Perioperative Nursing Considerations for Patients Undergoing Total Hip or Knee Arthroplasty

Tripp, Heather; Fencl, Jennifer L.

doi:10.1002/aorn.12943

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Triple prerehabilitation nursing can fully mobilize various re exes of the body, better restore the maximum muscle strength of the limbs, and improve the function of the limbs. We analyze the reasons as follows: on the one hand, triple prerehabilitation nursing fully considers the anatomical position and stress of the knee joint and adopts a special biomechanical movement mode, such as ankle joint, trunk, neck, head movement, and body extension, which is bene cial to the recovery of the quadriceps femoris muscle and prevent knee exion contracture [15]. On the other hand, early standardized exercise can prevent joint capsule and tendon contractures and adhesions, enhance muscle strength, increase local blood circulation, soften scars, improve knee joint function, and restore normal limb and joint function [16,17].…”

Section: Discussionmentioning

confidence: 99%

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

Zhao

Peng

et al. 2022

Emergency Medicine International

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Objective. The aim of the study was to explore the application and the effect of the triple prerehabilitation nursing model in the perioperative period of knee arthroplasty in diabetic patients. Methods. The prospectively included 60 patients with diabetes who underwent total knee replacement were admitted from August 2021 to April 2022 and were divided into 2 groups according to the (1 : 1) ratio. The control group was mainly given routine nursing care. On the basis of the control group, the observation group received triple prerehabilitation nursing. The postoperative knee flexion, hospital for the special surgery knee score (HSS), the daily living ability (Barthel) score, the modified fall efficacy scale (MFES) score, the recovery of the lower-limb muscle strength, and the incidence of complications were compared between the two groups. Results. The knee flexion degree and lower-limb muscle recovery of the observation group were better than those of the control group at 3 d, 7 d, and 14 d after operation ( P < 0.05 ). The HSS score, Barthel score, and MFES score of the observation group were higher than those of the control group ( P < 0.05 ). There was no significant difference in postoperative complications between the two groups ( P > 0.05 ). Conclusion. The triple prerehabilitation nursing care for diabetic patients undergoing total knee replacement can promote the recovery of limb function.

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Section: Discussionmentioning

confidence: 99%

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

Zhao

Peng

et al. 2022

Emergency Medicine International

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“…Patients undergoing lower limb surgery may experience an increased risk of surgical site infection (SSI) (26).The risk of wound infection increases as a result of dehiscence or reopening of the surgical wound. The incidence of wound dehiscence is lower in TKA patients who undergo early mobilization (0.22%), compared to TKA patients who do not undergo early mobilization (0.35%) (11).…”

Section: Reducing Risk Of Wound Infectionmentioning

confidence: 99%

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

Aprisunadi¹,

Pandin²

2021

Preprint

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Background: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest has the potential to increase the incidence of various complications that may increase the morbidity and mortality rate of patients after hip and lower extremities surgery. Aim: This literature review aimed to identify the effects of early mobilization in hip and lower extremity postoperative. Method: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online and Scopus, using the Boolean operator by combining several keywords according to the literature review topic, with inclusion criteria are published in the last 3 years (2019-2021), used a quantitative design, written in English and full text articles. A total of 435 articles were obtained, then screened and reviewed, so that there were 16 (sixteen) eligible articles.Result: There were 11 (eleven) effects of early mobilization, i.e. reducing length of stay, reducing the risk of deep vein thrombosis (DVT), reducing pulmonary infections (pneumonia), reducing urinary tract infections, reducing the risk of wound infection, improving extremity function and ability to walk, reducing postoperative pain, reducing the risk of pressure sores, reducing postoperative delirium, reducing readmission and lowering hospitalization costs. 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 could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.

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Perioperative Nursing Considerations for Patients Undergoing Total Hip or Knee Arthroplasty

Cited by 2 publications

References 18 publications

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

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

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