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Total hip arthroplasty: day of surgery physical therapy intervention

Robbins, Claire E; Bierbaum, Benjamin E; Ward, Daniel M

doi: 10.1097/BCO.0b013e318193c112
ORIGINAL RESEARCH
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Background The purpose of this retrospective study was to examine if physical therapy intervention initiated on the same day as total hip arthroplasty reduces length of stay in the acute care hospital and increases the number of patients discharged to home rather than a rehabilitation facility.

Methods We retrospectively reviewed 40 patients to evaluate the effect of physical therapy intervention on the day of surgery compared with first postoperative day.

Results Length of stay for the day of surgery group was 4 days and 4.7 days for the postoperative day 1 group. Sixty percent of day of surgery patients were discharged to home compared with 50% for postoperative day 1 patients.

Conclusions Our results may support the feasibility of a larger, prospective study to examine the effect of physical therapy intervention on the day of surgery for all total joint replacement surgeries.

New England Baptist Hospital, Department of Orthopaedics, Boston, MA, USA

Correspondence to Claire E. Robbins, PT, DPT, MS, New England Baptist Hospital, Department of Rehabilitation Services, 125 Parker Hill Avenue, Boston, MA 02120, USA Tel: +1 617 754 5500; fax: +1 617 754 6443; e-mail: crobbins@caregroup.harvard.edu

© 2009 Lippincott Williams & Wilkins, Inc.