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Year 2013, Volume: 76 Issue: 1, 16 - 21, 04.07.2013

Emel Ekşioğlu Eda Gürçay

Abstract

Total knee arthroplasty is performed for advanced arthropaties of the knee. Preoperatively patients should be evaluated by the holistic approach not only with joint problems. Necessary measures should be taken for patients’ comorbidities or psychological problems that may affect the rehabilitation. Also the necessary training and support programs should be given in the postoperative period. Pain reduction, improvement in range of motion, protection from the complications, providing independent ambulation and enhancement quality of life are the main targets. Each patient should be encouraged in terms of early and active participation to rehabilitation programs designed with a multidisciplinary approach tailored to the individual.

Keywords

Arthroplasty knee replacement rehabilitation

References

  • Akarcalı İ, Tuğay N, Erden Z, Tokgözoğlu M, Atilla B, Alpaslan M. Total diz artroplastili hastaların rehabilitasyonunda hızlandırılmış sürekli pasif hareket (CPM) protokolünün sonuçları. Hacettepe Ortop Derg. 2001; 11: 20-3.
  • Akodu AK, Giwa SO, Akinbo SR, Ahmed UA. Physiotherapy in the management of total knee arthroplasty: a review. Nig Q J Hosp Med. 2011; 21: 99Allred KD, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Manag Nurs. 2010; 11: 15-25.
  • American Academy of Orthopedic Surgeons: Primary Total Hip and Knee Arthroplasty Projections to 2030 (Appendix C). Available from: http://www.aaos.org.ezproxy.galter.northwestern.ed u/wordhtml/pdfs_r/tjr.pdf
  • Antall GF, Kresevic D. The use of guided imagery to manage pain in an elderly orthopaedic population. Orthop Nurs. 2004; 23: 335-340.
  • Bade MJ, Stevens-Lapsley JE. Restoration of physical function in patients following total knee arthroplasty: an update on rehabilitation practices. Curr Opin Rheumatol. 2012; 24: 208-14.
  • Bong MR, Di Cesare PE. Stiffness after total knee arthroplasty. J Am Acad Orthop Surg. 2004; 12: 164-1
  • Bozkurt M, Yılmazlar A, Bilgen ÖF. Total diz artroplastisi sonrası intravenöz ve epidural hasta kontrollü analjezi tekniklerinin ameliyat sonrası ağrı ve diz rehabilitasyonu üzerine etkilerinin karşılaştırılması. Eklem Hastalıkları ve Cerrahisi 2009; 20: 64-70.
  • Brander V, Stulberg SD. Rehabilitation after hipand knee-joint replacement. An experience- and evidence-based approach to care. Am J Phys Med Rehabil. 2006; 85: S98-118; quiz S119-23.
  • Cameron H, Brotzman B. The arthritic lower extremity. In: Brotzman SB, Wilk KE eds. Clinical Orthopedic Rehabilitation. Mosby. St Louis, 2nd ed, 200 p.441-74. Creamer P, Hochberg MC. The relationship between psychosocial variables and pain reporting in osteoarthritis of the knee. Arthritis Care Res. 1998; 11: 60-65.
  • Demir H. Diz Artroplasti Rehabilitasyonu. Erciyes Tıp Derg. 2002; 24: 194-201.
  • Ditmyer MM, Topp R, Pifer M. Prehabilitation in preparation for orthopaedic surgery. Orthop Nurs. 2002;21:43-51; 52-4.
  • Erkan S, Yercan HS, Okcu G, Özalp RT. Total diz artroplastisi sonrası diz sertliğine neden olan faktörler. Eklem Hastalıkları ve Cerrahisi 2011; 22: 16Fischer HB, Simanski CJ, Sharp C, Bonnet F, Camu F Neugebauer EA, Rawal N, Joshi GP, Schug SA, Kehlet H; PROSPECT Working Group. A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty. Anaesthesia. 2008; 63: 1105-1123.
  • Harvey LA, Brosseau L, Herbert RD. Continuous passive motion following total knee arthroplasty in people with arthritis. Cochrane Database Syst Rev. 2010;3:CD004260
  • He ML, Xiao ZM, Lei M, Li TS, Wu H, Liao J. Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty. Cochrane Database Syst Rev. 2012; 1: CD008207.
  • Huang SW, Chen PH, Chou YH. Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients. Orthop Traumatol Surg Res. 2012; 98: 259-64.
  • Jones S, Alnaib M, Kokkinakis M, Wilkinson M, St Clair Gibson A, Kader D. Pre-operative patient education reduces length of stay after knee joint arthroplasty. Ann R Coll Surg Engl. 2011; 93 :71-5.
  • Jordan L, Kligman M, Sculco TP. Total knee arthroplasty in patients with poliomyelitis. J Arthroplasty. 2007; 22:543548.
  • Kaplan RJ. Total knee replacement. In: Frontera WR, Silver JK, Rizzo TD editors. Essentials of Physical Medicine and Rehabilitation. Saunders Elsevier. Philadelphia, 2nd ed, 2008;399-405.
  • Labraca NS, Castro-Sánchez AM, MataránPeñarrocha GA, Arroyo-Morales M, Sánchez-Joya Mdel M, Moreno-Lorenzo C. Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial. Clin Rehabil. 2011; 25: 557-66.
  • Larsen K, Hvass KE, Hansen TB, Thomsen PB, Sİballe K. Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up. BMC Musculoskelet Disord. 2008;9:59.
  • Maniar RN, Baviskar JV, Singhi T, Rathi SS. To use or not to use continuous passive motion post-total knee arthroplasty presenting functional assessment results in early recovery. J Arthroplasty. 2012; 27: 193-200.
  • McDonald S, Hetrick S, Green S: Pre-operative education for hip or knee replacement. Cochrane Database Syst Rev 2004: CD003526. 62.
  • Meier W, Mizner RL, Marcus RL, Dibble LE, Peters C, Lastayo PC. Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther. 2008; 38: 246-256.
  • Mizner RL, Stevens JE, Snyder-Mackler L. Voluntary activation and decreased force production of the quadriceps femoris muscle after total knee arthroplasty. Phys Ther. 2003; 83: 359-365. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst Rev. 2008: CD004957.
  • Nelson CL, Kim J, Lotke PA. Stiffness after total knee arthroplasty. J Bone Joint Surg Am. 2005; 87 Suppl 1(Pt 2): 264-70.
  • No authors listed. NIH Consensus Statement on total knee replacement. NIH Consens State Sci Statements. 2003; 20: 1-34.
  • Renkawitz T, Rieder T, Handel M, Koller M, Drescher J, Bonnlaender G, Grifka J. Comparison of two accelerated clinical pathways--after total knee replacement how fast can we really go? Clin Rehabil. 2010; 24: 230-239.
  • Salmon P, Hall GM, Peerbhoy D, Shenkin A, Parker C. Recovery from hip and knee arthroplasty: Patients' perspective on pain, function, quality of life, and well-being up to 6 months postoperatively. Arch Phys Med Rehabil. 2001; 82: 360-366.
  • Sean E, Fitzsimmons SE, Vazquez EA, Bronson MJ. How to treat the stiff total knee arthroplasty?: a systematic review. Clin Orthop Relat Res. 2010;468:1096-106.
  • Swank AM, Kachelman JB, Bibeau W, Quesada PM, Nyland J, Malkani A, Topp RV Prehabilitation before total knee arthroplasty increases strength and function in older adults with severe osteoarthritis. J Strength Cond Res. 2011;25: 318-25.
  • Waugh T. Arthroplasty Rehabilitation. In: Goodgold J, editor. Rehabilitation Medicine. Mosby Co. St Louis, 1998;457-67.
  • Zeni JA Jr, Snyder-Mackler L. Early postoperative measures predict 1- and 2-year outcomes after unilateral total knee arthroplasty: importance of contralateral limb strength. Phys Ther. 2010; 90: 43

TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON

Year 2013, Volume: 76 Issue: 1, 16 - 21, 04.07.2013

Emel Ekşioğlu Eda Gürçay

Abstract

Total diz artroplastisi, dizde oluşan ciddi eklem hasarlarında uygulanan cerrahi tedavi yöntemidir. Preoperatif dönemde hasta sadece ekleme yönelik sorunları ile değil bütünsel bir yaklaşım ile değerlendirilmeli, hastayla ilişkili komorbiditeler veya ruhsal sorunlar gibi rehabilitasyonu etkileyebilecek faktörler için gerekli önlemler alınmalıdır. Ayrıca hastalara gerekli eğitim ve destek programı da verilmelidir. Postoperatif süreçte ağrıyı azaltmak, eklem hareket açıklığını arttırmak, komplikasyonlardan korumak, bağımsız ambulasyon sağlamak ve yaşam kalitesini arttırmak temel hedeflerdir. Her hasta multidisipliner yaklaşım içinde ve bireye özel rehabilitasyon programı ile erken ve aktif katılım yönünde cesaretlendirilmelidir.

Keywords

Artroplasti diz replasmanı rehabilitasyon

References

  • Akarcalı İ, Tuğay N, Erden Z, Tokgözoğlu M, Atilla B, Alpaslan M. Total diz artroplastili hastaların rehabilitasyonunda hızlandırılmış sürekli pasif hareket (CPM) protokolünün sonuçları. Hacettepe Ortop Derg. 2001; 11: 20-3.
  • Akodu AK, Giwa SO, Akinbo SR, Ahmed UA. Physiotherapy in the management of total knee arthroplasty: a review. Nig Q J Hosp Med. 2011; 21: 99Allred KD, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Manag Nurs. 2010; 11: 15-25.
  • American Academy of Orthopedic Surgeons: Primary Total Hip and Knee Arthroplasty Projections to 2030 (Appendix C). Available from: http://www.aaos.org.ezproxy.galter.northwestern.ed u/wordhtml/pdfs_r/tjr.pdf
  • Antall GF, Kresevic D. The use of guided imagery to manage pain in an elderly orthopaedic population. Orthop Nurs. 2004; 23: 335-340.
  • Bade MJ, Stevens-Lapsley JE. Restoration of physical function in patients following total knee arthroplasty: an update on rehabilitation practices. Curr Opin Rheumatol. 2012; 24: 208-14.
  • Bong MR, Di Cesare PE. Stiffness after total knee arthroplasty. J Am Acad Orthop Surg. 2004; 12: 164-1
  • Bozkurt M, Yılmazlar A, Bilgen ÖF. Total diz artroplastisi sonrası intravenöz ve epidural hasta kontrollü analjezi tekniklerinin ameliyat sonrası ağrı ve diz rehabilitasyonu üzerine etkilerinin karşılaştırılması. Eklem Hastalıkları ve Cerrahisi 2009; 20: 64-70.
  • Brander V, Stulberg SD. Rehabilitation after hipand knee-joint replacement. An experience- and evidence-based approach to care. Am J Phys Med Rehabil. 2006; 85: S98-118; quiz S119-23.
  • Cameron H, Brotzman B. The arthritic lower extremity. In: Brotzman SB, Wilk KE eds. Clinical Orthopedic Rehabilitation. Mosby. St Louis, 2nd ed, 200 p.441-74. Creamer P, Hochberg MC. The relationship between psychosocial variables and pain reporting in osteoarthritis of the knee. Arthritis Care Res. 1998; 11: 60-65.
  • Demir H. Diz Artroplasti Rehabilitasyonu. Erciyes Tıp Derg. 2002; 24: 194-201.
  • Ditmyer MM, Topp R, Pifer M. Prehabilitation in preparation for orthopaedic surgery. Orthop Nurs. 2002;21:43-51; 52-4.
  • Erkan S, Yercan HS, Okcu G, Özalp RT. Total diz artroplastisi sonrası diz sertliğine neden olan faktörler. Eklem Hastalıkları ve Cerrahisi 2011; 22: 16Fischer HB, Simanski CJ, Sharp C, Bonnet F, Camu F Neugebauer EA, Rawal N, Joshi GP, Schug SA, Kehlet H; PROSPECT Working Group. A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty. Anaesthesia. 2008; 63: 1105-1123.
