Mobilization after joint arthroplasty surgery: who benefits from standing within 12 hours?

Abstract

Early mobilization following joint arthroplasty surgery has been shown to be beneficial for patients, but it is unclear whether it is associated with a shorter length of stay (LOS) for both hip and knee arthroplasty (KA) patients. We undertook a retrospective observational study, reviewing the case notes of 386 patients admitted to an enhanced recovery programme for total hip (THA) or total/unicompartmental KA. We evaluated the influence of early mobilization on LOS, adjusting for possible confounders, stratifying by surgery type. THA patients first mobilized within 12 h of returning to the acute orthopaedic ward following surgery had a significantly shorter mean LOS (mean=3.6, standard deviation=1.1) than THA patients who first mobilized 12 or more hours (mean=4.1, standard deviation=1.2), P=0.004. There was no statistical significant difference in the mean LOS between the KA patients mobilized earlier or later. Early mobilization as part of an enhanced recovery programme was associated with decreased LOS for patients having THA; however, this was not the case for KA patients.