Implications Of Hip And Knee Replacement Based On Accelerated Postoperative Rehabilitation On Functional Recovery And Disease Perception

Objective:Accelerated postoperative rehabilitation(ERAS)protocols have been successfully applied in the postoperative care of many surgeries with good clinical results.The application of ERAS after hip and knee arthroplasty(THA/TKA)can accelerate postoperative recovery and improve patient satisfaction with care,but there are few studies on the effects of ERAS-based THA/TKA protocols on patients’postoperative functional recovery and disease perception,and this study will investigate the effects of ERAS-based THA/TKA protocols on patients’ postoperative functional recovery and disease perception in order to This study will investigate the effect of ERAS-based THA/TKA protocol on patients’ functional recovery and disease perception in order to provide a basis for postoperative care of THA/TKA in clinical practice.Method:One hundred and thirty-four patients who underwent THA/TKA at the hospital between December 2019 and August 2021 were retrospectively analyzed.They were divided into two groups according to the postoperative rehabilitation protocols:64 patients in the control group,who applied the conventional postoperative rehabilitation protocol,and 70 patients in the observation group,who applied the ERAS protocol.The preoperative and postoperative 1 and 6 months knee New York Hospital for Special Surgery(HSS)scores,2 weeks,1 month and 6 months postoperative knee mobility(ROM),hip function,simple disease perception questionnaire scores,average hospital stay and treatment cost,postoperative complications,and patient satisfaction were used as observation indexes to assess the effect of different rehabilitation protocols on postoperative functional recovery and disease recovery after THA/TKA The impact of different rehabilitation programs on functional recovery and disease perception after THA/TKA was evaluated..Results:The HSS scores at 1 month and 6 months after surgery,ROM at 2 weeks,1 month and 6 months after surgery,Harris scores at 2 weeks,3 months,6 months and 12 months after surgery and total satisfaction scores were significantly higher in the observation group than in the control group,and the differences were all statistically significant(P<0.05);the mean length of stay,treatment cost,total complication rate,emotional performance,The mean length of stay,treatment cost,total complication rate,emotional performance,disease consequences,disease concern,symptoms,duration,personal control,disease understanding,treatment control,and total score were all significantly lower in the observation group than in the control group,and the differences were all statistically significant(P<0.05).Conclusion:The ERAS-based THA/TKA protocol had a positive impact on postoperative functional recovery and disease perception.Compared to conventional rehabilitation protocols,implementation of ERAS protocols in THA/TKA was safer and more effective,with faster recovery of postoperative knee and hip function,reduced mean length of stay,treatment costs,incidence of postoperative complications,and negative life impact of patient perception of disease and negative emotional expressions,as well as significantly higher patient satisfaction.