Enhanced recovery in total hip replacement: a clinical review
| Autor: | Ikram Nizam, Mazin Ibrahim, Fares S. Haddad, Dia Eldean Giebaly, H. Twaij |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Pain Postoperative Rehabilitation Evidence-Based Medicine Joint replacement business.industry medicine.medical_treatment Arthroplasty Replacement Hip Total hip replacement Psychological intervention Recovery of Function Length of Stay Perioperative Care Treatment Outcome Enhanced recovery Patient Education as Topic Invasive surgery medicine Physical therapy Humans Orthopedics and Sports Medicine Surgery Fast track business Patient education |
| Zdroj: | The bonejoint journal. (12) |
| ISSN: | 2049-4408 |
| Popis: | The outcome after total hip replacement has improved with the development of surgical techniques, better pain management and the introduction of enhanced recovery pathways. These pathways require a multidisciplinary team to manage pre-operative education, multimodal pain control and accelerated rehabilitation. The current economic climate and restricted budgets favour brief hospitalisation while minimising costs. This has put considerable pressure on hospitals to combine excellent results, early functional recovery and shorter admissions. In this review we present an evidence-based summary of some common interventions and methods, including pre-operative patient education, pre-emptive analgesia, local infiltration analgesia, pre-operative nutrition, the use of pulsed electromagnetic fields, peri-operative rehabilitation, wound dressings, different surgical techniques, minimally invasive surgery and fast-track joint replacement units. Cite this article: Bone Joint J 2013;95-B:1587–94. |
| Databáze: | OpenAIRE |
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