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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 1/2018

01-02-2018 | Review Article

Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation

Authors: A. S. Galbraith, E. McGloughlin, J. Cashman

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2018

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Abstract

Background

During recent years, there has been an exponential demand for joint arthroplasty, which has coincided with the global economic recession. In response, the management of patients following arthroplasty is continuously evolving, with the average inpatient length of stay decreasing from weeks to days, and more recently, we have witnessed the development of “outpatient arthroplasty” as a novel concept which aims to address the high volume of patients. The reduction in length of stay has been made possible via implementation of “enhanced recovery programmes” encompassing each stage of the patient journey. Such programmes have aimed to maximise efficiency, whilst maintaining patient satisfaction and achieving exceptional functional outcomes.

Objective

We have undertaken a thorough review the literature in relation to enhanced recovery programmes (ERPs) and the research that has underpinned individual elements of enhanced recovery. A literature search of enhanced recovery protocols was carried out using PubMed, Cochrane, Embase and OVID. No language restrictions were imposed on the search.

Review

ERPs represent a multifactorial framework which may be subdivided into several phases. Pre-operative education programmes, outpatient consultation, pre-anaesthetic assessment, pre-procedural physiotherapy, day-of-surgery admission, pre-operative medications, type of anaesthesia, blood loss reduction protocols, multimodal analgesia delivery, day-of-surgery mobilisation, thromboembolic prophylaxis and ongoing rehabilitation are essential in enhanced recovery.

