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October 28, 1998

Rehabilitation After Hip and Knee Arthroplasty

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(16):1402-1403. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-16-jbk1028

To the Editor.— Dr Munin and colleagues1 demonstrated several benefits of early rehabilitation for patients undergoing hip or knee arthroplasty, including decreased hospital stay and more rapid attainment of short-term functional goals. Unfortunately, the authors failed to assess several important factors that influence the postoperative course of these patients. This study focused on early rehabilitation but neglected the perioperative care provided to their subjects. The anesthetic technique, method of postoperative pain management, and strategy for deep venous thrombosis (DVT) prophylaxis can affect recovery from surgery, thereby altering participation in rehabilitation.