The Effect Of Standardized Functional Training On Early Recovery After Total Knee Arthroplasty Under Enhanced Recovery After Surgery

Objective:To explore the effect of standardized functional training under the guidance of ERAS on early rehabilitation after the first total knee arthroplasty,and provide a basis for joint surgeons to implement functional training under the guidance of ERAS and formulate relevant guidelines.Methods:A total of 60 patients with osteoarthritis of the knee who were treated at the Joint Surgery Department of Qilu Hospital of Shandong University from October 2018 to September 2019 were selected among them,30 patients(group T)enrolled from October 2018 to March 2019,adopting routine postoperative functional training,and 30 patients(group E)enrolled from April 2019 to September 2019,adopting standardize functional training under the guidance of ERAS concept.All 60 patients were strictly in accordance with the surgical indications and inclusion criteria for the operation.All patients underwent unilateral total knee arthroplasty,and the surgery was performed by the same group of physicians.The visual analogue scale(VAS),American Knee Society score(AKS),and knee of motion(ROM)records were recorded for the two groups of patients;and the incidence of complications,postoperative hospital stay and hospital satisfaction(using Likert Scale)were counted.The research results were statistically processed to analyze the effect of standardized functional training under the guidance of the ERAS on early rehabilitation after the first total knee replacement.Results:There was no statistically significant difference in preoperative baseline data such as gender,age,body mass index,preoperative knee AKS score and VAS score between the two groups,and they were comparable(P>0.05).The AKS scores of group E at 1 week and 4 weeks after operation were higher than those of group T(P<0.05),and the ROM values at 3 days,5 days and 4 weeks after operation were higher than those of group T(P<0.05);There was no significant difference in the incidence of postoperative nausea,vomiting,deep vein thrombosis,and urinary tract infection(P>0.05);The average postoperative hospital stay in group E was less than that in group T(P<0.05),and the patient's hospitalization satisfaction was higher than that in group T(P<0.05).Conclusions:Through the improvement of perioperative management measures and process optimization,especially the improvement of postoperative functional training,standardized functional training under the guidance of ERAS can accelerate the recovery of joint function,shorten the length of hospital stay,improve patient satisfaction,and promote rapid recovery of patients.