A Critical Pathway for Total Knee Arthroplasty in Rheumatoid Arthritis

DOI 9 References
  • ISHII Katsushi
    Department of Orthopaedics, Yokohama City University
  • 斎藤 知行
    横浜市立大学整形外科
  • 持田 勇一
    横浜市立大学部附属市民総合医療センター難病医療センター
  • 大野 滋
    横浜市立大学部附属市民総合医療センター難病医療センター
  • 三ツ木 直人
    横浜市立大学医学部附属市民総合医療センター整形外科

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Other Title
  • 関節リウマチ患者における人工膝関節全置換術のクリティカルパス

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Abstract

We introduced a critical path plan for total knee arthroplasty (TKA) for rheumatoid arthritis (RA), and we have recently used a path which hastened the load time. We reviewed differences in periods of hospitalization and rehabilitation.<BR>TKA was done for 56 RA patients. Twenty for whom the crrtical path was not used were called Group A; 21 for whom the critical path was used were called Group B; and 15 for whom the load-hastening path was not used were called Group C.<BR>The mean hospitalization lengths were: 22 days for Group C, 27 day for Group B, and 41 days for Group A. Post-operatively there were no significant differences between the groups in terms of range of motion or JOA score, nor were there any post-operative complications. Hospitalization was shortened by induction of the critical path plan; there was no particular problem following induction of that plan, and use of the plan for TKA in cases of RA was possible regardless of the activity of RA.

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