The enhanced recovery program for hip and knee replacements – Our experience

Joint first for hip and knee replacements.

Enhanced recovery program for hip and knee replacement reduces death rate

BACKGROUND AND PURPOSE Multimodal techniques can aid early rehabilitation and discharge of patients following primary joint replacement. We hypothesized that this not only reduces the economic burden of joint replacement by reducing length of stay, but also helps in reduction of early complications. PATIENTS AND METHODS We evaluated 4,500 consecutive unselected total hip replacements and tota...

An enhanced recovery after surgery program for hip and knee arthroplasty.

OBJECTIVE To institute and evaluate the benefits of an enhanced recovery after surgery (ERAS) program across three hospitals in Victoria. DESIGN, SETTING AND PARTICIPANTS We used a before-and-after quality improvement study design consisting of three phases: pre-ERAS program data collection from March to September 2012; ERAS training and implementation during September 2012; and change perfor...

Reduced medium-term mortality following primary total hip and knee arthroplasty with an enhanced recovery program

BACKGROUND AND PURPOSE Our unit started to use routine multimodal techniques to enhance recovery for hip and knee arthroplasty in 2008. We have previously reported earlier discharge, a trend toward a reduction in complications, and a statistically significant reduction in mortality up to 90 days after surgery. In this study, we evaluated the same cohort to determine whether survival benefits we...

Current Concepts Review Wear in Total Hip and Knee Replacements

Before the advent of total joint replacement, patients who had end-stage arthritis of the lower extremities had unremitting pain and a greatly decreased functional capacity. In addition, they often were confined to a wheelchair and were dependent on the care of others. Today, the outcomes of primary total hip and knee replacement are predictable and usually excellent. Prosthetic joint replaceme...