ArticleActa orthopaedica2015
1-year follow-up of 920 hip and knee arthroplasty patients after implementing fast-track.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of tranexamic acid reduces blood loss in osteotomy at knee level: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- The use of tourniquet in total knee arthroplasty does not impact the functional outcome: a randomised controlled study.Journal of orthopaedic surgery and research · 2024Trial
- 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.Archives of orthopaedic and trauma surgery · 2018Trial
- A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty.Acta orthopaedica · 2018Trial
- Telemedicine support shortens length of stay after fast-track hip replacement.Acta orthopaedica · 2017Trial
- Muscular strength after total hip arthroplasty. A prospective comparison of 3 surgical approaches.Acta orthopaedica · 2016Trial
- Perioperative local infiltration anesthesia with ropivacaine has no effect on postoperative pain after total hip arthroplasty.Acta orthopaedica · 2015Trial
- Differences in health outcomes of orthopedic rehabilitation after hip or knee replacement: a prospective pilot study benchmarking 23 rehabilitation facilities using Patient-Reported Outcome Measures (PROMs).Arthroplasty (London, England) · 2026Article
- Preoperative physiotherapy and one-year patient-reported outcomes after primary total knee arthroplasty: a registry-based cohort study of 1,688 patients.Journal of rehabilitation medicine · 2026Article
- Efficacy and safety of fast-track surgical management for acute orthopedic fractures: a retrospective cohort analysis.BMC surgery · 2026Article
- Prognostic value of early proms for one-year recovery trajectories after total hip arthroplasty.Scientific reports · 2026Article
- Early institutional experience and results of outpatient direct anterior hip replacement.Singapore medical journal · 2025Article
- Improved early recovery and shorter hospital stay with fast track protocol versus standard care in total hip arthroplasty: 5-year results from a prospective randomised controlled study.Journal of experimental orthopaedics · 2025Article
- Review
- In-Hospital Pain and Opioid Consumption After Primary Total Knee Arthroplasty Compared to Primary Total Hip Arthroplasty: Results from 7330 Patients Treated in a Fast-Track Setting.Pain and therapy · 2025Article
- Can KOOS-PS be replaced with a simple anchor question in patients after total knee arthroplasty?: an agreement study of 2,478 primary surgeries.Acta orthopaedica · 2024Article
- Statistical models and implant customization in hip arthroplasty: Seeking patient satisfaction through design.Heliyon · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Evaluating the Use of PROMs in Paediatric Orthopaedic Registries.Children (Basel, Switzerland) · 2023Review
- Efficacy of post-operative partial weight-bearing after total knee arthroplasty - a prospective observational trial.International orthopaedics · 2023Observational
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFast-track has become a well-known concept resulting in improved patient satisfaction and postoperative results. Concerns have been raised about whether increased efficiency could compromise safety, and whether early hospital discharge might result in an increased number of complications. We present 1-year follow-up results after implementing fast-track in a Norwegian university hospital.
methodsThis was a register-based study of 1,069 consecutive fast-track hip and knee arthroplasty patients who were operated on between September 2010 and December 2012. Patients were followed up until 1 year after surgery.
results987 primary and 82 revision hip or knee arthroplasty patients were included. 869 primary and 51 revision hip or knee patients attended 1-year follow-up. Mean patient satisfaction was 9.3 out of a maximum of 10. Mean length of stay was 3.1 days for primary patients. It was 4.2 days in the revision hip patients and 3.9 in the revision knee patients. Revision rates until 1-year follow-up were 2.9% and 3.3% for primary hip and knee patients, and 3.7% and 7.1% for revision hip and knee patients. Function scores and patient-reported outcome scores were improved in all groups.
interpretationWe found reduced length of stay, a high level of patient satisfaction, and low revision rates, together with improved health-related quality of life and functionality, when we introduced fast-track into an orthopedic department in a Norwegian university hospital.
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