2018
DOI: 10.1007/s00402-018-3001-2
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Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Abstract: IntroductionFast-track protocols (FP) are used more and more to optimize results after total knee arthroplasty (TKA). Many studies evaluating FP in TKA concentrate on clinical outcome and medium to long-term results. Since discharge from hospital after TKA is achieved increasingly quicker worldwide using FP in an increasingly younger and active patient population, the effects of FP on functional outcome in the first days after TKA become more important. The purpose of the current study was to compare FP with a… Show more

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Cited by 46 publications
(66 citation statements)
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“…It has previously been established that fast-track surgery leads to reduced pain compared with regular joint care proto-cols (Fransen et al 2018) but very limited literature is available on the differences in pain between inpatients and outpatients subsequent to total joint arthroplasty (Goyal et al 2017). In this study patients had VAS scores recorded post-surgery.…”
Section: Discussionmentioning
confidence: 99%
“…It has previously been established that fast-track surgery leads to reduced pain compared with regular joint care proto-cols (Fransen et al 2018) but very limited literature is available on the differences in pain between inpatients and outpatients subsequent to total joint arthroplasty (Goyal et al 2017). In this study patients had VAS scores recorded post-surgery.…”
Section: Discussionmentioning
confidence: 99%
“…The evolution of “fast-track” or “enhanced recovery” surgery for total knee arthroplasty (TKA) has focused on optimal postoperative pain control without lower limb motor weakness to enhance ambulation ability, improve analgesia, and promote narcotic-free postoperative anesthesia 1–3. Combined local infiltration analgesia (LIA) and adductor canal block (ACB) is a common multimodal analgesic option.…”
Section: Introductionmentioning
confidence: 99%
“…A retrospective comparative study between conventional and accelerated total knee revisions (TKRs) resulted in faster postoperative recovery for those patients who underwent the latter [ 6 ]. According to a randomized controlled trial, accelerated TKA resulted in significantly lower knee pain scores and improved functional outcomes 7 days after surgery [ 32 ]. An evidence-based review on blood management in Total Joint Arthroplasty (TJA) underlined how accelerated pathways provide useful room for perioperative planning and prediction, generating additional value in comparison to a conventional protocol [ 9 ].…”
Section: Resultsmentioning
confidence: 99%