{"id":9471,"date":"2022-10-03T06:00:57","date_gmt":"2022-10-03T12:00:57","guid":{"rendered":"https:\/\/summit-education.com\/blog\/?p=9471"},"modified":"2024-06-14T13:22:09","modified_gmt":"2024-06-14T19:22:09","slug":"national-physical-therapy-month-the-future-of-hip-and-knee-replacement","status":"publish","type":"post","link":"https:\/\/summit-education.com\/blog\/general\/national-physical-therapy-month-the-future-of-hip-and-knee-replacement\/","title":{"rendered":"National Physical Therapy Month: The Future of Hip and Knee Replacement"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.47&#8243;][et_pb_row _builder_version=&#8221;3.0.48&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.19.10&#8243;]<\/p>\n<h4 style=\"text-align: center;\"><strong>Written By: Jason D. Handschumacher, DPT<\/strong><\/h4>\n<div>\u00a0<\/div>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<p><a href=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-9475  alignleft\" src=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-2.jpg\" alt=\"\" width=\"436\" height=\"218\" srcset=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-2.jpg 656w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-2-300x150.jpg 300w\" sizes=\"(max-width: 436px) 100vw, 436px\" \/><\/a>We are outnumbered. By 2025 there will be 650,000 Total Hip Replacements and 1.2 million Total Knee Replacements annually in the United States. Cost controls, patient volumes, and limited therapists: patient ratios require efficiency and planning. Just this week I had the first session with a man 2 weeks post total knee replacement who stated, \u201cMy Medicare Advantage plan will cover 6 visits so let\u2019s make the best of them.\u201d Fast-tracking\u201d, outpatient surgery options, anesthesia advances, minimally invasive procedures, and pre-operative planning are maximizing patient activity after surgery. We can\u2019t match those advances with \u201cthis is what I always did for total joints\u2026.\u201d Patients have raised their expectations of what they can do after surgery &#8211; we should too. <strong>Surgery puts in new hardware &#8211; you are the software engineer.<\/strong><\/p>\n<p>Enhanced recovery programs require a multidisciplinary team of dedicated professionals, principally involving preoperative education, multimodal pain control, and accelerated rehabilitation; this will be boosted if combined with minimally invasive surgery. The current economic climate and restricted healthcare budget further necessitate brief hospitalization while minimizing costs. These NON-OPERATIVE INTERVENTIONS are the way forward to achieve such requirements. (Ibrahim, 2013)<\/p>\n<p>Be \u201cBrilliant at the Basics\u201d. Total Joint Rehabilitation may not be flashy and make you a Social Media icon but it is the bread and butter we need to be best at. Set yourself apart and be the therapist every patient tells their friends to see &#8211; because they will tell them something about you &#8211; make it great!<\/p>\n<p><strong><a href=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-9474  alignright\" src=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1.jpg\" alt=\"\" width=\"441\" height=\"290\" srcset=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1.jpg 1487w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1-300x198.jpg 300w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1-1024x674.jpg 1024w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1-768x506.jpg 768w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/JH-1-1080x711.jpg 1080w\" sizes=\"(max-width: 441px) 100vw, 441px\" \/><\/a>Pre-operative Planning and Exercise<\/strong><\/p>\n<ul>\n<li>Therapists are optimally positioned for education and exercise advice<\/li>\n<li>Establish therapeutic rapport early<\/li>\n<li>Increased revenue outside of postoperative dollar and visit limits<\/li>\n<\/ul>\n<\/div>\n<div>\n<p><strong>Immediate Post-Operative care<\/strong><\/p>\n<ul>\n<li>Same day and 24 hours discharges &#8211; are you and the patient ready?<\/li>\n<li>Advances in anesthesia speed recovery and return home<\/li>\n<li>Minimize edema, maximize strength return, gain ROM quickly and safely<\/li>\n<li>Optimize exercise volume and combine Manual Therapy for best outcomes<\/li>\n<\/ul>\n<\/div>\n<div>\n<p><strong>Return to Function<\/strong><\/p>\n<ul>\n<li>Patient-specific and \u201cmobile\u201d component designs can meet activity goals<\/li>\n<li>Dislocation (hip) precautions may be a thing of the past<\/li>\n<li>Strength training is way more than leg raises and 3 sets of 10<\/li>\n<\/ul>\n<\/div>\n<p style=\"text-align: center;\">\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"\/\/www.youtube.com\/embed\/GzmTBuKZVOw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div>\n<p>&nbsp;<\/p>\n<p>Above is a simple exercise I use for high volume ROM and combined knee and hip motion without pain for pre-op and immediate post-operative care. The patient in the video is 48 hours post op and moving great!