Conclusion

These successful strategies have streamlined the patient pathway of arthroplasty surgery in a cost-effective manner, whilst reducing length of hospital stay and maintaining patient outcomes. Further studies are required to appropriately quantify the impact of individual variables and development of an internationally agreed ERP.
Literature
1.
Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA et al (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum 58(1):26–35PubMedPubMedCentralCrossRef
2.
3.
Parvizi J, Trousdale RT, Sarr MG (2000) Total joint arthroplasty in patients surgically treated for morbid obesity. J Arthroplast 15(8):1003–1008CrossRef
4.
Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114(2):93–98PubMedCrossRef
5.
Horan F (2006) Obesity and joint replacement. J Bone Joint Surg 88(10):1269–1271CrossRef
6.
Guenther D, Schmidl S, Klatte TO, Widhalm HK, Omar M, Krettek C et al (2015) Overweight and obesity in hip and knee arthroplasty: evaluation of 6078 cases. World J Orthop 6(1):137–144PubMedPubMedCentralCrossRef
7.
8.
9.
Kurtz SM, Ong KL, Lau E, Bozic KJ (2014) Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021. J Bone Joint Surg Am 96(8):624–630PubMedCrossRef
10.
Klein GR, Parcells BW, Levine HB, Dabaghian L, Hartzband MA (2013) The economic recession and its effect on utilization of elective total joint arthroplasty. Am J Orthop (Belle Mead, NJ) 42(11):499–504
11.
Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78(5):606–617PubMedCrossRef
12.
Basse L, Hjort Jakobsen D, Billesbolle P, Werner M, Kehlet H (2000) A clinical pathway to accelerate recovery after colonic resection. Ann Surg 232(1):51–57PubMedPubMedCentralCrossRef
13.
Basse L, Thorbol JE, Lossl K, Kehlet H (2004) Colonic surgery with accelerated rehabilitation or conventional care. Dis Colon Rectum 47(3):271–277 discussion 7-8 PubMedCrossRef
14.
Anderson AD, McNaught CE, MacFie J, Tring I, Barker P, Mitchell CJ (2003) Randomized clinical trial of multimodal optimization and standard perioperative surgical care. Br J Surg 90(12):1497–1504PubMedCrossRef
15.
Ghomrawi HM, Franco Ferrando N, Mandl LA, Do H, Noor N (2011) Gonzalez Della Valle a. How often are patient and surgeon recovery expectations for total joint arthroplasty aligned? Results of a pilot study. HSS J 7(3):229–234PubMedPubMedCentralCrossRef
16.
Bozic KJ, Belkora J, Chan V, Youm J, Zhou T, Dupaix J et al (2013) Shared decision making in patients with osteoarthritis of the hip and knee: results of a randomized controlled trial. J Bone Joint Surg Am 95(18):1633–1639PubMedCrossRef
17.
Jourdan C, Poiraudeau S, Descamps S, Nizard R, Hamadouche M, Anract P et al (2012) Comparison of patient and surgeon expectations of total hip arthroplasty. PLoS One 7(1):e30195PubMedPubMedCentralCrossRef
18.
Scott CE, Bugler KE, Clement ND, MacDonald D, Howie CR, Biant LC (2012) Patient expectations of arthroplasty of the hip and knee. J Bone Joint Surg 94(7):974–981CrossRef
19.
Tait MA, Dredge C, Barnes CL (2015) Preoperative patient education for hip and knee arthroplasty: financial benefit? J Surg Orthop Adv 24(4):246–251PubMedCrossRef
20.
Moulton LS, Evans PA, Starks I, Smith T (2015) Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome. Int Orthop 39(8):1483–1486PubMedCrossRef
21.
McDonald S, Page MJ, Beringer K, Wasiak J, Sprowson A (2014) Preoperative education for hip or knee replacement. Cochrane Database Syst Rev (5):Cd003526
22.
London DA, Vilensky S, O'Rourke C, Schill M, Woicehovich L, Froimson MI (2016) Discharge disposition after joint replacement and the potential for cost savings: effect of hospital policies and surgeons. J Arthroplast 31(4):743–748CrossRef
23.
Bozic KJ, Wagie A, Naessens JM, Berry DJ, Rubash HE (2006) Predictors of discharge to an inpatient extended care facility after total hip or knee arthroplasty. J Arthroplast 21(6 Suppl 2):151–156CrossRef
24.
Oldmeadow LB, McBurney H, Robertson VJ, Kimmel L, Elliott B (2004) Targeted postoperative care improves discharge outcome after hip or knee arthroplasty. Arch Phys Med Rehabil 85(9):1424–1427PubMedCrossRef
