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Arch Phys Med Rehabil. 2001 Jan;82(1):129-33.

Inpatient interdisciplinary rehabilitation after total hip arthroplasty surgery: a comparison of revision and primary total hip arthroplasty.

Author information

  • 1Department of Physical Medicine and Rehabilitation, Medical College of Virginia at Virginia Commonwealth University, Richmond, VA, USA. wcwalker@hsc.vcu.edu

Abstract

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.

PMID:
11239299
DOI:
10.1053/apmr.2001.18604
[PubMed - indexed for MEDLINE]
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