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Master Thesis

Quel est l’intérêt de la récupération améliorée après chirurgie par rapport à une rééducation classique chez des patients opérés d’une prothèse de genou ?

Abstract : Background: The knee replacement is one of the most common surgery in the world, mostly to fight against pain related to osteoarthritis. We notice that the population get older, consequently the number of knee replacement increases considerably. This kind of surgery became common and without beget too many complications. After a knee replacement, in France, the patient must undergo rehabilitation session to recover muscle strength and a good range of motion while reducing the pain. Purpose: This review is looking for the interest of enhanced recovery after surgery in the case of knee replacement. Methods: I used two databases to realize my research: Cochrane Library and Pubmed. I include six randomized clinical trial in my study according to well defined inclusion and exclusion criteria. Thank to PEDro scale, I assessed the methodological quality. All patients are aged between 40 and 95 years old, and all of them need a knee replacement. Each study compares a group of patients who undergo the surgery with the fast-track protocol, and with a group who undergo a standard surgery. Results: For studies of six, show us a reduce the hospital length of stay. Two of them proves the difference in range of motion between the two groups. None of the studies speak about the increase the number of complications with this type of fast-track protocol, and don’t even increase the pain. Conclusion: We can’t conclude higher efficiency of this type of protocol, but we can be sure, there is no more risk to develop an immediate complication after surgery no even in the long term. We have four of six chance to recover range of motion faster and feel less pain and also reduce the hospital length of stay.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03356760
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Submitted on : Tuesday, September 28, 2021 - 1:36:30 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Mariola Gizicka. Quel est l’intérêt de la récupération améliorée après chirurgie par rapport à une rééducation classique chez des patients opérés d’une prothèse de genou ?. Médecine humaine et pathologie. 2021. ⟨dumas-03356760⟩

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