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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2026, Number 1

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Acta Ortop Mex 2026; 40 (1)

Results of early rehabilitation in total knee arthroplasty and its impact on quality of life

Díaz-Martínez L, Gómez-Vega V, Zavala-Medel B, Porras-Topete A, Alfaro-Galindez H, Ceja-Palacios J, Valencia-Posadas M, Villalobos-Ramírez L

Language: Spanish
References: 21
Page: 15-20
PDF size: 331.69 Kb.


ABSTRACT

Introduction: gonarthrosis is a degenerative disease that affects quality of life and, in advanced stages, requires arthroplasty with prosthesis placement, followed by physical rehabilitation, which should begin within the first 48 hours postoperatively. In Mexico, not all hospitals have rehabilitation services or a management protocol. Objective: to evaluate the outcomes of an early-onset, outpatient physical rehabilitation program without the use of local medication infiltrations. Material and methods: a prospective, observational cohort study with no control group was conducted in 44 patients with a mean age of 66 years. Ligament-preserving prostheses were placed in 19 patients and posterostabilized prostheses in 25. Rehabilitation began on postoperative day one and was divided into four phases over five weeks with light weightbearing beginning in week three. Prosthesis type, age, weight, and the WOMAC and SF-36 questionnaires were analyzed as outcome measures. Data were analyzed using Kruskal-Wallis tests, one-way analysis of variance, Spearman correlations, and χ2 tests of independence. Results: statistically significant differences were found in all variables between the initial and final assessments (p < 0.01), indicating that the proposed rehabilitation program is effective in improving functionality and likely leads to an improvement in quality of life. The type of prosthesis placed, age, and weight were not associated with the results obtained. Conclusions: good results were obtained without local anesthetics and it is advisable to design protocols measuring the strength and mobility achieved.


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