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Contemporary approaches to the organization of rehabilitation measures after total hip replacement

https://doi.org/10.59598/ME-2305-6053-2025-117-4-30-38

Abstract

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.

About the Authors

Z. O. Kurban
Astana Medical University NС JSC
Kazakhstan

Zhandos Orazalyuly Kurban – Department of Rehabilitation and Sports Medicine

010000, Astana c., Beybitshilik str., 49a



S. A. Bulekbaeva
National Scientific Center for Social Protection Development MLSPP RK RSE on REM
Kazakhstan

050004, Almaty c., Zheltoksan str., 65



N. V. Slivkina
Astana Medical University NС JSC
Kazakhstan

Department of Rehabilitation and Sports Medicine

010000, Astana c., Beybitshilik str., 49a



E. V. Titskaya
Tomsk Research Institute of Balneology and Physiotherapy, FSBI FSCC MRB FMBA of Russia
Russian Federation

Laboratory of Planning and Development of Medical Technologies

634009, Tomsk region, Tomsk c., R. Luxemburg str., 1



D. A. Aldakuatova
Astana Medical University NС JSC
Kazakhstan

Department of Public Health and Hygiene

010000, Astana c., Beybitshilik str., 49a



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Review

For citations:


Kurban Z.O., Bulekbaeva S.A., Slivkina N.V., Titskaya E.V., Aldakuatova D.A. Contemporary approaches to the organization of rehabilitation measures after total hip replacement. Medicine and ecology. 2025;(4):30-38. (In Russ.) https://doi.org/10.59598/ME-2305-6053-2025-117-4-30-38

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