ArticleJournal of experimental orthopaedics2026
Implementation of an institutional Enhanced Recovery After Surgery (ERAS) pathway is associated with fewer in-hospital falls after total knee arthroplasty.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To evaluate whether implementation of an Enhanced Recovery After Surgery (ERAS)-based perioperative pathway was associated with a lower rate of postoperative in-hospital falls after total knee arthroplasty (TKA). Methods: This retrospective single-centre before-after study included 314 patients undergoing primary TKA (151 treated before and 163 treated after implementation of an ERAS-based pathway). The documented pathway components included local infiltration analgesia, tranexamic acid, omission of surgical drains and continuous femoral nerve analgesia and physiotherapist-assisted active and passive mobilization on the day of surgery. The primary outcome was an in-hospital fall documented through the institutional incident-reporting system. Secondary outcomes included pain, opioid consumption, range of motion and postoperative complications. Results: In-hospital falls occurred in 1 of 163 patients in the ERAS group (0.6%) and 10 of 151 patients in the non-ERAS group (6.6%) (risk ratio, 0.09; 95% confidence interval [CI], 0.01-0.72; Conclusions: Implementation of an ERAS-based perioperative pathway was associated with fewer postoperative in-hospital falls after primary TKA. Because the pathway was introduced as a bundle in a retrospective before-after study, causality cannot be established. Level of Evidence: Level III, retrospective cohort study.
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