25.
Keswani A, Tasi MC, Fields A, Lovy AJ, Moucha CS, Bozic KJ (2016) Discharge destination after total joint arthroplasty: an analysis of postdischarge outcomes, placement risk factors, and recent trends. J Arthroplast 31(6):1155–1162CrossRef
26.
Fournier MN, Hallock J, Mihalko WM (2016) Preoperative optimization of total joint arthroplasty surgical risk: obesity. J Arthroplast 31(8):1620–1624CrossRef
27.
Mednick RE, Alvi HM, Krishnan V, Lovecchio F, Manning DW (2014) Factors affecting readmission rates following primary total hip arthroplasty. J Bone Joint Surg Am 96(14):1201–1209PubMedCrossRef
28.
Maoz G, Phillips M, Bosco J, Slover J, Stachel A, Inneh I et al (2015) The Otto Aufranc award: modifiable versus nonmodifiable risk factors for infection after hip arthroplasty. Clin Orthop Relat Res 473(2):453–459PubMedCrossRef
29.
(2011) Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology 114(3):495–511
30.
Ogino Y, Kakeda T, Nakamura K, Saito S (2014) Dehydration enhances pain-evoked activation in the human brain compared with rehydration. Anesth Analg 118(6):1317–1325PubMedCrossRef
31.
(2015) Practice guidelines for perioperative blood management: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management*. Anesthesiology 122(2):241–75
32.
Soop M, Nygren J, Myrenfors P, Thorell A, Ljungqvist O (2001) Preoperative oral carbohydrate treatment attenuates immediate postoperative insulin resistance. Am J Phys Endocrinol Metab 280(4):E576–E583CrossRef
33.
Protic A, Turina D, Matanic D, Spanjol J, Zuvic-Butorac M, Sustic A (2010) Effect of preoperative feeding on gastric emptying following spinal anesthesia: a randomized controlled trial. Wien Klin Wochenschr 122(1–2):50–53PubMedCrossRef
34.
Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O (1998) Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr (Edinburgh, Scotland) 17(2):65–71CrossRef
35.
Thorell A, Nygren J, Ljungqvist O (1999) Insulin resistance: a marker of surgical stress. Curr Opin Clin Nutr Metab Care 2(1):69–78PubMedCrossRef
36.
Noblett SE, Watson DS, Huong H, Davison B, Hainsworth PJ, Horgan AF (2006) Pre-operative oral carbohydrate loading in colorectal surgery: a randomized controlled trial. Color Dis 8(7):563–569CrossRef
37.
Li L, Wang Z, Ying X, Tian J, Sun T, Yi K et al (2012) Preoperative carbohydrate loading for elective surgery: a systematic review and meta-analysis. Surg Today 42(7):613–624PubMedCrossRef
38.
Bilku DK, Dennison AR, Hall TC, Metcalfe MS, Garcea G (2014) Role of preoperative carbohydrate loading: a systematic review. Ann R Coll Surg Engl 96(1):15–22PubMedPubMedCentralCrossRef
39.
Harsten A, Hjartarson H, Toksvig-Larsen S (2012) Total hip arthroplasty and perioperative oral carbohydrate treatment: a randomised, double-blind, controlled trial. Eur J Anaesthesiol 29(6):271–274PubMedCrossRef
40.
Borghi B, Casati A (2000) Incidence and risk factors for allogenic blood transfusion during major joint replacement using an integrated autotransfusion regimen. The Rizzoli study group on Orthopaedic Anaesthesia. Eur J Anaesthesiol 17(7):411–417PubMedCrossRef
41.
Hart A, Khalil JA, Carli A, Huk O, Zukor D, Antoniou J (2014) Blood transfusion in primary total hip and knee arthroplasty. Incidence, risk factors, and thirty-day complication rates. J Bone Joint Surg Am 96(23):1945–1951PubMedCrossRef
42.
Friedman R, Homering M, Holberg G, Berkowitz SD (2014) Allogeneic blood transfusions and postoperative infections after total hip or knee arthroplasty. J Bone Joint Surg Am 96(4):272–278PubMedCrossRef
43.
Park JH, Rasouli MR, Mortazavi SM, Tokarski AT, Maltenfort MG, Parvizi J (2013) Predictors of perioperative blood loss in total joint arthroplasty. J Bone Joint Surg Am 95(19):1777–1783PubMedCrossRef
44.
Rasouli MR, Gomes LS, Parsley B, Barsoum W, Bezwada H, Cashman J et al (2014) Blood conservation. J Orthop Res 32(Suppl 1):S81–S89PubMed
45.
