Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Abstract

Introduction The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients’ morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative. Methods Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with “AND” and “OR” words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019–2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles. Results There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure. Conclusion This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

The minimum effective concentration (MEC90) of bupivacaine for an ultrasound-guided suprainguinal fascia iliaca compartment block for analgesia in knee surgery: a dose-finding study

“…Our study underscores the vital role of postoperative mobilization in patient care, which is consistent with the existing literature, and emphasizes the potential benefits, including the mitigation of complications, such as deep vein thrombosis and pulmonary embolism. Furthermore, our findings highlight the positive impact of early ambulation on musculoskeletal factors, emphasizing its crucial role in preventing postoperative muscle atrophy and joint stiffness post-surgery [ 33 ]. The ongoing search for regional anesthesia techniques that enable early patient mobilization while ensuring effective perioperative pain management is critical.…”

Prediction of prognosis in patients with nontraumatic intracranial hemorrhage using blood urea nitrogen-to-creatinine ratio on admission: a retrospective cohort study based on data from the medical information Mart for intensive care-IV database

“…This observation considers the fact that, as the denominator of the ratio, creatinine levels tend to be higher in patients with better physical condition (27), indicating greater muscle mass compared to those who are physically weaker, thus resulting in a decrease in BUNCR. Previous studies have indicated that previous muscle mass plays a crucial role in the occurrence of postoperative complications in patients who experience cerebral hemorrhage, such as pulmonary infections and deep vein thrombosis in the lower limbs (28). For this group of patients, BUNCR can serve as a reliable basis for personalized nutritional supplementation and early rehabilitation training.…”

Is Post-Operative Splinting Advantageous after Upper Extremity Fracture Surgery? Results from the Arm Splint Pain Improvement Research Experiment (ASPIRE)

“…Early mobilization after fracture surgery continues to be a debated topic, with a myriad of factors determining the protocol: location and type of fracture, patient age, comorbidities, rehabilitation accessibility, surgeon preference, risk of wound complications, and others. [15][16][17][18][19][20] Immediate mobilization around a joint has been shown to improve shortterm ROM. 21 However, these functional gains must be weighed against the potential advantages postoperative immobilization offers for wound soft tissue healing and implant protection.…”