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D. Beverland

230

The economic gains of not having to undergo

outpatient physiotherapy are considerable

particularly in transport and staffing costs.

As can be seen from the figures below our

population are generally within the age limits

of retirement. It is possible that in younger

patients outpatient physiotherapy could affect

the speed of return to work and the duration of

sickness payments although this would have to

be offset against the cost of attending

physiotherapy.

In conclusion, in our population outpatient

physiotherapy did not improve the range of

knee motion or other outcome measures at one

year after primary total knee arthroplasty and

therefore at present “self-rehabilitation” does

not seem unreasonable.

Literature

[1] Mockford BJ1, Thompson NW, Humphreys P,

BeverlandDE. Does a standard outpatient physiotherapy

regime improve the range of knee motion after primary total

knee arthroplasty?

J Arthroplasty. 2008 Dec; 23(8): 1110-4

.