Faris PM, Spence RK, Larholt KM, Sampson AR, Frei D (1999) The predictive power of baseline hemoglobin for transfusion risk in surgery patients. Orthopedics 22(1 Suppl):s135–s140PubMed
46.
Faris PM, Ritter MA, Abels RI (1996) The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation. The American Erythropoietin Study Group. J Bone Joint Surg Am 78(1):62–72PubMedCrossRef
47.
Morais S, Ortega-Andreu M, Rodriguez-Merchan EC, Padilla-Eguiluz NG, Perez-Chrzanowska H, Figueredo-Zalve R et al (2014) Blood transfusion after primary total knee arthroplasty can be significantly minimised through a multimodal blood-loss prevention approach. Int Orthop 38(2):347–354PubMedCrossRef
48.
Holt JB, Miller BJ, Callaghan JJ, Clark CR, Willenborg MD, Noiseux NO (2016) Minimizing blood transfusion in total hip and knee arthroplasty through a multimodal approach. J Arthroplast 31(2):378–382CrossRef
49.
Carson JL, Terrin ML, Noveck H, Sanders DW, Chaitman BR, Rhoads GG et al (2011) Liberal or restrictive transfusion in high-risk patients after hip surgery. N Engl J Med 365(26):2453–2462PubMedPubMedCentralCrossRef
50.
Sukeik M, Alshryda S, Haddad FS, Mason JM (2011) Systematic review and meta-analysis of the use of tranexamic acid in total hip replacement. J Bone Joint Surg 93(1):39–46CrossRef
51.
Kagoma YK, Crowther MA, Douketis J, Bhandari M, Eikelboom J, Lim W (2009) Use of antifibrinolytic therapy to reduce transfusion in patients undergoing orthopedic surgery: a systematic review of randomized trials. Thromb Res 123(5):687–696PubMedCrossRef
52.
Alshryda S, Sarda P, Sukeik M, Nargol A, Blenkinsopp J, Mason JM (2011) Tranexamic acid in total knee replacement: a systematic review and meta-analysis. J Bone Joint Surg 93(12):1577–1585CrossRef
53.
Shore-Lesserson L, Reich DL, Vela-Cantos F, Ammar T, Ergin MA (1996) Tranexamic acid reduces transfusions and mediastinal drainage in repeat cardiac surgery. Anesth Analg 83(1):18–26PubMedCrossRef
54.
Benoni G, Fredin H (1996) Fibrinolytic inhibition with tranexamic acid reduces blood loss and blood transfusion after knee arthroplasty: a prospective, randomised, double-blind study of 86 patients. J Bone Joint Surg 78(3):434–440
55.
Gillette BP, DeSimone LJ, Trousdale RT, Pagnano MW, Sierra RJ (2013) Low risk of thromboembolic complications with tranexamic acid after primary total hip and knee arthroplasty. Clin Orthop Relat Res 471(1):150–154PubMedCrossRef
56.
Rajesparan K, Biant LC, Ahmad M, Field RE (2009) The effect of an intravenous bolus of tranexamic acid on blood loss in total hip replacement. J Bone Joint Surg 91(6):776–783CrossRef
57.
Watts CD, Pagnano MW (2012) Minimising blood loss and transfusion in contemporary hip and knee arthroplasty. J Bone Joint Surg 94(11 Suppl A):8–10CrossRef
58.
Roberts I, Shakur H, Afolabi A, Brohi K, Coats T, Dewan Y et al (2011) The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. Lancet (London, England) 377(9771):1096–101, 101.e1–2
59.
Williams-Johnson JA, McDonald AH, Strachan GG, Williams EW (2010) Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. West Indian Med J 59(6):612–624PubMed
60.
Wong J, Abrishami A, El Beheiry H, Mahomed NN, Roderick Davey J, Gandhi R et al (2010) Topical application of tranexamic acid reduces postoperative blood loss in total knee arthroplasty: a randomized, controlled trial. J Bone Joint Surg Am 92(15):2503–2513PubMedCrossRef
61.
Chen Y, Chen Z, Cui S, Li Z, Yuan Z (2016) Topical versus systemic tranexamic acid after total knee and hip arthroplasty: a meta-analysis of randomized controlled trials. Medicine 95(41):e4656PubMedPubMedCentralCrossRef
62.
Carless PA, Henry DA, Moxey AJ, O’Connell DL, Fergusson DA (2003) Cell salvage for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev (4):Cd001888
63.
Sibia US, MacDonald JH, King PJ (2016) Predictors of hospital length of stay in an enhanced recovery after surgery program for primary total hip arthroplasty. J Arthroplast 31(10):2119–2123CrossRef
64.
Hu S, Zhang ZY, Hua YQ, Li J, Cai ZD (2009) A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis. J Bone Joint Surg 91(7):935–942CrossRef
