Abstract
(1) Background: to ensure satisfactory outcomes in patients who have undergone total hip or knee replacement, it is crucial to prioritize postoperative rehabilitation process and its management rather than the successful surgery alone. The goal of our study was to investigate the outcomes of rehabilitation process after the total hip or knee replacement, including local orthopedic follow-up, communication with local health authorities, patients’ satisfaction regarding rehabilitation, and their functional performance after the surgery. (2) Methods: the study included 523 patients who underwent total hip replacement, and 650 patients who underwent total knee replacement. All patients were surveyed via formalized phone interviews containing questions related to postoperative rehabilitation parameters and outcomes. (3) Results: in postsurgical period, nearly 70% of patients had regular local orthopedic follow-up. Lack of the latter at the local level was indicated by approximately 10% of patients, and the rest of the respondents note the practice of sporadic follow-up. Half of patients reported pains of various severity. Good physical activity (e.g., ability to walk unassisted within their residential district) was acknowledged by about a quarter of patients. Ability to walk unassisted was reported by just 54.5% of patients. (4) Conclusions: the disproportion between generally high patient satisfaction of rehabilitation management (>80%) and low feedback level on the part of local health authorities (9.4%) demonstrated lack of communication between the key parties involved in the rehabilitation process.
Highlights
Osteoarthritis of knee and hip joints is among the most significant disorders of the musculoskeletal system and connective tissue
In the last decade, persistent growth of total hip replacement (THR) and total knee replacement (TKR) surgeries was observed in Russia [12]
Our study involved 1173 patients who met the following enrollment criteria: (i) They underwent THR or TKR surgery between 1 January 2015 and 30 June 2016, at Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University; (ii) They were diagnosed with unilateral coxarthrosis (M16) or gonarthrosis (M17); (iii) They were over 18 years of age
Summary
Osteoarthritis of knee and hip joints is among the most significant disorders of the musculoskeletal system and connective tissue. Principal surgical approach to treating severe hip and knee osteoarthritis is total joint replacement [4,5,6]. The prevalence rates of total hip replacement (THR) and total knee replacement (TKR) in the USA population in 2010 were 0.83% and 1.52%, respectively [7]. Population analysis of patients who underwent THR or TKR is habitually performed using specialized registries [8,9,10]. To ensure satisfactory outcomes in patients who underwent THR or TKR, it is vital to prioritize their postoperative rehabilitation process and its management rather than the successful surgery alone [13]. It is worth noting that the shortage rate, according to the Ministry of Healthcare of Russia is about 40% [14,15]
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