Seminars in Arthroplasty
Volume 20, Issue 1 , Pages 40-44, March 2009

A Rapid Recovery Program After Total Knee Arthroplasty

  • Alison K. Klika, MS

      Affiliations

    • Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
    • ,
  • Marka Gehrig, PT

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, OH, USA
    • ,
  • Lauren Boukis, PT

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, OH, USA
    • ,
  • Mary K. Milidonis, PhD

      Affiliations

    • Health Science Department, Cleveland State University, Cleveland, OH, USA
    • ,
  • Deborah A. Smith, RN

      Affiliations

    • Health Science Department, Cleveland State University, Cleveland, OH, USA
    • ,
  • Trevor G. Murray, MD

      Affiliations

    • Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
    • ,
  • Wael K. Barsoum, MD

      Affiliations

    • Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
    • Corresponding Author InformationAddress reprint requests to Wael K. Barsoum, MD, Department of Orthopaedic Surgery, Cleveland Clinic, 9500 Euclid Avenue, A41, Cleveland, OH 44195

Postoperative care after total knee arthroplasty has focused on decreasing patients' length of stay and increasing function at discharge. The purpose of this study was to determine whether implementing Rapid Recovery in total knee arthroplasty patients has an effect on length of stay and early postoperative pain and function. A retrospective review was conducted for surgeries between January 2005 and August 2006 (traditional; n = 62) and September 2006 and December 2007 (Rapid Recovery; n = 54). Patients treated with Rapid Recovery are able to ambulate farther (P = 0.01), have decreased length of stay (P = 0.01), are discharged directly home at an increased frequency (P = 0.01), and have greater Knee Society function scores at 4 weeks postoperatively (P = 0.01).

Keywords: total knee arthroplasty, postoperative recovery, length of stay, physical therapy, pain management

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PII: S1045-4527(08)00074-6

doi:10.1053/j.sart.2008.11.011

Seminars in Arthroplasty
Volume 20, Issue 1 , Pages 40-44, March 2009

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