65.
Mauermann WJ, Shilling AM, Zuo Z (2006) A comparison of neuraxial block versus general anesthesia for elective total hip replacement: a meta-analysis. Anesth Analg 103(4):1018–1025PubMedCrossRef
66.
Memtsoudis SG, Sun X, Chiu YL, Stundner O, Liu SS, Banerjee S et al (2013) Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology 118(5):1046–1058PubMedPubMedCentralCrossRef
67.
Johnson RL, Kopp SL, Burkle CM, Duncan CM, Jacob AK, Erwin PJ et al (2016) Neuraxial vs general anaesthesia for total hip and total knee arthroplasty: a systematic review of comparative-effectiveness research. Br J Anaesth 116(2):163–176PubMedCrossRef
68.
Apan A, ÖnC A (2014) Complications in spinal anaesthesia. In: Whizar-Lugo VM (ed) Topics in spinal Anaesthesia. InTech, Rijeka, p Ch. 07
69.
Wiramus S DD, Parratte S, Argenson JN (2014) Modern anesthesia techniques for total joint arthroplasty: from blood preservation to modern pain control. Ann Orthop Rheumatol 2(3)
70.
Kehlet H (1991) The surgical stress response: should it be prevented? Can J Surg 34(6):565–567PubMed
71.
72.
73.
Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89(4):780–785PubMed
74.
Pagnano MW, Hebl J, Horlocker T (2006) Assuring a painless total hip arthroplasty: a multimodal approach emphasizing peripheral nerve blocks. J Arthroplast 21(4 Suppl 1):80–84CrossRef
75.
Danninger T, Opperer M, Memtsoudis SG (2014) Perioperative pain control after total knee arthroplasty: an evidence based review of the role of peripheral nerve blocks. World J Orthop 5(3):225–232PubMedPubMedCentralCrossRef
76.
Oderda GM, Evans RS, Lloyd J, Lipman A, Chen C, Ashburn M et al (2003) Cost of opioid-related adverse drug events in surgical patients. J Pain Symptom Manag 25(3):276–283CrossRef
77.
Vendittoli PA, Makinen P, Drolet P, Lavigne M, Fallaha M, Guertin MC et al (2006) A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study. J Bone Joint Surg Am 88(2):282–289PubMedCrossRef
78.
Yadeau JT, Goytizolo EA, Padgett DE, Liu SS, Mayman DJ, Ranawat AS et al (2013) Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomised pragmatic trial. Bone Joint J 95-b(5):629–635PubMedCrossRef
79.
Andersen LO, Husted H, Otte KS, Kristensen BB, Kehlet H (2008) High-volume infiltration analgesia in total knee arthroplasty: a randomized, double-blind, placebo-controlled trial. Acta Anaesthesiol Scand 52(10):1331–1335PubMedCrossRef
80.
Mullaji A, Kanna R, Shetty GM, Chavda V, Singh DP (2010) Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial. J Arthroplast 25(6):851–857CrossRef
81.
Tsukada S, Wakui M, Hoshino A (2014) Postoperative epidural analgesia compared with intraoperative periarticular injection for pain control following total knee arthroplasty under spinal anesthesia: a randomized controlled trial. J Bone Joint Surg Am 96(17):1433–1438PubMedCrossRef
82.
Guild GN 3rd, Galindo RP, Marino J, Cushner FD, Scuderi GR (2015) Periarticular regional analgesia in total knee arthroplasty: a review of the neuroanatomy and injection technique. Orthop Clin North Am 46(1):1–8PubMedCrossRef
83.
Lavie LG, Fox MP, Dasa V (2016) Overview of total knee arthroplasty and modern pain control strategies. Curr Pain Headache Rep 20(11):59PubMedCrossRef
84.
Wang C, Cai XZ, Yan SG (2015) Comparison of periarticular multimodal drug injection and femoral nerve block for postoperative pain management in total knee arthroplasty: a systematic review and meta-analysis. J Arthroplast 30(7):1281–1286CrossRef
85.
Watcha MF, White PF (1992) Postoperative nausea and vomiting. Its etiology, treatment, and prevention. Anesthesiology 77(1):162–184PubMedCrossRef
86.
Lunn TH, Kristensen BB, Andersen LO, Husted H, Otte KS, Gaarn-Larsen L et al (2011) Effect of high-dose preoperative methylprednisolone on pain and recovery after total knee arthroplasty: a randomized, placebo-controlled trial. Br J Anaesth 106(2):230–238PubMedCrossRef
87.
Goyal N, Chen AF, Padgett SE, Tan TL, Kheir MM, Hopper RH Jr et al (2017) Otto Aufranc award: a multicenter, randomized study of outpatient versus inpatient total hip arthroplasty. Clin Orthop Relat Res 475(2):364–372PubMedCrossRef
