Significant Improvement of Mobility Recovery in Acute Care Patients After Total Knee Arthroplasty With Liposomal Bupivacaine Injectable Suspension. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Kirkness, Carmen S.; Ren, Jinma; Asche, Carl V.
• Is Part Of: Journal of acute care physical therapy. Volume 8:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: Physical therapy -- Periodicals; Physical and Rehabilitation Medicine -- Periodicals; Physical therapy; Periodicals; 615.82
• DOI: 10.1097/JAT.0000000000000043
• Languages: English
• ISSNs: 2158-8686

Abstract

Abstract : Purpose: The study objective was to compare the walking distance after total knee arthroplasty (TKA) between patients who received liposomal bupivacaine (LB) or a femoral knee block (control group) for pain control in the acute care setting and explore clinical and patient factors related to walking distance. Methods: This study included patients with a TKA between October 2011 and April 2014. The LB group was determined and matched to a control group using propensity scores. Clinical and patient factors were also evaluated in multivariable modeling. Results: A total of 268 patients received 1520 physical therapy visits. Compared with the control group, the LB group had 98 fewer physical therapy visits, had a significantly shorter hospital length of stay (mean, 3.1; standard deviation, 1.7; vs mean, 3.6; standard deviation, 1.6; P < .05), on the day of surgery had 7 times more patients walked and walked a farther distance (4.4; 95% confidence interval, 2.6-7.5 m; vs 2.6; 95% confidence interval, 1.5-4.4 m; P < .01). Aside from the type of pain management, clinical and patient characteristics significantly influenced the distance walked. Conclusion: Patients' recovery of mobility after TKA was dependent on the type of pain management, the clinical and patient factors. These findings will aid in the personalization of patient treatment plans after TKA.