Investigating the Impact of Pre-Operative Physical Fitness on Post-Operative Rehabilitation in Total Hip Replacement: A Literature Synthesis

Abstract

In orthopaedic surgery, total hip arthroplasty (THA) and total knee arthroplasty (TKA) are two of the most frequently performed operations. The prospect of implementing a preoperative physical activity program to enhance the physical health and fitness of senior patients undergoing this type of surgery is being highlighted due to the increasing need to prevent physical impairment in these patients. This white paper undertakes a comprehensive examination of the impact of pre-operative physical fitness levels on the subsequent rehabilitation of Total Hip Replacement (THR) patients. By analyzing this critical relationship, the paper aims to provide insights into tailoring physical therapy practices to optimize outcomes for individuals undergoing THR procedures. Prehabilitation for patients undergoing TKA results in a shorter length of stay but does not improve postoperative recovery; for THA, the available data indicates that patients who participated in prehabilitation programs had better outcomes, but there is insufficient evidence with suitable methodology to
make firm conclusions.