and six patients (187 knees) underwent a minimally invasive Phase 3 Oxford unicompartmental knee arthroplasty with an accelerated rehabilitation programme and were followed over the first 5 years. The emphasis of the programme was pre-operative patient education, multidisciplinary discharge planning and early rehabilitation. On retrospective analysis, patients reported a significant improvement in functional outcomes and quality of life in respect of Oxford knee score, American knee score and short form-12 outcomes (P %26lt; 0.05). These improved clinical outcomes were then maintained during the 5-year period. The results support the use of accelerated rehabilitation to optimise early hospital discharge without jeopardising early and midterm outcomes.

• 出版日期2012-2