88.
Stambough JB, Nunley RM, Curry MC, Steger-May K, Clohisy JC (2015) Rapid recovery protocols for primary total hip arthroplasty can safely reduce length of stay without increasing readmissions. J Arthroplast 30(4):521–526CrossRef
89.
Khan SK, Malviya A, Muller SD, Carluke I, Partington PF, Emmerson KP et al (2014) Reduced short-term complications and mortality following enhanced recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures. Acta Orthop 85(1):26–31PubMedPubMedCentralCrossRef
90.
Malviya A, Martin K, Harper I, Muller SD, Emmerson KP, Partington PF et al (2011) Enhanced recovery program for hip and knee replacement reduces death rate. Acta Orthop 82(5):577–581PubMedPubMedCentralCrossRef
91.
Rodriguez JA, Deshmukh AJ, Rathod PA, Greiz ML, Deshmane PP, Hepinstall MS et al (2014) Does the direct anterior approach in THA offer faster rehabilitation and comparable safety to the posterior approach? Clin Orthop Relat Res 472(2):455–463PubMedCrossRef
92.
Bergin PF, Doppelt JD, Kephart CJ, Benke MT, Graeter JH, Holmes AS et al (2011) Comparison of minimally invasive direct anterior versus posterior total hip arthroplasty based on inflammation and muscle damage markers. J Bone Joint Surg Am 93(15):1392–1398PubMedPubMedCentralCrossRef
93.
Bertin KC, Rottinger H (2004) Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach. Clin Orthop Relat res 429:248–255CrossRef
94.
Woolson ST, Mow CS, Syquia JF, Lannin JV, Schurman DJ (2004) Comparison of primary total hip replacements performed with a standard incision or a mini-incision. J Bone Joint Surg Am 86-a(7):1353–1358PubMedCrossRef
95.
Lin YC, Chen CH, Huang HT, Su JY, Fu YC, Chang JK et al (2007) Minimally invasive total hip arthroplasty using a posterolateral approach: technique and preliminary results. Kaohsiung J Med Sci 23(12):611–617PubMedCrossRef
96.
Irving JF (2004) Direct two-incision total hip replacement without fluoroscopy. Orthop Clin North Am 35(2):173–181PubMedCrossRef
97.
Mirza AJ, Lombardi AV Jr, Morris MJ, Berend KR (2014) A mini-anterior approach to the hip for total joint replacement: optimising results: improving hip joint replacement outcomes. Bone Joint J 96-b(11 Supple A):32–35PubMedCrossRef
98.
Berend KR, Lombardi AV Jr, Seng BE, Adams JB (2009) Enhanced early outcomes with the anterior supine intermuscular approach in primary total hip arthroplasty. J Bone Joint Surg Am 91(Suppl 6):107–120PubMedCrossRef
99.
Bhandari M, Matta JM, Dodgin D, Clark C, Kregor P, Bradley G et al (2009) Outcomes following the single-incision anterior approach to total hip arthroplasty: a multicenter observational study. Orthop Clin North Am 40(3):329–342PubMedCrossRef
100.
Malek IA, Royce G, Bhatti SU, Whittaker JP, Phillips SP, Wilson IR et al (2016) A comparison between the direct anterior and posterior approaches for total hip arthroplasty: the role of an ‘enhanced recovery’ pathway. Bone Joint J 98-b(6):754–760PubMedCrossRef
101.
Poehling-Monaghan KL, Kamath AF, Taunton MJ, Pagnano MW (2015) Direct anterior versus miniposterior THA with the same advanced perioperative protocols: surprising early clinical results. Clin Orthop Relat Res 473(2):623–631PubMedCrossRef
102.
Parentis MA, Rumi MN, Deol GS, Kothari M, Parrish WM, Pellegrini VD Jr (1999) A comparison of the vastus splitting and median parapatellar approaches in total knee arthroplasty. Clin Orthop Relat Res 367:107–116CrossRef
103.
Alcelik I, Sukeik M, Pollock R, Misra A, Naguib A, Haddad FS (2012) Comparing the mid-vastus and medial parapatellar approaches in total knee arthroplasty: a meta-analysis of short term outcomes. Knee 19(4):229–236PubMedCrossRef
104.
Thienpont E, Lavand’homme P, Kehlet H (2015) The constraints on day-case total knee arthroplasty: the fastest fast track. Bone Joint J 97-b(10 Suppl A):40–44PubMedCrossRef
105.
