Hüft- und Knietotalendoprothesenversorgung

Müller, Markus; Toussaint, R.; Kohlmann, Thomas

doi:10.1007/s00132-014-3000-0

Cited by 10 publications

(7 citation statements)

References 21 publications

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“…The literature has repeatedly described the importance of physiotherapeutic exercise, both inpatient and outpatient rehabilitation [25], which leads to a significant improvement in the clinical outcome. [11,[25][26][27]. According to the findings of den Hertog et al, a comprehensive fast-track rehabilitation protocol leads to a statistically significant improved functional outcome in the KSS and WOMAC, having a sustainable effect on the mid-term outcome 3-12 months after surgery [8].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on early clinical outcome after total knee arthroplasty: a retrospective comparative analysis

Reinbacher

Wittig

Hauer

et al. 2022

Arch Orthop Trauma Surg

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Introduction To help combat the SARS-CoV-2 (COVID-19) pandemic, elective inpatient procedures have been reduced. The authors hypothesized that a nationwide lockdown would negatively affect the postoperative outcome after total knee arthroplasty (TKA) due to reduced physiotherapy as well as restrictions in external facilities of physiotherapy and rehabilitation. Materials and methods We conducted a retrospective, comparative study including 41 patients who had undergone primary TKA during the first lockdown of the COVID-19 pandemic from March 2020 to April 2020 and a comparable control group consisting of 47 patients with a minimum follow-up of 6 months before the COVID-19 pandemic from 2019. Relevant end points were the visual analogue scale (VAS) for pain, Knee Society Function Score (KSS), Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and range of motion (ROM). Results The lockdown group had a significantly worse outcome compared to the control group 6 months after TKA regarding WOMAC (p = 0.001), KSS (p < 0.001), OKS (p < 0.001), and length of hospital stay (p < 0.001). We found no statistically significant difference between the groups in ROM (p = 0.132), KSFS (p = 0.933), VAS at rest (p = 0.9.22), and exercise (p = 0.304). Conclusion The COVID-19 pandemic negatively affected early clinical outcome parameters of elective primary TKA at 6 months of follow-up due to restrictions in postoperative care. We believe that standardized protocols for physiotherapy will improve clinical outcomes for TKA in the event of future lockdowns and underline the importance of appropriate postoperative care during this pandemic.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on early clinical outcome after total knee arthroplasty: a retrospective comparative analysis

Reinbacher

Wittig

Hauer

et al. 2022

Arch Orthop Trauma Surg

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“…Literature reviews have described that numerous small-scale controlled studies illustrate the positive effects of subsequent rehabilitation treatment (AHB) after total hip and knee replacement (Aliyev 2010;Baulig et al 2015;Kladny et al 2002Kladny et al , 2001Middeldorf and Caaer 2010;Müller et al 2015;Tuncel et al 2015aTuncel et al , 2015b. Clear indications of improved pain reduction, improved joint mobility, increased mobility and independence, reduced falls, self-management as well as improvements in performing activities of daily living and participation in daily life have been observed.…”

Section: Effectiveness Of Subsequent Rehabilitationmentioning

confidence: 99%

Status of Healthcare

Weißer¹,

Zerwes²,

Krupka

et al. 2018

White Paper on Joint Replacement

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“…Das Statistische Bundesamt veröffentlicht die Anzahl der vollstationären Patienten und Patientinnen der Vorsorge-oder Rehabilitationseinrichtungen mit über 100 Betten nach Hauptdiagnosen (Destatis 2015b (Aliyev 2010;Baulig et al 2015;Kladny et al 2002Kladny et al , 2001Middeldorf und Caaer 2010;Müller et al 2015;Tuncel et al 2015aTuncel et al , 2015b. In diesem Rahmen finden sich deutliche Hinweise auf eine Verbesserung der Schmerzreduktion, der Verbesserung der Gelenkbeweglichkeit, der zunehmenden Mobilität und Selbstständigkeit, der Sturzsicherheit und Selbstversorgung sowie der Aktivitäts-und Teilhabeverbesserung.…”

Section: Inanspruchnahmeunclassified