Fast-track revision knee arthroplasty

TY - JOUR

T1 - Fast-track revision knee arthroplasty

AU - Husted, Henrik

AU - Otte, Niels Kristian Stahl

AU - Kristensen, Billy B

AU - Kehlet, Henrik

PY - 2011/8/1

Y1 - 2011/8/1

N2 - Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery. Methods 29 patients were operated with 30 revision arthroplasties. Median age was 67 (3484) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction. Results Median LOS was 2 (14) days excluding 1 patient, who was transferred to another hospital for logistical reasons (10 days). None of the patients died within 3 months, and 3 patients were re-admitted (2 for suspicion of DVT, which was not found, and 1 for joint mobilization). Patient satisfaction was high. Interpretation Patients undergoing revision TKA for non-septic reasons may be included in fast-track protocols. Outcome appears to be similar to that of primary TKA regarding LOS, morbidity, and satisfaction. Our findings call for larger confirmatory studies and studies involving other indications (revision THA, 1-stage septic revisions).

AB - Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery. Methods 29 patients were operated with 30 revision arthroplasties. Median age was 67 (3484) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction. Results Median LOS was 2 (14) days excluding 1 patient, who was transferred to another hospital for logistical reasons (10 days). None of the patients died within 3 months, and 3 patients were re-admitted (2 for suspicion of DVT, which was not found, and 1 for joint mobilization). Patient satisfaction was high. Interpretation Patients undergoing revision TKA for non-septic reasons may be included in fast-track protocols. Outcome appears to be similar to that of primary TKA regarding LOS, morbidity, and satisfaction. Our findings call for larger confirmatory studies and studies involving other indications (revision THA, 1-stage septic revisions).

U2 - http://dx.doi.org/10.3109/17453674.2011.584211

DO - http://dx.doi.org/10.3109/17453674.2011.584211

M3 - Journal article

SN - 1745-3674

VL - 82

SP - 438

EP - 440

JO - Acta Orthopaedica

JF - Acta Orthopaedica

IS - 4

ER -