title: What is the interest of rehabilitation in physical medicine and functional rehabilitation ward after total hip arthroplasty? Elaboration of french clinical practice guidelines.
abstract: OBJECTIVE
  To develop clinical practice guidelines concerning the interest of post-operative rehabilitation in a physical medicine and functional rehabilitation (PMR) ward after total hip arthroplasty (THA).
  
  
  METHODS
  The SOFMER (French Physical Medicine and Rehabilitation Society) methodology, associating a systematic literature review, collection of everyday clinical practice, and external review by a multidisciplinary expert panel, was used. Main outcomes were impairment, disability, medico-economic implications and postoperative complications.
  
  
  RESULTS
  Post-operative rehabilitation in a PMR ward after THA is recommended for frail patients because of their functional status, and/or associated co-morbidities, and/or post-operative complications. For patients in whom sustained rehabilitation is not necessary, but who cannot return home, a stay in a non-specific (non-PMR) post-operative center could be recommended. Post-operative rehabilitation in a PMR ward after THA could reduce the length of stay in a surgical ward and increase the functional status of patients. The total cost of the different modalities of post-operative rehabilitation after THA needs evaluation.
  
  
  CONCLUSIONS
  This study suggests a value of rehabilitation in a PMR ward after THA, but good methodological quality studies are needed to evaluate the cost/benefit ratio of rehabilitation in a PMR ward after THA in the French health care system.
authors.affiliation: Service de MPR, centre hospitalier de Gonesse, 25, rue Pierre-de-Theilley, BP 30071, 95503 Gonesse cedex, France. brigitte.barrois@ch-gonesse.fr
authors.forename: B
authors.initials: B
authors.lastname: Barrois
authors.forename: F
authors.initials: F
authors.lastname: Gouin
authors.forename: P
authors.initials: P
authors.lastname: Ribinik
authors.forename: M
authors.initials: M
authors.lastname: Revel
authors.forename: F
authors.initials: F
authors.lastname: Rannou
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D006801:Humans; D010814:Physical Therapy Department, Hospital; D020127:Recovery of Function