Expert consensus on accelerated recovery of knee function after total knee arthroplasty
This article aims to establish a consensus on accelerated rehabilitation of knee function following total knee arthroplasty(TKA),based on the principles of enhanced recovery after surgery(ERAS).The goal is to optimize perio-perative rehabilitation measures and promote rapid recovery of knee function post-surgery.The consensus was developed using the Delphi method,conducted in two phases:an online questionnaire survey and online meetings.Initially,the corresponding authors drafted 17 clinical issues related to accelerated rehabilitation after TKA,which were reviewed and summarized by a panel of experts.A total of 50 experts participated in the anonymous survey,providing feedback through voting.Two online meetings were held to discuss the draft and conduct real-time voting,ultimately finalizing the consensus.The consensus follows the Oxford Centre for Evidence-Based Medicine's standards for evidence grading and recommendation strength.Voting results were categorized as follows:51%-74%agreement indicated"consensus",75%-99%indicated"strong consensus",and 100%indicated"complete consensus".The consensus outlines 13 key items for postoperative knee function recovery,including rehabilitation evaluation,patient education,preoperative reha-bilitation training,postoperative pain management,sleep management,and early postoperative activities.Most items received high levels of support,with voting approval rates ranging from 88%to 100%.Notably,key measures such as postoperative pain management(100%consensus)and early postoperative activities(95.45%-100%consensus)dem-onstrated a high degree of agreement among experts.Items related to rehabilitation evaluation and patient education also received strong consensus,with over 90%agreement.The consensus outlined in this article focuses on accelerating knee function recovery following TKA,providing valuable reference for clinicians and therapists in developing appropriate re-habilitation plans.
Total knee arthroplastyEnhanced recoveryKnee functionExpert consensus
万方数据
维普
