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This systematic review examines organizational and methodological approaches to early rehabilitation following total hip arthroplasty (THA). The review analyzes various rehabilitation models across different countries, focusing on effectiveness, economic aspects, and the impact of digital technologies. The analysis suggests that ERAS protocols reduce hospitalization length and rehospitalization rates, while telemedicine and mobile applications show promise in enhancing rehabilitation.
ERAS protocols and Scandinavian/British rehabilitation models following THA demonstrate the highest economic efficiency without compromising functional outcomes.
The analysis of modern organizational and methodological approaches to early rehabilitation after hip replacement was carried out. A systematic literature review on the organization of early postoperative rehabilitation after hip joint arthroplasty was conducted. Various rehabilitation models in different countries, their effectiveness, economic aspects, and the impact of digital technologies on the recovery process were analyzed. The implementation of Enhanced Recovery After Surgery (ERAS) programs has reduced the average length of hospitalization by 2 times without increasing the frequency of complications, while the probability of rehospitalization decreased by more than 60%. Economic analysis showed a reduction in total treatment costs per patient by $4,000 with an additional gain of 0.08 QALY in Denmark. The effectiveness of using telemedicine technologies and mobile applications in the rehabilitation process was revealed. Comparative analysis of national models showed that the Scandinavian and British models demonstrate the highest economic efficiency with comparable functional results.