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COMPARATIVE STUDY
JOURNAL ARTICLE
Inpatient interdisciplinary rehabilitation after total hip arthroplasty surgery: a comparison of revision and primary total hip arthroplasty.
Archives of Physical Medicine and Rehabilitation 2001 January
OBJECTIVES: To describe outcomes of revision total hip arthroplasty (THA) patients who underwent interdisciplinary inpatient rehabilitation, and to compare them with primary THA patients.
DESIGN: Descriptive and case-control study.
SETTING: Forty-bed, community-based, freestanding rehabilitation hospital.
PATIENTS: Thirty-nine revision THA subjects, gender- and age-matched with 39 primary THA controls.
INTERVENTION: Inpatient interdisciplinary rehabilitation.
MAIN OUTCOME MEASURES: FIM instrument, length of stay, hospital charges, and disposition location.
RESULTS: The average revision THA patient stayed 10.5 days, improved from an admission FIM score of 89 to a discharge FIM score of 110, and incurred a hospital charge of $10,600. Of the revision THA patients, 98% were discharged home, and orthopedic-related complications were uncommon. No significant differences existed between revision and primary THA patients in any outcome measures. A trend toward higher rehabilitation charges ($12,400 vs $9500, p =.07) was found in revision THA patients who wore a hip orthosis. Otherwise, no differences were found in outcome measures based on the type of revision surgery, the presence of weight-bearing restrictions, or the presence of orthopedic complications.
CONCLUSIONS: THA patients selected for inpatient rehabilitation have favorable short-term functional outcomes. The type of THA (primary vs revision) is not an independent differentiating factor.
DESIGN: Descriptive and case-control study.
SETTING: Forty-bed, community-based, freestanding rehabilitation hospital.
PATIENTS: Thirty-nine revision THA subjects, gender- and age-matched with 39 primary THA controls.
INTERVENTION: Inpatient interdisciplinary rehabilitation.
MAIN OUTCOME MEASURES: FIM instrument, length of stay, hospital charges, and disposition location.
RESULTS: The average revision THA patient stayed 10.5 days, improved from an admission FIM score of 89 to a discharge FIM score of 110, and incurred a hospital charge of $10,600. Of the revision THA patients, 98% were discharged home, and orthopedic-related complications were uncommon. No significant differences existed between revision and primary THA patients in any outcome measures. A trend toward higher rehabilitation charges ($12,400 vs $9500, p =.07) was found in revision THA patients who wore a hip orthosis. Otherwise, no differences were found in outcome measures based on the type of revision surgery, the presence of weight-bearing restrictions, or the presence of orthopedic complications.
CONCLUSIONS: THA patients selected for inpatient rehabilitation have favorable short-term functional outcomes. The type of THA (primary vs revision) is not an independent differentiating factor.
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