Evaluation Of Postoperative Functional Exercise Of TKA

Objectives:To explore and evaluate the TKA in elderly patients with rheumatoid arthritis and osteoarthritis get recovery of knee function best workout time.Method:A prospective controlled study.51 Cases from the affiliated hospital of Chengdu University of TCM orthopedics and the orthopaedic hospital in sichuan province meeting the inclusion and exclusion criteria for inpatient patients after TKA were randomized into Two groups, According to the excluding standard, eventually incorporated into the study of 50 cases,24 cases in the first 2d after the start stage,the system of formal knee exercise(observation group), and the other 26 cases in the first 2weeks after the start stage,the system of formal knee exercise(control group).Preoperative and postoperative 1 week±2days,2 weeks± 22days,4 weeks± 2days,3 months± 2days,6 months ± 2days, with the KSS knee score system combining the Visual analogue scale score system,the knee swelling degree and the Incision healing to evaluate postoperative rehabilitation effect.Results:1.the two groups In terms of VAS preoperative score have no statistically significance (P> 0.05), after 1 week±2days and 2 week±2days of rehabilitation,the aspect of reduced VAS score have statistical significance (P< 0.05),after 4 week± 2days and 3±2days month of rehabilitation,the aspect of reduced VAS score has no obvious statistical significance (P> 0.05).2.the two groups In terms of preoperative swelling have no statistically significance (P> 0.05), after 1 week±2days and 2 week±2days of rehabilitation, the aspect of reduced swelling has statistical significance (P< 0.05), after 4 week+2days and 3 month ± 2days of rehabilitation,the aspect of reduced swelling has no obvious statistical significance (P> 0.05).3.Differences between the two groups in the aspect of KSS preoperative score has no statistical significance (P> 0.05),2 weeks±2days,4 weeks ±2days after TKA difference have both statistically significant (P< 0.05),6 months ± 2days after TKA rehabilitation group differences have not statistically significant (P>0.05).4.Two groups own comparison before and after TKA in the aspect of KSS score has obvious statistical significance (P< 0.05).Conclusion:l.The clinical study shows that elderly patients after TKA,2 days postoperative stage starts the formal and systemic knee Rehabilitation exercise, knee joint function after surgery for patients(control group) can improved in recent rehabilitation effect, but this increases swelling and pain symptoms.2.This clinical study shows that elderly patients after TKA,2 days postoperative, starts the formal and systemic knee Rehabilitation exercise can significantly shorten postoperative recovery time and recovery process, Earlier to achieve desired rehabilitation and improve patient satisfaction.3.This clinical study shows that elderly patients starting the formal and systemic knee Rehabilitation exercise in the second day and second weeks after TKA have better improvement in its medium-term clinical rehabilitation effect.4.Due to individual differences, patients should make a comprehensive consideration On the basis of patient’s general condition,clinical compliance aspects and tolerance level for pain,choose one of the concept of individualized Rehabilitation exercise plan.