Algorithm for Early Ambulation in Individuals Undergoing Non-conventional Hip Endoprosthesis
Year: 2025
Type: article
Abstract: Introduction: The incidence of bone metastases has increased in recent years, driven by population aging and the efficacy of treatments for visceral-origin cancers. Bone metastasis ranks as the third most common type, with approximately one-third located in the proximal femur. Prosthetic hip replacement is a key treatment option, enabling immediate weight-bearing and resumption of patients' normal activities. Objective: This study aims to develop an algorithm to encourage early ambulation in patients undergoing hip arthroplasty with non-conventional endoprostheses, targeting improved recovery and minimized complications. Method: The algorithm was designed by the multidisciplinary team of the Orthopedic Oncology Service at Irmandade da Santa Casa de São Paulo. It focuses on promoting early ambulation for hospital discharge, incorporating specific patient-guided milestones to ensure safe mobility progression while respecting clinical conditions. Results: The mean time to sitting position was 1.64 ± 0.66 days, while ambulation was initiated at 3 ± 0.42 days. Conclusion: The implementation of the algorithm demonstrated its efficacy in inpatient rehabilitation through personalized milestones. This approach promotes early ambulation and enhances patient confidence in mobility.
Source: Acta Ortopédica Brasileira
Authors: Emília Cardoso Martinez, Soraya Shouko Hiyama, Glauber Alvarenga, Eduardo Sadao Yonamine, Vera Lúcia dos Santos Alves
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $600
OpenAlex ID: W4414407903