ArticleFrontiers in medicine2026
Effect of a multi-component enhanced recovery after surgery integrated protocol based on preoperative risk stratification and dynamic rehabilitation adjustment on functional recovery after knee and hip arthroplasty: a retrospective cohort study.
Article in Frontiers in medicine, 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
Objective: To investigate the impact of a multicomponent enhanced recovery after surgery (ERAS) protocol based on preoperative risk stratification and dynamic rehabilitation adjustment on functional recovery following total knee arthroplasty (TKA) or total hip arthroplasty (THA). Methods: A retrospective cohort study was conducted, enrolling 256 patients who underwent primary unilateral TKA or THA at the Ninth Medical Center of the Joint Logistics Support Force of the People's Liberation Army between September 2023 and September 2024. Patients were divided into a study group ( Results: After adjusting for baseline confounders, the intervention group had significantly lower VAS pain scores across all postoperative follow-up time points ( Conclusion: The multicomponent ERAS protocol incorporating preoperative risk stratification and dynamic rehabilitation adjustment is significantly associated with improved short-term pain relief and functional recovery after TKA and THA. A prominent functional improvement trend was observed, especially during the critical early rehabilitation window at 1-month post-arthroplasty. The intergroup differences in both HSS and Harris Hip scores peaked at 3 months postoperatively. These findings provide real-world observational evidence supporting precision rehabilitation following joint arthroplasty.
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