Results and lessons learned in fast-track arthroplasty

Maderbacher, Guenther and Meyer, Matthias and Grifka, Joachim and Holzapfel, Dominik and Greimel, Felix (2022) Results and lessons learned in fast-track arthroplasty. ORTHOPADE, 51 (5). pp. 374-379. ISSN 0085-4530, 1433-0431

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Abstract

Background Fast-track concepts in arthroplasty are understood as programs to optimize and homogenize perioperative procedures. With few exceptions, the literature reports a reduction in hospitalization time, a decrease in mortality and complications, earlier mobilization, and increased patient satisfaction through fast-track programs. Implementation The implementation of a fast-track concept requires the involvement and motivation of the entire treatment team, as the implementation of only individual components of a fast-track program does not lead to the desired goal. Country-specific regulations must be taken into account when evaluating fast-track programs. In particular, long-term results are also lacking. Outlook For Germany, a scientific review is still pending. Modified perioperative measures but also a shortening of an inpatient stay must not reduce the currently existing high quality of care in arthroplasty. A possible reduction in the length of inpatient stay implies a compression, but not necessarily a reduction in the perioperative care required for a patient. For this reason, the surrounding conditions must also be created at a political level in the future to enable the achievement of the desired high quality.

Item Type: Article
Uncontrolled Keywords: TOTAL KNEE ARTHROPLASTY; ENHANCED RECOVERY; PRIMARY HIP; SURGERY; LENGTH; REPLACEMENT; PROGRAM; Fast track; Enhanced recovery; Total hip arthroplasty; Total knee arthroplasty; Patient reported outcome measures
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 Feb 2024 13:21
Last Modified: 06 Feb 2024 13:21
URI: https://pred.uni-regensburg.de/id/eprint/57751

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