Key result
Mobilising on the first day after total knee replacement surgery was associated with significantly higher levels of independence in daily activities compared to mobilising on the second day (P≤0.05).
Why the study?
Although patient-controlled epidural analgesia provides superior analgesia post-surgery, its impact on the efficacy and safety of early rehabilitation after total knee replacement remains understudied.
Does patient-controlled epidural analgesia affect early rehabilitation and functional independence in patients following total knee replacement surgery?
Population
186 patients receiving patient-controlled epidural analgesia after elective unilateral total knee replacement
Comparison
Mobilisation on the first day vs second day following surgery
Design
Retrospective cross-sectional study
Authors
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Early mobilization after total knee replacement was associated with greater independence without increased pain; leaves open effects of patient-controlled epidural analgesia in prospective trials.
Cross-Sectional (n=186)
No
Does patient-controlled epidural analgesia affect early rehabilitation and functional independence in patients following total knee replacement surgery?
p-value: p=≤0.05
Patient-controlled epidural analgesia following total knee replacement surgery does not adversely affect early rehabilitation and facilitates early functional independence.
Alzahrani et al. (2025) conducted a cross-sectional in total knee replacement surgery (n=186). Mobilising on the first day vs. Mobilising on the second day was evaluated on Levels of independence in daily activities (Elderly Mobility Scale and Barthel Index) (p=≤0.05). Mobilising on the first day after total knee replacement surgery was associated with significantly higher levels of independence in daily activities compared to mobilising on the second day (P≤0.05).
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