Rapid recovery in total hip arthroplasty

Adolph V. Lombardi, Andrew B. Richardson, Kevin Lloyd Garvin

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Significant advances have been made in the perioperative care of patients undergoing total hip arthroplasty, enabling rapid recovery with mobilization hours after the surgical intervention. Rapid recovery programs following total hip arthroplasty have become the gold standard of care worldwide. These programs provide a standardized multidisciplinary multimodal approach to the care of the patient. Proper preoperative patient selection, education, and rehabilitation will ensure that the expectations of the patient, family, and surgeon are aligned. Preoperative optimization of the patient’s comorbidities allows for the patient to be treated under a healthy-patient model rather than a traditional sick-patient model. Preoperative evaluation combined with multimodal anesthesia techniques, efficient surgery, and aggressive postoperative pain management and rehabilitation will allow rapid recovery of the patient who undergoes total hip arthroplasty. Successful implementation of rapid recovery programs has been shown to result in decreased hospital lengths of stay, significant cost savings, and improved functional patient outcomes without increasing the hospital readmission rate or complication rate.

Original languageEnglish (US)
Title of host publicationOrthopaedic Knowledge Update
Subtitle of host publicationHip and Knee Reconstruction 5
PublisherWolters Kluwer Health
Pages436-451
Number of pages16
ISBN (Electronic)9781975123819
ISBN (Print)9781975123796
StatePublished - Jan 1 2018

Fingerprint

Arthroplasty
Hip
Length of Stay
Rehabilitation
Perioperative Care
Patient Readmission
Cost Savings
Pain Management
Standard of Care
Postoperative Pain
Patient Selection
Comorbidity
Patient Care
Anesthesia
Education

Keywords

  • Rapid recovery
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lombardi, A. V., Richardson, A. B., & Garvin, K. L. (2018). Rapid recovery in total hip arthroplasty. In Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5 (pp. 436-451). Wolters Kluwer Health.

Rapid recovery in total hip arthroplasty. / Lombardi, Adolph V.; Richardson, Andrew B.; Garvin, Kevin Lloyd.

Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5. Wolters Kluwer Health, 2018. p. 436-451.

Research output: Chapter in Book/Report/Conference proceedingChapter

Lombardi, AV, Richardson, AB & Garvin, KL 2018, Rapid recovery in total hip arthroplasty. in Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5. Wolters Kluwer Health, pp. 436-451.
Lombardi AV, Richardson AB, Garvin KL. Rapid recovery in total hip arthroplasty. In Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5. Wolters Kluwer Health. 2018. p. 436-451
Lombardi, Adolph V. ; Richardson, Andrew B. ; Garvin, Kevin Lloyd. / Rapid recovery in total hip arthroplasty. Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5. Wolters Kluwer Health, 2018. pp. 436-451
@inbook{7f952332649a4dff8ae319875e1fd17b,
title = "Rapid recovery in total hip arthroplasty",
abstract = "Significant advances have been made in the perioperative care of patients undergoing total hip arthroplasty, enabling rapid recovery with mobilization hours after the surgical intervention. Rapid recovery programs following total hip arthroplasty have become the gold standard of care worldwide. These programs provide a standardized multidisciplinary multimodal approach to the care of the patient. Proper preoperative patient selection, education, and rehabilitation will ensure that the expectations of the patient, family, and surgeon are aligned. Preoperative optimization of the patient’s comorbidities allows for the patient to be treated under a healthy-patient model rather than a traditional sick-patient model. Preoperative evaluation combined with multimodal anesthesia techniques, efficient surgery, and aggressive postoperative pain management and rehabilitation will allow rapid recovery of the patient who undergoes total hip arthroplasty. Successful implementation of rapid recovery programs has been shown to result in decreased hospital lengths of stay, significant cost savings, and improved functional patient outcomes without increasing the hospital readmission rate or complication rate.",
keywords = "Rapid recovery, Total hip arthroplasty",
author = "Lombardi, {Adolph V.} and Richardson, {Andrew B.} and Garvin, {Kevin Lloyd}",
year = "2018",
month = "1",
day = "1",
language = "English (US)",
isbn = "9781975123796",
pages = "436--451",
booktitle = "Orthopaedic Knowledge Update",
publisher = "Wolters Kluwer Health",

}

TY - CHAP

T1 - Rapid recovery in total hip arthroplasty

AU - Lombardi, Adolph V.

AU - Richardson, Andrew B.

AU - Garvin, Kevin Lloyd

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Significant advances have been made in the perioperative care of patients undergoing total hip arthroplasty, enabling rapid recovery with mobilization hours after the surgical intervention. Rapid recovery programs following total hip arthroplasty have become the gold standard of care worldwide. These programs provide a standardized multidisciplinary multimodal approach to the care of the patient. Proper preoperative patient selection, education, and rehabilitation will ensure that the expectations of the patient, family, and surgeon are aligned. Preoperative optimization of the patient’s comorbidities allows for the patient to be treated under a healthy-patient model rather than a traditional sick-patient model. Preoperative evaluation combined with multimodal anesthesia techniques, efficient surgery, and aggressive postoperative pain management and rehabilitation will allow rapid recovery of the patient who undergoes total hip arthroplasty. Successful implementation of rapid recovery programs has been shown to result in decreased hospital lengths of stay, significant cost savings, and improved functional patient outcomes without increasing the hospital readmission rate or complication rate.

AB - Significant advances have been made in the perioperative care of patients undergoing total hip arthroplasty, enabling rapid recovery with mobilization hours after the surgical intervention. Rapid recovery programs following total hip arthroplasty have become the gold standard of care worldwide. These programs provide a standardized multidisciplinary multimodal approach to the care of the patient. Proper preoperative patient selection, education, and rehabilitation will ensure that the expectations of the patient, family, and surgeon are aligned. Preoperative optimization of the patient’s comorbidities allows for the patient to be treated under a healthy-patient model rather than a traditional sick-patient model. Preoperative evaluation combined with multimodal anesthesia techniques, efficient surgery, and aggressive postoperative pain management and rehabilitation will allow rapid recovery of the patient who undergoes total hip arthroplasty. Successful implementation of rapid recovery programs has been shown to result in decreased hospital lengths of stay, significant cost savings, and improved functional patient outcomes without increasing the hospital readmission rate or complication rate.

KW - Rapid recovery

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=85059199079&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059199079&partnerID=8YFLogxK

M3 - Chapter

AN - SCOPUS:85059199079

SN - 9781975123796

SP - 436

EP - 451

BT - Orthopaedic Knowledge Update

PB - Wolters Kluwer Health

ER -