Xu SZ, Lin XJ, Tong X, Wang XW (2014) Minimally invasive midvastus versus standard parapatellar approach in total knee arthroplasty: a meta-analysis of randomized controlled trials. PLoS One 9(5):e95311PubMedPubMedCentralCrossRef
106.
Engh GA, Holt BT, Parks NL (1997) A midvastus muscle-splitting approach for total knee arthroplasty. J Arthroplast 12(3):322–331CrossRef
107.
van Hemert WL, Senden R, Grimm B, van der Linde MJ, Lataster A, Heyligers IC (2011) Early functional outcome after subvastus or parapatellar approach in knee arthroplasty is comparable. Knee Surg, Sports Traumatol, Arthrosc 19(6):943–951CrossRef
108.
Bourke MG, Sclavos EK, Jull GA, Buttrum PJ, Dalton PA, Russell TG (2012) A comparison of patellar vascularity between the medial parapatellar and subvastus approaches in total knee arthroplasty. J Arthroplast 27(6):1123–7.e1CrossRef
109.
den Hertog A, Gliesche K, Timm J, Muhlbauer B, Zebrowski S (2012) Pathway-controlled fast-track rehabilitation after total knee arthroplasty: a randomized prospective clinical study evaluating the recovery pattern, drug consumption, and length of stay. Arch Orthop Trauma Surg 132(8):1153–1163CrossRef
110.
Roos EM (2003) Effectiveness and practice variation of rehabilitation after joint replacement. Curr Opin Rheumatol 15(2):160–162PubMedCrossRef
111.
Okamoto T, Ridley RJ, Edmondston SJ, Visser M, Headford J, Yates PJ (2016) Day-of-surgery mobilization reduces the length of stay after elective hip arthroplasty. J Arthroplast 31(10):2227–2230CrossRef
112.
Raphael M, Jaeger M, van Vlymen J (2011) Easily adoptable total joint arthroplasty program allows discharge home in two days. Can J Anaesth 58(10):902–910PubMedCrossRef
113.
Gulotta LV, Padgett DE, Sculco TP, Urban M, Lyman S, Nestor BJ (2011) Fast track THR: one hospital’s experience with a 2-day length of stay protocol for total hip replacement. HSS J 7(3):223–228PubMedPubMedCentralCrossRef
114.
Dorr LD, Thomas DJ, Zhu J, Dastane M, Chao L, Long WT (2010) Outpatient total hip arthroplasty. J Arthroplast 25(4):501–506CrossRef
115.
Dorr LD, Maheshwari AV, Long WT, Wan Z, Sirianni LE (2007) Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty. A prospective, randomized, blinded study. J Bone Joint Surg Am 89(6):1153–1160PubMedCrossRef
116.
Berger RA, Sanders S, Gerlinger T, Della Valle C, Jacobs JJ, Rosenberg AG (2005) Outpatient total knee arthroplasty with a minimally invasive technique. J Arthroplast 20(7 Suppl 3):33–38CrossRef
117.
Parvizi J, Mui A, Purtill JJ, Sharkey PF, Hozack WJ, Rothman RH (2007) Total joint arthroplasty: when do fatal or near-fatal complications occur? J Bone Joint Surg Am 89(1):27–32PubMed
118.
Larsen K, Hansen TB, Thomsen PB, Christiansen T, Soballe K (2009) Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. J Bone Joint Surg Am 91(4):761–772PubMedCrossRef
119.
120.
Kurtz SM, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E et al (2007) Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg Am 89(Suppl 3):144–151PubMed
121.
Bozic KJ, Saleh KJ, Rosenberg AG, Rubash HE (2004) Economic evaluation in total hip arthroplasty: analysis and review of the literature. J Arthroplast 19(2):180–189CrossRef
122.
Antoniou J, Martineau PA, Filion KB, Haider S, Zukor DJ, Huk OL et al (2004) In-hospital cost of total hip arthroplasty in Canada and the United States. J Bone Joint Surg Am 86-a(11):2435–2439PubMedCrossRef
123.
Belatti DA, Pugely AJ, Phisitkul P, Amendola A, Callaghan JJ (2014) Total joint arthroplasty: trends in medicare reimbursement and implant prices. J Arthroplast 29(8):1539–1544CrossRef
124.
Bozic KJ, Ward L, Vail TP, Maze M (2014) Bundled payments in total joint arthroplasty: targeting opportunities for quality improvement and cost reduction. Clin Orthop Relat Res 472(1):188–193PubMedCrossRef
Metadata
Title
Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation
Authors
A. S. Galbraith
E. McGloughlin
J. Cashman
Publication date
01-02-2018
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2018
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-017-1641-9

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