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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  • A Critical Pathway for Total Knee Arthroplasty in Rheumatoid Arthritis

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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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