| PurposeTo explore the effect of functional exercise after total knee arthroplasty under the guidance of fast-track surgery.MethodA total of 49 patients (66 knees) who underwent total knee arthroplasty from April 1, 2015 to July 1, 2016 were selected. Patients were randomly divided into two groups, fast-track surgery group (group F, n=25, 33knees) and traditional rehabilitation group (group T, n=24, 33knees). The differences of baseline data between two groups were of no significance (P>0.05) before total knee arthroplasty. After surgery, patients in group F did functional exercise under the guidance of fast-track surgery. Elapsed time of functional exercise in group F is earlier than that in group T. The frequency and intensity is specified; Patients in group T finished functional exercise according to traditional rehabilitation theory.Active motion range of the knee joint and hospital for special surgery score were recorded and compared at 1 month and 3 months after operation.ResultsAt 1 month after operation, the differences of active motion range of the knee joint between group F (105.6±8.1°) and group T (94.1 ±8.5°)were significantly different(p<0.05). The differences of the hospital for special surgery score between group F (69.4 ± 4.1) and group T (59.2 ± 6.4) were significantly different(p<0.05). At 3 months after operation, active motion range of the knee joint of group F (116.3 ±7.2°)is greater than that of group T(98.5±6.9°)with significant statistical differences(p<0.05). The hospital for special surgery score of group F (80.6±3.0) is greater than that of group T(68.3 ±4.2) with significant statistical differences(p<0.05).ConclusionFunctional exercise after total knee arthroplasty based on fast-track surgery concept is worth of clinical application due to the promotion of recovery after operation. |
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