Patterns of Rehabilitation After Hip Arthroplasty and the Association with Outcomes

Abstract

Etiology of hip arthroplasty is associated with amounts of rehabilitation care used and outcomes. After the initial postacute rehabilitation setting, patients continued to receive considerable amounts of therapy in various settings. It is important to look beyond a single setting of care to an entire episode of care when examining clinical outcomes.

Outcomes and Weight‐bearing Status During Rehabilitation After Arthroplasty for Hip Fractures

“…Further associations of weight‐bearing status with patient characteristics, treatments, or outcomes were not evaluated. Tian et al [16] evaluated patterns of care for the same follow‐up sample that we used. Weight‐bearing status was not examined.…”

“…We had access to a multi‐site practice‐based evidence (PBE) comprehensive database on joint replacement rehabilitation that included a subset of patients with hip fracture [13‐16]. Given the importance of weight‐bearing status in these patients' rehabilitation, we examined the following 2 questions: (1) how many patients had RWB, and (2) did patient characteristics and outcomes differ between patients with and without weight‐bearing restrictions?…”

How often is the office visit needed? Predicting total knee arthroplasty revision risk using pain/function scores

“…Timely intervention for osteolysis has been shown to reduce the overall cost and length of recovery after surgery [5]. Although several studies have used logistic regression modeling to predict variables that impact outcome after arthroplasty surgery [6–9], to our knowledge no study has generated a predictive equation for determining the probability of revision using only outcome scores.…”

Physical Therapy Following a Hip Resurfacing Procedure

“…Outcome Study follow-up >15 years available Up to 12 years available 25 Up to 13 years available [24] Rehabilitation Course Though various patterns exist [36], typically 3 months or less, goal to return to ambulatory activities, independent transfers, and low impact recreational activities if previously active.…”

“…Conditions amendable to arthroscopy include but are not limited to: acetabularlabral tears, femoral acetabular impingement, capsular laxity, and the presence of loose bodies within the joint [35]. While use of arthroscopy for chondral lesions has been described, advanced arthritis is typically considered a contraindication to the procedure [36]. Existing evidence suggests poor outcomes after patients with advanced arthritis were treated with arthroscopy [37].…”