Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China

Yi-Ting Lei; Jin-Wei Xie; Qiang Huang; Wei Huang; Fu-Xing Pei

doi:10.1186/s40779-021-00310-x

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Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China

RESEARCH | Updated：2023-02-28

- Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China
- Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China
- 解放军医学杂志（英文版） 2021年8卷第4期页码：503-509
- Affiliations：
  
  1.Department of Orthopedics, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  2.Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China
- Author bio：
  
  * huangw511@163.com;
  peifux@126.com
- Funds：
  
  the National Health and Family Planning Commission of the People’s Republic of China (CN) program(201302007)
- DOI：10.1186/s40779-021-00310-x
  中图分类号：
- 纸质出版：2021-12
- Accepted：
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Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China[J]. 解放军医学杂志（英文版）, 2021,8(4):503-509.

Lei et al.: Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Mil Med Res, 2021, 8: 17.
Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China[J]. 解放军医学杂志（英文版）, 2021,8(4):503-509. DOI： 10.1186/s40779-021-00310-x.

Lei et al.: Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Mil Med Res, 2021, 8: 17. DOI： 10.1186/s40779-021-00310-x.

摘要

Abstract

Background:

Postoperative care has been evolving since the concept of enhanced recovery after surgery (ERAS) was introduced in China. This study aimed to evaluate the effects of early ambulation within 24 h after unilateral total knee arthroplasty (TKA) on postoperative rehabilitation and costs in a Chinese population.

Methods:

This cohort study of patients with knee osteoarthritis who had undergone TKA at 24 large teaching hospitals between January 2014 and November 2016 involved 2687 patients who began ambulating within 24 h (Group A) and 3761 patients who began ambulating later than 24 h (Group B). The outcome measurements

such as length of stay (LOS)

total hospitalization costs

dynamic pain level

knee flexion range of motion (ROM)

results of the 12-Item Short Form Survey (SF-12)

incidence of thromboembolic events and other complications

were recorded and compared.

Results:

The early ambulation group (Group A) had a shorter LOS and lower hospitalization costs and pain levels than the late ambulation group (Group B). There was a favorable effect in enhancing ROM for patients in Group A compared with patients in Group B. In Group A

patients had significantly higher postoperative SF-12 scores than those in Group B. The incidence of deep venous thrombosis (DVT) and pulmonary infection was significantly lower in Group A than in Group B. The incidence of pulmonary embolism (PE) and other complications did not differ between the two groups.

Conclusions:

Early ambulation within 24 h after TKA was associated with reduced LOS

improved knee function

lower hospitalization costs and lower incidence of DVT and pulmonary infection in the Chinese population.

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Keywords

references

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