Second-Order Peer Reviews of Clinically Relevant Articles for the Physiatrist: Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty

    loading  Checking for direct PDF access through Ovid

Excerpt

The number of joint replacements being performed in Canada and the United States is increasing at a rapid rate. In 2014–2015, more than 61,000 total knee arthroplasties were performed in Canada, a 20.3% increase from 5 yrs ago.1 In the United States, the number of total knee arthroplasties increased for a 10-yr period by 86% in men and by 99% in women.2 Accompanying the growing demand for total knee arthroplasties is the demand on hospitals for inpatient bed space to provide both immediate postsurgical recovery and initial physiotherapy. In a resource-constrained environment, an important question becomes how long should inpatient physiotherapy be provided to this population beyond the initial postoperative period. This review critically appraises a recent study that aims to address the question of whether hospitals can minimize length of stay without compromising total knee arthroplasty patient outcomes through a program of home-based rehabilitation rather than inpatient rehabilitation postsurgery.
    loading  Loading Related Articles