2002 年 51 巻 3 号 p. 608-610
Since transposition osteotomy of the acetabulum is performed to prevent the development of osteoarthritis of acetabular dysplasia, it is relatively often performed on young patients. Early discharge and early social rehabilitation are called for and good results obtained using clinical pathway have been reported.
Patients and methods: 32 joints of 31 cases were operated between July 2000 and July 2001 (all female, average age of 34.0 years. Rehabilitation was carried out by clinical pathway and the degree of improvement hospitalization period, and complication were investigated.
Results: with the exception of 2 patients with superficial infection or suspected thrombosis, rehabilitation was successfully carried out, achieving movement of patients in wheelchairs after an average of 3.4 days, two crutch gait after an average of 6.8 days, and one crutch gait after an average of 13.7 days.
Conclusion: Critical pathway is useful for achieving early discharge and early social rehabilitation.