This study was conducted retrospectively and included 132 patients, 95 of which were given the Fast Track protocol. These were compared retrospectively to 37 other patients treated with standard care approaches following TKA. The patients all received similar surgical approaches by the same surgeon.
For the Fast Track protocol, each patient underwent rehab 3 hours after their operation, ankle motion and quadricep isometric contractions were started, and they were mobilized from supine to seated to standing positions. They were also mobilized to walking with a walking frame for 10-15 minutes.
Post-Operative Day 1: straight leg raises were added, and the patient was progressed to mobilizing with crutches.
Post-Operative Day 2: continuation of straight leg raises and progression to walking 60-70 metres with crutches was trialed.
Post-Operative Day 3: activities of daily living were reviewed for mobility at home, and ascending and descending stairs were practiced with crutches.
Following surgery, patients were seen twice each day for 30 minutes, and a continuous passive motion machine was used each day. The patients were measured for range of motion: 0 degrees of extension and 90 degrees of flexion was required upon discharge.
Pain was monitored by the Visual Analogue Scale (VAS) and functional outcome measures such as the Modified Barthel Index were used to note progression of each patient.