Comparación de dos programas de rehabilitación tras artroplastia total de rodilla

  1. Ángela Patricia Mozo Muriel
  2. Juan Antonio Moreno Palacios
  3. Natividad Plazas Andreu
  4. J. M. Manjón-Cabeza Subirat
  5. Diego Ruiz Molina
  6. E. Cátedra Vallés

ISSN: 1888-6116

Year of publication: 2008

Volume: 19

Issue: 4

Pages: 218-224

Type: Article

More publications in: Trauma


Objective: To compare the functional results obtained with two different rehabilitation programs following total knee arthroplasty (TKA). Material and methods: A retrospective study was made of 122 patients subjected to TKA, with evaluation before surgery, and on day 8 and 6 months after the operation. At discharge, the patients were divided into two groups according to the observed joint trajectory and patient availability for treatment. Group A (40 patients) followed a home rehabilitation program, while group B (82 patients) followed an outpatient rehabilitation program. The following was studied: pain as determined by the visual analog scale (VAS); functionality based on the Hospital Special Surgery (HSS) score; independency for activities of daily living based on the Barthel index; walking capacity according to the Functional Ambulatory Classification (FAC); and quality of life based on the SF 36 questionnaire. The results were compared using the SPSS version 15.0 statistical package. Results: The overall assessment showed improvement from 7.2 to 2.4 on the VAS, 63 to 80.8 on the HSS, 27.9 to 37.2 on the physical SF-36, and 43.4 to 46.9 between initial assessment and evaluation after 6 months in all the patients - these improvements being statistically significant (p< 0.05). There were no significant differences in the Barthel index and FAC. No significant differences were observed for any variable on comparing the two patient groups. Conclusions: TKA improves pain, functionality and quality of life in patients with gonarthrosis, regardless of whether one or the other rehabilitation program is adopted after hospital discharge