  • Harvey LA, Brosseau L, Herbert RD. Continuous passive motion following total knee arthroplasty in people with arthritis. Cochrane Database Syst Rev. 2010;3:CD004260
  • He ML, Xiao ZM, Lei M, Li TS, Wu H, Liao J. Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty. Cochrane Database Syst Rev. 2012; 1: CD008207.
  • Huang SW, Chen PH, Chou YH. Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients. Orthop Traumatol Surg Res. 2012; 98: 259-64.
  • Jones S, Alnaib M, Kokkinakis M, Wilkinson M, St Clair Gibson A, Kader D. Pre-operative patient education reduces length of stay after knee joint arthroplasty. Ann R Coll Surg Engl. 2011; 93 :71-5.
  • Jordan L, Kligman M, Sculco TP. Total knee arthroplasty in patients with poliomyelitis. J Arthroplasty. 2007; 22:543548.
  • Kaplan RJ. Total knee replacement. In: Frontera WR, Silver JK, Rizzo TD editors. Essentials of Physical Medicine and Rehabilitation. Saunders Elsevier. Philadelphia, 2nd ed, 2008;399-405.
  • Labraca NS, Castro-Sánchez AM, MataránPeñarrocha GA, Arroyo-Morales M, Sánchez-Joya Mdel M, Moreno-Lorenzo C. Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial. Clin Rehabil. 2011; 25: 557-66.
  • Larsen K, Hvass KE, Hansen TB, Thomsen PB, Sİballe K. Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up. BMC Musculoskelet Disord. 2008;9:59.
  • Maniar RN, Baviskar JV, Singhi T, Rathi SS. To use or not to use continuous passive motion post-total knee arthroplasty presenting functional assessment results in early recovery. J Arthroplasty. 2012; 27: 193-200.
  • McDonald S, Hetrick S, Green S: Pre-operative education for hip or knee replacement. Cochrane Database Syst Rev 2004: CD003526. 62.
  • Meier W, Mizner RL, Marcus RL, Dibble LE, Peters C, Lastayo PC. Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther. 2008; 38: 246-256.
  • Mizner RL, Stevens JE, Snyder-Mackler L. Voluntary activation and decreased force production of the quadriceps femoris muscle after total knee arthroplasty. Phys Ther. 2003; 83: 359-365. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst Rev. 2008: CD004957.
  • Nelson CL, Kim J, Lotke PA. Stiffness after total knee arthroplasty. J Bone Joint Surg Am. 2005; 87 Suppl 1(Pt 2): 264-70.
  • No authors listed. NIH Consensus Statement on total knee replacement. NIH Consens State Sci Statements. 2003; 20: 1-34.
  • Renkawitz T, Rieder T, Handel M, Koller M, Drescher J, Bonnlaender G, Grifka J. Comparison of two accelerated clinical pathways--after total knee replacement how fast can we really go? Clin Rehabil. 2010; 24: 230-239.
  • Salmon P, Hall GM, Peerbhoy D, Shenkin A, Parker C. Recovery from hip and knee arthroplasty: Patients' perspective on pain, function, quality of life, and well-being up to 6 months postoperatively. Arch Phys Med Rehabil. 2001; 82: 360-366.
  • Sean E, Fitzsimmons SE, Vazquez EA, Bronson MJ. How to treat the stiff total knee arthroplasty?: a systematic review. Clin Orthop Relat Res. 2010;468:1096-106.
  • Swank AM, Kachelman JB, Bibeau W, Quesada PM, Nyland J, Malkani A, Topp RV Prehabilitation before total knee arthroplasty increases strength and function in older adults with severe osteoarthritis. J Strength Cond Res. 2011;25: 318-25.
  • Waugh T. Arthroplasty Rehabilitation. In: Goodgold J, editor. Rehabilitation Medicine. Mosby Co. St Louis, 1998;457-67.
  • Zeni JA Jr, Snyder-Mackler L. Early postoperative measures predict 1- and 2-year outcomes after unilateral total knee arthroplasty: importance of contralateral limb strength. Phys Ther. 2010; 90: 43
There are 32 citations in total.

