Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review

BMC Medicine

Fares S Haddad¹  Ikram Nizam¹  Muhammad A Khan¹  Mazin S Ibrahim¹ 

[1]Department of Trauma and Orthopaedics, University College Hospital, 235 Euston Road, London, NW1 2BU, UK

关键词: rehabilitation.;    surgical interventions;    recovery of function;    functional outcomes;    arthroplasty;    hip;    Knee;   

Others  :  857193
DOI  :  10.1186/1741-7015-11-37

 received in 2012-10-23, accepted in 2013-02-13,  发布年份 2013

【 摘 要 】

The increasing numbers of patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA), combined with the rapidly growing repertoire of surgical techniques and interventions available have put considerable pressure on surgeons and other healthcare professionals to produce excellent results with early functional recovery and short hospital stays. The current economic climate and the restricted healthcare budgets further necessitate brief hospitalization while minimizing costs.

Clinical pathways and protocols introduced to achieve these goals include a variety of peri-operative interventions to fulfill patient expectations and achieve the desired outcomes.

In this review, we present an evidence-based summary of common interventions available to achieve enhanced recovery, reduce hospital stay, and improve functional outcomes following THA and TKA. It covers pre-operative patient education and nutrition, pre-emptive analgesia, neuromuscular electrical stimulation, pulsed electromagnetic fields, peri-operative rehabilitation, modern wound dressings, standard surgical techniques, minimally invasive surgery, and fast-track arthroplasty units.

【 授权许可】

   
2013 Ibrahim et al; licensee BioMed Central Ltd.

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