Hab Geduld und Mut! – Präoperative Edukation bei Knorpeltransplantation

Die Rehabilitation nach einer Knorpeltransplantation dauert mehr als ein Jahr und erfordert viel Geduld. Um die Patient*innen mental und physisch auf die OP und Nachbehandlung vorzubereiten, helfen eine präoperative Edukation und eine prähabiltative Trainingstherapie. Ein Fallbeispiel zeigt, wie der edukative Mix aus Theorie und Praxis Ängste mindert, motiviert und die Selbstwirksamkeit steigert.

Publikationsverlauf

Artikel online veröffentlicht:
12. April 2023

• Literaturverzeichnis

• 1 Qualitätskreis Knorpel-Repair & Gelenkerhalt e.V. (QKG). Fachinformationen. Im Internet (Stand: 17.02.2023) https://www.qkg-ev.de
• 2 Anderson AM, Drew BT, Antcliff D. et al Content and delivery of pre-operative interventions for patients undergoing total knee replacement: a rapid review. Syst Rev 2022; 11: 184 DOI: 10.1186/s13643-022-02019-x.
• 3 Percope de Andrade MA, Moreira de Abreu Silva G, de Oliveira Campos TV. et al A new methodology for patient education in total knee arthroplasty: a randomized controlled trial. Eur J Orthop Surg Traumatol 2022; 32: 107-112 DOI: 10.1007/s00590-021-02936-y.
• 4 Dennis J, Wylde V, Gooberman-Hill R. et al Effects of presurgical interventions on chronic pain after total knee replacement: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2020; 10: e033248 DOI: 10.1136/bmjopen-2019-033248.
• 5 Gränicher P, Mulder L, Lenssen T. et al Prehabilitation Improves Knee Functioning Before and Within the First Year After Total Knee Arthroplasty: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther 2022; 52: 709-725 DOI: 10.2519/jospt.2022.11160.
• 6 Hirschmüller A, Schoch W, Baur H. et al Rehabilitation before regenerative cartilage knee surgery: a new prehabilitation guidline based on the best available evidence. Arch Orthop Trauma Surg 2019; 139: 217-230 DOI: 10.1007/s00402-018-3026-6.
• 7 Heartbeat medical. PROMIS 29/KOOS. Im Internet(Stand: 17.02.2023) https://heartbeat-med.com/de/
• 8 Majewski-Schrage T, Evans TA, Snyder KR. Identifying Meaningful Patient Outcomes After Lower Extremity Injury, Part 2: Linking Outcomes to the International Classification of Functioning, Disability and Health. J Athl Train 2019; 54: 869-880 DOI: 10.4085/1062-6050-233-18.
• 9 Toonstra JL, Howell D, English RA. et al Patient Experiences of Recovery After Autologous Chondrocyte Implantation: A Qualitative Study. J Athl Train 2016; 51: 1028-1036 DOI: 10.4085/1062-6050-51.12.12.
• 10 Niemeyer P, Porichis S, Salzmann G. et al What Patient Expect About Autologous Chondrocyte Implantation (ACI) for Treatment of Cartilage Defects at the Knee Joint. Cartilage 2012; 03: 13-19 DOI: 10.1177/1947603511415840.
• 11 Paatela T, Vasara A, Nurmi H. et al Assessment of Cartilage Repair Quality With the International Cartilage Repair Society Score and the Oswestry Arthroscopy Score. J Orthop Res 2020; 38: 555-562 DOI: 10.1002/jor.24490.
• 12 Rambaud AJM, Ardern CL, Thoreux P. et al Criteria for return to running after anterior cruciate ligament reconstruction: a scoping review. Br J Sports Med 2018; 52: 1437-1444 DOI: 10.1136/bjsports-2017-098602.
• 13 Herrington L, Myer G, Horsley I. Task based rehabilitation protocol for elite athletes following Anterior Cruciate ligament reconstruction: a clinical commentary. Phys Ther Sport 2013; 14: 188-198 DOI: 10.1016/j.ptsp.2013.08.001.
• 14 Tousignant-Laflamme Y, Martel MO, Joshi AB. et al Rehabilitation management of low back pain – it’s time to pull it all together!. Journal of Pain Research 2017: 2373-2385 DOI: 10.2147/JPR.S146485