Details

Primary Language Turkish
Journal Section Reviews
Authors

Emel Ekşioğlu This is me

Eda Gürçay

Publication Date July 4, 2013
Submission Date July 4, 2013
Published in Issue Year 2013 Volume: 76 Issue: 1

Cite

APA Ekşioğlu, E., & Gürçay, E. (2013). TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON. Journal of Istanbul Faculty of Medicine, 76(1), 16-21.
AMA Ekşioğlu E, Gürçay E. TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON. İst Tıp Fak Derg. March 2013;76(1):16-21.
Chicago Ekşioğlu, Emel, and Eda Gürçay. “TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON”. Journal of Istanbul Faculty of Medicine 76, no. 1 (March 2013): 16-21.
EndNote Ekşioğlu E, Gürçay E (March 1, 2013) TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON. Journal of Istanbul Faculty of Medicine 76 1 16–21.
IEEE E. Ekşioğlu and E. Gürçay, “TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON”, İst Tıp Fak Derg, vol. 76, no. 1, pp. 16–21, 2013.
ISNAD Ekşioğlu, Emel - Gürçay, Eda. “TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON”. Journal of Istanbul Faculty of Medicine 76/1 (March 2013), 16-21.
JAMA Ekşioğlu E, Gürçay E. TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON. İst Tıp Fak Derg. 2013;76:16–21.
MLA Ekşioğlu, Emel and Eda Gürçay. “TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON”. Journal of Istanbul Faculty of Medicine, vol. 76, no. 1, 2013, pp. 16-21.
Vancouver Ekşioğlu E, Gürçay E. TOTAL DİZ ARTROPLASTİSİ SONRASI REHABİLİTASYON. İst Tıp Fak Derg. 2013;76(1):16-21.
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