Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review
The Enhanced Recovery After Surgery (ERAS) or Fast Track is defined as a multi-disciplinary, peri- and post-operative approach finalized to reduce surgical stress and simplify post-operative recovery. It has been introduced more than 20 years ago by Khelet to improve outcomes in general surgery. Fas...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/13/3/52 |
| _version_ | 1797595394242248704 |
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| author | Alberto Di Martino Matteo Brunello Davide Pederiva Francesco Schilardi Valentino Rossomando Piergiorgio Cataldi Claudio D’Agostino Rossana Genco Cesare Faldini |
| author_facet | Alberto Di Martino Matteo Brunello Davide Pederiva Francesco Schilardi Valentino Rossomando Piergiorgio Cataldi Claudio D’Agostino Rossana Genco Cesare Faldini |
| author_sort | Alberto Di Martino |
| collection | DOAJ |
| description | The Enhanced Recovery After Surgery (ERAS) or Fast Track is defined as a multi-disciplinary, peri- and post-operative approach finalized to reduce surgical stress and simplify post-operative recovery. It has been introduced more than 20 years ago by Khelet to improve outcomes in general surgery. Fast Track is adapted to the patient’s condition and improves traditional rehabilitation methods using evidence-based practices. Fast Track programs have been introduced into total hip arthroplasty (THA) surgery, with a reduction in post-operative length of stay, shorter convalescence, and rapid functional recovery without increased morbidity and mortality. We have divided Fast Track into three cores: pre-, intra-, and post-operative. For the first, we analyzed the standards of patient selection, for the second the anesthesiologic and intraoperative protocols, for the third the possible complications and the appropriate postoperative management. This narrative review aims to present the current status of THA Fast Track surgery research, implementation, and perspectives for further improvements. By implementing the ERAS protocol in the THA setting, an increase in patient satisfaction can be obtained while retaining safety and improving clinical outcomes. |
| first_indexed | 2024-03-11T02:36:51Z |
| format | Article |
| id | doaj.art-6cdf5ba0375044a3b15b5691684b4d54 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-11T02:36:51Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-6cdf5ba0375044a3b15b5691684b4d542023-11-18T09:52:52ZengMDPI AGClinics and Practice2039-72832023-04-0113356958210.3390/clinpract13030052Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative ReviewAlberto Di Martino0Matteo Brunello1Davide Pederiva2Francesco Schilardi3Valentino Rossomando4Piergiorgio Cataldi5Claudio D’Agostino6Rossana Genco7Cesare Faldini81st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, Italy1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136 Bologna, ItalyThe Enhanced Recovery After Surgery (ERAS) or Fast Track is defined as a multi-disciplinary, peri- and post-operative approach finalized to reduce surgical stress and simplify post-operative recovery. It has been introduced more than 20 years ago by Khelet to improve outcomes in general surgery. Fast Track is adapted to the patient’s condition and improves traditional rehabilitation methods using evidence-based practices. Fast Track programs have been introduced into total hip arthroplasty (THA) surgery, with a reduction in post-operative length of stay, shorter convalescence, and rapid functional recovery without increased morbidity and mortality. We have divided Fast Track into three cores: pre-, intra-, and post-operative. For the first, we analyzed the standards of patient selection, for the second the anesthesiologic and intraoperative protocols, for the third the possible complications and the appropriate postoperative management. This narrative review aims to present the current status of THA Fast Track surgery research, implementation, and perspectives for further improvements. By implementing the ERAS protocol in the THA setting, an increase in patient satisfaction can be obtained while retaining safety and improving clinical outcomes.https://www.mdpi.com/2039-7283/13/3/52enhanced recovery after surgeryfast tracktotal hip arthroplastyperi-operativepost-operativepre-operative |
| spellingShingle | Alberto Di Martino Matteo Brunello Davide Pederiva Francesco Schilardi Valentino Rossomando Piergiorgio Cataldi Claudio D’Agostino Rossana Genco Cesare Faldini Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review Clinics and Practice enhanced recovery after surgery fast track total hip arthroplasty peri-operative post-operative pre-operative |
| title | Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review |
| title_full | Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review |
| title_fullStr | Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review |
| title_full_unstemmed | Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review |
| title_short | Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review |
| title_sort | fast track protocols and early rehabilitation after surgery in total hip arthroplasty a narrative review |
| topic | enhanced recovery after surgery fast track total hip arthroplasty peri-operative post-operative pre-operative |
| url | https://www.mdpi.com/2039-7283/13/3/52 |
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