• 15 Alattas SA, Smith T, Bhatti M. et al Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2017; 25: 3403-3410 DOI: 10.1007/s00167-016-4314-8.
• 16 Ackermann J, Ogura T, Duerr RA. et al Mental Health Has No Predictive Association With Self-Assessed Knee Outcome Scores in Patients After Osteochondral Allograft Transplantation of the Knee. Orthopaedic Journal of Sports Medicine 2018; 06: 12 DOI: 10.1177/2325967118812363.
• 17 Hsu CJ, Meierbachtol A, George SZ. et al Fear of Reinjury in Athletes: Implications for Rehabilitation. Sports Health 2017; 09: 162-167 DOI: 10.1177/1941738116666813.
• 18 Burgess LC, Arundel J, Wainwright TW. The Effect of preoperative Education on Psychological, clinical and economic Outcomes in Elective Spinal Surgery: A systematic review. Healthcare 2019; 07: 48 DOI: 10.3390/healthcare7010048.
• 19 Clapp IM, Nwachukwu BU, Beck EC. et al What is the Role of Kinesiophobia and Pain Catastrophizing in Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Arthroscopy, Sports Medicine, and Rehabilitation 2020; 02: 97-104 DOI: 10.1016/j.asmr.2019.12.001.
• 20 Hoffmann TC, Lewis J, Maher CG. Shared decision making should be an integral part of physiotherapy practice. Physiotherapy 2020; 107: 43-49 DOI: 10.1016/j.physio.2019.08.012.
• 21 Nijs J, D`Hondt E, Clary’s E. et al Lifestyle and Chronic Pain across the Lifesplan: An Inconvenient Truth?. PM&R 2020; 12: 410-419 DOI: 10.1002/pmrj.12244.
• 22 Whittaker JL, Roos EM. A pragmatic approach to prevent post-traumatic osteoarthritis after sport or exercise-related joint injury. Best Pract Res Clin Rheumatol 2019; 33: 158-71 DOI: 10.1016/j.berh.2019.02.008.
• 23 Rondanelli M, Faliva MA, Miccono A. et al Food pyramid for subjects with chronic pain: foods and dietary constituents as anti-inflammatory and antioxidant agents. Nutr Res Tev 2018; 31: 131-151 DOI: 10.1017/s095442241000270.
• 24 Rose GL, Skinner TL, Mielke GI. et al The Effect of exercise intensity on chronic inflammation: a systematic review and meta-analysis. J Sci Med Sport 2021; 24: 345-351 DOI: 10.1016/j.jsams.2020.10.004.
• 25 Rose GL, Mielke GI, Durr M. et al Effect of resistance training on chronic inflammation: a systematic review and meta-analysis. Translational Sports Medicine 2021; 04: 900-913 DOI: 10.1002/tsm2.294.
• 26 Zhao L, Lu M, Deng M. et al Outcome of bone-patellar tendon-bone vs. hamstring tendon autograft for anterior cruciate ligament reconstruction: A meta-analysis of randomized controlled trials with a 5-year minimum follow up. Medicine Open 2020; 99: 48 DOI: 10.1097/MD.0000000000023476.
• 27 Lavin KM, Perkins RK, Jemiolo B. et al Effects of aging and lifelong aerobic exercise on basal and exercise-induced inflammation. J Appl Physiol 2020; 128: 87-99 DOI: 10.1152/japplphysiol.00495.2019.
• 28 Chambers TL, Burnett TR, Raue U. et al Skeletal muscle size, function, and adiposity with lifelong aerobic exercise. Journal of Applied Physiology 2020; 128: 368-378 DOI: 10.1152/japplphysiol.00426.2019.
• 29 Widmer P, Oesch P, Bachmann S. Effect of Prehabilitation in Form of Exercise and/or Education in Patients Undergoing Total Hip Arthroplasty on Postoperative Outcomes-A Systematic Review. Medicina 2022; 58: 742 DOI: 10.3390/medicina58060742.
• 30 Ebert JR, Fallon M, Ackland TR. et al A Randomized Trial Comparing Accelerated and Traditional Approaches to Postoperative Weightbearing Rehabilitation After Matrix-Induced Autologous Chondrozyte Implantation: Findings at 5 Years. Am J Sports Med 2012; 40: 1527-1537 DOI: 10.1177/0363546512445167.
• 31 Hauger AV, Reiman MP, Bjordal JM. et al Neuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery. Knee Surg Sports Traumatol Arthrosc 2018; 26: 399-410 DOI: 10.1007/s00167-017-4669-5.