Michael Kent1, Nick Calvert2, Kevin Blades2, Alex Swann2,3, Piers Yates2,3. 1. Torbay Hospital, Lowes Bridge, Torquay, Devon TQ2 7AA, United Kingdom. 2. St John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia. 3. The University of Western Australia, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia.
Abstract
INTRODUCTION: This is the first study reporting the application of Enhanced Recovery Principles (ERP) to revision arthroplasty. METHOD: Retrospective series of 132 revision hip and knee replacements treated with ERP. RESULTS: Infiltration was associated with reduced LOS in knees (6 vs 8.5 days), lower PCA usage and incidence of transfusion in knees (2 vs 3 days) and hips (1 vs 6 days). Revisions for infection had a longer LOS (5.4 vs 11.5 days p = 0.001), a greater use of PCA and a higher incidence of transfusion (5 vs 0) in both knees and hips. DISCUSSION: The application of ERPs to revision arthroplasty is safe. Infiltration appears to be an important factor in improving outcome measures.
INTRODUCTION: This is the first study reporting the application of Enhanced Recovery Principles (ERP) to revision arthroplasty. METHOD: Retrospective series of 132 revision hip and knee replacements treated with ERP. RESULTS: Infiltration was associated with reduced LOS in knees (6 vs 8.5 days), lower PCA usage and incidence of transfusion in knees (2 vs 3 days) and hips (1 vs 6 days). Revisions for infection had a longer LOS (5.4 vs 11.5 days p = 0.001), a greater use of PCA and a higher incidence of transfusion (5 vs 0) in both knees and hips. DISCUSSION: The application of ERPs to revision arthroplasty is safe. Infiltration appears to be an important factor in improving outcome measures.
Entities:
Keywords:
Blood transfusion; Enhanced recovery; Length of stay; Pain control; Revision hip replacement; Revision knee replacement
Authors: Aditya V Maheshwari; Yossef C Blum; Laghvendu Shekhar; Amar S Ranawat; Chitranjan S Ranawat Journal: Clin Orthop Relat Res Date: 2009-02-13 Impact factor: 4.176
Authors: Kristian Larsen; Karen Elisabeth Hvass; Torben B Hansen; Per B Thomsen; Kjeld Søballe Journal: BMC Musculoskelet Disord Date: 2008-04-28 Impact factor: 2.362
Authors: Zacharia Joseph; Nicholas Calvert; Michael Salmon; Matthew Harper; Alex Swann; Roger Tan; Kevin Blades; Piers Yates Journal: J Orthop Date: 2020-11-04