<\/p>\n<p><strong>If you want to learn more, join my Live Interactive Webinar on October 27th, <em><a href=\"https:\/\/summit-education.com\/course\/PANTJH.1.2CREDIT\/total-knee-hip-arthroplasty-the-first-72-hours#WEBINAR\/LW102722.1\">Total Knee\/Hip Arthroplasty: The First 72 Hours<\/a><\/em>, or for my NEW 3-Hour Live Workshops coming soon in 2023 &#8211; see you then!<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Explore continuing education courses from Jason below:<\/strong><\/p>\n<p class=\"course-short-title\"><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/PHIPJH.1\">An Evidence-Based Approach to Treating the Lumbopelvic Complex<br \/><\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/PLBPJH.1.2CREDIT\">Clinical Practice Guidelines for Low Back Pain (LBP)<br \/><\/a><\/strong><\/span><\/p>\n<p class=\"course-short-title\"><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/PSIJJH.1.2CREDIT\">Simplifying Assessment and Treatment of the Sacroiliac Joint &amp; Hip Dysfunction<\/a><br \/><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/PANTJH.1.2CREDIT\">Total Knee\/Hip Arthroplasty: The First 72 Hours<\/a><\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>Visit <a href=\"http:\/\/www.summit-education.com\/ce\">summit-education.com<\/a> for more information.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<p>Austin MS, Urbani BT, Fleischman AN, et al. (2017), \u201cFormal Physical Therapy After Total Hip Arthroplasty Is Not Required: A Randomized Controlled Trial.\u201d Journal of Bone and Joint Surgery American. 19;99(8):648-655. doi: 10.2106\/JBJS.16.00674.<\/p>\n<p>Berg U, W-Dahl A, Nilsdotter A. (2021). \u201cFast-Track Programs in Total Hip and Knee Replacement at Swedish Hospitals\u2014Influence on 2-Year Risk of Revision and Mortality.\u201d\u00a0 Journal of Clinical Medicine. 10(8):1680. Doi: 10.3390\/jcm10081680<\/p>\n<p>Gwynne-Jones D, Martin G, Crane C. (2017). \u201cEnhanced recovery after surgery for hip and knee replacement patients.\u201d\u00a0 Orthopaedic Nursing. 36(3):203-210.<\/p>\n<p>Ibrahim MS, Alazzawi S, Nizam I. et al.\u00a0 An evidenced-based review of enhanced recovery interventions in knee replacement surgery: Annals of the Royal College of Surgeons. September 2013, Vol 95(6), 386-389.<\/p>\n<p>Klapwijk L, Mathijssen N, Van Egmond J. (2017). \u201cThe first 6 weeks of recovery after primary total hip arthroplasty with fast track.\u201d Acta Orthopaedica. 88(2):140-144.<\/p>\n<p>Navathe AS, Troxel AB, Liao JM, et al. (2017). \u201cCost of Joint Replacement Using Bundled Payment Models.\u201d Journal of the American Medical Association Internal Medicine. doi: 0.1001\/jamainternmed.2016.8263. [Epub ahead of print]<\/p>\n<p>Pesavento T, Agner V, Puga ES, et al. (2017), \u201cComparison of supervised and unsupervised models of physical therapy in total knee arthroplasty: systematic review.\u201d International Physical Medicine and Rehabilitation Journal. 2(5):279\u2012285. DOI: 10.15406\/ipmrj.2017.02.00062<\/p>\n<p>Prakash J, Jianing D, Jiayu F. (2017). \u201cA patient focused technology-enabled program improves outcomes in primary total hip and knee replacement surgery.\u201d Journal of Bone and Joint Surgery. 2(3): e0023. Doi: 10.21061JBJS.OA.16..00023<\/p>\n<p>Wang L, Lee M, Zhang Z, et al. (2016), \u201cDoes preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta analysis of randomized controlled trials.\u201d British Medical Journal (Open) ;6:e009857. doi:10.1136\/bmjopen-2015-009857.<\/p>\n<div id=\"header\" class=\"style-scope ytd-item-section-renderer\">\n<div id=\"title\" class=\"style-scope ytd-comments-header-renderer\">\u00a0<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Written By: Jason D. Handschumacher, DPT \u00a0 &nbsp; We are outnumbered. By 2025 there will be 650,000 Total Hip Replacements and 1.2 million Total Knee Replacements annually in the United States. Cost controls, patient volumes, and limited therapists: patient ratios require efficiency and planning. Just this week I had the first session with a man [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1,178,181,127],"tags":[231],"class_list":["post-9471","post","type-post","status-publish","format-standard","hentry","category-general","category-body-regions","category-orthopedics","category-physical-therapy","tag-jhandschumacher"],"aioseo_notices":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9471"}],"collection":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/comments?post=9471"}],"version-history":[{"count":5,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9471\/revisions"}],"predecessor-version":[{"id":9481,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9471\/revisions\/9481"}],"wp:attachment":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/media?parent=9471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/categories?post=9471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/tags?post=9471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}