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TBD: Postsurgery Rehabilitation

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Imaging of Prosthetic Joints

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Abstract

Rehabilitation is extremely important in the overall outcome of any joint replacement surgery. The goals of physical therapy are to prevent contractures, improve patient education, and strengthen muscles around the joint through controlled exercises. The goals of every rehabilitative protocol in a patient that underwent a joint replacement surgery are as follows: (1) reducing pain, (2) restoring muscular trophism and tone, (3) recovering the range of motion, and (4) recovering the articular function. A critical phase, however, is the time before the surgical intervention, when the intervention is planned and not immediately necessitated by a fracture. The phase before the surgical intervention must act at the level of the musculoskeletal and at the level of the cardiovascular systems. These include exercises of controlled breathing balanced with postures for bronchial drainage. The conditions of cardiac functionality are also improved by the active mobilization of inferior and superior limbs. Presurgical reeducation also favors the recruitment of motor units and allows better healing of the articular district after the surgical intervention so that the patient can quickly regain neuromuscular coordination. Then, the protocol allows to maintain and to create general satisfactory conditions that allow the fast functional reeducation and the early and diversified load at the level of the operated limb. Also it reduces the risk of local or general complications and represents an extremely useful way to recover the range of motions and to restore the patient's activities of daily life (ADL).

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Notes

  1. 1.

    Please note that the progression of rehabilitation phases and exercises must be assessed by frequent monitoring of the specialist who takes into account the appropriate timing. All types of exercise should be increasing intensity taking into account the type of surgery and any contraindications.

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Authors and Affiliations

  1. Scienze Dell’Apparato Locomotore, Sapienza Universita’ Di Roma, Piazzale Aldo Moro 5, 00185, Rome, Italia, Italy

    Valter Santilli, Andrea Bernetti & Massimiliano Mangone

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  1. Valter Santilli
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  2. Andrea Bernetti
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  3. Massimiliano Mangone
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Correspondence to Andrea Bernetti .

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Editors and Affiliations

  1. Department of Radiological Sciences, Oncology and Pathology, University of Rome Sapienza, Rome, Italy

    Carlina V. Albanese

  2. Radiodiagnostica CTO, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Torino, Italy

    Carlo Faletti

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Santilli, V., Bernetti, A., Mangone, M. (2014). TBD: Postsurgery Rehabilitation. In: Albanese, C.V., Faletti, C. (eds) Imaging of Prosthetic Joints. Springer, Milano. https://doi.org/10.1007/978-88-470-5483-7_15

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  • DOI: https://doi.org/10.1007/978-88-470-5483-7_15

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5482-0

  • Online ISBN: 978-88-470-5483-7

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