Surgery for Osteoarthritis: Total Joint Arthroplasty, Realistic Expectations of Rehabilitation and Surgical Outcomes: A Narrative Review

Kaka Martina; David J Hunter; Lucy J Salmon; Justin P Roe; Michelle M Dowsey

doi:10.1016/j.cger.2021.11.009

Surgery for Osteoarthritis: Total Joint Arthroplasty, Realistic Expectations of Rehabilitation and Surgical Outcomes: A Narrative Review

Clin Geriatr Med. 2022 May;38(2):385-396. doi: 10.1016/j.cger.2021.11.009.

Authors

Kaka Martina¹, David J Hunter², Lucy J Salmon³, Justin P Roe⁴, Michelle M Dowsey⁵

Affiliations

¹ Rheumatology Department, Royal North Shore Hospital, Sydney, New South Wales, Australia; Institute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney, New South Wales, Australia; Mater Hospital Sydney, Sydney, New South Wales, Australia; North Sydney Orthopedic and Sports Medicine Center, Sydney, New South Wales. Electronic address: kmartina@nsosmc.com.au.
² Rheumatology Department, Royal North Shore Hospital, Sydney, New South Wales, Australia; Institute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney, New South Wales, Australia; Kolling Institute, Level 10, 10 Westbourne Street, St Leonards, New South Wales 2064, Australia.
³ North Sydney Orthopedic and Sports Medicine Center, Sydney, New South Wales; University of Notre Dame, Sydney, New South Wales, Australia.
⁴ North Sydney Orthopedic and Sports Medicine Center, Sydney, New South Wales; University of New South Wales, Sydney, New South Wales, Australia.
⁵ Department of Surgery, University of Melbourne, St Vincent's Hospital, Melbourne, Victoria, Australia.

PMID: 35410686
DOI: 10.1016/j.cger.2021.11.009

Abstract

This narrative review highlights the prevalence of osteoarthritis as a chronic disease that directly contributes to the ever-growing health care expenditure to treat this condition. The increasing demand of total joint arthroplasty globally is explained in conjunction with the importance of understanding candidate suitability for arthroplasty surgery in order to maximize surgical outcomes and self-reported patient satisfaction after the surgery. Rehabilitation care following total hip arthroplasty and total knee arthroplasty, particularly the inappropriate use of inpatient rehabilitation service, is also explained, in addition to the enhanced recovery after surgery.

Keywords: Arthroplasty; Expectation; Inpatient; Rehabilitation; Surgery; THA; TKA.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Arthroplasty, Replacement, Hip* / rehabilitation
Arthroplasty, Replacement, Knee* / rehabilitation
Humans
Motivation
Osteoarthritis* / surgery
Patient Satisfaction