| Objective:To investigate the influence of early rehabilitation on the health economics of the artificial knee joint replacement (TKA). Methods: Sixty-four patients undergoing TKA were randomly divided into control group and rehabilitation group (n=32 each). The control group and rehabilitation group were given conventional orthopedics treatment, orthopedics rehabilitation knowledge education and CPM training, etc. In addition, rehabilitation group was also given early rehabilitation treatment. On the postoperative day 2 and before discharge, range of motion (ROM), hindlimb diameter, activities of daily living (ADL) score, and the hospital for special surgery (HSS) score were used to evaluate functional recovery of two groups. The average hospital stay and hospitalization expenses were used to evaluate the economic effect of the two groups. Results: On the postoperative day 2 and discharge, ROM, ADL score, and HSS score were significantly improved in two groups (P<0.05), more significantly in the rehabilitation group than in the control group (P<0.05). The average hospital stay in the rehabilitation group was significantly shorter than in the control group (P<0.05). There was no significant difference in hospitalization expenses between two groups. Conclusions: Early rehabilitation can effectively improve the functional status of TKA patients, shorten the hospitalization period and increase the turnover rate of beds, which is an effective, economical and reasonable treatment method. |
