Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study

Purpose: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients significantly increase muscle strength after maximal strength training (MST) initiated soon after surgery. Owing to severe postoperative pain, knee patients are anticipated to be more limited in performing heavy load exercises than hip patients. The aim of the present study was to describe pain and load progression during early MST in THA and TKA patients. Methods: Explorative study based on secondary analyses from two randomized controlled trials: 26 THA and 16 TKA patients had their training sessions logged. They trained at 85–90% of their maximal capacity in leg press, and abduction/knee-extension of the operated leg (4 × 5 repetitions) for 8–10 weeks, initiated early postoperatively. Results: Knee patients experienced significantly more pain than hip patients during the training sessions ( p < 0.03), however, pain before and after training was not different ( p > 0.09). All patients significantly increased leg press training load until the last intervention week ( p < 0.01). Conclusion: This study demonstrates that TKA patients experience more pain than THA patients during training following a MST program but not more than moderate levels during or after training. Pain before and after training is not different. Both groups significantly increased load progression during the intervention. These findings indicate that both THA and TKA patients might perform MST with extensive load progression early after surgery without compromising pain. The studies were registered at ClinicalTrials.gov .

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VTE Prevention Following Total Hip and Knee Arthroplasty

Case Medical Research ◽

10.31525/ct1-nct04075240 ◽

2019 ◽

Author(s):

Keyword(s):

Knee Arthroplasty ◽

Total Hip ◽

Hip And Knee Arthroplasty

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Faculty Opinions recommendation of Blood transfusion in primary total hip and knee arthroplasty. Incidence, risk factors, and thirty-day complication rates.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725263714.793502458 ◽

2014 ◽

Author(s):

Davide Cattano

Keyword(s):

Risk Factors ◽

Blood Transfusion ◽

Knee Arthroplasty ◽

Complication Rates ◽

Total Hip ◽

Hip And Knee Arthroplasty ◽

Incidence Risk

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Faculty Opinions recommendation of The Effect of Smoking on Short-Term Complications Following Total Hip and Knee Arthroplasty.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725610223.793508963 ◽

2015 ◽

Author(s):

Edilson Forlin

Keyword(s):

Knee Arthroplasty ◽

Short Term ◽

Total Hip ◽

Hip And Knee Arthroplasty

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Predictors of Successful Early Discharge for Total Hip and Knee Arthroplasty in Octogenarians

HSS Journal ® ◽

10.1177/15563316211030631 ◽

2021 ◽

pp. 155633162110306

Author(s):

Andrew B. Kay ◽

Danielle Y. Ponzio ◽

Courtney D. Bell ◽

Fabio Orozco ◽

Zachary D. Post ◽

...

Keyword(s):

Range Of Motion ◽

Knee Arthroplasty ◽

Early Discharge ◽

Readmission Rates ◽

Patients Âgés ◽

Total Hip ◽

Hip And Knee Arthroplasty ◽

Student’S T ◽

American Society ◽

American Society Of Anesthesiologists

Background: Decreased length of stay after total joint arthroplasty (TJA) is becoming a more common way to contain healthcare costs and increase patient satisfaction. There is little evidence to support “early” discharge in elderly patients. Purpose: We sought to identify preoperative factors that correlated with early discharge (by postoperative day [POD] 1) in comparison to late discharge (after POD2) in octogenarians after TJA. Methods: In a retrospective cohort study from a single institution, we identified 482 patients ages 80 to 89 who underwent primary TJA from January 2014 to December 2017; 319 had total knee arthroplasty (TKA) and 163 had total hip arthroplasty (THA). Data collected included preoperative knee range of motion (ROM), demographics, and comorbidities; 90-day readmission and mortality rates were also evaluated. P values for continuous data were calculated using student’s t test and for categorical data using χ2 testing. Results: Of octogenarian patients, 30.9% were discharged by POD1. Early discharge was associated with being male, married, and nonsmoking, as well as having an American Society of Anesthesiologists (ASA) score of 2, independent preoperative ambulation, and a postoperative caregiver. Type of procedure (TKA vs THA), body mass index, laterality, preoperative range of motion (ROM) for TKA, and single vs multilevel home did not affect the probability of early discharge. Discharge on POD1 was not associated with increased 90-day readmission rates. There were no deaths. Conclusion: Early discharge for octogenarians can be successfully implemented in a select subset of patients without increasing 90-day readmission or death rates. There are multiple factors that predict successful early discharge.

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