ArticleBMC musculoskeletal disorders2025
Determinants of patient compliance with post-operative rehabilitation after lower limb orthopaedic surgery: a prospective study.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The effect of musculoskeletal health literacy on 90-day emergency department return, readmissions, and post-operative adherence following primary total shoulder arthroplasty.JSES international · 2026Article
- Influence of patients' health beliefs on rehabilitation exercise adherence after knee replacement: the mediating role of exercise psychological needs satisfaction.Scientific reports · 2026Article
- Knowledge, attitudes, and practice regarding rehabilitation among postoperative patients with spinal degenerative diseases: a cross-sectional study.Frontiers in public health · 2026Article
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3 authors.
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Abstract
objectiveTo assess patients' compliance with post-operative rehabilitation protocols following orthopaedic lower limb surgeries, and to identify clinical, demographic, and socioeconomic factors leading to variability in compliance within and across different types of surgeries performed.
methodsThis was a prospective study conducted in a tertiary healthcare hospital in South India. 240 patients who underwent orthopaedic lower limb surgery under the same unit, aged above 18 years, with cognitive capability to comprehend rehabilitation protocols, were included in the study. Patient compliance was assessed according to five parameters: adherence to appointments, weight-bearing activities, exercises, use of walking aids, and intake of medications. Patients' compliance is scored dichotomously for a total score of five, followed by statistical evaluation (binary and multivariate regression analysis) to identify factors leading to variability in compliance.
results53.7% patients were compliant (5/5). The highest compliance was with the intake of medications (91.7%), and the lowest was weight-bearing advice (75.4%). Statistical significance observed for compliance with the appointment date and exercises advised. Males (58.2%) and married individuals (58.3%) with (p value = 0.041 and 0.022, respectively) demonstrated higher compliance. 70.5% of patients in the government scheme in arthroscopy surgeries demonstrated non-compliance. 76.2% married individuals were compliant in the subgroup of other surgeries. 70% females who underwent arthroplasty demonstrated non-compliance. However, no independent predictor was statistically significant in the regression analysis.
conclusionUnderstanding the factors leading to variation in compliance and tailoring the rehabilitation plan is essential to balance the intervention demands and the patient's needs.
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