Title |
Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review
|
---|---|
Published in |
BMC Medicine, February 2013
|
DOI | 10.1186/1741-7015-11-37 |
Pubmed ID | |
Authors |
Mazin S Ibrahim, Muhammad A Khan, Ikram Nizam, Fares S Haddad |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 40% |
Netherlands | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 40% |
Practitioners (doctors, other healthcare professionals) | 2 | 40% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 3 | <1% |
Norway | 2 | <1% |
Netherlands | 2 | <1% |
United States | 2 | <1% |
Canada | 1 | <1% |
Unknown | 308 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 44 | 14% |
Other | 40 | 13% |
Researcher | 40 | 13% |
Student > Master | 39 | 12% |
Student > Doctoral Student | 22 | 7% |
Other | 69 | 22% |
Unknown | 64 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 157 | 49% |
Nursing and Health Professions | 40 | 13% |
Psychology | 8 | 3% |
Sports and Recreations | 7 | 2% |
Agricultural and Biological Sciences | 6 | 2% |
Other | 23 | 7% |
Unknown | 77 | 24% |