• W C Walker, L A Keyser-Marcus, D X Cifu, and M Chaudhri.
• Department of Physical Medicine and Rehabilitation, Medical College of Virginia at Virginia Commonwealth University, Richmond, VA, USA. wcwalker@hsc.vcu.edu
• Arch Phys Med Rehabil. 2001 Jan 1; 82 (1): 129-33.

ObjectivesTo describe outcomes of revision total hip arthroplasty (THA) patients who underwent interdisciplinary inpatient rehabilitation, and to compare them with primary THA patients.DesignDescriptive and case-control study.SettingForty-bed, community-based, freestanding rehabilitation hospital.PatientsThirty-nine revision THA subjects, gender- and age-matched with 39 primary THA controls.InterventionInpatient interdisciplinary rehabilitation.Main Outcome MeasuresFIM instrument, length of stay, hospital charges, and disposition location.ResultsThe average revision THA patient stayed 10.5 days, improved from an admission FIM score of 89 to a discharge FIM score of 110, and incurred a hospital charge of $10,600. Of the revision THA patients, 98% were discharged home, and orthopedic-related complications were uncommon. No significant differences existed between revision and primary THA patients in any outcome measures. A trend toward higher rehabilitation charges ($12,400 vs $9500, p =.07) was found in revision THA patients who wore a hip orthosis. Otherwise, no differences were found in outcome measures based on the type of revision surgery, the presence of weight-bearing restrictions, or the presence of orthopedic complications.ConclusionsTHA patients selected for inpatient rehabilitation have favorable short-term functional outcomes. The type of THA (primary vs revision) is not an independent differentiating factor.

18 keywords...

hide…