However, evidence of when to start mobilization is missing.
In case of very extensive acetabular reconstructions, e.g. severe pelvic dislocation and high dislocation, patients initially had a six-week period of bed rest to achieve full graft incorporation before starting mobilization.
Criteria for discharge are those for functional recovery and include: started with mobilization, oral or enteral intake according to nutritional demand, without supplementary intravenous fluids and adequate pain control with oral medication.
Limiting factors to start early mobilization included restricted staffing capacities, diagnostic or surgical procedures, patients' refusal, as well as severe hemodynamic instability.
One week postoperatively, the patients were encouraged to start passive mobilization of the shoulder with forward flexion to 60° and external rotation to 10°.
A hinged external elbow fixator, on the other hand, may provide enough stability to start early mobilization after ORIF or arthroplasty and may prevent residual instability and stiffness [ 4, 5].
"Our business plan when we started depended on mobilization of other businesses in the area," he said.
Active mobilization started on the evening of the procedure.
Its mobilization started under water saturated conditions caused by a rise in groundwater.
This started from passive mobilization on the bicycle, and the resistance was then gradually increased based on patient's tolerance.
